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Preparing For Synchronized Cardioversion - Philips HeartStart XL Plus 861290 Instructions For Use Manual

Defibrillator monitor.
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Preparing for Synchronized Cardioversion

Preparing for Synchronized Cardioversion
To prepare for synchronized cardioversion:
Perform tasks as described in
If monitoring through a 3- or 5-Lead ECG cable, plug the ECG cable into the ECG port on the
HeartStart XL+ and apply monitoring electrodes to the patient (see
Use the Lead Select button
ECG source should have a clear signal and a large QRS complex. Use external paddles as the
monitoring lead only if no other lead source is available. See
NOTES: When a patient is already connected to Philips bedside monitoring equipment, an external "Sync" cable
can plug into the bedside's ECG Output jack and into the HeartStart XL+'s ECG port. This connects the
ECG signal from the monitor into the HeartStart XL+ where it is displayed and synchronization occurs.
The signal from the bedside monitor is displayed as Lead II on the HeartStart XL+ even though it may
not necessarily be Lead II coming from the bedside monitor.
Do not use a Philips SureSigns monitor connected to the HeartStart XL+. The devices are not
WARNING: If you use an external monitor as the ECG source, a biomedical technician MUST verify that the
combination of the external monitor and HeartStart XL+ can deliver a synchronized shock within 60ms
of the peak of the R-Wave. Use a 1 mV QRS complex with a QRS width of 40 ms. This performance
cannot be guaranteed with all commercially available monitors.
"Preparing for Defibrillation"
to select the waveform you want in Wave Sector 1. The selected
7: Cardioversion
on page 76.
"Lead Selection"
on page 47).
"With External Paddles"
on page 85.


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