Zoll Pads
How do you prepare a patient’s skin to place Zoll Pads?
Remove clothing, dry skin, clip hair, avoid dressings/ tubes/ incisions.
What is the compression to breath ratio for two resuer CPR without an advanced airway?
15:2
After shocking, when should you resume CPR?
Immediately. Then continue CPR for 2 minutes.
After you give one synchronized shock, does the Zoll stay in sync mode?
No
Verbalize when to complete the Zoll user test, then demonstrate each step.
Complete user test daily, never while pads are attached to a patient or in a patient room. Check pads are connected, check green mark, defib 30J & shock, battery check.
What is the age and weight range for pediatric pads?
Less than or equal to 8 yo/25kg
What is the correct CPR rate?
100-120bpm
What is the initial setting for pediatric joules in the first shock?
2J/KG
What is one thing you need to do differently when clicking the shock button while trying to cardiovert?
Press and hold the shock button until the energy is delivered.
You ran out of paper during a code, change out the paper on the Zoll.
Gridlines face down, arrow up
What is the age and weight range for adult pads?
Greater than 8 yo/25kg
What is the recommended compression depth for an infant?
1.5 in
If you want to monitor the patient's heart rhythm, demonstrate the two different modes you could do that in on the Zoll. What could you click to see the display better?
Turn to monitor mode and then defib mode. Can click lead button to view different leads, can click Size button to modify ECG size.
Your 3 week old patient who is sleeping has a HR of 310, with no visible p waves. What is likely the rhythm?
SVT
You pre-charged the Zoll, then at the pulse check, the patient has a pulse. Show me what you would do.
Disarm/dump the charge, move to ROSC Algorithm
Place the pediatric pads on the mannequin.
One on front, one on back
What is the recommended compression depth for a child greater than 8 years old?
2-2.5in
Is this rhythm shockable? What are the other shockable rhythms?
Yes (Vfib), pulseless v tach, torsade de pointes.
Set the Zoll to cardioversion mode.
Turn to defib, then click sync.
At the very first rhythm check, your patient is in this rhythm (See Zoll) and weighs 60 kg. Set the Zoll and shock the patient.
V fib. 120J, clear, shock
Place the adult pads on the mannequin.
Left of spine under scapula on back/center of chest on front
What is the ideal maximum time you should be idle on the chest for pulse and rhythm checks?
10 seconds
Demonstrate how to utilize external defibrillator paddles. Leave the Zoll off during this demonstration.
Detaches electrode pads from cable and attach to the paddle connector. Grasp handles and press down on latch button above each paddle to release (squeeze pedi button to slide the plate to expose pedi paddles), Place paste on the surface of the paddles prior to touching patient.
What is the Joules settings for a pediatric patient on the initial cardioversion shock?
0.5-1J/kg for initial shock, 2J/kg for the second
You have completed one shock on your patient who is 25kg, after the rhythm check, the Zoll shows this rhythm (See Zoll). There is no pulse. Demonstrate your next step.
V tach. Shock at 100J