The Trainer’s Guide:
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DESCRIPTION ECO# DATE APPROVAL
A RELEASED FOR PRODUCTION
1036 2/01/09 M
-300 (SOLID HEART, NO TAGLINE)
A Comprehensive Training Course Reference
RA C-A1515EN-BA
ELECTRONIC DISTRIBUTION
Defibtech Lifeline ARM
Automated Chest Compression System
Notices
Defibtech, LLC, shall not be liable for errors contained herein or for incidental or
consequential damages in connection with the furnishing, performance, or use of
this material.
Information in this document is subject to change without notice. Names and data
used in the examples are fictitious unless otherwise noted.
Copyright
Copyright © 2018 Defibtech, LLC
All rights reserved. Copyright questions should be directed to Defibtech. For contact
information, refer to Chapter 5 of this guide.
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Contents
1 Before Training Starts ...................................................... 7
Getting Ready ......................................................7
Know Your Group ...................................................8
Know Your Setup ...................................................8
Prepare Devices, Accessories, and Training Materials........................8
Operator Training Requirements ........................................9
2 Group Training Sessions ..................................................11
Course Content ....................................................11
Introducing the Lifeline ARM........................................12
Getting Familiar with the Lifeline ARM ................................14
Learning the Deployment Sequence..................................22
Transporting the Patient ...........................................29
Disassembling and Storing the Lifeline ARM ...........................29
Recommended Maintenance for the Lifeline ARM.......................30
Troubleshooting During Operation of the Lifeline ARM....................31
3 Hands-On Training and Practice..........................................33
Setting Up the Practice Groups........................................33
Evaluating the Students .............................................33
Course Content ....................................................34
4 Resources...................................................................37
5 Contacts ....................................................................45
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1 Before Training Starts
As a trainer, you will be teaching other medical personnel how to use the Lifeline ARM
effectively in a real-life rescue situation. This helpful guide has all the information and practical
pointers you’ll need to prepare students to:
• Deploy the Lifeline ARM to administer automated chest compressions with minimal
interruption to manual CPR
• Adjust the Lifeline ARM to provide effective compressions at a consistent rate and depth
• Maintain and store the Lifeline ARM so it will be ready for future use
The course is conducted in two parts:
1. A group session in which the trainer will go over the written information in this guide
2. Practice groups to provide high-quality, hands-on training and evaluation
A crucial part of the learning process, the hands-on training and practice sessions allow
students to watch and learn from their peers, receive instant feedback on how well they are
performing, and hone their skills before putting them to use in a real-life rescue.
After these training sessions, your students should also be able to pass on the knowledge
and expertise they learn from you.
1. Before Training Starts
As the leader of the training, be sure to refer to the User Manual for complete directions,
indications, contraindications, side effects, training requirements, dangers, warnings, cautions,
troubleshooting, maintenance, and technical specifications.
Remember it is the responsibility of all students/operators to read the User Manual
before operating the Lifeline ARM.
Getting Ready
In addition to the basics of how to operate and maintain the Lifeline ARM, this guide includes
information on how to successfully conduct your training sessions.
Each training section begins with specific information For the Trainer, which you should
review before each session. At the start of each Course Content section, you’ll see a checklist
of Key Concepts that summarizes the material your students should master. Refer to this
checklist to stay focused on the essential elements during the actual training. You’ll also see
Trainer Tips — helpful hints and notes related to that particular section of the training.
Your training sessions will go much more smoothly when you are well prepared. Knowing
who you will be teaching, where and how the sessions will be held, and having all materials
ready to go are key to effective training.
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Know Your Group
Each group will be different and you will be training providers who work in different
environments, both in and out of the hospital. Try to establish before each session what type
of professionals will be in your group so you can tailor your training to their needs.
Know Your Setup
Well in advance of your training session, make sure your designated facility offers the
appropriate resources. You will need:
• A room large enough for the entire group and with enough open floor space for the group
to break into the hands-on practice sessions (or enough alternate rooms to accommodate
all practice groups)
• Enough seating and desktop space for students to be able to write notes and take tests
• Adequate power and outlets for video / PowerPoint presentations (if used) and to charge
the Battery Pack of the Lifeline ARM if needed
Prepare Devices, Accessories, and Training Materials
Print and refer to this checklist before each session to be sure you have all materials fully
prepared and ready for use.
For each group of 6 students, you will need:
1. A prepared Lifeline ARM device and all
relevant accessories:
−
Backboard, Frame, Carrying Case,
Compression Module, Battery Pack,
Patient Interface Pad (PIP), Stabilization
Strap, Wrist Straps (if used), AC Adapter,
Quick Reference Guide, and User Manual.
2. A fully-charged Battery Pack
−
Remember to charge Battery Packs at
least 2-3 hours before each session.
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3. An anatomically representative full-body manikin, sized appropriately for an adult,
that is designed for manual CPR training, works best. Torso manikins with flat
backs or too many functions or electronics might be problematic, as well as
manikins without arms do not adequately demonstrate the interaction between
the Frame and the Neck Strap.
4. Student Self-Tests, Competency
Checklists, Training Evaluations, and
Certificates of Completion.
(pages 37,39,41 and 43)
Operator Training Requirements
The Lifeline ARM is intended for use by qualified medical personnel certified to administer
CPR. To safely and effectively operate the Lifeline ARM, it is the responsibility of the operator
to obtain the following training:
1. Before Training Starts
• Lifeline ARM training in accordance with the User Manual, including handling of the
actual device
• CPR training in accordance with recent resuscitation guidelines as required by local,
state, provincial, and/or national regulations, (e.g., the American Heart Association or the
European Resuscitation Council).
• Thorough knowledge and understanding of the material in the User Manual
Note: This course is not intended to provide CPR certification.
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2 Group Training Sessions
FOR THE TRAINER
At the beginning of each group session, welcome your students and introduce yourself
and the other training staff. If the size of the group allows, ask your students to introduce
themselves and the type of environment in which they work. This information can help you
anticipate specific questions that may come up during the training as well as create a feeling
of common purpose for the students.
Trainer Tip: If the group session is too large for each student to
speak, ask the other trainers to lead off with introductions in the
practice sessions.
Setting the Agenda
Let your students know what to expect during the session by providing an agenda and
establishing a timeline for breaks.
A typical training session lasts about 1 to 1-1/2 hours and includes:
2. Group Training Sessions
Welcome and introduction
• Group Session:
−
Overview and review of the Quick Reference Card
−
Demonstration of the components and assembly of the Lifeline ARM
−
Demonstration of the operation sequence of the Lifeline ARM
−
Discussion of device use and removal, patient transport, and maintenance
• Break
• Hands-on Training Sessions:
−
Small practice groups for team practice in rotation and student self-tests
−
Evaluations by trainers of student competency
• Time for questions and completion of Training Evaluations
Course Content
KEY CONCEPTS
At the end of this session, your students should know:
✓ Benefits of automated chest compressions during CPR (page 12)
✓ When — and when NOT — to use the Lifeline ARM (page 13)
✓ Side effects of CPR (page 13)
✓ Components of the Lifeline ARM and how they function (page 14)
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✓ Operation sequence for the Lifeline ARM (page 22)
✓ How to transport a patient while using the Lifeline ARM (page 29)
✓ How to disassemble the Lifeline ARM (page 29)
✓ How to clean and store the Lifeline ARM (page 30)
Introducing the Lifeline ARM
As emergency responders know, any lifesaving technique
demands a high level of excellence in its delivery. During CPR, it
is crucial that rescuers provide effective and uninterrupted chest
compressions to maximize the patient’s chest compression
fraction. Maintaining a level of consistency during manual CPR
can be difficult — and sometimes impossible if there are not
enough rescuers or if the patient requires transport.
The Lifeline ARM offers an automated solution for providing victims of sudden cardiac arrest
with high-quality CPR. It is intended for use as an adjunct to manual CPR when effective
manual CPR is not possible (e.g., during patient transport, or extended CPR when fatigue may
prohibit the delivery of effective/consistent compressions to the victim, or when insufficient
personnel are available to provide effective CPR).
The device is easy to use, easy to transport, and delivers continuous compressions at the
depth and rate recommended by the guidelines of the American Heart Association (AHA) and
the European Resuscitation Council (ERC).
The following statement comes from the Highlights of 2015 American Heart Association
Guidelines Update for CPR and ECC1:
• There is continued emphasis on the characteristics of high-quality CPR: compressing the
chest at an adequate rate and depth, allowing complete chest recoil after each compression,
minimizing interruptions in compressions, and avoiding excessive ventilation.
• The recommended chest compression rate is at least 100 per minute.
• The recommendation for chest compression depth for adults is at least 2 inches (5 cm).
Indications for Use
Before and during use of the Lifeline ARM, you should always follow the accepted guidelines
and your local protocol for CPR.
Once you have confirmed that the patient is unconscious and not breathing, begin manual
CPR and get ready to deploy the Lifeline ARM as appropriate.
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1. American Heart Association. Highlights of 2015 American Heart Association
Guidelines Update for CPR and ECC. Dallas, TX : American Heart Association; 2015; p5.
Use of the Lifeline ARM is appropriate when effective manual CPR is not possible, such as:
• During extended CPR when rescuer fatigue may compromise consistent and
effective compressions
• During patient transport
• When there are not enough rescuers present to deliver adequate and effective CPR
The Lifeline ARM is intended for use as an adjunct to manual cardiopulmonary resuscitation
(CPR) when effective manual CPR is not possible (e.g., during patient transport, or extended
CPR when fatigue may prohibit the delivery of effective/consistent compressions to the
victim, or when insufficient personnel are available to provide effective CPR).
Federal Law (USA) restricts this device to sale by or on the order of a physician.
Contraindications
Be prepared to recognize situations in which use of the Lifeline ARM is not appropriate.
Do not use the Lifeline ARM in the following cases:
• It is not possible to position the Lifeline ARM safely or correctly on the patient’s chest
• The patient is too small for the starting piston height to reach the patient’s chest
• The patient is too large for the Frame to attach to the Backboard or if the Compression
Module/Piston cannot be mounted without compressing the patient’s chest
Always follow local and/or recognized resuscitation guidelines for CPR when using the
Lifeline ARM.
Side Effects
All operators of the Lifeline ARM should be aware of potential side effects of CPR, which
were well established by 2005. The International Liaison Committee on Resuscitation (ILCOR)
states the following side effects of CPR:
“Rib fractures and other injuries are common but acceptable consequences of CPR given
the alternative of death from cardiac arrest. After resuscitation, all patients should be
reassessed and re-evaluated for resuscitation-related injuries.” (From the 2005 International
Consensus Conference on Cardiopulmonary Resuscitation and Emergency Cardiovascular
Care Science With Treatment Recommendations, hosted by the American Heart Association
in Dallas, Texas, January 23–30, 2005. Published in Circulation. 2005; 112: III-5-III-16.)
2. Group Training Sessions
The above side effects, as well as bruising and soreness of the chest, may commonly
occur after the use of the Lifeline ARM. (Black CJ, Busuttil A, Robertson C. Chest wall
injuries following cardiopulmonary resuscitation. Resuscitation. 2004 Dec;63(3):339-43.)
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Getting Familiar with the Lifeline ARM
The Lifeline ARM is designed to be stored in a Carrying Case with a small number of easyto-assemble components; it can also be stored in a fully assembled and ready-to-use state.
When you receive a Lifeline ARM device, identify each component and ensure that the
package is complete before use.
The key components of the Lifeline ARM include:
• The Backboard
• The Frame
• The Compression Module
−
Compression Piston with Patient Interface Pad (PIP)
−
User Control Panel
−
Battery Pack
• AC Adapter
• A Stabilization Strap
• The Quick Reference Guide and User Manual
Trainer Tip: As you begin this section, place a Lifeline ARM device in its closed Carrying
Case on a table or raised surface so the group can see what you are doing. As you open the
Carrying Case and remove its contents, demonstrate and discuss the function and details of
each component in sequence.
Remind students that they will have lots of opportunity to familiarize themselves with the
physical components during the hands-on training session.
Compression
Battery Pack
Battery Pack
Release
Handle
Backboard
Release
Lever
Module
Patient
Interface Pad
User Control
Panel
External Power
Input
Compression
Piston
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Stabilization
Strap
Connector
Backboard
Latch
Frame
Backboard
The Backboard
The lightweight Backboard is the base for the Lifeline ARM system. It is placed under the
patient and has attachment points on either side to which the Frame latches. The Backboard
should be positioned as shown on the positioning label, with the center in line with the
patient’s nipple line.
The Frame
2. Group Training Sessions
The single-piece Frame attaches to the Backboard and holds the Compression Module in
position over the patient. With the Backboard attached, the Frame is designed to create a rigid
structure that enables a consistent compression depth without unwanted flex or distortion
during operation. The latches are self-centering and self-locking and are easy to match up
with, and snap into, the Backboard.
There are two sets of wide-release levers located on each side of the frame. These levers
allow the user to detach both sides of the Frame together or one side at a time.
It offers easy
access to the patient.
The Frame is large enough to accommodate a broad range of patient sizes (weight is not a factor).
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The Compression Module
The removable Compression Module contains all the active components of the Lifeline ARM
system, including the User Control Panel, Battery Pack, and Compression Piston. It also
houses a software-controlled motor that controls both the rate and depth of compressions.
The User Control Panel is located at the top, the Battery Pack slides into the side, and the
Compression Piston (with the Patient Interface Pad) is located at the bottom, facing the patient.
To attach the Compression Module to the Frame, insert the locking sleeve at about 90
degrees into the module receptacle at the top of the Frame. Rotate the Module in either
direction until it is in line with the Frame and snaps to lock securely into place.
To remove the Compression Module from the Frame, push down on the Module and
rotate about 90 degrees in either direction. Lift the Module out of the Frame.
To attach a Patient Interface Pad, press the pad onto the end of the Piston until it snaps
into place, rotating the pad if necessary. To remove the Patient Interface Pad, grasp the pad
by the edges and gently pull down one edge. Each Patient Interface Pad is for one-time use
only; it is non-sterile and contains no latex.
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The User Control Panel
Trainer Tip: Point out each of the buttons on the User Control Panel
as you discuss them.
The simplified User Control Panel is intuitive and easy to use.
It requires just two steps to initiate mechanical CPR:
1. Press the Up/Down button to adjust the height of the Compression
Piston relative to the patient’s chest
2. Press one of two softkeys to select a rescue protocol:
−
Chest compressions only
−
Chest compressions with rescue breaths
During a rescue, you can toggle between these two protocols, and
compressions can be stopped (paused) or resumed.
2. Group Training Sessions
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Here is an overview of the functions on the User Control Panel:
On/Off Button — Press for at least 1 second to turn the Lifeline ARM on or off
Up/Down Buttons — Use to position the Piston relative to the patient’s chest
Run Compressions — Press the top button to perform continuous compressions;
press the bottom button to perform compressions with pauses for rescue breaths
Pause Button — Stops compressions when running or resumes compressions
when stopped
Battery Pack Indicator — Indicates the approximate remaining Battery Pack capacity
Warning Indicator — Illuminates to notify the user that there is a problem with the
compression module and immediate attention is needed
Warning Mute Button — Silences the audible sound associated with a warning
for one minute
Service Indicator — Will flash to indicate when the Lifeline ARM requires periodic
maintenance
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The Battery Pack
The Lifeline ARM is powered by a replaceable Battery Pack that slides into either side of the
Compression Module. The Battery Pack must always be installed in the unit to operate the
device, even when powered by the AC Adapter.
The Compression Module should be turned off, or paused if in use, whenever batteries are
swapped out. To remove the Battery Pack, squeeze the eject release latches on either side
of the Battery Pack opening.
To insert the Battery Pack, be sure the contacts are facing the device and push in until the
latch clicks. When the device is turned on, the Battery Pack Status indicator will display
throughout its use.
2. Group Training Sessions
When fully charged, the Battery Pack will provide about 60 minutes of compressions. With
the Battery in the Compression Module at room temperature and in the off state, the external
AC Adapter can charge the battery in less than 3 hours.
To charge the Battery Pack with the AC Adapter:
1. Insert the Battery Pack into the Compression Module.
2. Connect the AC Adapter plug to the external power input
jack on the Compression Module. Lock it in place by aligning
the raised notch on the plug with the notch on the jack.
While the Battery Pack is charging, a green LED will flash
slowly on the Battery Pack Indicator.
To check the Battery Pack’s charge with LED status indicator:
Press and hold the membrane switch panel
on the Battery Pack. A full charge is indicated
by all-lit LEDs on the status indicator.
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To replace the Battery Pack during operation:
If the Battery Pack charge becomes very low during use, the Warning Indicator will flash and the
Battery Pack Status Indicator shows one lit LED. If this happens, there are two options:
Option 1: Swap with a sufficiently charged spare Battery Pack.
• Push Pause on the User Control Panel to temporarily stop compressions.
• Press the Battery Pack Release to quickly eject the depleted Battery Pack and remove it.
• Insert the charged spare Battery Pack.
• Wait for the Pause LED indicator to illuminate.
• Restart compressions by pushing the Pause button again or one of the Run buttons.
If the Battery Pack change takes over 15 seconds, the Piston will automatically retract when
the spare Battery Pack is inserted and the start position will have to be set again.
Option 2: Connect the Lifeline ARM to an external power source by connecting the AC
Adapter to the external input jack of the Compression Module. The Battery Pack
must always be installed in the Compression Module to operate the device, even
when powered by the AC Adapter.
Trainer Tip: Demonstrate how to remove and replace the Battery Pack, and review the
Battery Pack Indications and Alerts on the User Control Panel. Also point out the location
of the external input jack on the Compression Module.
The Stabilization Strap and Other Accessories
The Stabilization Strap holds the Lifeline ARM device securely in the correct position in relation
to the patient. It snaps into the Stabilization Strap connectors located on the Frame.
Trainer Tip: Point out the location of the Stabilization Strap connectors on the Frame.
Other accessories include the Patient Interface Pad, AC Adapter, Quick Reference Guide,
and User Manual. Available options include: a USB cable, Wrist Straps, spare Battery Pack,
Patient Interface Pads (package of 3) and a Battery Charging Station.
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Reviewing Initial Assembly
To quickly assemble the Lifeline ARM, follow this sequence:
1. Attach the Frame to the Backboard.
2. Insert the Compression Module into the receptacle
of the Frame. Rotate the Module until it is in line
with the Frame and snaps into place.
3. Check that the Patient Interface Pad (PIP) is
installed. If not, attach it to the distal end of the
Piston by pressing the pad onto the Piston until it
snaps into place, rotating pad if necessary.
2. Group Training Sessions
Trainer Tip: Emphasize the importance of making sure a Patient
Interface Pad (PIP) is installed on the Compression Module.
4. Insert a fully charged Battery Pack into the
opening in the side of the Compression Module.
Before using the Lifeline ARM, always check to be sure it is completely assembled and that all
components are present and functional. Check the Battery Pack to be sure it is fully charged.
The following section, “Learning the Deployment Sequence,” provides a more detailed view
of the assembled components and how they are used during a rescue.
Trainer Tip: Before moving on to the next section, ask if anyone has
questions or concerns.
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Learning the Deployment Sequence
To minimize CPR interruptions and to most effectively use the Lifeline ARM it is recommended
two rescuers work as a team.
Before and during deployment of the Lifeline ARM:
• Confirm that the patient is unresponsive and not breathing.
• Start manual compressions.
• Minimize compression interruptions as much as possible.
• Perform manual compressions whenever possible.
Team dynamics are important. Establish who will be in charge of starting manual CPR and
who will perform the various steps of assembly.
Trainer Tip: Remind students that providing manual compressions
always takes precedence over the setup and use of the device.
This section of the course covers the core elements of how to deploy the Lifeline ARM in a
real-time emergency setting. The goal of the rescuer is to put the Lifeline ARM into action as
quickly and smoothly as possible.
Trainer Tip: Working with the Lifeline ARM around a manikin and
a partner while talking at the same time can be a challenge: Practice
this aspect of the training beforehand to be sure participants can hear
you and see what you are doing.
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Steps to Deploy the Lifeline ARM:
The following instructions are for a two-rescuer scenario that begins after it has been confirmed
that the patient is unresponsive and not breathing, clothing has been removed from the patients
chest and manual CPR has begun.
1. Open the Carrying Case and remove the Backboard.
Place the Backboard next to the patient.
2. Group Training Sessions
2. Place the Backboard under the patient.
Lift and roll the patient as needed to slide the Backboard underneath the patient’s armpits
and in line with the nipple line according to the Patient Diagram. Accurately placing the
Backboard now will make it easier to correctly align the Compression Module later on.
Resume manual CPR.
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3. Attach the Frame to the Backboard.
Without interrupting manual CPR, position the Frame over the patient.
Attach the Frame to the Backboard by aligning the Frame latches over the Backboard
pins and pushing down until the latches snap into place. The latches may be clicked into
place one at a time or simultaneously.
Pull up on the Frame to make sure it is securely attached to the Backboard.
WARNING
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If patient is too large for the Frame, remove Frame and continue manual CPR compressions.
Do not use the Lifeline ARM if the Frame cannot be latched to the backboard.
4. Attach the Compression Module to the Frame.
Continue manual CPR.
Check the Compression Module to be sure the Patient Interface Pad and Battery Pack
are installed.
Insert the Module into the Frame and rotate in either direction until the Module is in line
with the Frame and snaps to lock into place.
5. Adjust the placement of the Compression Piston relative to the patient’s chest.
2. Group Training Sessions
Adjust the Frame and Backboard to position the Compression Piston over the patient’s chest
and directly in line with the nipples. (This is the same target point used for manual CPR.)
Do not initiate Lifeline ARM compressions if the piston is not in the proper position.
WARNING
6. Turn the unit On.
Press the On/Off button on the Control Panel for at least 1 second. If the
Battery Pack indicator shows red for low battery or the device does not
turn on, replace the Battery Pack or connect the AC Adapter.
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7. Adjust the height of the Compression Piston relative to the patient’s chest.
Interrupt manual CPR to adjust the height of the Compression Piston. Press the “Adjust
Down” and “Adjust Up” buttons on the Control Panel as needed while guiding the
Piston with the other hand to just touch the patient’s chest.
Not Touching
Correct Too High
If the Piston cannot be adjusted to reach the patient’s chest, the patient is too small.
WARNING
Remove Frame and continue with manual CPR compressions.
8. Start chest compressions.
Once the Piston is properly adjusted, push the “Run Continuous” button OR the “Run
with Breaths” button in accordance with your emergency response protocol.
Run Continuous
Run with Breaths
Do not leave the Lifeline ARM running while unattended. Patient injury may result if
WARNING
the unit is left unattended.
The Lifeline ARM can withstand the effects of an externally applied defibrillation shock.
WARNING
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Lifeline ARM compressions may interfere with ECG analysis. Pause compressions
during ECG analysis.
9. Apply the Stabilization Strap.
Remove the Stabilization Strap from the Carrying Case and place it next to the patient.
Lift the patient’s head and slide the Stabilization Strap under the patient’s neck. If the
patient might have head, neck, spine, or other bone-structure injuries, use accepted
handling techniques.
Attach the Stabilization Strap to the Frame on both sides by pushing the strap clips into
the connectors until they click into place.
2. Group Training Sessions
Tighten the Stabilization Strap to maintain the Piston’s correct position over the patient’s
chest by adjusting the Velcro® that holds both clips to the Stabilization Strap.
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SELECT IMPORTANT WARNINGS WHEN USING THE LIFELINE ARM
■ Patient size is the determining factor when deploying the Lifeline ARM; there is no limitation
regarding patient weight.
■ If the Piston cannot be adjusted to reach the patient’s chest, the patient is too small.
Remove the Frame and continue manual CPR.
■ If the Frame cannot be latched, the patient is too big. Remove the Frame and continue
manual CPR.
■ If at any time compressions cannot be performed by the Lifeline ARM, resume manual CPR.
During use:
• Always pause the device before changing the Battery Pack.
• Always pause compressions before performing ECG analysis with other equipment.
• The Battery Pack must always be installed in the Compression Module to operate the
device, even when powered by the AC Adapter.
• Avoid getting gel on the patient’s chest (e.g., from defibrillation pads) in the area of the
Piston target area.
During storage:
• Always store the device so it is ready to go.
• Always have the external AC Adapter power supply available with the device at all times.
• Store the Compression Module with a fully charged Battery Pack installed.
• Store the Compression Module with a new Patient Interface Pad installed.
• Be sure accessories such as the Stabilization Strap and extra Patient Interface Pads
are available.
• Consider keeping a spare fully charged Battery Pack on hand.
Note: Refer to the User Manual for complete directions, indications, contraindications, side
effects, training requirements, dangers, warnings, cautions, troubleshooting, maintenance
and technical specifications.
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Transporting the Patient
To move the patient to a stretcher or other transport equipment:
1. Prepare the stretcher/transport equipment near the patient.
2. Position two people on either side of the patient; other personnel may be needed to
stabilize the patient’s head and limbs, as necessary.
3. When ready to move the patient, push the “Pause” button to temporarily stop compressions.
4. Lift the patient by grabbing the black handle of the unit with one hand using the other
hand to support the lower torso.
5. After the patient is safely on the stretcher/transport equipment, check that the
positions of the unit and the Piston have not changed; readjust if necessary;
compressions may then be continued.
6. Push the “Pause” button again, or the appropriate “Run Compressions” button, to
resume compressions.
Carefully monitor the position of the piston on the patient’s chest to ensure that it
has not moved from the appropriate target area. Pause compressions and readjust
WARNING
position if needed.
Disassembling and Storing the Lifeline ARM
When compressions are no longer needed, follow this sequence to remove the device:
1. Turn the unit Off by pressing and holding the On/Off button for at least 1 second.
2. Remove the Stabilization Strap and Wrist Straps, if used.
3. Remove the Compression Module from the Frame by first pushing down and
rotating it about 90 degrees in either direction. Lift out the Module and place it in
the appropriate storage section of the Carrying Case.
4. Release the Frame from the Backboard using the release levers.
Note: The Frame can be released one side at a time. Lift the Frame and place it in
its storage section of the Carrying Case.
2. Group Training Sessions
5. Pack the Backboard in the Carrying Case on top of the fabric flap that covers and
protects the Compression Module.
6. Add remaining accessories, including the Stabilization Strap, Wrist Straps, AC
Adapter, spare Battery Pack, extra PIPs, and User Manual.
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Recommended Maintenance for the Lifeline ARM
To be sure that all components and accessories are available and ready for next use:
1.
Make sure the Battery Pack is fully charged and inserted into the Compression Module.
2. Check the condition of the system. Make sure the Carrying Case contains all
accessories, including the Patient Interface Pad(s), AC Adapter, Stabilization Strap,
Wrist Straps (if used), Quick Reference Guide, and User Manual.
3. Make sure the Patient Interface Pad is installed on the Compression Module.
4. Make sure at least one unused Patient Interface Pad is stored in the Carrying Case.
5. Turn the device On to perform a self-test. Make sure the Compression Piston is
retracted and the PAUSE indicator comes on with no warning indicators.
Clean all components before the next use as recommended in the User Manual.
Different maintenance intervals may be appropriate depending on the environment. Ultimately,
the maintenance program is at the discretion of the medical director.
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Troubleshooting During Operation of the Lifeline ARM
Refer to the User Manual for complete instructions on how to handle potential problems
encountered before, during, or after use of the Lifeline ARM. Some examples of warnings include:
Battery Pack Indicator
• If the Battery Pack indicator on the User Control Panel shows red (low
battery), replace the Battery Pack as soon as possible with a sufficiently
charged Battery Pack or apply external power.
• At any time, the Lifeline ARM can be connected to an external power
source to power the device during its operation, or to charge the battery.
Warning Indicators
The Warning Indicators on the User Control Panel will flash and be accompanied by an audible
alert to notify the user of a detected problem, such as possible misuse or malfunction.
Pressing the Warning Mute button causes the LED to illuminate red and silences the alert.
A muted audible alert will automatically disable.
If the Warning Indicator (located below the Battery Pack
Indicator on the User Control Panel) flashes red and is
accompanied by an audible alert:
2. Group Training Sessions
• Check for installed and charged Battery Pack
• Check for proper Piston position and height
To clear the condition and try again, press the Pause button. If the device fails to perform
compressions, push the On/Off button for at least 1 second to power off. Then push the
On/Off button again for at least 1 second to turn it back on.
If the condition persists, remove the Lifeline ARM from the patient and start manual CPR.
WARNING
Service Indicator
Defibtech recommends periodic maintenance every 18 months of use. The
Service Indicator is the wrench symbol located on the User Control Panel.
After approximately 200 hours of operation, the Service Indicator LED will
flash red to indicate that the unit requires maintenance. The device may still be
used but should be serviced as soon as practical.
Trainer Tip: Remind students that if they encounter device issues,
they should always minimize compression interruptions and perform
manual compressions whenever possible.
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3 Hands-On Training and Practice
For the Trainer
The practice session is the student’s opportunity to put theory into practice. This is where
trainers can ensure that students understand and demonstrate competency in handling and
using the Lifeline ARM device in a rescue scenario.
Setting Up the Practice Groups
After the break, divide to classroom group into smaller practice groups. The student to trainer
ratio should be no more than six to one in each of the smaller groups. Ask each group to
divide themselves into teams of two. One student will provide manual CPR while the other
practices the operation sequence; they then switch roles.
Ask students to use the Student Self-Test during the Hands-On Session, both for review of
the operation sequence and as a reference while they watch other teams practice
Depending on how many Lifeline ARM devices are available for practice, manage the teams
as they rotate through the session to be sure that each student goes through the operation
sequence at least three times.
In each practice group, trainers should follow the same protocol:
1. Trainers and students introduce themselves.
2. Trainer reviews and demonstrates deployment of the Lifeline ARM at the expected
speed and proficiency.
3. Students take turns working in teams of two to practice deployment. As each team
works, the other teams and the trainer watch, referring to the Student Self-Test, and
provide feedback. Teams rotate practice sessions until all students have completed
at least three deployments.
4. Students have the opportunity to review and ask questions of the trainers.
5. Trainers complete a Competency Checklist evaluation for each student.
6. Trainer selects one student to “be the trainer.” This student acts as the trainer for
the group to demonstrate the ability to teach others to use the Lifeline ARM.
Evaluating the Students
Learning happens best without fear or pressure. Remind students that you are there to help
them learn, not to criticize them or “catch” them making errors. Ask whether anyone has
concerns or questions that you can address before the evaluations. If needed, explain and
demonstrate any areas that are unclear.
3. Setting Up the RMU-1000 ACC
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Once students show that they are comfortable and confident in using the Lifeline ARM,
they are ready to be evaluated per the Competency Checklist (page 37). For each hands–on
evaluation, watch the student perform the operation sequence beginning with opening the
Carrying Case of the Lifeline ARM. Check that each step is done correctly according to the
checklist, and note any feedback that may help the student later on.
Trainer Tip: Carrying a clipboard makes it easy to move around to
observe the student while completing the Competency Checklist.
At the end of the hands-on evaluation, share your results with the student and go over any
areas that were not correctly performed or could be improved.
Course Content
At the end of the Hands-On Session, students should be able to demonstrate their ability to
correctly and efficiently:
• Position the Backboard
• Attach the Frame
• Insert the Compression Module
• Operate and understand all functions of the User Control Panel:
On/Off, Up/Down, Continuous Compressions or With Breaths
• Start and stop manual CPR during deployment
• Correctly attach the Stabilization Strap and Wrist Straps (if used)
• Change the Battery Pack or apply the AC Adapter during operation
Step-by-Step Review of Lifeline ARM Operation Sequence: Essential Elements
Following the steps on the Student Self-Test (page 39), students watch as the trainer reviews
the essential elements of the operation sequence and then demonstrates deployment at
full speed as needed during an emergency. Based on performance testing, the expected
deployment time (from the time the Backboard is used to the first compression) is less than
45 seconds.
With a manikin ready, begin the review with a Lifeline ARM device in the Carrying Case
nearby and another participant acting as the second rescuer. As you demonstrate each step,
emphasize the elements that are most important.
1. Open the Carrying Case and remove the Backboard.
Instruct partner: “Stop manual CPR.”
Essential elements:
• Show how to open the Carrying Case
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2. Place the Backboard under the patient and position it correctly.
Instruct partner: “Restart manual CPR.”
Essential elements:
• Show that the Backboard is placed next to the patient with the positioning label facing up.
• Show how to roll the manikin to slide the Backboard into the proper position, just below the
armpits with the center of the Backboard in line with the nipple line of the patient.
3. Remove the Frame; check for clearance. Attach the Frame to the Backboard.
Pull up on the Frame to test that it is securely locked in place.
Essential elements:
• Point out that the Frame can be attached to both latches at once or one side at a time.
• Demonstrate the correct position of the patient’s arms using the manikin.
• Show how much to pull up on the Frame for an effective test.
• Remind students that if the patient is too large for the Frame, they should remove the Frame
and continue manual CPR.
4. Remove the Compression Module and insert it into the Frame, rotating until it
is in line with the Frame and snaps to lock into place. Check that the Patient
Interface Pad is in place.
Essential elements:
• Show how to orient the Compression Module at the top of the Frame so that it sits crosswise.
Insert the Module and show how to rotate it by 90 degrees to lock it in place.
• Remind students that the Module can be oriented in either direction for faster assembly.
• Show how to check the Patient Interface Pad. Remove it and replace it, and remind students
that it is for one-time use only.
5. Turn the device On.
Essential elements:
• Remind students to press the On/Off button for at least 1 second. If the Battery Pack indicator
shows red (low battery) or the device does not turn on, they should replace the Battery Pack
or connect the AC adapter.
6. Adjust the height and position of the Compression Piston.
Essential elements:
• Show how to use the Up/Down buttons on the User Control Panel to adjust the height of the
Piston until it is touching the patient’s chest.
• Remind students to confirm that the Piston is properly placed over the patient’s chest. They
should not start compressions until it has been properly positioned. If the Piston cannot be
adjusted to reach the patient’s chest, the patient is too small. Remove the Frame and continue
manual CPR compressions.
3. Setting Up the RMU-1000 ACC
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7. Select compression protocol and start compressions.
Essential elements:
• Remind students that they have the choice of running compressions with or without breaths.
Show how to start Run Continuous (top button) on the User Control Panel, then Run with
Breaths (bottom button).
• Show how to temporarily stop compressions, if needed, by pressing the Pause Button, and
to restart compressions by pressing either Pause again or the appropriate Run compressions
button.
8. Apply the Stabilization Strap.
Essential elements:
• Show how to lift the patient’s head, place the strap behind the neck, and connect to the Frame
by pushing the clips into the strap connectors. They should hear an audible click.
• Show how to adjust the strap length to maintain the correct position of the device over the
patient’s chest.
• Remind students that if the device is not correctly positioned, they should loosen the
Stabilization Strap and readjust.
• Show how to position and attach Wrist Straps (if used).
9. Change the Battery Pack.
Essential elements:
• Show how to push Pause to temporarily stop compressions, then eject and replace the existing
Battery Pack with a spare charged Battery Pack.
• Remind students that the Battery Pack will operate in either orientation (with the contacts
toward the unit).
• Remind students that the Battery Pack must always be inserted into the Compression Module
even when using an external power source.
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4 Resources
COMPETENCY CHECKLIST
Student Name
Step Essential Skill Set — Operation Sequence
1 Opens the Carrying Case and removes the Backboard. YES NO
2
3
4
5 Adjusts the position of the Compression Piston. YES NO
Places the Backboard under the patient and positions it
correctly.
Removes the Frame; lifts the patient’s arms over the
head; and attaches the Frame. Pulls up on the Frame to
test that it is securely locked in place.
Removes the Compression Module; checks to make sure
a Patient Interface Pad and a Battery Pack is installed,
and inserts it into the Frame, rotating to lock into place.
Performed Correctly
(Circle One)
YES NO
YES NO
YES NO
4. Resources
6 Turns the device On. YES NO
7 Selects compression protocol and starts compressions. YES NO
8 Applies the Stabilization Strap. YES NO
9 Applies the Wrist Straps (if used). YES NO
10 Changes the Battery Pack. YES NO
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STUDENT SELF-TEST
Step Essential Skill Set — Deployment
1 Open the Carrying Case and remove the Backboard.
2 Place the Backboard under the patient and position as needed.
4. Resources
3
4
5 Press the On/Off button for at least one second to turn on.
6 Adjust the position of the Piston until it touches the patient’s chest.
7 Push Run Continuous or Run with Breaths button to start compressions.
8
Attach the Frame to the Backboard (one side at a time or simultaneously).
Pull up on the Frame to test that it is securely locked in place.
Remove the Compression Module and check that the Patient Interface Pad is installed.
Mount in the Frame, rotating in either direction until it is in line with the Frame and locks
into place.
Apply the Stabilization Strap behind the patient’s neck. Connect the Strap to the Frame
with the Stabilization Strap Connectors. (Stabilization Strap can be adjusted using selfadhesive Velcro.)
Notes:
• To minimize CPR interruptions and to most effectively use the Lifeline ARM, two
rescuers are recommended.
• Providing manual chest compressions takes precedence over setting up and initiating
use of the Lifeline ARM.
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TRAINING EVALUATION for the Defibtech Lifeline ARM
Trainer Name / Course / Date
Please mark the columns that most
closely reflect your thoughts after this training.
Training objectives were clearly defined and addressed in the
1
course.
2 Course content was well organized and clearly presented.
3 The trainer was well prepared, knowledgeable, and helpful.
Participation and interaction with the class were constructive
4
and encouraged.
5 The trainer allowed adequate time for questions and answers.
4. Resources
Agree
Strongly
Agree
Neutral
Strongly
Disagree
Disagree
6 The training materials provided were effective.
The breakout sessions offered adequate opportunity for
7
practice and reinforced the content taught in the class.
The training session was long enough to cover the material
8
presented.
The training location and facilities were comfortable and
9
provided adequate space for practice.
The training prepared me to use the Lifeline ARM in my work
10
environment.
Overall, the training was (circle one): Excellent / Good / Average / Poor / Very Poor
Comments
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5 Contacts
Manufacturer
Defibtech, LLC
741 Boston Post Road, Suite 201
Guilford, CT 06437 USA
Tel.: 1-(866) 333-4241 (Toll-free within North America)
1-(203) 453-4507
Fax: 1-(203) 453-6657
Email:
sales@defibtech.com (Sales)
reporting@defibtech.com (Medical Device Reporting)
service@defibtech.com (Service and Repair)
Website:
www.defibtech.com
5. Contacts
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