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2 Safety
24
EN
MEDUCORE Standard
Risk of injury and delay in treatment due to implanted cardiac
pacemakers!
Pulses from implanted cardiac pacemakers may affect the
detection of cardiac rhythms which can be defibrillated, delaying
treatment. Carrying out defibrillation on patients with implanted
cardiac pacemakers may irreversibly damage the myocardium.
Position defibrillation electrodes at least 8 cm away from
cardiac pacemakers.
Consider alternative positions (e.g. anterior-lateral, anterior-
posterior) for the defibrillation electrodes.
Risk of injury due to shock being delivered at the wrong time
during cardioversion!
A cardioversion carried out at the wrong time may lead to cardiac
arrhythmias and cause the patient severe or life-threatening injury.
Check whether the ECG is stable.
Check whether the device is detecting and marking R waves
correctly in the ECG.
Risk of injury due to ECG misinterpretation if ECG is derived
from the defibrillation electrodes!
If the ECG is derived from the defibrillation electrodes, the device
shows a non-diagnostic ECG curve. This ECG curve is designed to
detect shockable cardiac rhythms and is not suitable for
differential diagnosis. This may result in ECG misinterpretation,
and thus in injury to the patient.
Do not use ECGs derived from defibrillation electrodes for
differential diagnosis.
Failure of therapy due to defibrillation electrodes accidentally
coming loose during shock delivery!
Defibrillation electrodes accidentally coming loose during shock
delivery may lead to damage to the device and thus to the failure
of treatment. This may injure the patient.
Ensure that the defibrillation electrodes are always connected
to the device during shock delivery.
Malfunction or failure of other electrical devices due to
delivery of shock energy!
Charging and then delivery of shock energy may impair the
function of other electrical devices or damage devices connected
to the patient or located in the vicinity of the defibrillator. This may
injure the patient.
Disconnect from the patient any electrical devices without
defibrillation protection.
2
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