Chapter 5
| Therapy
©2007-2015 Physio-Control, Inc.
LIFEPAK 15 Monitor/Defibrillator Operating Instructions
133
paroxysmal supraventricular tachycardia and, in relatively stable patients, ventricular
tachycardia.
Contraindications
Defibrillation is contraindicated in the treatment of Pulseless Electrical Activity (PEA), such as
idioventricular or ventricular escape rhythms, and in the treatment of asystole.
Manual Defibrillation Warnings
Shock Hazard
Conductive gel (wet or dry) on the paddle handles can
allow the electrical energy to discharge through the
operator during defibrillation. Completely clean the
paddle electrode surfaces, handles, and storage area
after defibrillation.
Possible Fire, Burns, and Ineffective Energy
Delivery
Precordial lead electrodes and lead wires may interfere
with the placement of standard paddles or therapy
electrodes. Before defibrillation, remove any interfering
precordial lead electrodes and lead wires.
Possible Burns and Ineffective Energy Delivery
A gel pathway on the skin between the standard
paddles will cause defibrillating energy to arc between
paddles and divert energy away from the heart muscle.
Do not allow conductive gel (wet or dry) to become
continuous between paddle sites.
Possible Patient Skin Burns
During defibrillation, air pockets between the skin and
standard paddles can cause patient skin burns.
Completely cover paddle electrode surfaces with fresh
conductive gel and apply 25 lb of pressure per paddle
during discharge.
Possible Paddle Damage and Patient Skin
Burns
Discharging the defibrillator with the standard paddle
surfaces shorted together can pit or damage the paddle
electrode surface. Pitted or damaged paddle surfaces
may cause patient skin burns during defibrillation.
Discharge the defibrillator only as described in these
operating instructions.
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