Schiller FRED PA-1 Series User Manual page 27

FRED PA-1
User Guide
Shock hazard — for user and assistants
 Position the patient flat on a firm, electrically insulated surface.
 Make sure that there are no conductive connections between the patient and
other persons during ECG analysis and defibrillation.
 The patient must not come into contact with metal parts, e.g. a bed or stretcher,
in order to prevent secondary contacts or paths for the defibrillation current that
could endanger the assistants. For the same reason, do not position the patient
on a wet surface (rain, swimming pool accidents).
 Do not allow the defibrillation electrodes to come into contact with other elec-
trodes or metal parts which are in contact with the patient.
 The patient's chest must be dry because moisture can cause unwanted path-
ways for the defibrillation current. For safety, wipe off flammable skin cleansing
agents.
 The assistants' tasks must be clearly defined as follows:
• During ECG analysis:
– suspend CPR,
– ensure that the patient lies as motionless as possible,
– do not touch the patient, otherwise, artefacts may lead to incorrect analysis re-
sults.
• Immediately prior to the shock:
– stop chest compressions and artificial respiration (CPR),
Risk of skin burns — for the patient
 Due to the high currents, there is a risk of skin burns at the electrode application
site. This is why the electrodes must not be placed on or above:
– the sternum,
– the clavicle or,
– the nipples.
Risk of malfunction of implanted pacemaker!
 Defibrillating a patient with an implanted pacemaker is likely to impair the pace-
maker function or cause damage to the pacemaker. 
For this reason:
– defibrillation pads must not be positioned near the pacemaker,
Defibrillation
Instructions and Safety Notes
4
4.1
Page 27