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Using Your HeartStart FR2+
3-3
Philips Medical Systems
3
Step 2: ECG Analysis and Monitoring
Follow the instructions provided by the HeartStart FR2+ Defibrillator’s
voice and screen prompts in the order indicated.
As soon as the FR2+ detects that the defibrillator pads are connected
properly, it automatically begins analyzing the patient’s heart rhythm. Do not
touch the patient during rhythm analysis. The M3860A FR2+ can display the
patient’s ECG on the screen. When the ECG display is enabled, the
patient’s heart rate is also displayed during background monitoring and when
the advanced mode is entered.
If no shock is advised, the FR2+ provides voice and screen prompts to tell
you so. The FR2+ instructs you to perform CPR if needed, and performs
background monitoring of the patient’s ECG while you give appropriate care
to the patient. These instructions are repeated at the programmed Monitor
Prompt interval (the default interval is one minute) while the FR2+ is
monitoring the patient.
NOTE: CPR may interfere with background monitoring. During CPR,
periodically pause for 15 seconds to check the patient and allow the FR2+
to analyze the patient’s heart rhythm without CPR artifact.
Monitoring continues until and unless the FR2+ detects a change in the
patient’s heart rhythm that may be a shockable rhythm, detects interference
with rhythm analysis, or is turned off.
If the FR2+ detects a potentially shockable heart rhythm while monitoring, it
automatically goes back to analyzing the rhythm to see if a shock is advised.
If a shock is advised, the FR2+ charges to prepare for shock delivery. It
gives the voice warnings and screen prompts to tell you that a shock is
advised. Make sure that no one is touching the patient or the pads. While the
FR2+ is charging, it continues to analyze the patient’s heart rhythm. If the
rhythm changes and a shock is no longer appropriate, the FR2+ disarms.
Voice and display prompts advise you what action to take.
NOTE: When the FR2+ is fully charged, you can disarm it at any time by
pressing the On/Off button to turn off the FR2+ and return it to standby
mode. (See the Defibrillator discussion in Appendix B, “Technical
Specifications,” for details on disarming the FR2+.)