©2006 medtronic emergency response systems you’re ready. lifepak ® 1000 defibrillator...
TRANSCRIPT
©2006 Medtronic Emergency Response SystemsYou’re Ready.
LIFEPAK® 1000 Defibrillator
Orientation Guide
©2006 Medtronic Emergency Response Systems
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 how they are programmed. Additional information is provided in the notes section of this presentation. Refer to Operating Instructions for complete directions for use, indications, contraindications, warnings, precautions, and potential adverse events.
Important User Instructions
©2006 Medtronic Emergency Response Systems
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
©2006 Medtronic Emergency Response Systems
LIFEPAK 1000 Defibrillator
Uses: AED therapy
- 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 Use
Establish that patient is in cardiac arrest
Turn on the 1000 Place 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 electrode 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 clear 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 connected to 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!
Repeat delivering shocks and providing CPR as directed until patient has return of spontaneous circulation or until advanced EMS provider arrive
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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 after the CPR Time interval is ended
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
Overrides the AED features Provides responder-initiated charge,
shock, and disarm functions
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Basic Steps
Press the MENU key Select YES to enter manual mode ECG trace and HR appear on screen Press CHARGE if heart rhythm is shockable Press SHOCK when charge is complete Press DISARM to remove an unwanted charge
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Pediatric Patient
Use the 1000 with adult pads on children older than 8 years old or more than 55 lbs (25kg)
Use the 1000 with Infant/Child Reduced Energy Defibrillation Electrodes on children less than 8 years old or 55 lbs (25kg)
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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 is 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 voice prompts
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Pediatric Patient
Infant/Child Electrodes are not compatible with manual defibrillation cables or QUIK-COMBO defibrillation cable (CAT. 11110-000054)
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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 voice and screen prompts Remove ECG cable Connect therapy cable Apply therapy electrodes to chest Prompt:
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Battery
The 1000 is powered by a nonrechargeable lithium manganese dioxide battery pak
Battery pak fuel gauge indicates battery’s charge level
Fully charged battery: all green lights illuminated
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Battery
Low battery: single steady green light
Empty battery: single flashing green light
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Battery
The approximate level of charge in the battery appears on the readiness display when the 1000 is off
Battery low: battery symbol has one bar Battery empty: 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 in use
Battery low: battery symbol has one bar Battery empty:
battery symbol has one bar flashing on and off
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 electrode onto the skin Check to be sure connector is
completely inserted into the 1000 Clean, shave and dry the skin Replace the 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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Troubleshooting Tips
Message: “Replace battery” Possible causes:
Battery pak has exceeded specified “on time” and/or energy discharges
What to do: Continue to use during resuscitation Obtain a replacement battery 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 a Medtronic LIFENET® system product
The 1000 provides an infrared method to transfer data
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Maintenance
Daily Auto 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 every day
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Maintenance
Self-test Each time the 1000 is manually turned on, it
performs internal self-tests to check that the internal electrical components and circuits work properly
Also indicates 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 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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Recommended Corrective Actions
Wrench symbol visible: contact authorized service personnel
Battery symbol visible: replace if low battery indicated
Use-by date passed: replace electrode packet Supplies missing: replenish as needed Damage noted: contact authorized
service personnel Foreign substance visible: clean with damp sponge
or cloth with recommended cleaning agents
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cprMAX™ Technology cprMAX technology is designed to allow resuscitation protocols to
maximize the quantity of CPR administered during treatment Consistent with 2005 American Heart Association Guidelines for
Cardiopulmonary Resuscitation and Emergency Cardiovascular Care1 and the European Resuscitation Council Guidelines for Resuscitation 20052
Know which features are programmed by your Medical Director
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) and patients: 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
©2006 Medtronic Emergency Response Systems
LIFEPAK and LIFENET are registered trademarks of Medtronic Emergency Response Systems, Inc. ADAPTIV, cprMAX, CODE-SUMMARY, REDI-PAK and QUIK-COMBO are trademarks of Medtronic Emergency Response Systems, Inc. ©2006 Medtronic Emergency Response Systems, Inc.MIN 3206133-001 / CAT. 26500-002074
You’re Ready. Always.
Refer to Operating Instructions for complete directions for use, indications, contraindications, warnings, precautions, and potential adverse events.
©2006 Medtronic Emergency Response Systems
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: