Preparing for Synchronized Cardioversion 7: Synchronized Cardioversion
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Preparing for Synchronized Cardioversion
To prepare for synchronized cardioversion:
1 Perform tasks as described in “Preparing for Defibrillation” on page 80.
2 If monitoring through a 3- or 5-Lead ECG cable, plug the ECG cable into the ECG port on the
Efficia DFM100 and apply monitoring electrodes to the patient (see “Lead Selection” on
page 51).
3 Use the Lead Select button to select the waveform you want in Wave Sector 1. The selected
ECG source should have a clear signal and a large QRS complex. Use external paddles as the
monitoring lead only if no other lead source is available. See “With External Paddles” on
page 89.
NOTES: When a patient is already connected to Philips bedside monitoring equipment, an external ECG
Out (Sync) cable can plug into the bedside’s ECG Output jack and into the Efficia DFM100’s ECG
port. This connects the ECG signal from the monitor into the Efficia DFM100 where it is displayed
and synchronization occurs.
The signal from the bedside monitor is displayed as Lead II on the Efficia DFM100 even though it
may not necessarily be Lead II coming from the bedside monitor.
Do not use a Philips SureSigns monitor connected to the Efficia DFM100. The devices are not
compatible.
WARNING: If you use an external monitor as the ECG source, a biomedical technician MUST verify that the
combination of the external monitor and Efficia DFM100 can deliver a synchronized shock within
60ms of the peak of the R-Wave. Use a 1 mV QRS complex with a QRS width of 40 ms. This
performance cannot be guaranteed with all commercially available monitors.