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ZOLL

X-Series

Sarah Craig

Brief Review

Left Side

Left Side

Right Side

Right Side

Multifunction Cables (MFC)

For connecting paddles or ZOLL hands-free therapy and pacing

electrodes.

Front Panel

Front Panel

CXL

Synchronized Cardioversion

Per LACo, synchronize cardiovert:

  • Poor perfusion SVT
  • After trying 12mg/12mg adenosine
  • Poor perfusion wide QRS
  • Vtach with a pulse
  • CONSIDER and contact base:
  • Poor perfusion afib

How To:

How To:

  • Attach pads/electrodes
  • Press the SYNC toggle
  • Look for the S Markers on each R wave
  • Press ENERGY SELECT button to highlight desired joules
  • Press CHARGE button
  • Clear the patient
  • Press and hold SHOCK button
  • Zoll will automatically exit sync mode after every shock
  • To deliver more shocks, must restart from the SYNC step

Rhythms

Rhythms

Rhythms

Rhythms

SVT = 100J

Rhythms

SVT = 100J

Vtach = 100J

Rhythms

afib = 120J

Pediatrics

Pediatrics

Differences in timing:

  • Narrow complex SVT
  • Attempt adenosine, but do not delay cardioversion
  • EVERYTHING is done after base contact
  • Wide QRS complex
  • 2x before base contact

Differences in joules:

  • Round 1 - 0.5J/kg to 1J/kg
  • Round 2 - 2J/kg

Pacing

Per LACo, transcutaneous pacing (TCP):

  • Possibly atropine prior
  • Symptomatic bradycardia
  • HR < 40bpm
  • SBP < 80mmHg

Pacing

How To:

How To:

  • Attach pads/electrodes
  • Toggle between leads I, II and III
  • Look for the best QRS complex
  • Press the PACER button
  • Navigate and select desired Rate
  • Navigate and select Start Pacer
  • Adjust Output until:
  • Electrical capture on ECG
  • Mechanical capture
  • Femoral, R brachial or radial artery
  • Increase mA by 10%
  • Lock in mA

How To:

  • Attach pads/electrodes
  • Toggle between leads I, II and III
  • Look for the best QRS complex
  • Press the PACER button
  • Navigate and select desired Rate
  • Navigate and select Start Pacer
  • Adjust Output until:
  • Electrical capture on ECG
  • Mechanical capture
  • Femoral, R brachial or radial artery
  • Increase mA by 10%
  • Lock in mA

How To:

  • Attach pads/electrodes
  • Toggle between leads I, II and III
  • Look for the best QRS complex
  • Press the PACER button
  • Navigate and select desired Rate
  • Navigate and select Start Pacer
  • Adjust Output until:
  • Electrical capture on ECG
  • Mechanical capture
  • Femoral, R brachial or radial artery
  • Increase mA by 10%
  • Lock in mA

Rhythms

Rhythms

Bradycardia

Rhythms

Paced ś capture

Rhythms

Paced ć capture

Defibrilation

Default energy selections for adult patients:

  • Shock 1 - 120 joules
  • Shock 2 - 150 joules
  • Shock 3 - 200 joules

Default energy selections for peds patients:

  • Shock 1 - 50 joules
  • Shock 2 - 70 joules
  • Shock 3 - 85 joules

How To:

How To:

  • Attach pads
  • Select desired energy level
  • If used prior to defibrilation for other procedures (pacing/cardioversion) default joule settings will not automatically populate
  • Press CHARGE
  • If doing CPR, DO NOT stop CPR while charging
  • Clear the patient
  • Press SHOCK
  • Resume CPR immedidiately if indicated

Rhythms

Rhythms

V tach

V fib

Rhythms

Torsades de Pointes

Pediatrics

Pediatrics

Differences in numbers:

  • 2 shocks prior to base contact

Differences in joules:

  • Round 1 - 2J/kg
  • Round 2 - 4J/kg
  • Continue at 4J/kg for remaining shocks

THANK YOU!

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