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User manual | Defibrillator mode Step 3 - Shock After the “Charge Ready” warning, press the "Shock" 3 button (orange) in the front panel or use the two buttons (orange) in the external paddles. It is only possible to defibrillate using the pad buttons with the adult/child external pads. CAUTION: Make sure nobody is touching the patient! Tell passersby to stand clear of the patient! The number of shocks and length of operation are indicated on the screen. Synchronism - Synchronized discharge - Cardioversion Remember: The function “Synchronized Shock” is disabled after the shock is delivered. Monitor the patient with 3 or 5-leads ECG cables or with the defibrillation electrodes. Press the “Sync” button in the front panel. Ensure that the synchronization marker is red and lined up with the 'R” wave and the “SYNC” indication is displayed next to the selected energy value. Follow steps 1-2-3 for defibrillation. IMPORTANT: Keep key 3 (shock) or the two shock pads’ buttons pressed until the next “R” wave is identified. The CardioMax will deliver the shock when the next “R” wave is identified. IMPORTANT: If the CardioMax does not identify a valid QRS it will not deliver the shock! 69