Using Lucina217Defibrillation and CardioversionLucina is designed to safely absorb the energy discharged from manual and automatic defibrillators.Standard defibrillation energy levels should be used for positive learning reinforcement and to avoidnegative training transfer.However, use of a defibrillator for training purposes represents an operational hazard equivalent to useof a defibrillator on a real patient. Consequently, ALL SAFETY PRECAUTIONS for the use of defibrillatorsMUST BE FOLLOWED as if the simulator were a patient. Consult the specific defibrillator’s User Manualfor further information.The following cautions should be observed:• Defibrillation should be performed on the defibrillation electrodes only. Ifdefibrillation is performed over any ECG electrode, high voltage may bepresent on the remaining connectors during the shock. This may alsodamage ECG circuitry. Avoid touching any nearby ECG posts.• To prevent overheating, DO NOT provide more than three (3) defibrillationdischarges in a sequence per minute during the training session (maximum200 joules with biphasic defibrillation and 360 joules with a monophasicdefibrillation). Avoid a large number of consecutive discharges as maydamage the simulator. Leave at least 30 minutes recovery period after asequence of more than nine consecutive discharges.• Do NOT provide more than nine consecutive discharges over three minuteswithout recovering for 30 minute before the next discharge as it maydamage the simulator.• Do NOT let the simulator come in contact with electrically conductivesurfaces or objects during defibrillation. A flame-supporting atmosphere,for example, with a high content of oxygen, should be avoided duringdefibrillation.• Keep the simulator’s chest dry. Special attention should be taken whenusing the urinary system or the vaginal bleeding features.• To prevent pitting of the chest skin electrode, do NOT apply conductive gelor conductive defibrillation pads intended for patient use.• Do NOT use cables or connectors having visible damage.• Do NOT spill fluids over any component inside the simulator torso. Thiscould damage the system and may also present a possible hazard for theoperator.• When using a manual defibrillator, the ECG can be monitored via thedefibrillator paddles. Coarse ventricular fibrillation and high-rateventricular tachycardia cardiac rhythms are automatically recognized as“shockable” rhythms.• With each defibrillation, the simulator automatically records the amount ofenergy discharged and the time defibrillation was performed. The
