HP CodeMaster XL+ M1722A User Manual page 49

Performing Synchronized Cardioversion
Performing Cardioversion
ECG mode, leads mode is recommended. Artifact induced by moving the paddles
may resemble an R-wave and trigger defibrillator shock.
4
Verifying Defibrillator Operation
Before the cardioversion procedure is started, verify defibrillator operation by
performing the following brief test.
1
2
3
Keep hands clear of the paddle electrode edges. Use your thumbs
WARNING
to depress the Shock buttons on the paddle handles.
4
5
Cardioversion can be performed with the instrument in Autogain mode. Always
inspect the displayed ECG before delivering the countershock, and verify that an
R-wave marker (indicating shock point) appears only with each R-wave. If a
marker dot does not appear, or if a marker dot is viewed on the T-wave segment
of the ECG, follow these instructions.
Adjust the ECG size by pressing
m
only with each R-wave.
Select a different lead or adjust the electrode placement, if necessary, to improve
m
ECG R-wave quality.
Select the desired energy level with the Energy Select control.
Ensure that the paddles connector is attached and the paddles are in their hold-
ers.
Ensure that the patient cable is connected to the ECG Input jack in the front of
the defibrillator and the leads are attached to the patient.
Turn the Energy Select control to 100 joules.
Charge
Press . Wait for the Charge Done indicators, and for the Delivered
Energy display to read 100 joules.
With the paddles pressed firmly into their holders, press and hold both Shock
buttons at once. The defibrillator will shock with the next detected R-wave.
until the marker dot appears
ECG Size
4-3