©2010 physio-control, inc. all rights reserved. lifepak ® 1000 defibrillator orientation guide...
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©2010 Physio-Control, Inc. All rights reserved.
LIFEPAK® 1000 Defibrillator
Orientation Guide
You’re Ready.
©2010 Physio-Control, Inc. All rights reserved.
Your LIFEPAK® 1000 defibrillator may not have all the settings or features (e.g. ECG monitoring) shown in this presentation. Please be familiar with the features available on your 1000 and its setup, which may vary according to local Medical Director protocols. Additional information to aid in presentation is provided in the notes section of most slides.
Important Safety InformationThis orientation program is not a substitute for hands-on device training. The LIFEPAK 1000 defibrillator is intended for use by personnel who have been trained in the use of the LIFEPAK 1000 defibrillator. Refer to Operating Instructions for complete instructions for use, indications, contraindications, warnings, precautions, and potential adverse events associated with device use.
About this Presentation
©2010 Physio-Control, Inc. All rights reserved.
Objectives
Review the operation and features of the LIFEPAK 1000 defibrillator including:
Electrode pad placement AED and Manual mode ECG monitoring Pediatric patient Battery Troubleshooting Maintenance Setup
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LIFEPAK 1000 Defibrillator
Uses: Automated External Defibrillation
- For use only on patients in cardiopulmonary arrest
Manual defibrillation therapy- For the treatment of certain fatal arrhythmias
ECG monitoring- For the purpose of ECG rhythm recognition and
heart rate monitoring
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Basic Steps for AED Use
Establish patient is in cardiac arrest
Turn on the 1000 Apply electrodes Follow screen
messages and voice prompts
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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
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Electrode Placement
Press electrodes firmly onto patient’s skin
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Electrode Placement
Correct electrode position optimizes the amount of current flowing through the ventricles
Correct electrode position Incorrect electrode position
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ECG Analysis
When an analysis occurs, the 1000 will prompt to stand clear of the patient
Do not touch the patient during analysis
Make sure everyone is clear of the patient
Prompt:
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Shock Advised!
The 1000 has detected a shockable ECG rhythm
The 1000 will charge automatically
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Shock Advised!
Clear everyone from the patient or any equipment touching the patient
Press the SHOCK button Prompt:
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CPR Time
Start CPR prompt occurs immediately after shock is delivered
A text message and countdown timer appear for the remaining CPR time
At the end of CPR time, the 1000 automatically reanalyzes the heart rhythm
Prompts:
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Shock Advised
Continue to follow prompts until patient has return of spontaneous circulation or until advanced EMS provider arrives
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No Shock Advised The 1000 has determined
the heart rhythm is not shockable
The 1000 will prompt to start CPR
Perform CPR until the patient has return of spontaneous circulation or the 1000 automatically reanalyzes the heart rhythm
Prompts:
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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
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Manual Mode
Intended for advanced users Overrides AED features Provides responder-initiated charge,
shock, and disarm functions
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Manual Mode Basic Steps
Press the MENU key Select YES to enter manual mode ECG tracing and HR appear on screen Press CHARGE if heart rhythm is shockable Press SHOCK button when charge is complete Press DISARM to remove an unwanted charge
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Pediatric Patient
Use the 1000 with Infant/Child Reduced Energy Defibrillation Electrodes on children less than 8 years old or less than 55 lb (25kg)
Do not delay therapy to determine precise age or weight
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Pediatric Patient With Infant/Child Electrodes, energy from the
1000 is reduced by a factor of 4 Approximately 50-75-86 Joules are delivered
if the1000 is set at 200-300-360 Joules
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Pediatric Patient
Basic Steps: Remove Infant/Child Electrodes from package Disconnect and remove any electrodes
or cables from the 1000 Insert the Infant/Child
Electrode connector directly into the 1000
Apply electrodes to patient’s chest Follow prompts
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Pediatric Patient
Infant/Child Electrodes are not compatible with manual defibrillation cables or QUIK-COMBO defibrillation cable
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Pediatric Patient
Place the Infant/Child Electrodes in the anterior-lateral position
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Pediatric Patient
Alternate placement: anterior-posterior position
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ECG Mode
Provides ECG display of the patient’s heart rhythm using a 3-wire cable
Basic steps:• Connect the ECG cable• Attach ECG electrodes
to ECG cable• Apply ECG electrodes
to patient’s chest• The 1000 displays the
heart rhythm and heart rate in a Lead II configuration
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ECG Mode
If a shockable rhythm is detected: Follow prompts to connect therapy electrodes Remove ECG cable Connect therapy cable Apply therapy electrodes to chest Prompt:
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Battery
Non-rechargeable lithium manganese dioxide battery
Charge level indicated by battery pak fuel gauge Fully charged battery: all green lights illuminated
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Battery
Low battery: single steady green light. Replace battery as
soon as possible. Empty battery: single
flashing green light Replace battery
immediately
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Battery
The approximate level of charge in the battery appears on the readiness display when the 1000 is off
Low battery: battery symbol has one bar Replace battery: battery symbol has no bars
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Battery The approximate level of charge in the battery
appears on the screen when the 1000 is on Replace the battery when the device displays a
low battery warning Always have access to a spare, fully-charged,
properly maintained battery. Prompt:
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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 1000 Patient impedance measurement outside
of range
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Troubleshooting Tips
Message: “Connect electrodes” “Check connector and electrodes”
What to do Firmly press electrodes onto skin Check that connector is completely inserted into
1000 Clean, shave and dry skin Replace electrode pads If prompt continues, perform CPR until ALS arrives
Prompt:
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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 1000 when possible Prompt:
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Data Management
Every time the 1000 is used it digitally saves patient data that can be transferred to a PC equipped with CODE-STAT™ software
The 1000 provides an infrared method to transfer data
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Maintenance
Daily Self Test The 1000 performs automatic tests
daily at 3:00 AM OK symbol visible: AED is ready for use Daily Auto Test will test for low or replace
battery conditions Battery gauge on the readiness display
updates daily
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Maintenance
Self-test Each time the 1000 is powered on, it performs
internal self-tests to check that the internal electrical components and circuits are working properly
Also detects a low or replace battery condition
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Maintenance
If the 1000 requires service, the wrench symbol appears
If the wrench is visible, remove the 1000 from service and contact authorized service personnel
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After-use Care
After the 1000 has been used: Clean foreign substances from the 1000 Replace electrodes Replenish supplies as needed Check battery symbol for battery status
and replace battery if low Download patient data per local protocol
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Routine Maintenance
The 1000 is easy to maintain On a periodic basis check the following:
OK symbol is visible Battery fuel gauge level Use By date on electrode pads is not passed Other emergency supplies stored with the
1000 are present (e.g., face masks, gloves, razors, etc.)
Damage to or foreign substances on the 1000
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cprMAX™ Technology cprMAX technology is designed to allow resuscitation protocols to
maximize the quantity of CPR administered during treatment Default settings are consistent with 2005 American Heart
Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care1 and the European Resuscitation Council Guidelines for Resuscitation 20052
Know if your device settings have been changed per local protocol
1 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2005; 112 (Supplement IV).
2 European Resuscitation Council Guidelines for Resuscitation 2005. Resuscitation 2005; 67S1.
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Summary
The LIFEPAK 1000 defibrillator is designed to be the most powerful BLS tool for emergency medical services (EMS):
Indicated for use on patients of all ages Utilizes ADAPTIV™ biphasic technology Includes manual mode capability Incorporates fuel gauge indicators for battery Includes cprMAX technology
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Refer to Operating Instructions for complete directions for use, indications, contraindications, warnings, precautions, and potential adverse events.
You’re Ready. Always.
GDR 3307602_B
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The following slides are only to be used if a pulse check has been selected in the setup option.
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Pulse Prompt
You may be prompted to check for a pulse after every shock or no shock advised decision or only after a no shock advised.
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Check for Pulse
YES and NO soft keys appear on the screen
If patient does not have a pulse, press the NO soft key and CPR time begins
Prompt:
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Check For Pulse
If patient has pulse, press the YES soft key
The 1000 will prompt the user to provide rescue breaths, if needed
The 1000 enters a continuous monitoring state
Prompts:
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The following slides are only to be used only for users who require setup mode training.
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Setup Mode
To enter setup mode, hold down the two soft keys and then press the ON button Note: Nothing should be plugged in to the cable
receptacle to access setup mode The default pass code is 0000
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Setup Mode Options
The 1000 allows easy customization using on screen menus and soft keys. Several options include: Device ID Manual Mode Access Pre Shock CPR time Initial CPR time Pulse Check
Refer to Operating Instructions, Appendix D for more information