Remote Synchronized Cardioversion Procedure
9650-0904-01 Rev. N ZOLL R Series Operator’s Guide 6–5
sternum paddle. Press the CHARGE button again to charge the unit to the newly selected
energy level.
After charging the unit to the selected energy, either the front panel SHOCK button or the
APEX paddle charge indicator illuminates. A distinctive audible tone sounds and the SYNC
XXXJ READY message is displayed.
The defibrillator is now ready to deliver therapy.
3 Deliver SHOCK
WARNING! Warn all persons in attendance of the patient to STAND CLEAR prior to defibrillator
discharge.
Verify that no one is in contact with the patient, monitoring cable or leads, bed rails, or
any other potential current pathways.
Verify that the ECG waveform is stable and that Sync markers appear over each R-wave.
Press and hold the illuminated SHOCK button on the front panel, (or simultaneously press and
hold both paddle SHOCK buttons) until energy is delivered to the patient. The defibrillator will
discharge with the next detected R wave.
Note: If the defibrillator is not discharged within 60 or 120 seconds (user configurable) after
reaching the selected energy level, the unit automatically disarms itself. During the ten
seconds prior to this internal disarm, the charge ready tone beeps intermittently. The
charge ready tone then stops, and the defibrillator remains in Sync mode.
Once the energy is delivered, the display simultaneously shows XXXJ DELIVERED and DEFIB
XXXJ SEL. After approximately 5 seconds, the XXXJ DELIVERED message disappears and the
DEFIB XXXJ SEL. message remains to indicate the selected energy level.
If additional countershocks are necessary, readjust the energy level as necessary, press the
Sync On/Off softkey, followed by the Sync softkey (if your unit supports Remote Sync), and
repeat. Note that SYNC XXXJ SEL must be displayed prior to pressing the CHARGE button.
If the ANALYZE button is pressed while the unit is in Sync mode, the unit displays the
REMOVE SYNC message and does not allow ECG rhythm analysis until the unit is taken out of
Sync mode.
Remote Synchronized Cardioversion Procedure
The R Series may be configured to receive defibrillation synchronization pulses from a remote
ECG monitoring device. See the R Series Configuration Manual. Be sure that the remote
device is connected to the Sync In/Marker Out connector on the R Series unit. The remote
device must have a Sync out connector and a cable must be provided to connect the two
devices. Ensure the remote device conforms with the Sync In/Marker Out specifications
(described in Appendix A, “Defibrillator Specifications”).
WARNING! A lethal arrhythmia may be induced through improper synchronization. Qualified
personnel within the hospital should verify synchronization delay for the entire remote
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