ZOLL R Series Plus and BLS Operator's Guide

ZOLL

R series $ ^{®} $·PLUS

R series $ ^{®} $·BLS

OPERATOR'S GUIDE realCPRhelp see-thruCPR PERFORM CPR 120 J SEL. Manual Mode CODE SERIES READY

ZOLL, R Series, M Series, pedi•padz, pro•padz, stat•padz, CodeNet, Real CPR Help, RescueNet, See-Thru CPR, and Code-Ready are registered trademarks, and SurePower, OneStep, Smart Alarms, CPR Index, and Rectilinear Biphasic are trademarks of ZOLL Medical Corporation. All other trademarks and registered trademarks are property of their respective owners.

Copyright © 2010 ZOLL Medical Corporation. All rights reserved.

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Table of Contents

Product Description ..... 1-1
R Series Model Features ..... 1-3
How to Use This Manual ..... 1-4
Operator's Guide Updates ..... 1-4
Unpacking ..... 1-4
Symbols Used on the Equipment ..... 1-4
Conventions ..... 1-7
Defibrillator Function ..... 1-7
Intended Use — Manual Operation ..... 1-8
Intended Use — Semiautomatic Operation (AED) ..... 1-8
Intended Use — ECG Monitoring ..... 1-8
Intended Use — CPR Monitoring ..... 1-9
Semiautomatic Operation Contraindications for Use ..... 1-9
Defibrillator Complications ..... 1-9
Defibrillator Output Energy ..... 1-9
External Pacemaker (Optional) ..... 1-9
Intended Use — Pacemaker ..... 1-10
Pacemaker Complications ..... 1-11
Pediatric Pacing ..... 1-11
Intended Use — SpO₂ Monitoring ..... 1-11
Intended Use — EtCO₂ Monitoring ..... 1-12
Intended Use — NIBP ..... 1-12
ECG Monitoring ..... 1-13
Recorder Function (Manual Mode Only) ..... 1-13
Paddles and Electrodes ..... 1-13
Batteries ..... 1-14
Code-Ready System ..... 1-15
Safety Considerations ..... 1-15
Warnings ..... 1-15
Operator Safety ..... 1-17
Patient Safety ..... 1-18
Cautions ..... 1-19
Restarting the Defibrillator ..... 1-20
FDA Tracking Requirements ..... 1-20
Notification of Adverse Events ..... 1-21
Software License ..... 1-21
Service ..... 1-22
The ZOLL Serial Number ..... 1-23

Chapter 2 Product Overview

Defibrillator Controls and Indicators ..... 2-1
The Front Panel ..... 2-3
Display Screen ..... 2-6
Patient Cables and Connectors ..... 2-8
External Paddles (Manual Mode Only) ..... 2-9
Working with Menus (Manual Mode Only) ..... 2-11
Common Tasks ..... 2-12
Replacing a Battery Pack ..... 2-13
Adjusting Display Brightness (Manual Mode Only) ..... 2-13
Using Code Markers (Manual Mode Only) ..... 2-14
Chapter 3 Automated External Defibrillator (AED) Operation
AED Operation ..... 3-2
Determine Patient Condition Following Medical Protocols ..... 3-2
Begin CPR Following Medical Protocols ..... 3-2
Prepare Patient ..... 3-2
1 Select ON ..... 3-4
2 Analyze ..... 3-5
3 Press SHOCK ..... 3-6
Operating Messages ..... 3-8
Audio and Display Messages ..... 3-8
Switching to Manual Mode Operation ..... 3-10
Chapter 4 Manual Defibrillation
Emergency Defibrillation Procedure with Paddles ..... 4-1
Determine the Patient's Condition Following Local Medical Protocols ..... 4-1
Begin CPR Following Local Medical Protocols ..... 4-2
1 Select ON ..... 4-2
2 Charge Defibrillator ..... 4-4
3 Deliver Shock ..... 4-5
Autoclavable External Paddles ..... 4-5
Emergency Defibrillation Procedure with Hands-Free Therapy Electrodes ..... 4-6
Determine the Patient's Condition Following Local Medical Protocols ..... 4-6
Begin CPR Following Medical Protocols ..... 4-6
Prepare Patient ..... 4-6
1 Select ON ..... 4-7
2 Charge Defibrillator ..... 4-9
3 Deliver Shock ..... 4-9
Autoclavable Electrodes ..... 4-10

Chapter 5 Advisory Defibrillation

Advisory Defibrillation Procedure ..... 5-2
Determine the Patient's Condition Following Local Medical Protocols ..... 5-2
Begin CPR Following Local Medical Protocols ..... 5-2
Prepare Patient ..... 5-2
1 Select ON ..... 5-2
2 Press ANALYZE Button ..... 5-4
3 Press SHOCK ..... 5-5
Advisory Function Messages ..... 5-6
Warning Messages ..... 5-7

Chapter 6 Synchronized Cardioversion
Synchronized Cardioversion Procedure ..... 6-2
Determine the Patient's Condition and Provide Care Following Local Medical Protocols ..... 6-2
Prepare Patient ..... 6-2
1 Select ON ..... 6-3
2 Charge Defibrillator ..... 6-4
3 Deliver SHOCK ..... 6-5
Remote Synchronized Cardioversion Procedure ..... 6-5
Determine the Patient's Condition and Provide Care Following Local Medical Protocols ..... 6-6
Prepare Patient ..... 6-6
1 Select ON ..... 6-6
2 Charge Defibrillator ..... 6-7
3 Deliver SHOCK ..... 6-7

Chapter 7 Real CPR Help
Real CPR Help Field ..... 7-2
CPR Index (R Series Plus Only) ..... 7-2
CPR Idle Time Display ..... 7-2
CPR Metronome ..... 7-3
CPR Voice Prompts (R Series Plus Only) ..... 7-3
Chest Compressions Waveform (Manual Mode Only) ..... 7-3
Displaying the CPR Waveform (Manual Mode Only) ..... 7-3

Chapter 8 See-Thru CPR (R Series Plus Only)
Using See-Thru CPR (R Series Plus Only) ..... 8-2
Examples ..... 8-2

Chapter 9 Noninvasive Temporary Pacing (Optional)

Noninvasive Temporary Pacing ..... 9-2
Determine Patient Condition and Provide Care Following Local Medical Protocols ..... 9-2
Prepare the Patient ..... 9-2
1 Apply ECG Electrodes/Hands-Free Therapy Electrodes ..... 9-2
1 Select ON ..... 9-3
2 Turn Mode Selector to PACER ..... 9-4
3 Set