Emergency Defibrillation Procedure with Paddles
9650-0904-01 Rev. N ZOLL R Series Operator’s Guide 4–3
If medical protocol allows, you may select a different energy level using the up and down arrow
buttons. One pair is located on the front panel of the unit; the other pair is located on the
sternum paddle.
Note: Neonatal and pediatric defibrillator energy levels should be selected based on site-
specific protocols.
The selected energy level is shown as DEFIB XXXJ SEL. on the display.
If you have configured Shocks 1, 2, and 3 to escalating energy levels (see the R Series
Configuration Guide for instructions), the R Series automatically sets the energy to the
preconfigured Energy Level: Shock 1, 2, 3 setting at power-up and after each of the first two
shocks. The ENERGY INCREMENTED message will be displayed after Shocks 1 and 2 are
delivered. Manually changing the energy level outside the preprogrammed sequence and
delivering a shock disables the automatic escalation function.
Prepare Paddles
Release the paddles, apply a liberal amount of electrolyte gel to the electrode surface of each
paddle, and rub the electrode surfaces together to evenly distribute the applied gel. (You can
substitute electrode gel patches for the gel.)
Apply Paddles to Chest
Apply the paddles firmly to the anterior wall of the chest. Place the sternum paddle to the right
of the patient’s sternum (patient’s right), just below the clavicle.
Place the apex paddle on the chest wall, just below and to the left of the patient’s left nipple,
along the anterior-axillary line.
ENERGY
SELECT
ENERGY
SELECT
ANALYZE ANALYZE
CHARGE CHARGE
DEFIB 120J SEL.
Code
MarkerOptions
00:01
ECG
Param
Report
Data
Sync
On/Off
Alarms
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