Pausing for CPR | Philips M3500B instruction

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Pausing for CPR

NOTE

Pausing for CPR

At the completion of a shock series or when no shock is advised, the Heart- Start XLT prompts you to &KHFN3DWLHQW&KHFN3XOVH. It allows eight seconds for

you to check the pulse, then prompts you as follows:

Figure 3-10 Press Pause Display

If Needed

Press PAUSE

And Begin CPR Shocks: 1

00:00:50

PAUSE ANALYZE

If CPR is needed, press . While paused, the Pause Timer indicates the elapsed time and the total duration of the Pause state, in seconds. The Pause Timer is configurable to meet your local CPR protocol needs. Rhythm, SpO2 and heart rate monitoring alarms are suspended for the duration of the pause.

*This section describes how the Pause state functions using the default con- figuration. If your HeartStart XLT is configured to support the European Resuscitation Council Guidelines for Resuscitation, refer to the “ERC Proto- col” section on page 3-16 for details.

3-12	Defibrillating in AED Mode

Image 46

Philips M3500B manual Pausing for CPR, If Needed Press Pause Begin CPR Shocks

Contents

A R TS TA R T X LT Page Instructions for Use 1RWLFH Conventions Page Contents Monitoring the ECG Defibrillating in AED ModeMonitoring SpO2 Pacing Defibrillating in Manual ModePerforming Synchronized Cardioversion Storing, Retrieving & Printing Setting Up and Configuring the HeartStart XLT Maintaining the HeartStart XLT Troubleshooting Specifications & Safety Introduction Overview Overview Defibrillation Therapy Intended UseIndications for AED Therapy Contraindications for AED Therapy Precautions for AED TherapyIndications for Manual Defibrillation Therapy Contraindications for Manual Defibrillation Therapy Precautions for Manual Defibrillation TherapyNoninvasive Pacing Therapy Indications SpO2 Monitoring Safety Considerations Learning to Use the HeartStart XLTPage Getting Started Getting Acquainted Basic Orientation Basic Orientation Audiovisual Controls Manual Mode Controls Manual Mode Controls Manual Mode AED Mode Display Layout ECG and SpO2 disabled User Message User Message 114J 132150J Manual Mode Display Layout LCD Backlight Connecting to Power Inserting the Battery Removing the Battery Low Battery Warning 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 Connecting Pads to the Patient Cable Preparation Press On DefibrillatingConnect Pads Cable Apply Pads Apply Pads Display If instructed, press $1$/= Check Patient If No Pulse Press Analyze Shocks Analyzing Do Not Touch Patient 97JCharging to 150J Stand Clear If shock advised, press 6+2150J Press Shock Automatic Re-analysis On Shock Delivered Pausing for CPR If Needed Press Pause Begin CPR Shocks Paused Timer 21 11 Pause Display Monitoring Rhythm Monitoring Rhythm This prompt is repeated periodically, as configured, until ERC Protocol Timer 35 / 60 Paused AED Mode Prompts TroubleshootingPrompt Possible Cause Corrective Action Monitoring the ECG Applying Monitoring Electrodes Electrode Placement Lead Reference Precordial Lead Electrode Placement 5-Lead ECG Lead Formation Selecting the Lead Lead Select If Configured for a Choices areLead Select Choices HR Alarm Limit Choices Setting the Heart Rate AlarmAlarm If Over Or under Troubleshooting Tips Disabling the HR AlarmAdjusting the ECG Size Situation Cause Solution RFI Monitoring SpO2 Acquired while monitoring, see Chapter Understanding Pulse Oximetry Pulse Oximetry Sensor Approved Sensors Selecting a SensorSensor Type Patient Patient Size Ideal Site Disposable Sensors Reusable SensorsSemi-disposable Sensors Applying the Sensor Connecting the Sensor Cable Connecting the Sensor Cable Monitoring SpO2 Monitoring Display Setting Alarms Responding to an Alarm Discontinuing SpO2 Monitoring Caring for Sensors Problem or Message Possible Cause Corrective Action System Messages 6S2&DEOH2II Page Defibrillating in Manual Mode Enabling Manual Mode Enter Password Preparation 150 J Select EnergyCharge 150 J 87 J Shock Returning to AED Mode Performing Synchronized Cardioversion Preparing for Synchronized Cardioversion Delivering a Synchronized Shock Sync Disabling Sync Mode Delivering Additional Synchronized Shocks Pacing Demand Mode Versus Fixed Mode Monitoring During Pacing Preparing for Pacing Pacer Stop Demand Mode 70ppm 30mA Pacing Pacing Demand Mode 70ppm 30mA Changing Pacing Modes Defibrillating During Pacing Pacing System Messages Message Possible Cause Corrective ActionPage Storing, Retrieving & Printing Marking Events Annotations Event Information Events RecordedEvent Related Information Stored ECG waveform with annotation , Epi Patient Record Summary Creating a Patient RecordThen Printing the Internal Event Summary Event Summary Event Waveform Information Event Waveform Description Printing Events Event Real-Time Delayed Strip LengthPrinting Events Setting Up and Configuring the HeartStart XLT Connecting/Disconnecting Patient Cables Connecting the Pads Patient Cable Pads Patient Cable Connector Disconnecting the Pads Patient Cable Disconnecting the Pads Patient Cable Connecting the ECG Patient Cable Disconnecting the ECG Patient Cable Connecting the SpO2 Patient Cable Disconnecting the SpO2 Patient Cable Arranging Accessories in the Carrying Case Recommended Accessory Placement Configuring the HeartStart XLT Accessing the Configuration Menu Configurable Parameters Configuration Menu General Settings Parameter Description Setting Choices Leads & Pads Sec DelayManual / AED AED Settings 3XOVH,I1HHGHG%HJLQ&35 180 $GYLVHG Manual Settings Setting the Manual Mode PasswordParameter Description Choices Monitor .15-40Hz ECG Filter SettingsDescription Setting Choices Diag .05 150 Hz Modifying the Configuration Returning to the Default Configuration Loading Settings from a Data Card Saving Settings to a Data CardPrinting Settings Maintaining the HeartStart XLT Operational Checks Before You Begin Every Month Every ShiftEvery Three Months Shift/System Check Shift/System Check Report M3500B HeartStart XLT Defibrillator/Monitor 11-5 Power Supply Battery Capacity Test CT Battery Capacity Test Results Activity When to Perform Battery MaintenanceBattery Maintenance Activities Charging Batteries Storing Batteries Battery CapacityBattery Life-Expectancy Discarding Batteries Loading Printer Paper Paper well Cleaning the HeartStart XLT Cleaning InstructionsCleaning the Carrying Case Cleaning the Printer Printhead Cleaning the Power Modules Cleaning Pads, Electrodes & Cables Removing & Replacing the Carrying Case Removing the Carrying Case Putting the Carrying Case On Putting On the Manual Door Aligning the Manual Door Pads Cables Test Load White twist lock Connector Supplies & AccessoriesSupplies and Accessories Part Number Description Paper Supplies and Accessories SpO 2 Cable/Sensors Part Number Description ECG CablesMonitoring Electrodes Data Card Extension Cable Part Number Description Battery/Power Modules/ AdapterCarrying Case Disposing of the HeartStart XLT Troubleshooting System Messages Message Description Corrective Action 3DGV&DEOH2II 6S2 /RZ6LJQDO Momentary Messages Momentary Messages DWD&DUGXOO Troubleshooting Tips Situation Cause Possible Solution Figuration Configuration Mode 12-8 Latin America Calling for ServiceUnited States of America Canada Other International Areas Specifications & Safety Specifications Defibrillator Sensitivity and Specificity Meets Aami guidelines ECG Monitoring Frequency Response AC Line Filter 60 Hz/50Hz Display Thermal Array Printer Battery and Battery Power Module Charge Time Noninvasive Pacing SpO2/Pulse Oximetry Event Storage General Environmental Humidity Defibrillator and Battery Symbols Symbol DefinitionsSymbol Definition IPX4 Shipping Carton Symbols Shipping Carton Symbols Methods Clinical Performance Summary DefibrillationResults Conclusion Clinical Summary Defibrillation 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 Electromagnetic Compatibility Reducing Electromagnetic Interference Restrictions for Use Immunity LevelPage Index Page Index Page Index Page Vii Viii