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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