Chapter 15 Manual Defibrillation
15-6 www.zoll.com 9650-001355-01 Rev. M
Emergency Defibrillation Procedure with Hands-Free
Therapy Electrodes
Determine the Patient’s Condition Following Local Medical Protocols
Verify:
• Unconsciousness
• Absence of breathing
• Absence of pulse
Begin CPR Following Medical Protocols
Request additional assistance.
Prepare Patient
Remove all clothing covering the patient’s chest. Dry chest if necessary. If the patient has
excessive chest hair, clip or shave it to ensure proper adhesion of the electrodes.
Attach hands-free therapy electrodes according to instructions on the electrode packaging.
Ensure that the therapy electrodes are making good contact with the patient’s skin and are not
covering any part of the ECG electrodes.
Therapy Electrode Application
Warning! Poor adherence and/or air under the therapy electrodes can lead to the possibility of
arcing and skin burns.
1. Apply one edge of the pad securely to the patient.
2. Roll the pad smoothly from the applied edge to the other, being careful not to trap any air
pockets between the gel and skin.
Note: If it is not possible to place the “BACK” electrode on the patient’s back, place the
electrodes in the standard apex-sternum positions. Effective defibrillation results, but
pacing will usually be less effective.
ZOLL hands-free therapy electrodes are a defibrillation-protected Type BF patient
connection.
ECG leads are a defibrillation-protected Type CF patient connection.
Skin
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