ZOLL R Series Monitor Defibrillator Rev J - Manual (Page 499)

Defibrillator
9650-0912-01 Rev. K ZOLL R Series Operator’s Guide 13–5
Defibrillator
Symptom Recommended Action
1. Excessive artifact detected when
using paddles as ECG source.
• Ensure “PADDLES” is selected.
• Firmly press paddles against patient skin.
• Use gel on paddles.
• Clean paddle surface.
• Check and clean between adult and pediatric shoe.
• Check cable for damage.
• Use ECG electrodes.
2. Defibrillator will not charge (energy
level does not increment on
display).
• Ensure that SHOCK button(s) on paddles or front panel
are not stuck on.
• Replace the battery pack.
3. Charge time to 200 J exceeds
10 seconds.
• Typical in a low battery condition (up to 20 seconds)
• Plug device into AC power.
• Install fully charged battery pack.
4. Energy does not discharge when
the SHOCK button(s) is pressed.
• 60 seconds have elapsed in manual mode since initial
charge ready. Energy was internally discharged.
• Device is in Sync mode or Remote Sync mode and no
QRS complex is detected.
• Energy internally discharged because energy selection
was changed during charge or after the device was
ready.
• Unit was not completely charged when SHOCK
button(s) were pressed. Wait for DEFIB XXXJ READY
message and ready tone.
• Press and hold SHOCK button(s) until energy is
delivered to the patient.
• Pads or paddles not making good contact with patient.
5. Unable to SHOCK when in Sync
mode
• Ensure SYNC XXXJ SEL is displayed on monitor.
• Make sure ECG signals are displayed.
• Check for Sync markers (arrow above R wave). If not
present, change lead selection, or electrode placement.
• Press and hold SHOCK button(s) until energy is
delivered to the patient.
• Alter ECG electrode placement.