6-1
6 Manual Defibrillation (For Pro Only)
6.1 Overview
Manual defibrillation is available only on Pro. This chapter explains how to prepare for and perform asynchronous
defibrillation and synchronous cardioversion using multifunction electrode pads.
In Manual Defibrillation Mode, you must assess the ECG waveforms, decide if defibrillation or cardioversion is indicated,
select appropriate energy setting, charge the equipment, and deliver the shock. Text messages on the screen provide
relevant information to guide your throughout the defibrillation process.
6.2 Safety
DANGER
Defibrillation current can cause operator or bystander severe injury or even death. Never touch the
patient or any equipment connected to the patient (including the bed or gurney) during defibrillation.
Avoid contact between parts of the patient’s body such as exposed skin of head or limbs, conductive fluids
such as gel, blood, or saline, and metal objects such as a bed frame or a stretcher which may provide
unwanted pathways for the defibrillating current.
Do not allow multifunction electrode pads to touch each other or to touch other ECG monitoring
electrodes, lead wires, dressings, etc. Contact with metal objects may cause electrical arcing and patient
skin burns during defibrillation and may divert current away from the heart.
During manual defibrillation, make sure your hands are dry and free from conductive gel to avoid shock
hazard.
Use care when operating this equipment close to oxygen sources (such as bag-valve-mask devices or
ventilator tubing). Turn off gas source or move source away from patient during defibrillation. This can
cause an explosion hazard.
WARNING
Do not use conductive liquid. Use only conductive gel specified by the equipment manufacturer.
Do not charge and deliver shock frequently for an long time if disposable battery is used.
Clinicians must select an appropriate energy level for defibrillation of pediatric patients.
Performing CPR with pads attached on the patient might damage the pads. In this case, replace the pads.
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