Defibrillating in AED Mode | Philips M3500B manual

3 Defibrillating in AED Mode

	The HeartStart XLT’s AED Mode is designed to guide you through standard
	treatment algorithms for cardiac arrest, including those provided by the Amer-
	ican Heart Association and the European Resuscitation Council. Configura-
	tion choices allow you to customize AED Mode to better follow a specific
	treatment algorithm and to meet the unique needs of your life-saving team.
	This chapter describes how to use the HeartStart XLT to defibrillate in AED
	Mode. It explains the prompts that guide you through the defibrillation pro-
	cess and describes how prompts vary depending upon the condition of the
	patient and the configuration of your device.	3
	For information on printing, storing, and retrieving patient information	3

	acquired in AED Mode, see Chapter 9.

M3500B HeartStart XLT Defibrillator/Monitor

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Philips M3500B manual Defibrillating in AED Mode

Contents

A R TS TA R T X LT Page Instructions for Use 1RWLFH Conventions Page Contents Monitoring SpO2 Defibrillating in AED ModeMonitoring the ECG Storing, Retrieving & Printing Defibrillating in Manual ModePerforming Synchronized Cardioversion Pacing Maintaining the HeartStart XLT Setting Up and Configuring the HeartStart XLT Troubleshooting Specifications & Safety Overview Introduction Overview Indications for AED Therapy Intended UseDefibrillation Therapy Indications for Manual Defibrillation Therapy Precautions for AED TherapyContraindications for AED Therapy Indications Precautions for Manual Defibrillation TherapyNoninvasive Pacing Therapy Contraindications for Manual Defibrillation Therapy SpO2 Monitoring Learning to Use the HeartStart XLT Safety ConsiderationsPage Getting Acquainted Getting Started Basic Orientation Basic Orientation Audiovisual Controls Manual Mode Controls Manual Mode Controls Manual Mode User Message AED Mode Display Layout ECG and SpO2 disabled 150J 132User Message 114J LCD Backlight Manual Mode Display Layout Inserting the Battery Connecting to Power Low Battery Warning Removing the Battery Using a Data Card Inserting a Data Card Inserting a Data Card Removing a Data Card Page Defibrillating in AED Mode AED Mode Overview Defibrillation with the default configuration Defibrillation with a modified configuration Preparation Connecting Pads to the Patient Cable Connect Pads Cable DefibrillatingPress On Apply Pads Display Apply Pads Check Patient If No Pulse Press Analyze Shocks If instructed, press $1$/= Charging to 150J 97JAnalyzing Do Not Touch Patient Press Shock If shock advised, press 6+2150J Stand Clear Shock Delivered Automatic Re-analysis On If Needed Press Pause Begin CPR Shocks Pausing for CPR 11 Pause Display Paused Timer 21 Monitoring Rhythm Monitoring Rhythm This prompt is repeated periodically, as configured, until ERC Protocol Paused Timer 35 / 60 Prompt Possible Cause Corrective Action TroubleshootingAED Mode Prompts Monitoring the ECG Applying Monitoring Electrodes Lead Reference Electrode Placement 5-Lead ECG Lead Formation Precordial Lead Electrode Placement Lead Select Choices Lead Select If Configured for a Choices areSelecting the Lead Alarm If Over Or under Setting the Heart Rate AlarmHR Alarm Limit Choices Situation Cause Solution Disabling the HR AlarmAdjusting the ECG Size Troubleshooting Tips RFI Acquired while monitoring, see Chapter Monitoring SpO2 Pulse Oximetry Sensor Understanding Pulse Oximetry Sensor Type Patient Patient Size Ideal Site Selecting a SensorApproved Sensors Semi-disposable Sensors Reusable SensorsDisposable Sensors Applying the Sensor Connecting the Sensor Cable Connecting the Sensor Cable SpO2 Monitoring Display Monitoring Responding to an Alarm Setting Alarms Caring for Sensors Discontinuing SpO2 Monitoring System Messages Problem or Message Possible Cause Corrective Action 6S2&DEOH2II Page Defibrillating in Manual Mode Enter Password Enabling Manual Mode Preparation Charge Select Energy150 J Shock 150 J 87 J Returning to AED Mode Performing Synchronized Cardioversion Delivering a Synchronized Shock Preparing for Synchronized Cardioversion Sync Delivering Additional Synchronized Shocks Disabling Sync Mode Pacing Monitoring During Pacing Demand Mode Versus Fixed Mode Preparing for Pacing Pacing Pacer Stop Demand Mode 70ppm 30mA Pacing Demand Mode 70ppm 30mA Defibrillating During Pacing Changing Pacing Modes Message Possible Cause Corrective Action Pacing System MessagesPage Storing, Retrieving & Printing Annotations Marking Events Event Related Information Stored Events RecordedEvent Information ECG waveform with annotation , Epi Then Creating a Patient RecordPatient Record Summary Event Summary Printing the Internal Event Summary Event Waveform Description Event Waveform Information Printing Events Event Real-Time Delayed Strip LengthPrinting Events Connecting/Disconnecting Patient Cables Setting Up and Configuring the HeartStart XLT Pads Patient Cable Connector Connecting the Pads Patient Cable Disconnecting the Pads Patient Cable Disconnecting the Pads Patient Cable Disconnecting the ECG Patient Cable Connecting the ECG Patient Cable Disconnecting the SpO2 Patient Cable Connecting the SpO2 Patient Cable Recommended Accessory Placement Arranging Accessories in the Carrying Case Accessing the Configuration Menu Configuring the HeartStart XLT Configuration Menu Configurable Parameters Parameter Description Setting Choices General Settings Manual / AED Sec DelayLeads & Pads 3XOVH,I1HHGHG%HJLQ&35 AED Settings $GYLVHG 180 Parameter Description Choices Setting the Manual Mode PasswordManual Settings Diag .05 150 Hz ECG Filter SettingsDescription Setting Choices Monitor .15-40Hz Returning to the Default Configuration Modifying the Configuration Printing Settings Saving Settings to a Data CardLoading Settings from a Data Card Maintaining the HeartStart XLT Before You Begin Operational Checks Every Three Months Every ShiftEvery Month Shift/System Check Report Shift/System Check M3500B HeartStart XLT Defibrillator/Monitor 11-5 Power Supply Battery Capacity Test Results Battery Capacity Test CT Charging Batteries Battery MaintenanceBattery Maintenance Activities Activity When to Perform Discarding Batteries Battery CapacityBattery Life-Expectancy Storing Batteries Loading Printer Paper Paper well Cleaning the Carrying Case Cleaning InstructionsCleaning the HeartStart XLT Cleaning the Power Modules Cleaning the Printer Printhead Cleaning Pads, Electrodes & Cables Removing the Carrying Case Removing & Replacing the Carrying Case Putting the Carrying Case On Aligning the Manual Door Putting On the Manual Door Part Number Description Paper Supplies & AccessoriesSupplies and Accessories Pads Cables Test Load White twist lock Connector Supplies and Accessories Data Card Part Number Description ECG CablesMonitoring Electrodes SpO 2 Cable/Sensors Carrying Case Part Number Description Battery/Power Modules/ AdapterExtension Cable Disposing of the HeartStart XLT Troubleshooting Message Description Corrective Action System Messages 3DGV&DEOH2II 6S2 /RZ6LJQDO Momentary Messages Momentary Messages DWD&DUGXOO Situation Cause Possible Solution Troubleshooting Tips Figuration Configuration Mode 12-8 Canada Calling for ServiceUnited States of America Latin America Other International Areas Specifications & Safety Defibrillator Specifications Sensitivity and Specificity Meets Aami guidelines Frequency Response AC Line Filter 60 Hz/50Hz ECG Monitoring Thermal Array Printer Display Charge Time Battery and Battery Power Module SpO2/Pulse Oximetry Noninvasive Pacing General Event Storage Humidity Environmental Symbol Definition Symbol DefinitionsDefibrillator and Battery Symbols IPX4 Shipping Carton Symbols Shipping Carton Symbols Results Clinical Performance Summary DefibrillationMethods Clinical Summary Defibrillation Conclusion Clinical Performance Summary Cardioversion Biphasic Patients Monophasic Patients Value Number Percent 13-18 Specifications & Safety Safety Considerations 13-20 Specifications & Safety Vicing to qualified personnel Reducing Electromagnetic Interference Electromagnetic Compatibility Immunity Level Restrictions for UsePage Index Page Index Page Index Page Vii Viii