M-Series AED _1

8/8/2019 M-Series AED _1

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M-Series Automated External DeviceSelf-Paced Training Module


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The Zoll M-Series

AED Module #1


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The M-Series biphasic AED machine has many capabilities

and options. It can perform the following:

Monitor Heart Rate (HR)

Monitor cardiac electrical rhythms

Analyzes a heart rhythm in AED mode and instruct first responder

accordingly

Defibrillate (external and internal)

Pace

Cardioversion

Monitor oxygen in the circulatory system

Monitor carbon dioxide being exhaled

Monitor respiratory rate

Monitor blood pressure

Store, print and transmit patient date Default or programmable alarms


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Prepare the Patient:

Application of Stat-Padz Dry chest if necessary

Apply SimMans cable or

Apply the Stat-Padz

Avoid shaving as abrasions maycause burning unless chest ishairy and no other option.

Optimal placementanterior/posterior, but may beused sternum/apex-lateral.

Either placement will allow aquick-look at the rhythm


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Connecting the Stat-Padz or SimMan

Cable to the Multifunction

Cable


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Locate Selector Switch

The Selector SwitchOffers 2 settings:

On 1 (Gray)

Permits access toanalyze and defibrillate

Pacer: Green

Universal color code on all Zollmachines: Monitor (Gray),Defibrillate (Red,Pace (Green)


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AED: Auto-Analyze or Manual

Analyze ProgrammingThe AED M-Series is programmed in one of two ways.

The auto-analyze option begins rhythm analysis as soon as the1 ON or (Gray) area is selected on the selector switch

(outlined as Option A, following text) or

The manual-analyze option directs the practitioner to press theanalyze button and allowing the machine to analyze the rhythmfollowing the 1 (Gray) 2 (Red) steps labeled on the machineface (Outlined as Option B, following text)


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AED Option A:

Pre-set to Auto-Analyze Turn selector switch to

1 on (Gray) and the

machine begins to

automatically analyzethe rhythm.

If pads have yet to be

placed, the machine will

provide a verbalwarning.


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Auto-Analyze:AED Option A (continued)

If no shock advised, verbalprompts will instruct the ABCs.

If shock is advised:

Warn all persons to clear perverbal prompt

Wait for ready tone aftermachine has charged itself

Visualize area again to ensureeveryone is clear

Press and hold SHOCK(#3)button per verbal prompt

Unit will deliver shock to patient


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Auto-Analyze:

AED Option A (continued) After shock delivered, the machine will begin auto-analysis of

the rhythm and will verbally prompt next step

Three shocks can be administered (if needed) then the machinewill begin instruction of one minute of CPR

Reanalyze after one minute of CPR per verbal prompt The M-Series AED can be placed in Manual mode at any time ifthe ACLS practitioner prefers.

The M-Series AED analyze button can be accessed at any time,but manual override will need to be re-established by softkeyaccess if analyze button accessed in Manual Override Mode.

This concludes Option A


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AED Manual Analyze

Option B Turn selector switch to

On 1 (Gray) and pressthe ANALYZE (#2)button which will then

begin analysis of therhythm.

If no shock advised perverbal prompt, move

through the ABCs asdirected


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Manual-Analyze:

AED Option B (continued)If shock is advised:

Wait for ready tone asmachine charges itself

Visualize area to makesure everyone is clear.

Press and hold SHOCK(#3) button.

Unit will deliver shock to

patient.


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Manual-Analyze:

AED Option B (continued) After shock delivered, press the ANALYZE button for machine

to re-analyze the rhythm and instruct accordingly.

Three shocks can be administered (if needed and after manuallypressing the ANALYZE button after each shock) then themachine will begin instruction of one minute of CPR

Reanalyze after one minute of CPR per verbal prompt

The M-Series AED can be placed in Manual mode at any time ifthe ACLS practitioner prefers.

The M-Series AED analyze button can be accessed at any time,but manual override will need to be re-established by softkeyaccess if analyze button accessed in Manual Override Mode.

This concludes Option B


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Accessing Manual Override of the AED

Turn Selector Switch1.On 1 (Gray)

Permits access to

analyze and ordefibrillate

2.The ACLS practitioner

can manually override

the AED ability by

accessing the3.Manual Mode Override

softkey


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Manual Override OperationsMonitoring of 3- or 5-lead ECG, external defibrillation with

pads or paddles, cardioversion, internal defibrillation

Press the confirm softkey formanual override.

The ACLS practitioner can now:

Monitor the patient with I,II,III,

(3 or 5 lead) Manually defibrillate withpads or paddles

Re-access the Analyze mode(AED) for help in rhythmanalysis (pads only)


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Manual Override:ECGElectrode Placement for Monitoring Purposes

Use of ECG electrodes will

not allow forany AED

functionality.

Explain application of

electrodes

Remove all clothing

Clean and dry skin

Apply 3-lead or 5-lead

Clip excess hair (avoidshaving as minor abrasions

may cause burns during use)

Manual Override Only


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Manual Override:

Manual Defibrillation

If the ACLS responder chooses not to accessthe ANALYZE button, the M-Series will:

Display preset joules

The provider can press the energy selectarrows until the desired energy is displayedon the screen

Manual defibrillation can be administered viaSimMan cable,Stat-Padz or paddles


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Manual Override:with Stat-Padz

Lead: PADS

Place pads

Connect multifunctioncable to pads connectorcable

Press energy selectbutton and select energyif not programmed byfacility

Press Charge Button Clear area


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Manual Override:with Stat-Padz

Prior to pressing the

Illuminated SHOCK

(#3)button:

Stand clear of patient Call out Everyone clear!

Visually verify everyone(again) is clear & safe

Press button

Machine will dischargeenergy into patient.


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Manual Override:

Defibrillation with Paddles

Use of paddles will notallow for any AEDfunctionality

Press on the releasebuttons and pullpaddles out of slots

Multifunction cable isinserted on apex

paddle at lighteningbolt


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Manual Override:Defibrillation with Paddles

Lead: Paddles

Place protective gel onpatients chest or gel on eachpaddle.

Place paddles on chest with25 lbs of pressure

Increase energy by accessingthe energy button on thesternal paddle to increase ordecrease energy if machinenot pre-programmed

Press Charge Button on theapex paddle.


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Manual Override:Defibrillation with Paddles

Prior to pressing the Shock(#3) buttons on bothpaddles simultaneously:

Stand clear of patient

Call out Everyoneclear!

Visually verify everyone(again) is clear

Press buttons

Machine will dischargeenergy into patient


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Manual Override:SynchronizedCardioversion

Cardioversion can be performed using

paddles or the Stat-Padz

Press the Sync On/Off Softkey Verify that arrows display over every R

wave

NOTE: Machine must be in Manual

Override to locate the Sync On/Off Softkey


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Note the softkey

Sync On/Off

ButtonThe ANALYZE button on

the AED M-Series will

not analyze when the

machine is synchronized.


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If arrows are unable to findthe R wave: (NOTE:Machine does find the R wave

in this illustration)

Size button: Increase the sizeof the ECG

Lead button: Try a change inlead

ALWAYS sedate the patientwho is stable and awake priorto release of current withcardioversion


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Re-sync the machine afterdischarge of current. Themachine will revert back tounsynchronized defibrillationmode.

Hold SHOCK(#3) button untilthe discharge of electricity isfinished as it may take a fewseconds to decide where torelease the current to miss theT wave


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Manual Override:Internal Defibrillation

If internal defibrillation is to beutilized, internal paddles orspoons will be accessed froma sterile tray.

The multifunction cable will be

attached to the end of thecable of the sterile paddles.

The M-Series will recognize theinternal paddles.

10 joules is initiated.

A range of up to 50 joules is

allowed.


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Pacer (Green)

Can be accessed from AED or Manual Override

Turn SelectorSwitch toPacer(Green)

Pace will be displayed

on the monitor screen. The default setting of 70

PPm (Paced per minute)is shown

0 Milliamps are being

discharged


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Pacer Mode: Prepare the Patient

Stat-Padz must be

placed: optimal

placement

anterior/posterior

Also need 3-lead

ECG if demand

pacing


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Pacer Mode

The two green dials

control the pacer rate

(PPM) and the pacer

output (milliamps or

mA)(For more specifics on

pacemaker, see pacemaker

module.)


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Pacer Mode

Goal is to achieve 100%ventricular depolarizationor capture as shown inthis illustration

By pushing the 4:1button, the practitionercan evaluate theunderlying rhythm bypausing for four beatswithout interrupting themilliampheres


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Pacer Mode:

Pressing the Analyze button

The M-Series AED machine cannot read

a rhythm when the Pacer (Green)mode is accessed.


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Lead/Size/Alarm/Recorder

Press the Lead Button, to

scroll through Lead Options

Lead Selection is displayed

and offers the options of:

a.) Electrodes: I,II,III aVR,aVF or V1 (3 or 5 lead)

b.) Paddles: if monitoring off

of paddles

c.) PADS: If monitoring is off

Stat-Padz


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Pressing the Size Button will scroll through

Size Options for the Lead Selection

Size Selection displayed

Size button

Size Selection Option

x0.5,x1,x1.5,x2 and x3

Heart Rate (HR) is displayed

in the corner of the LCD

screen


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Alarm Suspend & Recorder Button

Pressing the Alarm

Suspend button will

suspend the alarm (see

alarm module)

Pressing the Recorderbutton will begin running

ECG strip documentation.

Pressing the Recorder

button a second time will

stop the ECG strip


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Energy Select Arrows

If at any time, the

practitioner wishes to

decrease or increase

the amount of joules tobe discharged, use of

the Energy Select

arrows on the face of

the machine (or on the

sternum paddle)


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Changing Paper

IfCheck recorderis displayed,

evaluate the paper tray at

the bottom of the M-series

Locate the RELEASE label and

press the ridge down locatedbelow the label

Slide tray out

Replace paper with one square

dangling outside of tray.

Red grid up, black arrows outPress RECORDER button to

confirm proper placement


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Accessing SoftkeyLabels and Buttons

The softkeys at the bottom of

the unit will reveal a menu of

softkey labels when pushed.

For example: if you press the

Alarms softkey, the alarmmenu is displayed. (for alarm

information, see alarm

module)

To return to the main menu

press the RETURN key.


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Reading the Display Messages

The M-Series Manual Machine

will display visual prompts on

the screen


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Options Display:

UpperL

eftC

orner ofLC

DOptions can include

Non-invasive Blood

Pressure

SpO2

CO2

As shown in this

illustration


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Option Cables Attach on the Back

of the Machine Cables should be kept clean

and dry.

Cables should be left

attached to the cable port,

and stored in the cablepouch

The illustration shows all of

the 4 option cables attached

at the port on the back of the

M-Series.


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BatteryLife

The most common cause of defibrillation failures are

battery related

A new, fully charged battery pack has enough

energy to do 1 of the followinga.) 35 Defibrillator shocks at maximum energy

b.) 1.5 hours of continuous ECG monitoring

c.) 1.0 hour of continuous ECG monitoring and pacing

Recharge (plug in unit to wall) or replace batterywhen LOW BATTERY or REPLACE BATTERY are

displayed on the screen

M-Series AED _1

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