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Delivering A Synchronized Shock; With External Paddles - Philips HeartStart XL Plus 861290 Instructions For Use Manual

Defibrillator monitor.
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Delivering a Synchronized Shock

Delivering a Synchronized Shock
To perform synchronized cardioversion:
Turn the Therapy knob to the desired energy setting
Press the Sync button (see
Confirm that the Sync button lights up, the Sync indicator is present and R-Wave arrows appear
only with each R-Wave.
R-Wave arrows do not always appear at the peak of the R-Wave but always appear on the
R-Wave. Use the Lead Select button to change leads if the R-Wave arrows do not appear
Press the yellow Charge button on the HeartStart XL+, or if using paddles, the yellow charge button
located on the apex paddle.
You may increase or decrease the selected energy at any time during charging or after charging.
Move the Therapy knob to the desired energy level. The HeartStart XL+ charges to the selected
energy level automatically. Wait until the charge reaches the selected energy level before
If you need to disarm the defibrillator, press the
defibrillator disarms automatically when the Shock button has not been pressed within the time
period specified in the Time to Auto Disarm configuration setting.
When the defibrillator has reached its charge level, make sure no one is touching the patient or
anything connected to the patient. Call out clearly and loudly "Stay Clear".
Check your ECG and then re-confirm your energy dose and waveform. Press and hold the Shock
button on the HeartStart XL+ or, if using external paddles, press and hold the orange buttons on
both paddles. It is important to continue to hold the Shock button (or the paddle buttons) until the
shock is delivered. The defibrillator shocks with the next detected R-Wave. Once the shock is
delivered, release the shock button. The Shock counter increases by one.
WARNINGS: Defibrillation current can cause operator or bystander injury. Do not touch the patient, or equipment
connected to the patient, during defibrillation.
Do not change the energy level while holding the Shock button down.
NOTE: If an ECG or pads technical alarm occurs while performing synchronized cardioversion, the
HeartStart XL+ does not charge, and if charged, disarms automatically.

With External Paddles

Carefully review the waveform immediately prior to administering synchronized cardioversion and
confirm that you have a non-paddles wave label.
WARNING: When performing synchronized cardioversion through external paddles, you should not use paddles as
your monitoring lead in Wave Sector 1. Artifact introduced by paddle movement may resemble an
R-Wave arrow and trigger a defibrillation shock. Use external paddles as a monitoring lead for
Synchronized Cardioversion only if no other lead source is available and you are in an emergency
Figure 1
on page 6).
[Cancel Charge]
7: Cardioversion
soft key. Also the


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