Synchronized Cardioversion

1. Presses ON.

2. Attaches patient ECG cable and ECG electrodes.

3. Selects Lead II or lead with greatest QRS complex

amplitude (positive or negative). If using therapy

electrodes, places the electrodes in anterior-lateral

position and select PADDLES lead.

4. Presses SYNC.

5. Observes the ECG rhythm and confirms that a triangle

sense marker (t) appears near the middle of each

QRS complex.

6. Connects the therapy electrodes to the therapy cable

and confirms cable connection to the defibrillator.

7. Prepares patient’s skin:

• Bares patient’s chest.

• Removes excessive chest hair.

• Wipes skin clean and dry.

• Briskly wipes the skin with a towel or gauze.

• Ensures alcohol, benzoin and antiperspirant

are not used on skin sites.

8. Applies therapy electrodes or standard paddles to patient

in the anterior-lateral position:

• Places the ♥ therapy electrode or APEX paddle lateral

to the patient's left nipple in the midaxillary line, with

the center of the electrode in the midaxillary line. If

using standard paddles, applies conductive gel prior to

placing on skin.

• Places the other therapy electrode or STERNUM

paddle on the patient’s upper right torso, lateral to the

sternum and below the clavicle.

Optional: Applies therapy electrodes in the anterior-posterior position.

9. Presses ENERGY SELECT or rotates the SPEED DIAL to

select the desired energy. On the standard (hard) paddles,

rotates the ENERGY SELECT dial.

10. Presses CHARGE.

11. Makes certain all personnel, including the operator, stand

clear of the patient, stretcher, bed, and any equipment

connected to the patient.

12. Presses and holds the (SHOCK) button on the

defibrillator until the ENERGY DELIVERED message

appears on the screen. For standard paddles, presses

and holds both (SHOCK) buttons on the paddles

simultaneously until the ENERGY DELIVERED

message appears on the screen. Releases buttons.

13. Cancel (Optional): Presses SPEED DIAL to cancel charge.

14. Observes patient and ECG rhythm. Repeats procedure

starting from Step 4, if necessary.