ZOLL E Series Monitor Defibrillator Rev R - Manual (Page 72)

E Series Operator’s Guide
10-2 9650-1210-01 Rev. R
Monitoring Electrodes Attachment
Attach snap-on leads to electrodes and check for good
contact between the electrode and the lead termination.
Peel the protective backing from the ECG electrode. Be
careful to keep adhesive surface free of electrolyte gel.
Apply the ECG electrodes firmly to the patient’s skin,
pressing around the entire perimeter of the electrodes.
Plug the patient cable connector into the ECG input
connector (located on the rear panel of the instrument).
During electrosurgery, observe the following guidelines
to minimize ESU interference and provide maximum
user and patient safety:
• Keep all patient monitoring cables away from earth
ground, ESU knives, and ESU return wires.
• Use electrosurgical grounding pads with the largest
practical contact area.
Always assure proper application of the electrosurgical
return electrode to the patient.
Control Setting
Set selector switch to the MONITOR position.
Press the LEAD button until the desired lead
configuration is selected. The selected lead is indicated
at upper right of display.
If the unit displays the ECG LEAD OFF, CHECK PADS,
POOR LEAD CONTACT, or POOR PAD CONTACT
message, inspect the ECG electrodes or MFE pads, lead
wires, and associated connections.
If heart rate alarms are enabled with paddles selected,
the unit displays the message SELECT LIMB LEADS. If
you see this message, select limb or precordial leads.
If you want to change the size of the displayed ECG
waveform, press the SIZE button until the desired
waveform size is displayed. Options are 0.5, 1, 1.5, 2,
and 3 times the normal size.
If you want to shut off the heart rate beeper, press the
Volume softkey, then the Dec softkey repeatedly until
you get to the lowest level. To turn it back on, press the
Inc softkey
.
Spikes from Implanted Pacemakers
The device is capable of detecting pacemaker signals
from a patient with an implanted pacemaker and
indicates the signal on the display.
The device displays a thin, solid line on the ECG trace
whenever it detects a pacemaker signal. The waveform
spike produced by the pacemaker is displayed whether
the pacer is atrial, ventricular, or both.
CAUTION
Only use electrodes that are well within the expiration
date indicated on the package.
CAUTION
To avoid electrosurgery burns at monitoring sites,
ensure proper connection of the electrosurgery return
circuit so that the return paths cannot be made
through monitoring electrodes or probes.
0!#%2
/&&
-/.)4/2 $%&)" 
WARNING
Implanted pacemakers may cause the heart rate
meter to count the pacemaker rate during incidents of
cardiac arrest or other arrhythmias. Pacemaker
patients should be carefully observed. Check the
patient's pulse; do not rely solely on heart rate meters.
Dedicated pacemaker detection circuitry may not
detect all implanted pacemaker spikes; patient history
and physical exam are important in determining the
presence of an implanted pacemaker.
,%!$
2%#/2$%2
3):%
!,!2-
3530%.$