Patient Analysis; Shock Delivery - Progetti RESCUE SAM ELRS-002 Manuel D'utilisation

2.2.3 Patient Analysis

WARNING
WARNING
WARNING
WARNING
WARNING
WARNING

2.2.4 Shock Delivery

WARNING
WARNING
Aggressive or prolonged CPR to a patient with
defibrillation pads attached can cause damage to
the pads. Replace the defibrillation pads if they
become damaged during use.
CPR rates above the American Heart Association
guidelines of 100 BPM (beats per minute) can
cause incorrect or delayed diagnosis by the patient
analysis system.
Do not place adult defibrillation pads in the
anterior-posterior (front-back) position. A shock or
no shock decision may be inappropriately advised.
The RESCUE SAM requires that the adult
defibrillation pads be placed in the anterior-anterior
(front-front) position.
Some very low amplitude or low frequency rhythms
may not be interpreted as shockable VF rhythms.
Also some VT rhythms may not be interpreted as
shockable rhythms.
Handling or transporting the patient during ECG
analysis can cause incorrect or delayed diagnosis,
especially if very low amplitude or low frequency
rhythms are present. During analysis and from
"Shock Advised" until "Shock Delivered," patient
movement and vibration must be minimized.
In patients with cardiac pacemakers, the RESCUE
SAM may have reduced sensitivity and not detect
all shockable rhythms. If you know the patient has
an implanted pacemaker, do not place electrodes
directly over an implanted device.
Do not allow defibrillation pads to touch each other,
or to touch other ECG electrodes, lead wires,
dressings, transdermal patches, etc. Such contact
can cause electrical arcing and patient skin burns
during defibrillation and may divert defibrillating
energy away from the heart.
During defibrillation, air pockets between the skin
and defibrillation pads can cause patient skin burns.
To help prevent air pockets, make sure self-
adhesive defibrillation pads completely adhere to
the skin. Do not use dried out or expired
defibrillation pads.
RESCUE SAM User Manual vers.1.0 March 2011
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