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Precautions For Manual Defibrillation - Philips Efficia DFM100 Instructions For Use Manual

Defibrillator/monitor.
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6: Manual Defibrillation

Precautions for Manual Defibrillation

WARNINGS: Defibrillating asystole can inhibit the recovery of natural pacemakers in the heart and completely
eliminate any chance of recovery. Asystole should not be routinely shocked. Begin CPR.
Remain attentive to the patient during the delivery of therapy. Delay in delivering a shock may result
in a rhythm that was identified as shockable converting spontaneously to non-shockable and could
result in inappropriate shock delivery.
Keep hands and feet clear of the paddle electrode edges. Use your thumbs to depress the shock
buttons on the paddle handles.
Use only pads that are approved for use with the Efficia DFM100. Use of non-approved pads could
affect performance and results. See
supported pads.
Do not allow multifunction electrode pads to touch each other or to touch other ECG monitoring
electrodes, lead wires, dressings, etc. Contact with metal objects may cause electrical arcing and
patient skin burns during defibrillation and may divert current away from the heart.
When monitoring neonatal ECGs, inaccurate measurements and alarms could result because of
differences in the characteristics of the adult ECG compared to the neonatal ECG.
During defibrillation, air pockets between the skin and multifunction electrode pads may cause
patient skin burns. To help prevent air pockets, make sure the pads completely adhere to the skin.
Do not use dried out pads. Do not open pads package until just prior to use.
Never touch the patient or any equipment connected to the patient (including the bed or gurney)
during defibrillation.
Avoid contact between the patient and conductive fluids and/or metal objects such as the gurney.
Medical electrical equipment which does not incorporate defibrillator protection should be
disconnected during defibrillation.
CAUTION: Do not discharge the defibrillator with the paddles shorted together.
NOTES: Successful resuscitation depends on many variables specific to the patient's physiological state and
the circumstances surrounding the patient event. Failure to have a successful patient outcome is not
a reliable indicator of defibrillator/monitor performance. The presence or absence of muscular
response to the transfer of energy during electrical therapy is not a reliable indicator of energy
delivery or device performance.
Defibrillation is always performed through paddles or pads. However, during defibrillation you may
choose to monitor the ECG using an alternate ECG source (3- or 5-Lead monitoring electrodes). If
an alternate ECG source is connected, any available lead may be displayed.
Do not use medical gels or pastes of poor electrical conductivity.
Use only approved lead sets and monitoring electrodes with the Efficia DFM100. Failure to do so
may introduce noise and result in intermittent
78
"Approved Supplies and Accessories"

Precautions for Manual Defibrillation
on page 195 for a list of
messages.

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