ZOLL M Series Defibrillator Rev YH - Manual (Page 37)

4-1
SECTION 4
ADVISORY DEFIBRILLATION
Advisory Defibrillation
The device can identify shockable rhythms using its built
in ECG analysis capability when using MFE Pads to
monitor ECG and defibrillate. The operator must read the
advisory messages, charge the defibrillator to the user
selected or preconfigured energy level (if automatic
charge is disabled), and deliver treatment to the patient
when required by protocol and patient condition.
The Advisory function can only be activated when:
• MFE Pads are connected and selected as the ECG source
• MFE Pads are firmly attached to the patient to reduce any
electrode noise or artifact
and
• SELECTOR SWITCH is turned to DEFIB.
Determine Patient Condition Following Medical Protocols
Verify:
• Unconsciousness
• Absence of breathing
• Absence of pulse
Begin CPR following medical protocols
Request additional assistance.
Prepare Patient
Remove all clothing covering the patient's chest. Dry
chest if necessary. If the patient has excessive chest
hair, clip it to ensure proper adhesion of electrodes.
Attach the MFE Pads according to instructions on the
electrode packaging.
Ensure that all MFE Pads are making good contact with
the patient’s skin and are not covering any part of the
ECG electrodes.
Connect MFE Pads to the Multi-function Cable if not
preconnected.
The messages “CHECK PADS” and “POOR PAD
CONTACT” will be alternately displayed and energy will
not be delivered if the MFE Pads are not making good
contact with the patient.
The message “DEFIB PAD SHORT” will be displayed to
indicate that a short circuit between MFE Pads may
exist.
MFE Pad Application
1. Apply one edge of the pad securely to the patient.
2. “Roll” the pad smoothly from that edge to the other
being careful not to trap any air pockets between the
gel and skin.
Note: If it is not possible to place the “BACK” MFE Pad
on the patient’s back, the MFE Pad should be
placed in the standard apex-sternum
configuration. Effective defibrillation will result,
but pacing with the device will usually be less
effective.
When Multi-function Electrode (MFE) Pads are used, the patient
connection is considered to be defibrillation protected Type BF.
WARNING
• Do not use the unit’s Advisory function on patients under
8 years of age.
WARNING
• Poor adherence and/or air under the MFE Pads can lead to
the possibility of arcing and skin burns.
Pad
Skin