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With External Paddles; Delivering Additional Shocks - Philips Efficia DFM100 Instructions For Use Manual

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Delivering a Synchronized Shock
Check your ECG and then re-confirm your energy dose and waveform. Press and hold the
Shock button on the Efficia DFM100 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.
NOTES: If an ECG or pads technical alarm occurs while performing synchronized cardioversion, the Efficia
DFM100 does not charge, and if charged, disarms automatically.
If the Efficia DFM100 does not detect an ECG lead when you press Charge, a
message is displayed. Fix the lead problem before pressing Charge again.

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
To perform synchronized cardioversion using external paddles:
Prepare your patient for synchronized cardioversion as stated above.
Place paddles on the patient's chest prior to charging the defibrillator.
Look at the wave label appearing in Wave Sector 1.
If the label is Paddles:
If the label is not Paddles:

Delivering Additional Shocks

There are times when additional synchronized shocks are clinically indicated.
To deliver additional synchronized shocks:
Confirm the Sync function is still enabled, the Sync button is lit, the Sync indicator is present
and the R-Wave arrows are still visible.
Repeat steps 3-5 under
Change the monitoring lead in Wave Sector 1 by pressing the Lead Select button multiple
times to cycle through available leads. Select the waveform you wish to use.
Confirm a non-paddles monitoring leads appears in Wave Sector 1. Check for R-Wave
Proceed with the normal protocol for synchronized cardioversion.
Proceed with the normal protocol for synchronized cardioversion.
"Delivering a Synchronized Shock"
7: Synchronized Cardioversion
on page 88.


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