4Therapy
Therapy
LIFEPAK 20 Defibrillator/Monitor Operating Instructions 4-21
©2002–2013 Physio-Control, Inc.
Defibrillation Procedure
To defibrillate the patient:
1 Press
ON to turn on the defibrillator.
2 To access the pediatric paddles, slide the adult paddle forward until it releases.
3 Apply defibrillation gel to the pediatric paddle electrode surfaces.
4 Select the appropriate energy for the weight of the child according to American Heart Association
recommendations (or equivalent guidelines).
5 Place the paddles firmly on the patient's chest.
6 Press
CHARGE.
7 Make certain all personnel, including the operator, are clear of the patient, the bed, and any
equipment connected to the patient.
8 Confirm ECG rhythm and available energy.
9 Press the
SHOCK button(s) to discharge energy to the patient or press the Speed Dial to remove
the charge. If
SHOCK buttons are not pressed within 60 seconds, stored energy is internally
removed.
Note: If you change the energy selection after charging has started, the energy is removed.
Press
CHARGE to restart charging.
Note: If the
ABNORMAL ENERGY DELIVERY message appears and the shock is not effective,
increase energy, if necessary, and repeat shock. (Also refer to page 4-22.)
Troubleshooting Tips for Defibrillation and Synchronized Cardioversion
Table 4-3 Troubleshooting Tips for Defibrillation and Synchronized Cardioversion
Observation Possible Cause Corrective Action
1 Charge time to 360J exceeds
10 seconds.
Battery low. • Connect to AC power.
• Device operating in low
temperature environment (<25°C
or 77°F).
2 Energy not delivered to patient
when
SHOCK button(s) are
pressed.
Device in sync mode and QRS
complexes are not detected.
• Change ECG lead for optimum
sensing QRS or deactivate
SYNC.
Device in sync mode; shock
button(s) not pressed and held
until next detected QRS.
•Hold
shock buttons until
discharge occurs or next
detected QRS.
Shock button(s) pressed before
full charge reached.
• Wait for tone and message
indicating full charge.
Sixty seconds elapsed before
shock
button(s) pressed after full
charge. Energy internally
removed.
• Press Shock button(s) within
60 seconds of full charge.
ENERGY selection changed. • Press CHARGE again.
Test plug connected to QUIK-
COMBO therapy cable.
• Disconnect test plug and
connect electrodes to QUIK-
COMBO therapy cable.
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