ZOLL Propaq MD Rev A - Manual (Page 165)

Emergency Defibrillation Procedure with Paddles
9650-0805-01 Rev. A Propaq MD Operator’s Guide 14–3
Apply Paddles to Chest
Apply the paddles firmly to the anterior wall of the chest. Place the STERNUM paddle to the
right of the patient’s STERNUM (patient’s right), just below the clavicle.
Place the APEX paddle on the chest wall, just below and to the left of the patient’s left nipple,
along the anterior-axillary line.
Rub the paddles against the skin to maximize the paddle-to-patient contact.
Warning! Do not permit gel to accumulate between the paddle electrodes on the chest wall (gel
bridge). This could cause burns and reduce the amount of energy delivered to the heart.
If using defibrillator gel pads, make sure that the size of the pad is large enough to cover
the entire paddle electrode area.
The paddles may be used for ECG monitoring in emergency situations when time does not
allow connection of standard ECG monitoring electrodes.
2 Charge Defibrillator
Press the CHARGE button on the APEX handle or on the front panel.
To increase or decrease the selected energy after you have pressed the Charge button, use the
defibrillator Select Energy buttons on either the STERNUM paddle or the defibrillator front
panel.
Caution Changing the selected energy while the unit is charging or charged causes the defibrillator to
disarm itself. Press the Charge button again to charge the unit to the newly selected energy level.
STERNUM
APEX
RELEASE RELEASE
or