Synchronized Cardioversion Procedure
9650-0904-01 Rev. N ZOLL R Series Operator’s Guide 6–3
Attach hands-free therapy electrodes according to instructions on the electrode packaging and
as described in “Therapy Electrode Application” on page 4-7.
Ensure that the therapy electrodes are making good contact with the patient’s skin and are not
covering any part of any other electrodes.
Connect the hands-free therapy electrodes to the OneStep cable if not preconnected.
If therapy electrodes are not making good contact with the patient’s skin, the unit issues the
messages CHECK PADS and POOR PAD CONTACT and does not allow delivery of energy. If a
short circuit exists between the electrodes, the unit issues the message DEFIB PAD SHORT.
An ECG LEAD OFF condition prevents synchronized discharge if leads are selected as the
ECG source. This condition does not prevent the use of the defibrillator; it simply prevents use
in a synchronized manner.
If paddles are being used for synchronized cardioversion, refer to “Emergency Defibrillation
Procedure with Paddles” on page 4-1 for preparing paddles, applying paddles, charging the
defibrillator, and delivering a shock. Note, however, that synchronized discharge with paddles
as an ECG source is discouraged since the artifact induced by moving the paddles may
resemble an R-wave and trigger defibrillator discharge at the wrong time.
1 Select ON
The unit beeps 4 times to indicate that it has passed the power on self test, and the green AED
label and the ON mode selector light up on the front panel.
Press the Manual Mode softkey on the front panel of the unit to enter the Manual mode of
operation.
The message CONFIRM MANUAL MODE and the Confirm softkey will be displayed. Press
the Confirm softkey to enter the Manual mode of operation. If the Confirm softkey is not
pressed within 10 seconds, the unit will revert back to AED operation.
Note: If the unit has been configured not to confirm the transition from AED mode to
Manual mode, the unit will immediately enter Manual mode.
The control buttons for Manual mode light up on the front panel. Select the desired energy
using the up and down arrow keys on the front panel (or sternum paddle if using paddles).
Press the Sync On/Off softkey
Your system will be in Sync mode once you press the Sync On/Off softkey if your R Series is
not configured to support Remote Sync. However, if your R Series is configured to support
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