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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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Manual Override:SynchronizedCardioversion
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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Manual Override:SynchronizedCardioversion
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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Manual Override:SynchronizedCardioversion
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
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