Therapy
4-14 LIFEPAK 20 Defibrillator/Monitor Operating Instructions
• Passcode. A passcode overlay appears:
Refer to Section 8 for information about changing the defibrillation mode.
Note: If the CPR metronome is sounding in AED mode, it continues sounding when the device
switches to manual mode. If the CPR metronome is silent in AED mode, it continues to be silent in
manual mode. To turn the metronome on or off while in manual mode, use the Speed Dial to select
the
CPR METRONOME icon. Refer to CPR Metronome, page 4-16, for more information.
MANUAL DEFIBRILLATION
The following paragraphs describe:
• Manual Defibrillation Warnings
• Impedance
• Defibrillation Procedure
• CPR Metronome
• Synchronized Cardioversion Procedure
• Remote Synchronization Procedure
Manual Defibrillation Warnings
Enter the passcode to change to manual
mode.
WARNINGS!
Possible fire, burns, and ineffective energy delivery.
Precordial lead electrodes and lead wires may interfere with the placement of standard paddles or
therapy electrodes. Before defibrillation, remove any interfering precordial lead electrodes and lead
wires.
Shock hazard.
Conductive gel (wet or dry) on the paddle handles can allow the electrical energy to discharge through
the operator during defibrillation. Completely clean the paddle electrode surfaces, handles, and
storage area after defibrillation.
Possible patient skin burns.
During defibrillation, air pockets between the skin and standard paddles can cause patient skin burns.
Completely cover paddle electrode surfaces with fresh conductive gel and apply 11.3 kg (25lbs.) of
pressure per paddle during discharge.
Possible paddle damage and patient skin burns.
Discharging the defibrillator with the standard paddle surfaces shorted together can pit or damage the
paddle electrode surface. Pitted or damaged paddle surfaces may cause patient skin burns during
defibrillation. Discharge the defibrillator only as described in these Operating Instructions.
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