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Overview

Defibrillation (with a modified configuration)

Chapter 10 describes, in detail, the configurable parameters for AED Mode.

Three parameters significantly impact the defibrillation process. They are:

Device Initiated Analysis - initiates ECG analysis when the HeartStart XLT is first turned on. The default configuration setting is On. If you choose to set

this parameter to 2II, you need to press to initiate analysis in step 2 of the defibrillation process.

Automatic Re-analysis- initiates ECG analysis in between shocks within a shock series. The default configuration setting is 2Q. If you choose to set this

parameter to 2II, you need to press to initiate analysis in between shocks within a shock series (i.e. after the first and second shock of a three shock series).

Rhythm Monitoring - monitors the ECG for potentially shockable rhythms when the HeartStart XLT is not analyzing, defibrillating, or paused. The default setting is 2Q￿￿If you choose to set this parameter to 2II, the HeartStart XLT will not look for potentially shockable rhythms during these idle times. Idle times also include:

￿power on, when Device Initiated Analysis is off.

in between shocks within a shock series, when Auto Re-analysis is off.

If Rhythm Monitoring is off, you need to observe the patient during idle times and determine when to press $1$/<=( .

The following sections describe the defibrillation process in detail. They also describe what happens at the completion of a shock series and if a shockable rhythm is not detected.

3-4

Defibrillating in AED Mode

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Image 38
Philips M3500B manual Defibrillation with a modified configuration