Philips Efficia DFM100 - Preparing for Defibrillation; Using Multifunction Electrode Pads; Using External Paddles

6: Manual Defibrillation Preparing for Defibrillation
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Preparing for Defibrillation
 To prepare for defibrillation:
1 Prepare the patient’s skin to improve skin contact. See “Skin Preparation” on page 48.
2 Connect the appropriate therapy cable. See “Connecting the Therapy Cable” on page 7.
3 Apply paddles or pads as described in the following sections.
Using Multifunction Electrode Pads
 To set up for defibrillating using multifunction electrode pads:
1 Check the expiration date on the pads package and inspect the package for any damage.
2 If not preconnected, connect the Therapy cable to the Efficia DFM100 (see “Connecting the
Therapy Cable” on page 7).
3 If the pads are not expired and package is undamaged, open the package and connect the pads
connector to the end of the Therapy cable (see “Connecting Multifunction Electrode Pads.” on
page 8).
4 Apply the pads to the patient as directed on the pads packaging or according to your institution’s
protocol.
5 Follow the defibrillation steps in “Defibrillation” on page 82.
Using External Paddles
 To set up for defibrillating using external paddles:
1 After connecting the paddles cable to the Efficia DFM100, remove the paddle set from the
paddle tray by pulling the paddles straight up and out of the paddle tray. Confirm you are using
the correct size paddles for the patient and verify there is no debris or residue (including dried
electrode gel) on the surface of the paddles. Clean if necessary.
2 Apply conductive matter as per your organization’s protocol.
CAUTION: Do not distribute conductive matter by rubbing the paddle electrode surfaces together. Surfaces
could get scratched or damaged if you do.
3 Apply the paddles to the patient’s bare chest using the anterior-anterior placement (or in
accordance with your organization’s protocol).
4 Use the Patient Contact Indicator (PCI) lights on the sternum paddle handle to adjust paddle
pressure and placement to optimize patient contact. Once proper contact is made, the PCI turns
green. See “External Paddles” on page 12.
NOTE: Reasonable effort should be made to obtain at least one green PCI light. Due to size of the patient or
other physical factors, this might not be possible for some patients. Orange lights may be the best
that can be achieved.
5 Follow the defibrillation steps in “Defibrillation” on page 82.