©2010 Physio-Control, Inc. All rights reserved.

Important Safety Information This orientation program is not a substitute for hands-on device training. The LIFEPAK 20e defibrillator is intended for use by personnel who have been trained in the use of the LIFEPAK 20e defibrillator ©2010 Physio-Control, Inc. All rights reserved.

Objectives Review the operation and features of the LIFEPAK 20e defibrillator including: Electrode pad placement Analyse & manual mode Cardiac pacing Synchronised cardioversion Troubleshooting Maintenance ©2010 Physio-Control, Inc. All rights reserved.

LIFEPAK 20e Defibrillator
Uses: Manual defibrillation For use only on patients in cardiopulmonary arrest Semi-automated external defibrillation ECG monitoring For the purpose of ECG rhythm recognition and heart rate monitoring External cardiac pacing Synchronised cardioversion Note: Biphasic LIFEPAK 1000 defibrillators contain ADAPTIV™ biphasic technology: Biphasic Truncated Exponential waveform with voltage and duration compensation for patient impedance. Multiple energy levels, user configurable from 150 joules to 360 joules. The 1000 measures the patient’s transthoracic impedance and automatically adjust the defibrillation waveform current, duration, and voltage to meet the needs of the individual patient. Patient impedance is measured whenever defibrillation electrodes are in contact with the patient. Note: Fatal arrhythmias (if left untreated) include: ventricular fibrillation and pulseless ventricular tachycardia. Note: ECG monitoring may be used on conscious and unconscious patients of all ages. ©2010 Physio-Control, Inc. All rights reserved.

Get to know the device On/Off button Shock button ON/OFF Button: Turns the power on or off. Button is lit whenever the defibrillator is on. SHOCK Button: Pressing the SHOCK button (when flashing) delivers a shock to the patient. MENU Button: Used to select operating modes (Manual or AED) and enter information in Setup mode. Softkeys: Two softkeys work in conjunction with the screen, providing a way for you to make selections while using the defibrillator. The softkey functions vary, depending on the task you are performing at the time. Their function is identified by the label above them on the screen. IrDA Port: This port provides wireless communications for transferring data from the defibrillator to a PC. Cable Receptacle: Allows direct connection to therapy electrodes (black), ECG cable (green), Infant/Child electrodes (pink), and QUIK-COMBO(TM) therapy electrodes (gray). Readiness Display: Three symbols (Wrench, OK, Battery symbol) allow you to determine whether the defibrillator is ready for use or needs attention. Analyzing button ©2010 Physio-Control, Inc. All rights reserved.

Basic steps for manual or automated use
Establish patient is in cardiac arrest Dial 2222/9999 Turn on the LP20e Apply electrodes Confirm rhythm or Follow screen messages and voice prompts Note: Signs of cardiac arrest include: unresponsiveness, not breathing normally and showing no signs of circulation (for example, no pulse, and/or no coughing, no movement). ©2010 Physio-Control, Inc. All rights reserved.

Electrode placement Remove clothing from patient’s chest Remove excessive hair Clean and dry the skin Do not apply alcohol, tincture of benzoin, or antiperspirant to the skin Note: If shaving is necessary, avoid cutting the skin. ©2010 Physio-Control, Inc. All rights reserved.

Electrode placement Press electrodes firmly onto patient’s skin Note: The REDI-PAK™ preconnect system with the QUIK-COMBO™ electrode connector connector are compatible with any other LIFEPAK defibrillator that is equipped with QUIK-COMBO connector or therapy cable. ©2010 Physio-Control, Inc. All rights reserved.

Electrode placement Correct electrode position optimizes the amount of current flowing through the ventricles Correct electrode position Incorrect electrode position ©2010 Physio-Control, Inc. All rights reserved.

ECG analysis in Analyse mode
When an analysis occurs, the defibrillator will prompt to stand clear of the patient Do not touch the patient during analysis Make sure everyone is clear of the patient Note: Moving the AED during analysis may affect the ECG analysis signal resulting in an inappropriate shock or no shock advised decision. Note: ECG analysis requires approximately 6-9 seconds. ©2010 Physio-Control, Inc. All rights reserved.

Shock Advised! If the defibrillator has detected a shockable ECG rhythm The LP20e will charge automatically in analyse mode. In manual mode you would have to select the charge button once the door is opened Note: The 1000 begins charging to the joule setting for Shock #1. A rising tone indicates the 1000 is charging. When charging is complete, the 1000 displays the available energy. Note: cprMAX™ Technology: The charging tone is not audible if the preshock CPR feature is enabled. ©2010 Physio-Control, Inc. All rights reserved.

Shock Advised! Continue chest compressions whilst the device is charging! Clear everyone from the patient or any equipment touching the patient Press the SHOCK button Note: The “shock ready” tone occurs if set to ON. The factory default is OFF. Note: If you do not press the shock button within 15 seconds, the 1000 disarms the shock button, and the Disarming message appears. Note: The 1000 has multiple energy levels, user configurable from 150 – 360 Joules. Default energy settings are set to escalating energy J. ©2010 Physio-Control, Inc. All rights reserved.

CPR time In manual mode you are required to start CPR immediately Start CPR prompt occurs immediately after shock is delivered in Analyse mode A text message and countdown timer appear for the remaining CPR time At the end of CPR time, the defibrillator will request you to push ANALYSE Note: Begin CPR immediately unless the patient shows signs of return of spontaneous circulation (ROSC) such as breathing, movement, responsiveness, pulse, blood pressure, etc. Note: CPR Time 1 sets CPR intervals after a shock is delivered. CPR Time 2 sets the interval after NO SHOCK ADVISED. CPR time is configurable. The factory default is 120 seconds for CPR Time 1 and 2. Note: If during CPR time, the patient’s condition changes and you want to check a rhythm, press the Analyze softkey to initiate an analysis. Note: cprMAX™ Technology: The Stacked Shocks option OFF removes analysis after each shock and, instead, inserts a time interval for CPR after each shock. This eliminates the three-shock stack. The default setting is OFF. Note: If the Auto analyze option is set to OFF, the user will need to press the ANALYZE soft key to initiate analysis. ©2010 Physio-Control, Inc. All rights reserved.

Shock Advised Continue to follow prompts until patient has return of spontaneous circulation or until the cardiac arrest/medical emergency team arrive. Note: If the Auto analyze option is set to OFF, the user will need to press the ANALYZE soft key to initiate analysis. ©2010 Physio-Control, Inc. All rights reserved.

No Shock Advised (In Analyse mode)
The LP20e has determined the heart rhythm is not shockable The LP20 will prompt to ‘check for pulse’: if no pulse start CPR Perform CPR until the patient has return of spontaneous circulation or the LP20e requests to re-analyse the heart rhythm Note: The 1000 will not charge, and a shock cannot be delivered. Note: The Pulse Check option default is NEVER. Other Pulse Check options include: after every NSA and ALWAYS. Note: If a pulse check option other than NEVER is selected, available pulse prompts in setup mode include: Check for breathing. If not breathing, start CPR. Check for signs of circulation. If no signs of circulation, start CPR. Open airway, check breathing. If not breathing, start CPR. ©2010 Physio-Control, Inc. All rights reserved.

Return of spontaneous circulation
Position the patient according to training if consciousness and/or signs of circulation and breathing return Leave electrodes attached Keep patient as still as possible Electrodes may be connected to another LIFEPAK defibrillator ©2010 Physio-Control, Inc. All rights reserved.

Battery life of the LP20e Charge level is indicated on the main screen with a green battery icon with bars Fully charged battery: all green lights illuminated On a full battery you should have sufficient life to transport a patient for up to 4 hours. If defibrillating this will significantly reduce and should be plugged in mains whenever possible. Note: When optimally maintained, a new nonrechargeable battery pak can provide approximately 17 hours of “on time” or 440 discharges at 200 joules. If installed in the 1000 and the 1000 is not used, the battery pak has a standby life of four years. A nonrechargeable battery pak has a shelf life of five years if stored at the proper temperature. ©2010 Physio-Control, Inc. All rights reserved.

Battery Low battery: single steady green light. Very low battery: battery icon will flash Battery icon location Note: Always have access to a spare, fully-charged, properly maintained battery. ©2010 Physio-Control, Inc. All rights reserved.

Pacing Ensure the ECG cable is connected and placed on lead II Apply defibrillator pads to patient’s bare chest Note: When a battery pak is removed from the 1000 or the battery is completely depleted, the empty battery and wrench symbol appear on the readiness display. After replacing the battery pak, the 1000 automatically turns on briefly to reset the readiness display. ©2010 Physio-Control, Inc. All rights reserved.

Pacing Activate the pacer The device is preset to 60 BPM on demand Increase the current as trained on ALS course Note: When a battery pak is removed from the 1000 or the battery is completely depleted, the empty battery and wrench symbol appear on the readiness display. After replacing the battery pak, the 1000 automatically turns on briefly to reset the readiness display. ©2010 Physio-Control, Inc. All rights reserved.

Synchronised cardioversion
Defibrillator pads must be applied to the patient Press the SYNC button Select the correct energy for defibrillation The ‘R’ wave will be detected by at above the ECG Note: When a battery pak is removed from the 1000 or the battery is completely depleted, the empty battery and wrench symbol appear on the readiness display. After replacing the battery pak, the 1000 automatically turns on briefly to reset the readiness display. ©2010 Physio-Control, Inc. All rights reserved.

Troubleshooting tips Message: ‘Connect electrodes’ ‘Check connector and electrodes’ Possible causes: Electrodes are not adhered to the patient’s skin Electrodes are disconnected from the LP20e Patient impedance measurement outside of range ©2010 Physio-Control, Inc. All rights reserved.

Troubleshooting tips Message: ‘Connect electrodes’ ‘Check connector and electrodes’ What to do Firmly press electrodes onto skin Check that connector is completely inserted into the LP20e lead Clean, shave and dry skin Replace electrode pads If prompt continues, perform CPR until ALS arrives ©2010 Physio-Control, Inc. All rights reserved.

Troubleshooting tips Message: ‘Motion detected, stop motion’ Possible causes: Patient movement due to: breathing, CPR being performed during analysis, some internal pacemakers, vehicle motion, or electrical/radio frequency interference What to do: Check patient for normal breathing Stop CPR during analysis Stop vehicle during analysis Move communication or other suspected devices away from the LP20e when possible Note: Motion detection is available in the setup options. The default setting is ON. Note: If motion is detected, the ECG analysis is inhibited. The rescuer is advised by a displayed message, a voice prompt, and an audible alert. After 10 seconds, if motion is still detected, the analysis will proceed to completion. This limits the delay in therapy in situations where it may not be possible to stop the motion. However, the rescuer should remove the source of motion whenever possible to minimize the chance of artifact in the ECG. ©2010 Physio-Control, Inc. All rights reserved.

Maintenance Daily test Connect the end test adapter into the therapy cable and select: Options User test Push jog shuttle to confirm And confirm you wish to continue The device will perform a test and produce a test strip to retain for 6 months This must be performed ‘SHIFTLY Note: If the 1000 detects a problem during an auto test that requires service, but does not prevent use of the 1000, it displays the wrench symbol. ©2010 Physio-Control, Inc. All rights reserved.

Loading 50mm paper The printer is equipped with an out-of-paper sensor to protect the print-head. The sensor automatically turns off the printer if paper runs out or if the printer door is open. To load the paper: 1 Press the black button to open the printer door. 2 Remove the empty paper roll. 3 Insert the new paper roll, grid facing upward. 4 Pull out a short length of paper. 5 Push the printer door in to close. Paper reload Note: ADAPTIV™ biphasic technology: Biphasic Truncated Exponential waveform with voltage and duration compensation for patient impedance. Contains multiple energy levels, user configurable from 150 joules to 360 joules. Note: Infant/Child Reduced Energy Defibrillation Electrodes must be used on children less than 8 years old or 55 lb (25 kg). ©2010 Physio-Control, Inc. All rights reserved.

Maintenance If your device requires service then, this must be done through the estates helpdesk… Note: The 1000 stores the results of auto tests in a Test Log. Note: If needed in an emergency and the wrench appears, use the 1000 and obtain another 1000 if available. However, contact an authorized service personnel to correct the problem as soon as possible. The wrench symbol will remain visible until the problem is corrected. If a problem requires immediate service (such as a malfunctioning charging circuit), the wrench symbol appears on the readiness display and the CALL SERVICE message occurs. Note: The 1000 may be configured to provide audible beeps every 5 seconds when service is required ©2010 Physio-Control, Inc. All rights reserved.

After-use care After the LP20e has been used: Clean foreign substances from the LP20e Replace electrodes Replenish supplies as needed Ensure device is plugged into mains Spare defibrillator pads are available on Ward 3 ‘Centralised Resuscitation Store’ via the The Duty Resuscitation Officer The Acute Response Team Note: Refer to Operating Instructions for proper cleaning methods. ©2010 Physio-Control, Inc. All rights reserved.

Routine maintenance The LP20e is easy to maintain On a periodic basis check the following: There are no signs of wear The device can hold a battery charge if taken off the mains The Use-By date on electrode pads is not passed (must be checked as part of your shiftly check) Check for damage to or foreign substances on the LP20e Note: When establishing your local operator maintenance schedule, consider how often the AED is used and how familiar the operators are with AED operation. Note: If damage is visible, contact authorized service personnel ©2010 Physio-Control, Inc. All rights reserved.

Thank you Note: ADAPTIV™ biphasic technology: Biphasic Truncated Exponential waveform with voltage and duration compensation for patient impedance. Contains multiple energy levels, user configurable from 150 joules to 360 joules. Note: Infant/Child Reduced Energy Defibrillation Electrodes must be used on children less than 8 years old or 55 lb (25 kg). ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved.

Similar presentations

Presentation on theme: "©2010 Physio-Control, Inc. All rights reserved."— Presentation transcript:

Similar presentations

About project

Feedback

Log in

Auth with social network:

©2010 Physio-Control, Inc. All rights reserved.

Similar presentations

Presentation on theme: "©2010 Physio-Control, Inc. All rights reserved."— Presentation transcript:

Similar presentations

About project

Feedback