Transcript Patient Considerations

XXI. Defibrillators
TRAINING SEMINAR ON
MEDICAL DEVICE
ACCIDENT INVESTIGATION
for
Kingdom of Saudi Arabia
Saudi Food & Drug Authority
Riyadh 11-14 February, 2007
Presenter:
Mark E. Bruley
Vice President, Accident and Forensic Investigation
ECRI
5200 Butler Pike, Plymouth Meeting, PA, 19642 USA
Tel: +1 610-825-6000, ext. 5223 E-mail: [email protected]
Web Sites: www.ecri.org
www.mdsr.ecri.org
©ECRI 2007
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Defibrillators
• “Failed to Discharge” Scenario
• Performance Testing
• Safety in Testing
• Battery Considerations
• Patient Considerations
• Patient Chest Burns
• Patient Fires
©2007 ECRI
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“Failed to Discharge” Scenario
Case 3: Tried to defib several
times with no effect; used
another defib.
• What actually happened?
• Was battery charged?
• Was unit set properly?
• Did unit fail somehow?
• Were paddles or pads used?
©2007 ECRI
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Performance Testing
• Does it work?
– Battery good for 10
discharges at max. energy
– Electrically safe
– Proper output energy
– Proper paddles or pads
©2007 ECRI
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Safety in Testing
• Discharge to test device
• Careful placement of hands
• Have a buddy present
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Battery Considerations
• Battery explosion
• Overheating/Too cold
• Insufficient power/Not charged
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Patient Considerations
• Proper pad/paddle
placement?
• Pad in good shape?
• Pacemaker present?
©2007 ECRI
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Patient Chest Burns
• Paddle or pads not in good contact
• Arc strike
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Patient Fires
• Oxygen in use
• Defib provides spark
• Surface fiber flame propagation in hair
©2007 ECRI
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XXI. Defibrillators
QUESTIONS?
©2007 ECRI
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