Emergency Defibrillation Procedure with Paddles
9650-001355-01 Rev. M X Series Operator’s Guide 15-3
Prepare Paddles
Ensure that the paddles are connected to the multi-function (MFC) or OneStep cable, and that
the cable is connected to the X Series unit. 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.
Rub the paddles against the skin to maximize the paddle-to-patient contact.
Warning! Do not permit gel to accumulate between the paddle electrodes on the chest wall (gel
bridge). This could cause burns and reduce the amount of energy delivered to the heart.
If using defibrillator gel pads, make sure that the size of the pad is large enough to cover
the entire paddle electrode area.
The paddles may be used for ECG monitoring in emergency situations when time does not
allow connection of standard ECG monitoring electrodes.
2 Charge Defibrillator
Press the CHARGE button on the APEX handle or on the front panel.
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