ZOLL R Series Monitor Defibrillator Rev J - Manual (Page 448)

C HAPTER 8 N ONINVASIVE T EMPORARY P ACING (O PTIONAL )
8–6 www.zoll.com 9650-0912-01 Rev. K
6 Determine Optimum Threshold
The ideal pacer current is the lowest value that maintains capture — usually about 10% above
threshold. Typical threshold currents range from 40 to 80 mA. Location of the hands-free
therapy or OneStep therapy electrodes affects the current required to obtain ventricular capture.
Typically the lowest threshold is obtained when the position of the electrodes provides the most
direct current pathway through the heart while avoiding large chest muscles. Lower stimulation
currents produce less skeletal muscle contraction and are better tolerated.
4:1 Mode
Pressing and holding the 4:1 button temporarily withholds pacing stimuli, thereby allowing you
to observe the patient’s underlying ECG rhythm and morphology.
When depressed, this button causes pacing stimuli to be delivered at ¼ of the indicated ppm
setting.
Pace Fault
If the unit is attempting to deliver pacing therapy and one of the following conditions occur, the
messages CHECK PADS and POOR PAD CONTACT are alternately displayed on the screen
and an audible alarm sounds:
• The OneStep cable is not connected to the device.
• The cable is defective.
• Therapy pads are not connected to the OneStep cable.
• The therapy pads are not making good skin contact.
The alarm will continue to sound until proper connections between the patient and pacer are
achieved and the leftmost softkey (Clear Pace Alarm) is pressed.
OUTPUT
mA
OUTPUT
mA
RATE
ppm
RATE
ppm
4:1
OFF
PACER
PACE
Clear
Pace
Alarm
00:01
Async
Pacing
On/Off
50 mA 70 PPM
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
ECG
CHECK PADS