ZOLL M SeriesE Series Introduction by kky13476

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									            Module Migration

The following are 10 teaching modules which will
  help you to become comfortable with your new
  Biphasic ZOLL Defibrillator. Once you identify
  the machine type and the options available, you
  can migrate through the appropriate modules to
  review or gain more in-depth knowledge
  regarding a specific feature.


Let’s begin with machine identification.
Zoll M Series/E Series Defibrillators
             3 Models

AUTOMATED EXTERNAL DEFIBRILLATOR (AED)
  Follows pre-determined protocols as an AED

ADVISORY
  Either fully automatic mode or manual operation model

MANUAL
 Manual operation by ACLS responders. No automated
 features
Zoll Biphasic M Series/E Series:
           Advisory
                Identifier:
                Selector Switch has 3
                  settings:
                • Monitor (Gray)
                • Defib (Red)
                • Pace (Green)
                • Has ANALYZE button
                  to analyze the cardiac
                  rhythm
Automated External Defibrillator
           (AED)
                Identifier:
                Selector Switch has 2 settings:
                • “On” 1 (Gray)
                • Pace (Green)
                Also has:
                • Analyze Button
                • Manual Override
Manual M Series/E Series

            Identifier:
            Selector Switch has 3 settings:
            • Monitor (Gray)
            • Defib (Red)
            • Pace (Green)

            No Analyze Button – ACLS
              practitioner diagnosing and
              treating rhythm.
Which of these 3 machines will
    you be working with?


            • AED

          • Advisory

           • Manual
        Universal Color Coding
• All ZOLL M Series/E Series Defibrillators use a
  universal color coding system for the Selector
  Switches. They are as follow:

                    Monitor / Gray
                   Defibrillate / Red
                    Pace / Green

This permits an easy way to select the specific
  functionality needed.
Now identify the options available by finding
the cable ports on the back of the machine:

Here is an example of a
  machine which has the
  ability to do the
  following:
• ECG Monitoring (3,5 or
  12 lead)
• SPO2
• CO2                  CO2   SPO2   Multifunction Cable   ECG

• Multifunction cable
  (hands free capability)
Now that you have determined which model
    ZOLL Defibrillator you are working with, you
    can access the appropriate training
    modules) and begin your self-paced
    learning experience.
1. Automated External Defibrillator
2. Advisory
3. Manual
     M Series/E Series Functional Options

The modules outlined below are specific to the various
    options available on the M Series/E Series Defibrillators.
    Refer to each module for the self-paced learning
    program.
4. Stat-Padz
5. Pacing
6. Alarms
7. SpO2
8. CO2
9. Non-Invasive Blood Pressure (NIBP)
10. 3, 5, 12 Lead Monitoring
11. Data Management
The following slides address basic definitions and
            are not a required review.
                        Definitions
Biphasic AED Defibrillator: Begins rhythm analysis when the
   monitor button is turned on. Works as an AED allowing the
   BLS clinician to discharge electricity. Has the ability to be
   manually overridden once ACLS has arrived on the scene.
   The Analyze button can be utilized at any time to assist in
   rhythm recognition.

Biphasic Manual Defibrillator: The ACLS clinician assumed
   total control of the rhythm recognition and treatment. No
   AED component available.

Biphasic Advisory Defibrillator: Allows the clinician to
   immediately assume control of the rhythm or choose to
   press the analyze button and have the machine function as
   an AED.
Defibrillation: Depolarization of cardiac cells to terminate ventricular
   fibrillation or pulseless ventricular tachycardia, accomplished by
   delivery of electrical current to the heart.

Current: A component of electricity representing the flow of electrons,
  measured in amperage (amps)

Ohms: Unit of measure for impedance; can represent patient impedance,
  equipment impedance or both.

Biphasic Current: Delivery of electrical current during defibrillation in two
   directions (across the heart and back again) occurring during a single
   shock

Joules: Unit of measure from energy. Energy is the product three
   variables: Current/Voltage/Time. While defibrillator settings are marked
   in terms of energy, it is important to distinguish that current, not energy
   defibrillates the heart. Measurement of joules are used for defibrillation
   or cardioversion.
Milliampheres (Amps): Unit of measure from energy. Measurement of
   current used in pacing. Depolarizes the ventricle to cause (hopefully)
   contraction.

Manual Defibrillation / Cardioversion: Use of the defibrillation paddles
  and conductive gel to discharge the current into the patient’s chest.

Hands Free Defibrillation / Cardioversion: Use of the Zoll Stat-Padz and
  multifunction cable to discharge the current into the patient’s chest.

Internal Defibrillation: Use of internal paddles or spoons to directly
   discharge current onto the myocardium during an open chest
   procedure.

Stat-Padz: The Zoll electrodes used for the following: Quick-Look” the
   rhythm – defibrillate – cardioversion – pace
Multifunction Cable: This 8 foot cable connects from the M-Series
  to the Stat-Padz which are applied to the patient. This allows for
  “hands-free” defibrillation, cardioversion and pacing.

SPO2: The monitoring of pulse oxymetry, reflects oxygenation.

CO2: The monitoring of end-tidal carbon dioxide, reflects
  ventilation.

3-,5-,12- ECG Monitoring: Each ECG lead reflects a different
   view and area of the heart. 3-lead monitoring reflects three
   views, 5-lead reflects five views, 12-lead reflects twelve views.
  Advance to the modules identified to
      review based on your facility’s
M Series/E Series Defibrillator model and
   available options or features for that
                  model.

								
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