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6.4.1 Synchronized Cardioversion Procedure
• During synchronized cardioversion, the shock will be delivered when the equipment detects the
next R-wave. If electrode electrodes or internal paddles without button are used, you should press
and hold the Shock button on the equipment until the shock is delivered. If external paddles are
used, you should press and hold the Shock buttons on both the external paddles until the shock is
delivered. If internal paddles with a button are used, you should press and hold the Shock button on
the right paddle handle until the shock is delivered.
6.4.2 Remote Synchronized Cardioversion
• During remote synchronized cardioversion, the local equipment does not display the ECG
waveform. To view the patient’s ECG, check the remote monitor.
• When you use a remote monitor as the ECG source, a biomedical technician must verify that the
remote monitor and the equipment combination will deliver a synchronized shock within 60 ms
after the peak of the next R-wave is generated.
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