5 Defibrillation
5.3 Manual Defibrillation Using Pads
Page 86
Art. no.: 0-48-0227 Rev.: g
DEFIGARD/PHYSIOGARD Touch 7
5.3.2 Applying the electrodes
Adults and children from 25 kg
Electrode placement is the same for adults and for and children weighing 25 kg or
more (see Fig. 5.2 Adult electrode application sites and Fig. 5.3 Electrode application
sites for children weighing 25 kg or more).
The safety distance between the two electrodes should be approx. 3 cm.
Children weighing less than 25 kg
The energy setting is automatically reduced with the Paediatric electrodes.
Good contact between the skin and the adhesive electrodes must be ensured.
Suntan oil, sand or salt reduce the adhesive quality.
The applied pads must have good contact with the patient's skin, and air bubbles
under the pads must be avoided. To do so, stick on one end of the pad then
smooth it out to the other end.
Fig. 5.2 Adult electrode application sites
Fig. 5.3 Electrode application sites for
children weighing 25 kg or more
1. Clean and dry the application points for the electrodes (see Fig. 5.2 Adult elec-
trode application sites page 86/Fig. 5.3 Electrode application sites for children
weighing 25 kg or more page 86). Only clean the skin by vigorously rubbing it with
a dry cloth.
2. Apply one electrode above the right nipple. Do not apply it on the clavicle (une-
ven).
3. Apply the other electrode slantwise below the left breast as illustrated in Fig. 5.2
Adult electrode application sites page 86/Fig. 5.3 Electrode application sites for
children weighing 25 kg or more page 86).
4. Make sure that the connections are positioned on the outside so that the cables
do not hinder cardiopulmonary resuscitation (CPR).
Fig. 5.4 Application sites for children less
than 25 kg
1. Clean and dry the application points for the electrodes (see Fig. 5.4 Application
sites for children less than 25 kg page 86). Only clean the skin by vigorously rub-
bing it with a dry cloth.
2. Apply one electrode on the left of the right nipple as illustrated in Fig. 5.4 Applica-
tion sites for children less than 25 kg page 86
3. Apply the second electrode on the back on the same level as the chest electrode
as illustrated in Fig. 5.4 Application sites for children less than 25 kg page 86.
Make sure that the connections are positioned on the outside so that the cables do not
hinder cardiopulmonary resuscitation (CPR).
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