Troubleshooting, Set the controls, Spikes from implantable pacemakers – ZOLL M Series Defibrillator Rev YH User Manual

Page 58: Warning

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M S

ERIES

O

PERATOR

S

G

UIDE

9-2

Attach Monitoring Electrodes

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.

Attach snap-on leads and check for good contact
between the electrode and the lead termination.

Plug the patient cable connector into the ECG input
connector (located on the rear panel of the instrument).

Troubleshooting

If your M Series unit does not function as expected, see
the Monitor Troubleshooting section starting on
page B-1.

Set the Controls

Set SELECTOR SWITCH to the MONITOR position.

Press the LEAD button until the desired lead
configuration is selected (selected lead is indicated at
upper right of display).

If the “ECG LEAD OFF” message appears on the
display, inspect the ECG electrodes, lead wires, and
associated connections. If a “CHECK PADS” or “POOR
PAD CONTACT” message is displayed inspect the MFE
Pads, cable, 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.

Press the SIZE button until the desired waveform size is
displayed.

Adjust QRS beeper volume to suitable level using the
beeper volume button.

Spikes from Implantable Pacemakers

The device is capable of detecting and indicating on the
display pacemaker signals from a patient with an
implantable pacemaker.

The device displays, a thin, solid line on the ECG trace
whenever it detects a pacemaker signal. The waveform
“spike” produced by the pacemaker will be displayed if
the pacer is atrial, ventricular, or both.

PACER

OFF

MONITOR

DEFIB

1

LEAD

RECORDER

SIZE

ALARM

SUSPEND

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.

Param

Wave 2

Alarms

12 Lead

ID#

00:15

ECG

PADS

70

x1

ECG

LEAD SIZE HR

MONITOR

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