Preparing for Defibrillation 6 Manual Defibrillation and Cardioversion
75
Using External Paddles
To defibrillate using external paddles:
1 If not pre-connected, connect the paddles cable to the HeartStart MRx by aligning the white
pointer on the paddles cable connector with the white arrow on the green Therapy port. Then
push until you hear it click into place. See Figure 48.
Figure 48 Paddles Cable Connection
2 Remove the Paddle Set from the Paddle Tray by pulling the paddles straight up and out of the
paddle tray.
3 Apply conductive matter to the paddle electrodes.
Do not distribute conductive matter by rubbing the paddle electrodes together.
4 Apply paddles to the patient’s bare chest, using the anterior-anterior placement (or in accordance
with your organization’s protocol).
The sternum paddle contains a patient contact indicator (PCI). See Figure 49. If necessary, as
indicated by the appearance of either a red or orange LED on the PCI, adjust paddle pressure and
placement to optimize patient contact. Once proper contact is made, the PCI shows a green LED.
Figure 49 Patient Contact Indicator
NOTE Reasonable effort should be made to obtain a reading of at least one green LED. Due to impedance,
this may not be possible for some patients, and orange LEDs may be the best that can be achieved.
Patient Contact Indicator
(PCI)
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