ZOLL PD 1400 Operator's Manual page 41

APPLY PADDLES TO CHEST
Apply the paddles firmly to the anterior wall of
the chest. The sternum paddle should be placed
to the right (patient's right) of the sternum, just
below the clavicle. The apex paddle should be
placed on the chest wall, just below and to the
patient's left of the left nipple, along the anterior-
axillary line.
If external pacing electrodes are in place, it
is not necessary to remove them. Simply
ensure that the paddles contact skin and are
not covering any part of any other electrodes.
Rub the paddles against the skin to maximize the paddle-to-patient contact.
WARNING Do not permit gel to accumulate between the paddles (gel bridge) on the
chest wall -this could cause burns and reduce the amount of energy
delivered to the heart.
If using multi-function electrodes, apply to the patient as shown on the package
and connect to the multi-function cable.
CHARGE DEFIBRILLATOR
Press the charge button on the front panel, or
if using paddles, on the apex paddle handle.
To increase or decrease the selected energy
after the charge button has been pressed, press
the up-down arrows until the desired energy
level is displayed. (Changing the joules selected
value while the unit is charging or charged will
cause the unit to discharge the defibrillator inter-
nally.) Press the CHARGE button again to charge
the unit.