Physio Control LIFEPAK 15, Operating Instructions Manual

Page: 137 / 284

Chapter 5 | Therapy
©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions
137
The metronome provides "tocks" and ventilation prompts continuously until it is deactivated.
To stop the metronome, select
STOP METRONOME
in the CPR Metronome menu. An event is
recorded in the CODE SUMMARY Event Log when CPR metronome is turned ON or OFF and
when the Age-Airway setting is changed. To adjust the volume of the metronome, press
OPTIONS
, select
ALARM VOLUME
, and change the
VOLUME
.
Note: If all Age-Airway selections are set to the same C:V ratio (for example, Adult - No
Airway, Adult - Airway, Youth - No Airway, and Youth - Airway all set to 10:1), the CPR
metronome always provides "tocks" and ventilation prompts at the set ratio for both AED
mode and Manual mode. In this situation, the CPR Metronome menu does not appear when
CPR
is pressed during use—pressing the
CPR
button only activates and deactivates the
metronome at the fixed C:V ratio.
Synchronized Cardioversion Procedure
The LIFEPAK 15 monitor/defibrillator can be set up to remain in Sync mode or to return to
Asynchronous mode after a shock is delivered. The factory default setting is to return to
Asynchronous mode after a shock. It is important that you know how your defibrillator is set up.
For information about changing the setup option, see the
LIFEPAK 15 Monitor/Defibrillator Setup
Options provided with your device.
To perform synchronized cardioversion:
1. Press
ON
.
2. Attach patient ECG cable and ECG electrodes as previously described (see Monitoring the
ECG (on page 47)). ECG electrodes and cable must be used to monitor the ECG when
standard paddles are used for cardioversion.
3. Select Lead
II
or lead with greatest QRS complex amplitude (positive or negative).
Note: To monitor the ECG using therapy electrodes, place the electrodes in anterior-lateral
position and select
PADDLES
lead.
Possible Lethal Arrhythmia
Ventricular fibrillation may be induced with improper
synchronization. DO NOT use the ECG from another
monitor (slaving) to synchronize the
monitor/defibrillator’s discharge. Always monitor the
patient’s ECG directly through the defibrillator’s ECG
cable or therapy cable. Confirm proper placement of
the sense markers on the ECG.
4. Press
SYNC
. The
SYNC MODE
message appears in the message area when Sync is active.
Note:
Press
SYNC
again to deactivate Sync mode.