GE Marquette Responder 3000, Руководство оператора

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Manual Defibrillation / Non-Synchronized Defibrillation
227 490 02-C Marquette Responder® 3000 19
Figure 4-1. Removing the paddles
ECG
Paddle
15.07.1999 09:05:00
160 / 40
bpm
Next
Menu
manual
0
200 J
ECG
SpO2
etCO2
QRSPulse
Tone
OFF
b c a
Figure 4-2. Power-up screen (paddles con-
nected)
a ECG signal acquired via
"Paddle"
b manual mode
c selected energy
SHOCK
3
STERNUM
SHOCK
3
CHARGE
2
APEX
Figure 4-3. Paddle application points (dashed
application points for pacemaker
patients)
4.2 Non-Synchronized Defibrilla-
tion
Using Paddles
•
Remove the paddles from their compartments
as shown in Figure 4-1.
•
Carefully dry the paddles and the handles in
particular, if they are wet.
•
Apply an ample amount of electrode cream to
the paddle surfaces.
•
Set the energy selector to "Autoseq" or to the
required energy level.
In the "Autoseq" position of the energy selector,
the defibrillator automatically sequences the preset
defibrillation energy levels. The level for the 3rd
shock is maintained for all subsequent defibrilla-
tions. When you set the energy selector again to
"Autoseq", the automatic charge sequence starts
over.
The factory set Autosequence energy levels are the
values recommended by AHA/ERC for ventricular
fibrillation and pulseless tachycardia.
1st shock with 200 J
2nd shock with 200 J
3rd and all subsequent shocks with 360 J.
•
Check that the selected energy is displayed (c,
Figure 4-2).
•
Apply the paddles on the patient's thorax such
that the greatest possible amount of energy
flows through the myocardium. The imaginary
line connecting the paddle centers should be
identical with the cardiac median line (Figure
4-3).
•
Press the paddles firmly onto the thorax (the
ECG appears on the monitor screen).
•
Do not touch the patient any more and warn all
those present.