ZOLL X Series Monitor Defibrillator Rev H - Manual (Page 222)

C HAPTER 18 E XTERNAL P ACING
18–6 www.zoll.com 9650-001355-01 Rev. H
Pacing in Fixed Mode
If ECG electrodes are not available or there is some circumstance that prevents or interferes
with the surface ECG, the X Series delivers pacemaker pulses at a fixed rate.
Fixed pacing should be performed only in an emergency when no alternative is available.
1 Turn On Unit
Press the green power switch located on the top of the unit. The green, yellow, and red lights at
the top of the unit flash on and off, and the unit displays the message SELF TEST PASSED.
2 Apply ECG Electrodes/Hands-Free Therapy Electrodes
Apply ECG electrodes, attach lead wires, and connect the ECG cable to the X Series side panel
(see Chapter 6 for instructions on attaching ECG electrodes to the patient). Attach hands-free
therapy electrodes according to instructions on the electrode packaging. Connect these therapy
electrodes to the MFC.
Therapy Electrode Application
WARNING! Poor adherence and/or air under the therapy electrodes can lead to the possibility of
arcing and skin burns.
1. Apply one edge of the pad securely to the patient.
2. Roll the pad smoothly from the applied edge to the other, being careful not to trap any air
pockets between the gel and skin.
3. Ensure that hands-free therapy electrodes are making good contact with the patient’s skin and
are not covering any part of any other ECG electrodes.
4. Press the Lead quick access key and select I, II, or III to provide the largest amplitude QRS
complex.
Note: When the Pacer is on, the lead selection is restricted to Leads I, II, or III.
5. Verify that R-waves are being properly detected by confirming that a QRS tone occurs with
each displayed R wave or by verifying that the X Series unit’s heart rate display accurately
reflects the patient’s pulse rate.
Pad
Skin