Defibrillation therapy is the definitive method for termination of lethal arrhythmias. The
HeartStart XL+'s Semi-Automated External Defibrillation (AED) Mode is designed to guide you
through standard treatment algorithms for cardiac arrest. The HeartStart XL+ provides therapy through
the application of a brief biphasic pulse of current to the heart. This energy is transferred through
disposable multifunctional pads applied to the patient's bare chest.
This chapter describes how to use AED Mode. It explains the voice and visual prompts that guide you
through the defibrillation process and describes how prompts vary depending upon the condition of the
patient and the configuration of your device. Configuration choices allow you to customize AED Mode
to better meet the unique needs of your institution or resuscitation team.
The HeartStart XL+ uses Philips' SMART Analysis algorithm as the basis for making a shock decision in
AED Mode. The SMART Analysis algorithm was designed to make aggressive shock decisions
concerning ventricular fibrillation. Because ventricular tachycardia rhythms may have an associated
pulse, SMART Analysis is more conservative when making shock decisions with these rhythms.
Besides resuscitating a patient, in AED Mode you can also monitor the patient's ECG, SpO
Certain ECG alarms can also be displayed in AED Mode. Even though ECG alarms, which are obtained
through the ST/AR Algorithm, can be viewed in AED Mode, the SMART Analysis algorithm is used as
the only basis for determining a shock. See
The HeartStart XL+ AED Mode can be used on both adult and infant/child patients. Use the Patient
button to switch categories.
When pressing the Patient Category button, all parameter alarm limits change to the new patient
category. These changes are retained when you switch modes.
For patients that are ≥ 25kg or ≥ 8 years old, use Adult patient category.
For patients <25kg or < 8 years old, use Infant/Child patient category.
The neonatal patient category is not supported in AED Mode.
For information on annotating, storing, exporting and printing event information acquired in AED
For information on setting AED configuration choices, see
and Pulse monitoring are also available in AED Mode. For more information, see
on page 72 and
Chapter 9 "Pulse Oximetry"
"Other Alarms in AED Mode"
on page 119.
on page 99.
on page 72.
on page 143.