GS corpuls3 - Page 34

Introduction User Manual corpuls
3
22 ENG - Version 2.1 – P/N 04130.2
In AED mode, the user is assisted by an automated ECG analysis, verbal
instructions (configurable) and a metronome (configurable). The defibrillation
pulse is triggered by the user.
The AED mode algorithm is governed by the current recommendations of the
European Resuscitation Council of 2010 (ERC, see www.erc.edu).
In manual defibrillation mode, the user has full freedom of action and decision-
making. The metronome (configurable) is available in this mode as well.
Defibrillation can be performed with corpuls
3
using plate electrodes, so-called
shock paddles and with disposable adhesive electrodes, so-called corPatch
electrodes.
There are three different options for selecting energy in manual mode:
• Softkeys
The softkeys allow a choice of predefined energy settings (e.g. 50 J,
100 J, 150 J, 180 J, 200 J).
• Jog dial
The jog dial allows selection of 2 J, 3 J, 4 J and 5 J and subsequently in
5 J-increments up to a maximum energy of 200 J.
• Shock paddles
By short-circuiting the shock paddles, the energy can be selected by
pressing the release buttons. This function allows the same energy
selection as with the jog dial.
Warning
A cardioversion may lead to fibrillation or asystole. When performing a
cardioversion, mind the following:
• The ECG has to be stable with a heart rate of at least 60/min.
• The synchronisation status has to remain constantly on SYNC.
• The QRS marks (triangles) have to mark each QRS complex.
• The shock release has to be effected according to valid guidelines.
• If the shock release does not take place one second after pressing
the buttons at the shock paddles or the Shock key at the monitoring
unit, the shock will be released independent of the synchronisation
status.
Pacing
By electrical stimulation of the heart muscle, the external pacer of corpuls
3
can supplement, positively influence or completely take over its function. The
pacer emits pacing pulses to the patient’s heart muscle through the corPatch
electrodes attached to the chest/back.
With the pacer function, the FIX and DEMAND operating modes are available
as well as the function OVERDRIVE.
In the FIX operating mode, the heart muscle is stimulated regardless of the
patient’s own heart rate.
The pacer only stimulates in DEMAND mode when the patient’s own heart rate
falls below the pre-set pacing frequency. The automatic R-wave recognition
prevents pacing during the vulnerable phase of the heart.
The OVERDRIVE function allows manual reduction of a patient’s high heart rate.
The maximum pacing frequency is f ≤ 300/min.
Energy selection
FIX
DEMAND
OVERDRIVE
function
Defibrillation
electrodes