HeartSine samaritan PAD SAM 500P User Manual page 35

Paediatric restriction
Use of the CPR-Advisor function must be restricted to adult patients only. Chest
compression techniques differ for the different ages and sizes of paediatric patients
(up to eight years old). For younger paediatric patients, rescuers should compress the
lower half of the sternum but not compress over the xiphoid. For patients at the upper
end of the paediatric range, adult-style compressions should be performed. The force
required for the paediatric patients is less than that required in adult CPR. CPR advisor
is currently configured only to advise compressions at a force and rate suitable for adult
patients (over eight years old weighing more than 25 kgs / 55 lbs).
Electrode placement may also differ in paediatric patients. Depending on the patient
size, the electrodes may be placed anterior-posterior (front and back) or anterior-
lateral (standard adult placement). Differing electrode positions may result in different
ICG readings. Current technology does not support CPR advisor in determining which
electrode placements are being used and therefore electrodes must be placed anterior-
lateral for CPR advisor to function correctly.
For these reasons, CPR advisor is disabled when a Pediatric-Pak is used in
the SAM 500P.
Notice: The ECG readings, used to determine if the patient requires a
defibrillation shock, are not affected by the electrode positions selected
in paediatric patients.
Warning: If a paediatric patient is treated with an adult Pak-Pad, you must
ignore the prompts provided. The CPR Advisor is currently only intended
to provide feedback on adult patients.
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