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Performing Cardioversion
7-4
Applying the Paddles
1 Prepare the paddles by performing the following steps:
a. Remove the paddles from their holders by grasping the handles and lifting
straight up.
b. Holding both paddles in one hand, apply electrolyte medium to both paddle
electrode surfaces.
To avoid the risk of electrical shock or burns, do not allow electrolyte
medium to accumulate on your hands, the paddle handles, or the paddle
electrodes on the patients chest.
Do not rub the electrode surfaces together to distribute the applied electrolyte
medium. Placing the electrode surfaces together increases the risk of an accidental
paddle-to-paddle discharge and may cause damage to the surface of the paddles.
2 Apply the paddles to the chest as follows.
a. Place the Sternum paddle to the right of the sternum just below the clavicle.
b. Place the Apex paddle on the chest just below and to the left of the left nip-
ple, in the anterior-axillary line.
3 Rub the paddles lightly against the skin to distribute the electrolyte medium and
increase the contact between the patient skin and the paddles.
To avoid the risk of burns to the patient, do not spread electrolyte medium
between the paddle electrodes on the chest. The patient can be burned if
the medium forms a path between the electrodes.
4 Apply 10 to 12 kg (22 - 25 lb.) of pressure per paddle. (Refer to the paddle con-
tact indicator on the Sternum paddle to verify paddle contact.)
5 Press Charge on either the right (Apex) paddle or on the instrument front panel.
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