63
5
AED Mode Option
Defibrillation therapy is the definitive method for termination of lethal arrhythmias. The Efficia
DFM100’s optional Semi-Automated External Defibrillation (AED) Mode is designed to guide you
through standard treatment algorithms for cardiac arrest. If your device has this option, the Efficia
DFM100 provides therapy through the application of a brief biphasic pulse of current to the heart.
This energy is transferred through disposable multifunctional pads applied to the patient’s bare
chest.
This chapter describes how to use AED Mode. It explains the voice and visual prompts that guide
you through the defibrillation process and describes how prompts vary depending upon the
condition of the patient and the configuration of your device. Configuration choices allow you to
customize AED Mode to better meet the unique needs of your institution or resuscitation team.
The Efficia DFM100 uses Philips’ SMART Analysis algorithm as the basis for making a shock
decision in AED Mode. The SMART Analysis algorithm was designed to make aggressive shock
decisions concerning ventricular fibrillation. Because ventricular tachycardia rhythms may have an
associated pulse, SMART Analysis is more conservative when making shock decisions with these
rhythms.
In AED Mode you can also monitor the patient’s ECG, SpO
2
, pulse, EtCO
2
and AwRR. Certain
ECG alarms can also be displayed in AED Mode. Even though ECG alarms, which are obtained
through the ST/AR Algorithm, can be viewed in AED Mode, the SMART Analysis algorithm is
used as the only basis for determining a shock. See “Other Alarms in AED Mode” on page 76.
The Efficia DFM100 AED Mode can be used on both adult and infant/child patients. Use the
Patient Category button to switch categories.
When pressing the Patient Category button, all parameter alarm limits change to the new patient
category. These changes are retained when you switch modes.
• For patients that are ≥ 25kg or ≥ 8 years old, use Adult patient category.
• For patients <25kg or < 8 years old, use Infant/Child patient category.
For information on annotating, storing, exporting and printing event information acquired in AED
Mode, see “Data Management” on page 129.
For guidance on setting AED configuration choices, see “AED Settings” on page 154.
Optional CO
2
, AwRR, SpO
2
and Pulse monitoring are also available in AED Mode. For more
information, see:
• “CO
2
and AwRR” on page 76
• “SpO
2
and Pulse” on page 76
• Chapter 9 “Monitoring CO
2
” on page 99
• Chapter 10 “Monitoring SpO
2
” on page 109
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