6: Manual Defibrillation
After performing the necessary preparation, defibrillation with Efficia DFM100 is a simple 1-2-3
Select an energy.
Charge the device.
Administer the shock.
See the following sections for more information.
Step 1 - Select Energy
Rotate the Therapy knob to the desired energy level. The current energy selection is displayed on the
device in the Select Energy section. The recommended energy dose for adult patients is 150J. Follow
your institution's guidelines for Infant/Child patients.
Energy choices range from 1 to 200J with 150J highlighted as the recommended level for
defibrillating adult patients. Selecting the 1-10 energy setting brings up the Select Energy menu. See
DFM100 automatically knows your energy setting.
To re-adjust a low energy setting:
Press the Smart Select knob.
Turn the Smart Select knob to highlight
Turn the Smart Select knob to increase or decrease the energy level and press the Smart Select
WARNINGS: For manual defibrillation of infant/child patients follow your institution's policy (guidelines are 2 to
4 J/kg first shock and 4 J/kg per subsequent shocks).
The Efficia DFM100 has a built-in limitation of 50 Joules when using internal paddles.
Do not leave patients unattended when the Efficia DFM100 is in Manual Defibrillation Mode with
pads applied to the patient.
Step 2 - Charge
Press the Charge button on the front panel. See
external paddles, the charge button on the side of the apex paddle may be used instead. As the
defibrillator charges, the energy selection shown on the display changes to show the current charge
state. A continuous low-pitch charging tone sounds until the desired energy level is reached at which
point a continuous high-pitch charged tone sounds.
You may increase or decrease the selected energy at any time during or after charging. Move the
Therapy knob to the desired energy level. The Efficia DFM100 charges to the selected energy level
51. Use the Smart Select knob to increase or decrease the desired setting. The Efficia
"Therapy Knob and Controls"
and press the Smart Select knob.
on page 24. If using