Philips Heartstart XL Features The Philips HeartStart XL defibrillator/monitor, weighing in at just under 14 pounds, is easily transported throughout the hospital to the site where cardiac care is needed. The Heartstart XL is a combination manual device with automated external defibrillator capabilities. The HeartStart XL enables the first caregiver on the scene to deliver lifesaving defibrillation therapy, whether they are an ALS or BLS clinician. In AED mode, voice prompts and text messages guide BLS users through the defibrillation process, while HeartStart XL continuously monitors and displays the patient's ECG. When the ALS personnel arrive, HeartStart XL is easily switched from AED to manual mode, thus allowing operators to access the unit's advanced therapeutic features such as selectable energy (from 2 to 200 Joules), non-invasive pacing (optional), SpO2 (optional) and synchronized cardioversion. Synchronized Cardioversion Philips' SMART Biphasic waveform has undergone clinical testing, demonstrating its effectiveness for cardioversion of atrial fibrillation. Easy to Use 1-2-3 operation—True 1-2-3 operation makes defibrillation intuitive for all users. AED mode—Voice and text prompts guide users through the defibrillation process. 150 Joules non-escalating, pre-set energy level. Paddles (optional)—Anterior/anterior adult paddles convert to pediatric by removing the outer contacts. Multi-function defibrillator pads—Adult and pediatric pads for defibrillation, ECG monitoring, pacing and synchronized cardioversion. Sterilizable internal paddles—Switch and switchless internal paddles are designed for open chest defibrillation in the operating room. Lightweight, Compact, and Durable Grab and go—Less than 14 pounds. (6.35kg) Compact—Easily fits on a standard hospital stretcher. Rugged—Withstands the rigors of hospital use and patient transport. Options Adult paddles with paddle-to patient contact indicators. (PCI) Pediatric paddles underneath. SpO2 pulse oximetry with alarms. Non-invasive pacing. 5-Lead ECG. Philips Heartstart XL Specifications General Multifunction Therapy Cable. 3-Lead ECG monitoring with included monitoring pads or electrodes. Selectable limits and alarms. Liquid crystal display. 50 mm strip chart printer with 2 rolls paper. Data storage/event summary. SLA battery w/AC Power Module and Test Load. SMART Biphasic waveform for defibrillation.
General Information About Defibrillators Why Defibrillation? Sudden Cardiac Arrest (SCR)-Rapid irregular rhythm causing heart to quiver Cause: Ventricular Fibrillation (VF) Can lead to death if emergency shock not delivered Defibrillation – to counteract fibrillation Defibrillator Device used to administer an electric current (shock) to the heart Types of Defibrillators Manual external Manual Internal Automated External (AED) Semi-Automated External Implantable Cardioverter-Defibrillator (ICD) Manual External Defibrillator Widely used in Hospitals and clinics Inbuilt EKG reader Clinician Diagnoses the condition and accordingly administers the shock through paddles or pads Manual Internal Defibrillator Exclusively used in Operation Theatres Charge delivered through internal paddles in direct contact with the heart Automated External Defibrillator (AED) Used by lay persons requiring little training Built in heart rhythm analyzer Advices whether shock is required Semi-Automated External Defibrillators Used by paramedics and emergency medical technicians Automated capabilities of AED With ECG display and manual over ride option Implantable Cardioverter Defibrillator Implants similar to pacemakers Constantly monitor heart rhythm Automatically administers shock for arrhythmias Types of waveform - Shape of defibrillation current Monophasic damped sine waveform – delivers energy in one direction Relies on adjustment of joule settings Biphasic damped sine waveform – bi-directional current flow Measures impedance of patient and delivers precise dose of electricity Uses significantly low energy levels Decreases risk of burn in Myocardial damage