Manual Mode; Carrying Out Of The Defibrillation; Choose Energy; Charge Energy - Primedic DefiMonitor XD Series Operating Manual

Operating Manual
9
9.1
9.1.1
9.1.2
40

Manual Mode

After switching on and successfully passed self test the device always operates in
Auto Mode
. If you own a strictly manual device, switching is not necessary.
To activate the Manual Mode, press the setup button MAN/AUTO once. The moni-
tor will show MAN. The operating mode "Manual" is now activated.

Carrying out of the Defibrillation

In opposition to the Auto Mode (in which the device's Algorithm analyzes the ECG
and recommends a defibrillation), the doctor or the user has to examine the patient's
ECG himself if the patient has a shockable rhythm. 2 shock methods are available to
provide the defibrillation pulse.
1. Via the SavePads
2. Via the paddles
The decisive factor fort he shock method is where you start the energy charge. If you
charge the energy by pressing the paddle key, the energy can be transmitted only via
paddles. Press the charge key on the film keyboard; the energy is then only transmit-
ted via the save pads.
Decide, if there is a defibrillation necessary and when it must be released to the pa-
tient.

Choose Energy

Choose the most suitable energy level by using energy level buttons for the defibrilla-
tion first. The energy levels are 5, 10, 20, 30, 50, 100, 200, 300, 360 Joules are
shown on the right side of the monitor. The selected energy is displayed in the moni-
tor as a confirmation for the energy setting.
The energy level for the Defibrillation / Cardioversion is depending on the patient's
size, weight, shape and impedance. Please note also the displayed impedance on the
status bar as a further aid to determine the energy level.

Charge Energy

Press the energy charging key depending on the shock method (see above)
The selected energy is loaded by pressing the energy charge key and is ready for op-
eration to provide a defibrillation after a short time. Ensure that the energy level you
have selected is shown in the display.
If the energy is transmitted via the SavePads and if charging is completed, the green
activation key lights up and a warning signal is also given.
If the energy is transmitted via the paddles, a warning sound is given.
If a wrong energy level is selected and if the energy for defibrillation was already
charged, discharge by pressing on the charge key on the film keyboard again. The
charged energy will internally be safety discharged. Choose the new energy level and
press the manual charge button again. A charged energy can not be corrected.
If the capacitor is charged internally, energy required for a defibrillation pulse for 15
seconds is available and is indicated by a continuous tone and the 'green' trigger but-
ton. The time left is shown on the monitor. If defibrillation is not carried out within
this time, a safety discharge takes place internally. By pressing the manual charge
button within the 15 seconds again the energy can also be safety discharged inter-
nally.
DefiMonitor XD
21324 / 09.05 / 02 / GB