event review pro 3 - incenter.medical.philips.com

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Notices

Edition 2

Part number 012801-0002

Printed in USA

Philips Medical Systems shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of the material.

Copyright

Copyright © 2006

Philips Electronics North America Corp.

No part of this publication may be reproduced, transmitted, transcribed, stored in a retrieval system, or translated into any human or computer language in any form by any means without the consent of the copyright holder.

Unauthorized copying of this publication may not only infringe copyright but also reduce the ability of Philips Medical Systems to provide accurate and up-to-date information to users and operators alike.

Medical Device Directive

HeartStart Event Review Pro 3.5 complies with the requirements of the Medical Device Directive 93/42/EEC and carries the mark accordingly.

Trademarks

Event Review, Event Review Pro, CodeRunner, ForeRunner, FR2, FR2+, FR2 series, FRx, XL, XLT, MRx, HeartStart Defibrillator, Home Defibrillator, OnSite Defibrillator, and the HeartStart logo are either registered trademarks or trademarks of Koninklijke Philips Electronics N.V.

Microsoft, Windows, Microsoft .NET Framework, Internet Explorer, Excel, Word, and Outlook are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries.

Crystal Reports is a trademark or registered trademark of Business Objects SA or its affiliated companies in the United States and other countries.

Actiontec is either a registered trademark or trademark of Actiontec Electronics, Inc.

Pentium is either a registered trademark or trademark of Intel Corporation or its subsidiaries in the United States and other countries.

Adobe, Acrobat, and Acrobat Reader are either registered trademarks or trademarks of Adobe Systems Incorporated in the United States and/or other countries.

Palm and HotSync are among the trademarks or registered trademarks owned by or licensed to Palm, Inc.

Authorized EU Representative

Philips Medizin Systeme Boeblingen GmbH Hewlett-Packard Strasse 2 71034 Boeblingen, Germany (+49) 7031 463-1552

United States

Philips Medical Systems 2301 Fifth Avenue, Suite 200 Seattle, WA USA 98121 (800)263-3342

Canada

Philips Medical Systems 281 Hillmount Road Markham, Ontario, Canada L6C 2S3 (800) 291-6743

Europe, Middle East, and Africa

Philips Medizinsysteme Boeblingen GmbH Cardiac and Monitoring Systems Hewlett-Packard Strasse 2 71034 Boeblingen, Germany (+49) 7031 463-1552

Latin America

Philips Medical Systems 1550 Sawgrass Corporate Parkway, Suite 300 Sunrise, FL USA 33323 (954) 835-2600

Asia Pacific

Philips electronics Hong Kong Ltd. 30th Floor, Hopewell Centre, 12, Kennedy Road, Wanchai, Hong Kong (852) 2821 5888

FEDERAL LAW (USA) RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A PHYSICIAN.

Displayed and faxed waveforms do not meet the requirements of American National Standard ANSI/AAMI EC11:1991 for display of diagnostic electrocardiograms, and may not be suitable for diagnosis.

Table of Contents

Rev 08.11.06

Table of Contents

1 Getting Started 1

Logging On 1Registering Event Review Pro 3.5 2Understanding Event Review Windows 2Using the Navigation Bar 3Getting Help 5Conventions Used in this Document 6

2 Creating Cases 7

Using the Case Wizard 8Using the Case Editor 12Using Import to Create a Case 16Saving Cases 17Exporting Cases 17Synchronizing the Computer Clock 17Erasing the Data Source 18Using Attach ECG 19

3 Adding Case Details 23

Opening Cases 24Using Custom Lists 24Using the General Window 26Using the Condition Window 29Using the Times Window 33Using the Treatment Window 35Using the Outcome Window 39Using the Follow-up Window 42Using the Response Window 45Using the Review Window 47Using the ECG Window 49Using the Event Tree 51Using the Event Log 53Using the Attachments Window 53

4 Using Case Information 55

Printing 55Using Encryption 56Using Email 57Using Viewers 57

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Managing Cases 59Sorting, Grouping, and Filtering 60

5 Managing Devices 63

Using the Device Wizard 63Using the Device Viewer 64

6 Managing Users 67

Setting up the System 67Using the User Editor 68Using the User Viewer 69Using the System Log 69

7 Using Configuration Manager 71

Configuring an HS1 Defibrillator (2000 guidelines) 72Configuring an FRx Defibrillator (2000 guidelines) 76Configuring an HS1 Defibrillator (2005 guidelines) 80Configuring an FRx Defibrillator (2005 guidelines) 84

8 Managing Reports 89

Generating Case Reports 90Generating Utstein and System Reports 90Using Custom Reports 93Printing Reports 93Exporting Reports 93Using Report Viewer 94

A Customer Support 95

B System Requirements 97

C Installing Event Review Pro 3.5 99

Downloading the Update 99Installing from the CD 100Registering Event Review 100Uninstalling 102Compatibility 102

D Working with Devices 103

Reading ForeRunner Cards 104Reading FR2 Series Cards 104Reading MRx Cards 105Reading XL, XLT, and 4000 Cards 107Reading MCM Cards 107Working with Infrared Connections 108Choosing a Card Reader 109

iii

E Managing the Database 113

Using a Remote Database 113Using MSDE2000 as the Remote Database 113Using SQL Server as the Remote Database 114

F CPC and OPC 117

G Glasgow Coma Score 119

H Glossary 121

Index 125

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1

1Getting Started

HeartStart Event Review Pro 3.5 is an information management solution for capturing, reporting, and managing cardiac arrest information. Event Review has tools for collecting and analyzing information, reviewing cases, identifying trends, and evaluating the emergency response.

In Event Review, a case is all the information relating to a specific cardiac emergency. This includes information recorded by supported defibrillators as well as information entered by a user. Event Review creates a case by downloading ECG information, shock decisions, and recorded audio from Philips and Laerdal defibrillators. You can add details to the case by completing the information in the Event Review windows.

To start using Event Review, start the application, and then choose a tool from the navigation bar in the left pane of the application.

This section includes the following topics:

• Starting Event Review 3.5 on page 1 explains how to start Event Review Pro 3.5.

• Logging On on page 2 explains the logon process.

• Registering Event Review 3.5 on page 2 explains the License Manager and the registration requirement.

• Understanding Event Review Windows on page 2 describes the different parts of the Event Review windows and has an overview of the tools.

• Getting Help on page 5 explains the various ways to get help completing tasks.

• Conventions Used in this Document on page 6 explains the visual cues used in this document.

Starting Event Review Pro 3.5Event Review Pro 3.5 does not place an icon on the desktop.

To start Event Review

1 Click the Windows Start button.

2 Point to All Programs (Programs on Windows 2000).

3 Point to Event Review Pro 3.5.

4 Click Event Review. Event Review displays the Welcome window.

NOTE The first time you start the application, it displays the License Manager. The License Manager keeps track of how long you have before the pre-registration period expires. Event Review stops working if you do not register within 30 days of installation.

1

1 Getting Started Logging On

Logging OnIf the system administrator enabled logon, the Logon window appears when you start Event Review. Following is an explanation for each field.

Changing your PasswordInformation technology experts recommend that you change your password after you logon the first time. In addition, they recommend that you change it every 90 days.

To change your password

1 In the Logon window, type your User ID, and then click Change password.

2 In Old password, type your current password.

3 In New password, type your new password. The new password can have from 5 to 10 characters.

4 In Verify password, type your new password again.

5 Click OK.

Registering Event Review Pro 3.5Event Review Pro 3.5 is an upgrade to Event Review Pro 3.1 or Pro 3.0. If you did not register your previous version of Event Review, you need to register the upgrade. Event Review stops working if you do not register within 30 days of installation.

Registering your copy of Event Review helps Philips Medical Systems to provide you with information and software updates.

You can register by telephone or on the internet. Either way, Philips sends your registration key by email.

Understanding Event Review WindowsWhen Event Review opens, it displays the Welcome window. The Welcome window contains links to helpful information.

Like all Event Review windows, it contains menus across the top and tools just below the menus. The main part of the window has the navigation bar on the left and the workspace on the right. The workspace changes based on the task you select on the navigation bar. For example, if you select Case Editor, Event Review displays a series of data entry windows. The following illustration shows a typical Case Editor window.

Fields Explanation

User ID The user name the Event Review system administrator assigned to you. The User ID is case sensitive. If you forget your user name, the system administrator can help you.

Password The first time you log on, this is the password assigned by the Event Review system administrator. The password is case sensitive. For example, SecretWord is not the same as secretword. If you forget your password, the system administrator will assign you a new password.

2

Using the Navigation Bar 1 Getting Started

A Menus: The menus have options to access the Event Review features.B Tools: The tools have buttons for quick access to options.C Navigation: Navigation contains the major tools, grouped by their function. The

navigation bar is always visible. D Title bar: The title bar has buttons to Minimize , Maximize , and Close Event

Review . E Window Close button: Each window workspace has a Window Close-button . Use it to

close the current window and return to the Welcome window.F Workspace: Event Review displays the active window in the workspace. When you start,

this area contains the Welcome window.G Status bar: Event Review displays status messages on the status bar.

Using the Navigation BarThe key to using Event Review is the navigation bar in the left pane of every window. The navigation bar contains links to Event Review tools. Event Review groups the tools by their function. The Event Review system administrator can limit the tools to the ones a user needs; consequently, your window may not display all the tools.

Following is a description of the full set of tools.

• Case Manager has tools to work with ECG information. It has tools to download information from a supported defibrillator or import information from a file. You use the Case Editor option to add case details, such as patient demographics and information about the initial treatment and outcome. You can also add notes to clarify a defibrillator event (information received from a defibrillator) or to comment on treatments.

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1 Getting Started Using the Navigation Bar

• Maintenance Manager has tools to download, review, report, and store defibrillator self-test results.

• System Manager helps the Event Review system administrator manage Event Review user accounts. System Manager also has the tools the system administrator uses to monitor system usage.

• Report Manager helps you manage the Case reports, Utstein style reports, and System reports.

• Configuration Manager has tools that authorized users can use to change the settings on the HeartStart HS1 and FRx defibrillators. (Event Review and Event Review Pro documentation use HS1 or HS1 family of defibrillators to refer to HeartStart Home, HeartStart OnSite, and Laerdal HeartStart Defibrillators.)

If you are unsure about which tool to use, see the following table.

TIP If you are using this guide online, you can go to topics by clicking on the reference.

IF you want to... SEE...read or download an ECG, Using the Case Editor on page 12 or Using the

Case Wizard on page 8.

create a case, Using the Case Editor on page 12 or Using the Case Wizard on page 8.

view an ECG, Using the ECG Window on page 49.

view 12-lead ECG, Using the ECG Window on page 49.

work with an existing case, Using the Case Viewer on page 41.

delete a saved case, Using the Case Viewer on page 41

email a case, Using Email on page 39.

change the way a viewer displays information, Sorting, Grouping, and Filtering on page 42.

create user accounts to limit use of the tools, Using the User Editor on page 50.

configure a defibrillator, Using Configuration Manager on page 53.

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Getting Help 1 Getting Started

Getting HelpTo take advantage of its many tools, Event Review has the following sources of help.

Online Help

To get help with the current window, click Help on the toolbar.

To read an overview of a topic, open Help on the menu, and then view the topics in Help Contents. You can use the browse buttons to move among the topics.

User GuideThe User Guide is in Portable Document Format (PDF), which you can view using Adobe Acrobat Reader. A free Adobe Acrobat Reader is available from the Adobe web site at www.adobe.com.

You can view the guide online, print sections, or print the whole guide.

• Chapters 1 through 4 explain how to perform common tasks, such as reading an ECG and creating reports.

• Chapters 5 and 6 provide help performing administrative tasks, such as managing system users, managing test information from the FR2 series, HS1 and FRx defibrillators, and generating and printing reports.

• Chapter 7 explains how an authorized user can use the Configuration Manager to change the settings on the HS1 and FRx defibrillators.

• Chapter 8 explains how to use the Report Manager to generate and manage reports.

• Appendices provide a glossary, information about card readers, installation, upgrading to Event Review Pro 3.5, and help with the HS1 and FRx defibrillators.

WizardsThere are two wizards to guide you through common tasks. Both wizards are available from the navigation bar.

• Case Wizard, in the Case Manager tool group, guides you through downloading, viewing, and printing ECG information.

• Device Wizard, in the Maintenance Manager tool group, guides you through downloading test information from FR2, HS1, and FRx defibrillators.

Using Card Readers and Infrared ConnectionsMost of the supported defibrillators store information on data cards (also called memory cards). You need a card reader to read this information. The Card Reader Selector has illustrations of the various data cards and their associated defibrillators. It helps you to recognize the data cards and choose the appropriate card reader. The Card Reader Selector is available from a link in the Welcome window.

The HS1 family of defibrillators and the FRx Defibrillators transfer information over an infrared connection. For help setting up the connection and transferring information, see Working with Infrared Connections on page 84.

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1 Getting Started Conventions Used in this Document

Conventions Used in this DocumentTo help you identify information, this guide uses the following conventions.

CAUTION A caution alerts you to circumstances that can result in damage to the Event Review database, incorrect information, or loss of information.

NOTE A note calls your attention to additional information.

TIP A tip contains information that simplifies tasks, but is not necessary to their completion.

Conventions Used for ExampleBold Menus and menu options, toolbar

buttons, field names and list box names.

Click Zoom in on the ECG menu.

The toolbar has two additional buttons: Zoom in and Zoom out.

References to field and list box names and chapter sections in general discussions.

Screen messages

To help you distinguish voice prompts and screen messages from the general text, this guide displays these messages in this type style.

The HS1 voice prompt will announce Administration.

When you click the close button, the screen displays the following message: Are you sure you want to exit?

Italic File and file extension names. Event Review reads files with cod, inc, erc, s01, xml, and mcm extensions.

Input To show the exact words needed for input, this guide displays the text in this type style. To avoid confusion, these sentences may not include end punctuation.

Type heartstart

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2

2Creating Cases

Event Review uses case to refer to the ECGs associated with one emergency response and the information related to that response.

The first step in working with an ECG is to create a case by downloading the ECG information from a defibrillator, defibrillator data card, or an ECG file. Event Review uses the term Attach ECG to describe both downloading an ECG and opening an ECG file.

To attach an ECG, Event Review must support the defibrillator that created the ECG. Event Review Pro 3.5 supports reading information from the following defibrillators:

NOTE The label on earlier models of supported defibrillators may say Heartstream, Hewlett-Packard, or Agilent Technologies. Event Review and Event Review Pro documentation use HS1 or HS1 family of defibrillators to refer to HeartStart Home, HeartStart OnSite, and Laerdal HeartStart Defibrillators.


• Using the Case Wizard on page 8 explains how to use the Case Wizard to download an ECG and create a case.

• Using the Case Editor on page 12 explains how to use the Case Editor to download an ECG and create a case. This is an alternative method to using the Case Wizard.

• Using Import to Create a Case on page 16 explains how to import an ECG file.

• Saving Cases on page 17 and Exporting Cases on page 17 explain the differences between saving and exporting.

• Synchronizing the Computer Clock on page 17 explains how and when to synchronize the computer clock.

• Erasing the Data Source on page 18 explains how and when to erase a data card.

Philips Laerdal

Heartstream ForeRunner Heartstart FR

Heartstream/HeartStart FR2 series Heartstart FR2 series

HeartStart XL and XLT Heartstart 4000

HeartStart MRx Monitor/Defibrillator Laerdal 3000 and 911

HeartStart Home, HeartStart OnSite Defibrillators Laerdal HeartStart Defibrillator

HeartStart FRx Defibrillator Laerdal HeartStart FRx

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2 Creating Cases Using the Case Wizard

Using the Case WizardIn Event Review, a case is all the information relating to a specific cardiac emergency. This includes information recorded by supported defibrillators as well as information entered by a user. The Case Wizard guides you through the steps required to create a case and complete some basic tasks. The following table describes the choices on the Case Wizard menu. Because the Wizard always downloads an ECG, downloading an ECG is not an option on the menu.

Case Wizard Options

To start the Case Wizard

1 On the navigation bar, click Case Wizard in the Case Manager group. Event Review displays the Case Wizard menu.

2 Click the options you want to use. (The instructions in this section cover all options.)

3 Click Next. The Wizard displays the Attach ECG window.

Case Wizard and Attaching an ECGEvent Review uses the term Attach ECG to mean reading (downloading) an ECG from a defibrillator, a defibrillator data card, or an ECG file. The Attach ECG window contains a list of sources from which you can read an ECG. While the process is similar for attaching an ECG from all sources, there are enough differences to include separate sections for each type of source. The following pages contain separate instructions for attaching an ECG from the following sources:

• Data cards

• HS1 and FRx defibrillators

• Files

• HS1/FRx HotSync

Wizard Option Results

Save to Event Review Pro

Saves the ECG and case details to the database. The first time you use the Wizard, it selects Save to Event Review Pro. If you choose different options, the Wizard saves your selections. The next time you use the Wizard, it pre-selects the same options. You can always change the options.

Enter patient name Displays fields where you can change the default Case ID, enter the Patient ID, and enter the Patient name.

Export to a file Saves the ECG and associated information in a cod file outside the database. Read Using Encryption on page 38 before you choose this option.

Print report Displays options for selecting and printing reports.

Email file Displays the Email Tool. The Wizard adds the case to an email as a cod file.

Open the Case Editor

Opens the Case Editor so you can add more information to the case.

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Using the Case Wizard 2 Creating Cases

Attaching from a Data CardThe following devices store data on a data card:

• ForeRunner/FR

• HeartStart FR2 series (See caution below)

• HeartStart FR2 series with infant/child pads (See caution below)

• XL/XLT/4000

• MCM 911/3000

• MRx Monitor/Defibrillator

If you need help identifying the defibrillator or inserting a data card, see Working with Devices on page 79.

CAUTION The FR2 series of defibrillators can use adult defibrillation pads or infant/child reduced-energy defibrillation pads. When a user connects the FR2 to infant/child reduced-energy defibrillation pads, the FR2 delivers a reduced-energy defibrillation shock of 50 joules (nominal). In Event Review, the Attach ECG window has two choices for the FR2 series of defibrillators: one for adult pads (labeled FR2 Series) and one for infant/child reduced-energy pads (labeled FR2 Series Peds). Use the FR2 Series Peds option to read the card for an infant/child case. This option adjusts the impedance readings.If you have any doubt about which pads the responder used, contact the responder.

If you are attaching an ECG from a ForeRunner card, click Synchronize clock in the Attach ECG window. For more information, see Synchronizing the Computer Clock on page 17.

To attach an ECG from a data card

1 Insert the data card into the card reader.

2 In the Device List of the Attach ECG window, click the device that generated the ECG. The Wizard displays a list of the files on the card.

3 Click the file for the ECG you want to attach.

4 Click Open. The Wizard downloads the file and displays the first option you selected on the Wizard menu. For help with the next step, go to Entering the Patient Name on page 11.

Attaching from an HS1 or FRx DefibrillatorEvent Review and Event Review Pro documentation use HS1 or HS1 family of defibrillators to refer to HeartStart Home, HeartStart OnSite, and Laerdal HeartStart Defibrillators.

If you need help setting up the HS1 or FRx to communicate with Event Review or you need help putting the defibrillator into administration mode, see Working with Infrared Connections on page 84.

Before you begin, click Synchronize clock in the Attach ECG window. For more information, see Synchronizing the Computer Clock on page 17.

NOTE To retain the actual event times, download the case information before you remove the defibrillator battery. If you remove the battery before you download the case information, the files created before you removed the battery appear in the list without a date and time. If you choose one of these files, the Wizard displays a message box. Complete the information in the message box and click OK.

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2 Creating Cases Using the Case Wizard

To attach an ECG from an HS1 or FRx defibrillator

1 Set up the infrared connection between the defibrillator and the computer.

2 Put the defibrillator in administration mode.

3 In the Device List of the Attach ECG window, click HS1 Family or FRx. When the defibrillator connects, the voice message says Sending (for the HS1) or Transferring data (for the FRx). When the defibrillator finishes sending, Event Review displays a confirmation message.

4 In the message box, click Finish. The Attach ECG window displays a list of the transferred files.

5 Click the file you want to attach. See Note on page 9.


Attaching from a FileWhen you attach an ECG from a file, the file can be on the hard drive, external media, or the network.

To attach an ECG from a file

1 In the Device List of the Attach ECG window, click File. Event Review displays the Open window. Event Review limits the display to files with the following extensions: cod, inc, and erc. If you want to open a file with a different extension, click the Files of type arrow. You can choose s01, mcm, or ecz extensions, or Index.xml file.

2 Click the file you want to attach.


Attaching from a Palm HotSyncYou can use the Palm HotSync desktop software to download ECGs from the HS1 or FRx defibrillators.

To use HotSync, you need the following applications:

• The Palm HotSync desktop software: Palm, Inc. supplies this application.

• HeartStart CaseCapture: Contact your HeartStart sales representative to purchase this application.

• In addition, consider using a software application to ensure the accuracy of the Palm device-clock. These applications are available at www.palm.com.

To use HS1/FRx HotSync

1 Synchronize the computer clock using the Event Review Synchronize program. For more information, see Synchronizing the Computer Clock on page 17.

2 Confirm that the Palm device-time is accurate.

3 Use HeartStart CaseCapture to download the files from the defibrillator to a Palm handheld device. (See the HeartStart CaseCapture documentation for help.)

4 Use Palm HotSync to download the files from the Palm device to your desktop computer.

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Using the Case Wizard 2 Creating Cases

5 In the Device List of the Attach ECG window, click HS1/FRx HotSync Files. Event Review scans the hard drive for any HS1 or FRx patient information. When Event Review finds the files, it displays a list of defibrillator serial numbers. See the Note on page 9.

6 Click the serial number for the defibrillator that contains the information you want to download. Event Review displays a list of ECG files on that defibrillator.

7 Click the ECG file to download.

8 Click Open. Event Review reads the ECG, and then performs the tasks you selected on the Wizard menu.

Entering the Patient NameIf you selected Enter patient name on the Wizard menu, the Wizard displays the Case Summary window as the first task. Case Summary has fields for adding information to help identify the case.

If you are reading an Monitor/desfibrilador MRx card, the MRx information includes a Case ID and may include some patient information, such as name and age. The Case Summary window displays the information provided by the MRx. You can change it.

For all other defibrillators, The Case Summary window displays only the default Case ID.

To complete the Case Summary

1 The Wizard completes the Case ID. If you want to change the Case ID, type a new ID up to 50 characters.

2 Type a Patient ID up to 25 characters.

3 Type the patient’s First name up to 50 characters.

4 Type the patient’s Last name up to 50 characters.

5 Click Next. After you click Next, the Wizard checks to see if the Case ID is unique. If it is not unique, contains illegal characters, or the field is empty, the Wizard displays an error message and a flashing exclamation mark . Make any required corrections.

Saving the CaseIf you selected Save to Event Review Pro on the Wizard menu, the Wizard saves the case to the database. When it finishes, it may display a message box. Click OK to continue. After briefly displaying a message listing the completed tasks, the Wizard displays the window for the next task.

Exporting to a FileIf you selected Export to a file on the Wizard menu, the Wizard displays the Export to File window. For more information about the Export options, see Exporting Cases on page 17.

Printing a ReportIf you selected Print report on the Wizard menu, the Wizard displays the Print Setup window. If you make changes to the default settings, Print Setup remembers your settings and displays them the next time you use it. For details about the print options, see Printing on page 37.

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2 Creating Cases Using the Case Editor

Emailing a File The first time you choose Email file on the Wizard menu, Event Review may display an email profile window. You only need to complete the profile once. After you complete the profile, click OK. Event Review will display the Email Tool. For more information about the Email Tool, see Using Email on page 39.

To use the Email Tool

1 On the Email Tool, complete the To field. You can also add a message.

2 Click Send. Event Review sends the file as an email attachment.

Opening the Case EditorIf you selected Open the Case Editor on the Wizard menu, Event Review opens the Case Editor and displays the General window. To view the ECG, click the ECG tab.

For more information about the ECG window, see Using the ECG Window on page 49.

Using the Case EditorIf you choose to create a case without using the Case Wizard, click Attach ECG on the toolbar. Event Review uses the term Attach ECG to mean reading (downloading) an ECG from a defibrillator, a defibrillator data card, or an ECG file. The Attach ECG window contains a list of sources from which you can read an ECG. While the process is similar for attaching an ECG from all sources, there are enough differences to include separate sections for each type of source. These instructions have separate instructions for attaching an ECG from the following sources:

• Data cards

• HS1 and FRx defibrillators

• Files

• Palm HotSync

After you attach the ECG, you can use the Case Editor windows to add details to the case and print reports. For help completing common tasks, see the following table:

Using Attach ECGBefore attaching an ECG, close any open cases. If you do not close an open case, Event Review attaches the ECG to the open case.

IF you want to... SEE...email a case, Using Email on page 39.

export a case, Exporting Cases on page 17.

print reports, Printing on page 37.

save a case, Saving Cases on page 17.

add details to a case, Adding Case Details on page 23.

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Using the Case Editor 2 Creating Cases

To close a case, click New on the toolbar. Event Review closes the case and opens a new Case Editor window.

Attaching from a Data Card

CAUTION The FR2 series of defibrillators can use adult defibrillation pads or infant/child reduced-energy defibrillation pads. When a user connects the FR2 to infant/child reduced-energy defibrillation pads, the FR2 delivers a reduced-energy defibrillation shock of 50 joules (nominal). In Event Review, the Attach ECG window has two choices for the FR2 series of defibrillators: one for adult pads (labeled FR2 Series) and one for infant/child reduced-energy pads (labeled FR2 Series Peds). Use the FR2 Series Peds option to read the card for an infant/child case. This option adjusts the impedance readings.If you have any doubt about which pads the responder used, contact the responder.

Before you download information from a ForeRunner card, synchronize the computer clock. For more information, see Synchronizing the Computer Clock on page 17.

To attach an ECG from a data card

1 On the navigation bar, click Case Editor in the Case Manager group. - or - If the Case Editor is open, click New on the toolbar.

2 On the toolbar, click Attach ECG. Event Review displays the Attach ECG window.


4 In the Device List, click the defibrillator that generated the ECG. The Attach ECG window displays a list of the cases on the data card.

5 In File name, click the file name for the ECG you want to attach.

6 Click Open. Event Review reads the ECG and displays it in the Case Editor. You can now add details and save the case to the database. For help, see Adding Case Details on page 23.

Attaching from an HS1 or FRx DefibrillatorEvent Review and Event Review Pro documentation use HS1 or HS1 family of defibrillators to refer to HeartStart Home, HeartStart OnSite, and Laerdal HeartStart Defibrillators.

If you need help setting up the HS1 or FRx to communicate with Event Review or putting the defibrillator into administration mode, see Working with Infrared Connections on page 84.


Before you begin, click Synchronize clock in the Attach ECG window. For more information, see Synchronizing the Computer Clock on page 17.

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2 Creating Cases Using the Case Editor

To attach an ECG from an HS1 or FRx defibrillator



3 Set up the infrared connection between the defibrillator and the computer.

4 Put the defibrillator into administration mode.

5 In the Device List of the Attach ECG window, click HS1 Family or FRx. Event Review displays the Transfer status message. When the defibrillator connects, the voice message says Sending (for the HS1) or Transferring data (for the FRx). When the defibrillator finishes sending, Event Review displays a confirmation message.

6 In the message box, click Finish. The Attach ECG window displays a list of the transferred files.

7 Click the file you want to open (see Note above), and then click Open. Event Review reads the ECG and displays it in the Case Editor. You can now add details and save the case to the database. For help, see Adding Case Details on page 23.

Attaching from a FileWhen you attach an ECG from a file, the file can be on the hard drive, external media, or the network.

To attach an ECG from a file



3 In the Device List of the Attach ECG window, click File. Event Review displays the Open window. Event Review limits the display to files with the following extensions: cod, inc, and erc. If you want to open a file with a different extension, open the Files of type list. You can click s01, mcm, or ecz extensions, or an Index.xml file.

4 Click the file you want to attach.

5 Click Open. Event Review reads the ECG and displays it in the Case Editor. You can now add details and save the case to the database. For help adding details, see Adding Case Details on page 23.

Attaching from a Palm HotSyncYou can use the Palm HotSync desktop software to download ECGs from the HS1 or FRx defibrillators.

14

Using the Case Editor 2 Creating Cases


If you require accuracy of less than 1 minute, do not use HotSync. Download the ECG directly to a PC.

To use HotSync, you need the following applications:

• The Palm HotSync desktop software: Palm, Inc. supplies this application.

• HeartStart CaseCapture: Contact your HeartStart sales representative to purchase this application.

• In addition, consider using a software application to ensure the accuracy of the Palm device-clock. These applications are available at the www.palm.com.

To use HS1/FRx HotSync

1 Synchronize the PC using the Event Review Synchronize program. For more information, see Synchronizing the Computer Clock on page 17.

2 Confirm that the Palm device-time is accurate.

3 Use HeartStart CaseCapture to download the files from the defibrillator to the Palm device. For more information, see CaseCapture documentation.

4 Use Palm HotSync to download the files from the Palm device to your desktop computer.

5 In the Device List of the Attach ECG window, click HS1/FRx HotSync Files. Event Review scans the hard drive for any HS1 or FRx patient information. When Event Review finds a file, it displays a list of defibrillator serial numbers. Click the serial number for the defibrillator that contains the information you want to download. Event Review displays a list of ECG information files from that defibrillator.

6 Click the information to download.

7 Click Open. Event Review reads the ECG and displays it in the Case Editor.

Attaching Multiple ECGsIf the emergency response involved multiple ECGs on supported defibrillators, you can attach all ECGs to the same case. An ECG window with multiple cases attached will look similar to the following example:

To attach the first ECG, follow the instructions in Using Attach ECG on page 12.

15

2 Creating Cases Using Import to Create a Case

To attach subsequent ECGs

1 Have the case with the first ECG open and displayed. Do not click New.

2 If you are attaching an ECG from an HS1 or FRx defibrillator, make sure that the device is set up to communicate. - or - If you are attaching from a data card, insert the card into the card reader.

3 On the toolbar, click Attach ECG.

4 In the Device List of the Attach ECG window, click the defibrillator name. Event Review displays a list of files.

5 Click the file you want to open.

6 Click Open. Event Review displays the ECG on a separate tab in the ECG window.

7 On the toolbar, click Save.

Detaching ECGsDetaching an ECG removes the ECG from the case and the database.

To detach an ECG

1 Open the case in the Case Editor. For more information, see To open a case on page 41.

2 Click the ECG tab.

3 In the ECG window, click the ECG ID tab for the ECG you want to detach.

4 On the ECG menu, click Detach ECG. Event Review displays a confirmation message.

5 Click Yes.

Using Import to Create a CaseThe Import option is available by clicking Import on the toolbar. Use Import to open a case file that is not stored in the database, a data card, or defibrillator. Typically, a colleague created these files on a PC running an Event Review, Event Review Pro, or CodeRunner application.

To import a case file

1 On the navigation bar, click Case Editor in the Case Manager group.

2 On the toolbar, click Import. Event Review displays the Import file window. Import displays the last folder you used to import a file. Event Review limits the list to files with a cod extension. (If the file is in a different location, open the Look in list and go to the file location.)

3 Click the file you want to open, and then click Open.

After you import a file, Event Review treats it the same as any other case you created. You can save, modify, print, export, and email an imported file.

16

Saving Cases 2 Creating Cases

Saving CasesWhen you save a case, Event Review adds it to the database. All the information is available for reports, and you can use the Case Viewer to manage the case.

For more information, see Using the Case Viewer on page 41.

To save a case

1 With the case open in the Case Editor, click Save on the toolbar. Event Review may display a confirmation message.

2 Click OK. Event Review adds the case to the Event Review database.

Exporting CasesExporting is a way to share information with other Event Review or Event Review Pro users or to back up information. Exporting does not save the case to the database. Export creates a file outside the database. By default, Export saves the file to the My Documents folder or the last visited folder. Event Review uses the Case ID as the file name and adds cod as the extension. An example of an exported file name is 021804110313.cod.

You can export a file with encryption or without encryption. If you encrypt a file, anyone attempting to open the file must have the password to open it. If you want to encrypt a file, you must configure the encryption option before you export the case. For help see, Using Encryption on page 38.

To export to a file

1 With the file open, click Export on the toolbar. Event Review displays the Export to File window.

2 If you accept the default settings, click Save and Event Review completes the export. - or - If you need to change the defaults, refer to the following table.

Synchronizing the Computer ClockBefore you download an ECG, consider synchronizing the computer clock. Some defibrillators contain built-in clocks, which they use to record the time when defibrillator events occur. A defibrillator event is an activity that the defibrillator records.

IF you want to... THEN...

change the location where you save the file, open the Save in list and navigate to the new location.

change the default file name, type a name in File name.

change the file type, you should not change the file type. Event Review needs the cod extension.

17

2 Creating Cases Erasing the Data Source

Unlike the defibrillators that contain built-in clocks, the ForeRunner Defibrillator, the HeartStart HS1 family of defibrillators, and the FRx Defibrillator depend on the computer clock to establish the time when defibrillator events occur. Event Review calculates the time based on information received from the defibrillator and the computer clock. Before you transfer information from one of these defibrillators, confirm that your computer clock is accurate. Most users choose to set the clock to the dispatcher’s clock.

To synchronize the computer clock

1 On the Tools menu or in the Attach ECG window, click Synchronize Clock. Event Review displays the Date and Time Properties window.

2 Confirm the time is correct or change the time if necessary.

3 Click OK.

Erasing the Data SourceAfter you download an ECG, consider erasing the data from the source. Erasing the data ensures that the device has full capacity for the next use.

You can use Event Review to erase ECG information from the data cards used by HeartStart MRx Monitor/Defibrillator, FR2 series, ForeRunner, and XL/XLT defibrillators. You can also use Event Review to erase the ECG information from an HS1 or FRx defibrillator.

If you erase the data, you cannot retrieve the ECG information. Make sure that you transfer all the information to the database or an archive before erasing the information.

To erase a data card

1 Insert the card into the card reader.

2 On the Tools menu, click Erase Card/Device. Event Review displays the Erase Card/Device window.

3 Click the card or device name.

4 Click Erase. Event Review displays a confirmation message.

5 Click Yes in the message box.

To erase data from an HS1 or FRx Defibrillator

1 Set up the defibrillator to communicate with Event Review.

2 Put the defibrillator in administration mode. For help, see Working with Infrared Connections on page 84.

3 Click the device name.

4 Click Erase. Event Review displays a confirmation message.

5 Click Yes in the message box.

18

3

3Adding Case Details

The Case Editor is in the Case Manager group of the navigation bar. Use the Case Editor windows to enter case information that the defibrillator did not record. For example, you can add responder actions and observations and patient follow-up.

This section contains the following topics:

• Opening Cases on page 24 explains how to open a case and change information.

• Using Custom Lists on page 24 explains how to add and remove values from a custom list.

• Playing the Audio on page 50 provides help playing ECG audio.

• Using the Event Tree on page 51 explains how to use the event tree to find information.

• Using User Notes on page 52 explains how to add, remove, and edit user notes on the ECG.

For a description of specific Case Editor windows and a list of field definitions, see the following topics:

• Using the General Window on page 26

• Using the Condition Window on page 29

• Using the Times Window on page 33

• Using the Treatment Window on page 35

• Using the Outcome Window on page 39

• Using the Follow-up Window on page 42

• Using the Response Window on page 45

• Using the Review Window on page 47

• Using the ECG Window on page 49

• Using the Event Log on page 53

• Using the Attachments Window on page 53

23

3 Adding Case Details Opening Cases

Opening CasesYou can use the Case Viewer or the Event Viewer to open a case. Most user prefer to use the Case Viewer. It provides a list of cases based on Patient name, Case ID, and Case date. Once the case is open, you can view and modify the information. You can also view and print reports for the open case.

To open a saved case

1 On the navigation bar, click Case Viewer in the Case Manager group.

2 Double-click the case you want to open. Event Review displays the case in the Case Editor.

To change or add information

1 In the Case Editor, click the tab for the window you want to modify.

2 Go to the field you want to change.

3 Make the changes. If the information is in a list, open the list and click a new value. - or - If you entered the information by typing, select the text you want to replace, and then type the new information. Your typing will replace the selection.

4 When you complete the changes, click Save on the toolbar.

Using Custom ListsSome fields in the Case Editor have lists of values that you can modify. Adding frequently used values to the list and removing unused values will increase accuracy and save time.

Some custom lists, such as Site of Collapse, have suggested values. Other lists, such as Location, are empty.

You can recognize a custom list by the style of the list box. A custom list has an add button and a

remove button in addition to the standard down arrow .

NOTE The color and style of the list box and the down arrow depend upon your computer settings. The illustration on the right is the default Windows XP setting. The illustration on the right is the Classic Windows setting.

Custom lists may look like one of the following illustrations.

To choose a value from the list

1 Click the down arrow to open the list.

2 Click the value.

24

Using Custom Lists 3 Adding Case Details

To add a value

1 Type the value in the box. (Note: If there is a value with the same initial characters, Event Review will populate the box with the similar value. Ignore the text and continue typing.)

2 Click the add button .

To remove a value

Removing a value does not change information in previously saved cases.

1 Click the down arrow to open the list.

2 Click the value you want to remove. Event Review displays the value in the box.

3 Click the remove button .

25

3 Adding Case Details Using the General Window

Using the General WindowUse the General window to enter basic information about the patient and the response location.

The only required information is the Case ID, Date, and Time. Event Review assigns a Case ID, which you can change. The Case ID consists of twelve digits, two digits each for month, day, year, hour, minute, and second. For example, a Case ID of 120505130101 was created on December 5, 2005 at 13:01:01.

If you try to save a case without a Case ID, Event Review alerts you to the problem with a message and

it displays an exclamation mark next to the field. You cannot save the case until you supply a valid Case ID.

The Case ID must be unique. If you try to save a case with a Case ID that is already assigned to a case, Event Review displays a message asking you to type a unique Case ID.

After you attach the ECG, you can change any of the information except the following fields, which the defibrillator supplies:

• Date and Time

• Device type

• Serial number

• Shocks

Following is a description of the fields.

General window

Group or Field Description

Overview

Case ID (Required)

Initially, the Case ID field displays the default Case ID. It consists of 12 digits, 2 digits each for month, day, year, hour, minute, and second. You can change the Case ID. A Case ID can have up to 25 characters.

Date and Time (Required)

When you attach an ECG, the Date and Time fields display the device-on date and time from the defibrillator. If you do not attach an ECG, the Date and Time fields display the current date and time.

You cannot change a date and time downloaded from a defibrillator.

26

Using the General Window 3 Adding Case Details

Site of collapse You can add or remove choices.

The list is:AirportEMS UnitGolf courseHealth clubHome/ResidenceHospital/ClinicHotelLong term care facilityMass gathering/Public placeRestaurant/RetailStreet/HighwayUnknownWorkplace

Location The initial list is empty. You can create a custom list. You can use this field to be more specific about the site of collapse. For example, consider using this field to record map coordinates or the name of locations, such as the hotel name.

Device

Device type When you attach an ECG, the field displays the defibrillator model name. You cannot change it.

Serial number When you attach an ECG, the field displays the defibrillator serial number. You cannot change it.

Shocks When you attach an ECG, the field displays the total shocks for each defibrillator. You cannot change it.

Patient

Patient ID You can type up to 25 characters. By default, the Patient ID is the same as the Case ID. You can change it.

The Patient ID prints in report headers.

First name You can type up to 50 characters.

If the ECG is from an Monitor/desfibrilador MRx, this field may contain information from the MRx. You can change it.

The First name prints in report headers.

Middle name You can type up to 25 characters.

the Middle name prints in report headers.

Last name You can type up to 50 characters.

If the ECG is from an Monitor/desfibrilador MRx, this field may contain information from the MRx. You can change it.

The Last name prints in report headers.

General window


27

3 Adding Case Details Using the General Window

Date of birth You can type the birth date or click the down arrow to use the calendar.

Age This is the age at the time of the response. Type the value.

If the ECG is attached from an Monitor/desfibrilador MRx, this field may contain information from the MRx. You can change it.

(Age) Units You can add or remove choices.

The list is:MonthsYears

Gender You can add or remove choices.

The list is:FemaleMaleUnknown

If the ECG is from anMonitor/desfibrilador MRx, this field may contain information from the MRx.

Race You can add or remove choices.

The list is:American Indian/Alaska NativeAsian/Pacific IslanderBlack, HispanicBlack, Non-HispanicNot ApplicableOtherUnknownWhite, HispanicWhite, Non-Hispanic

Weight This is the weight at the time of the response. Type the value.

(Weight) Units You can add or remove choices.

The list is:kglb

Height This is the height at the time of the response. Type the value.

(Height) Units You can add or remove choices.

The list is:cmin

General window


28

Using the Condition Window 3 Adding Case Details

Using the Condition WindowUse the Condition window to enter the responder's initial impression of the scene. The information in this window appears in the Case Report.

When you open this window, some fields are not available for entering information. They become available if you selected an appropriate response in a previous field. For an example, you can enter information in Provided by if you selected Yes for Bystander CPR.


Condition Window An asterisk (*) indicates that the Utstein-style reports use the field.


Assessment

Provider Impression You can add or remove choices.

The list is:Cardiac arrestCardiac arrhythmiaChest pain/DiscomfortDrowningElectrocutionExsanguinationHypoxiaMetabolicPoison/OverdoseRespiratory arrestRespiratory distressSepsisSudden infant death syndromeSuspected MITraumaUnknown

Condition on arrival You can add or remove choices.

The list is:ConsciousUnconscious, breathing, pulseUnconscious, not breathing, pulseUnconscious, not breathing, pulselessUnknown

29

3 Adding Case Details Using the Condition Window

Medical history You can add or remove choices.

The list is:AnginaAsthmaCABG (coronary artery bypass graft)CHF (congestive heart failure)COPD (chronic obstructive pulmonary disease)DiabetesHypertensionMI (myocardial infarction)NoneStrokeUnknown

*Initial rhythm This field displays the most common rhythms as radio buttons.

The radio buttons are:Ventricular fibrillationAsystoleUnknown (default checked)Ventricular tachycardiaOther - If you choose this field, you can choose from the following list. You can add or remove choices.AED rhythm non-shockableAED rhythm shockableBradycardiaNormal sinus rhythmPEA (Pulseless electrical activity)

*Confirmed cardiac arrest The choices are: YesNoUnknown (checked by default)If you choose Yes, Event Review enables Arrest after EMS arrival?

Arrest after EMS arrival? The choices are: YesNoUnknown (checked by default)

*Cardiac etiology The choices are: YesNoUnknown (checked by default)

Condition Window (Continuación)An asterisk (*) indicates that the Utstein-style reports use the field.


30

Using the Condition Window 3 Adding Case Details

Resuscitation

*Resuscitation attempted The choices are:

YesNoUnknown (checked by default)

If you choose Yes, Event Review enables Details and Defibrillator type. If you choose No, Event Review enables Reason.

Details The choices are:

ALS (Advanced Life Support)BLS (Basic Life Support)

Reason You can add or remove choices.

The list is:

Do not resuscitate orderObvious deathProtocol/Policy requirement metSigns of circulationUnknown

Defibrillator type You can add or remove choices.

The list is:AEDAED, ManualManualNoneUnknown

Bystander Information

*Witnessed by The choices are:

BystanderNot witnessedEMS/HealthcareUnknown

*Bystander CPR The choices are:

YesNoUnknown (checked by default)If you choose Yes, Event Review enables Provided by and Dispatch assisted AED/CPR instruction.



31

3 Adding Case Details Using the Condition Window

Provided by You can add or remove choices.

The list is:HealthcareLaypersonOtherPoliceUnknown

Dispatch assisted AED/CPR instruction

To indicate that there were dispatch assisted AED/CPR instructions, click the check box. The default is unchecked.



32

Using the Times Window 3 Adding Case Details

Using the Times WindowUse the Times window to record events that are time-specific. Event Review includes the events in the Event Report and displays them in the ECG window, Event Log, and Event Viewer.

Some events provide fields for entering the name or number of the responding unit. If you add these units to the custom list, they will be available to all users. All events provide space to enter comments.

To add a Time note

1 Click New in the Times window. Event Review adds an empty row to the display. By default, Event Review specifies the Event name as Custom.

2 To change the Event name, click in the field. Event Review displays a down-arrow in the field.

3 Click the down-arrow to choose from a list of events.

4 Click the event. For some events, Event Review expands the line to include additional fields for entering the name or number of the responding unit.

5 Complete the fields and add comments if desired.

To delete a Time note

1 Click in the row you want to delete.

2 Click the Delete button in the Times window. (Do not click Delete on the toolbar. This would delete the entire case.)

Recording the Date and Time of the EventEvent Review provides two choices for entering the date and time: Case time or Current time.

• Case time is the date and time of the emergency response. Event Review downloads it from the defibrillator.

• Current time is the actual date and time.

To enter the date and time

If one of these choices meets your needs, click the desired button and Event Review will complete the fields. - or - If you want to use a different time, choose the time that come closest to meeting your needs, and then type in the correct time or use the spin-arrows in the field to adjust your selection.

Editing CommentsThe Comment field expands to fit the text.

To edit the comments

1 Click in the field.

2 Change or add text as you would with any text editor.


33

3 Adding Case Details Using the Times Window

Times window

An asterisk (*) indicates that the Utstein-style reports use the field.

A dagger (†) indicates that the System Response-Time reports use the field.

All Events provide fields for Comment, Time, and Date.

If an event has a field for Unit, you can add or remove choices to the Unit list.


Custom Use this field for events that do not fit other categories.

Event Name: Enter an Event Name of your choice. The event name appears on the ECG window and Event Log.Unit: If the event involves a responding unit, enter the Unit.

Estimated collapse

†Call receipt

†Dispatcher began AED/CPR instructions

†Bystander CPR

†BLS unit notified You can enter the responding unit in the Unit field.

†BLS vehicle mobile You can enter the responding unit in the Unit field.

†BLS arrival at scene You can enter the responding unit in the Unit field.

†BLS arrival at patient You can enter the responding unit in the Unit field.

†BLS EMS CPR You can enter the responding unit in the Unit field.

†ALS unit notified You can enter the responding unit in the Unit field.

†ALS vehicle mobile You can enter the responding unit in the Unit field.

†ALS arrival at scene You can enter the responding unit in the Unit field.

†ALS arrival at patient You can enter the responding unit in the Unit field.

†ALS EMS CPR You can enter the responding unit in the Unit field.

CPR stopped You can enter the responding unit in the Unit field.

ROSC You can enter the responding unit in the Unit field.

Transfer care to hospital You can enter the responding unit in the Unit field.

* Admitted ICU/Ward

Hospital discharge

* Patient death

34

Using the Treatment Window 3 Adding Case Details

Using the Treatment WindowUse the Treatment window to record user notes about responder treatments or interventions. Event Review includes the treatment events in the Event Report and displays them in the ECG window, Event Log, and Event Viewer.

For some events, Event Review expands the line to include additional fields for entering the name or number of the responding unit. If you add these units to the custom list, they will be available to all users.

Some treatment events provide fields for gathering additional information. For example, Drug has fields for drug name and dose. The Vital signs group has fields for each vital sign. See the field descriptions for details about each treatment.

The window functions the same as the Times window. The instructions are repeated here for your convenience.

To add a Treatment note

1 Click New in the Treatment window. Event Review adds an empty row to the display. By default, Event Review specifies the Event name as Custom.

2 To change the Event name, click in the field. Event Review displays a down-arrow in the field.

3 Click the down-arrow to choose from a list of events.

4 Click the event. Event Review expands the line to include additional fields. Complete the fields and add comments if desired.

To delete a Treatment note


2 Click the Delete button in the Treatment window. (Do not click Delete on the toolbar. This would delete the entire case.)







35

3 Adding Case Details Using the Treatment Window





Treatment window


All Events provide fields for Comment, Date, and Time.

Treatment: Airway management

Fields Options

Adjuncts You can add or remove choices.

The pre-defined list is:

Bag-valve-mask (BVM)ET-Tube (endotracheal tube) MaskNasal airwayNasal airway with BVM Nasal cannulaNasal cannula with BVMNoneOral airwayOral airway with BVMOtherUnknown

Oxygen (LPM) Enter a value or use the buttons to insert a value (1 to 2000).

36

Using the Treatment Window 3 Adding Case Details

Treatment: Drug

Fields Options

Drug You can add or remove choices. The pre-defined list is:

Amiodarone

Aspirin

Atropine

Bretylium

Calcium chloride

Dopamine

Dobutamine

Epinephrine

Esmolol

Isoproterenol/Isuprel

Lidocaine

Magnesium sulfate

Metoprolol

Midazolam/Versed

Norepinephrine

Procainamide

Propanolol

Sodium bicarbonate

Vasopressin

Dose Enter the dose.

Treatment: Intubation

No additional information

Treatment: IV access


Treatment: No pulse detected


Treatment: Pulse detected


Treatment window (Continuación)



37

3 Adding Case Details Using the Treatment Window

Treatment: ROSC (Return of Spontaneous Circulation)


Treatment: Spontaneous respiration


Treatment: Termination of VF (Ventricular Fibrillation)


Treatment: Vital signs

Fields Options

Verbal response The initial list is empty. You can create a custom list. Use this field to record Glasgow Coma Scores. (See Appendix G, “Glasgow Coma Score,” for an explanation.)

Motor response The initial list is empty. You can create a custom list. Use this field to record Glasgow Coma Scores.

Pupil response The initial list is empty. You can create a custom list. Use this field to record Glasgow Coma Scores.

BP (Blood Pressure) Enter systolic/diastolic readings.

HR (Heart Rate) Enter heart rate.

Respiration rate Enter respiration rate.

Skin condition Enter skin condition.

Breathing labored The choices are:

UnknownNoYes

Treatment: CustomThe Custom field has fields to add comments about treatments not included in the list.

Fields Options

Event Name You can enter an Event Name of your choice. The Event Name appears in the ECG window, event tree, and Event Log.

Comment Enter free-form text.

Treatment window (Continuación)



38

Using the Outcome Window 3 Adding Case Details

Using the Outcome WindowUse the Outcome window to enter information about the pre-hospital patient outcome.

TIP Consider adding values to the list for Transported by and Receiving Hospital. To add a value, enter it in the list box and click the add button .


Outcome window



Any ROSC

* Any ROSC The choices are:

YesNoUnknown

Use the Times window to record a time for this event.

Final status at scene

Final status at scene The choices are:

Pulse restored (ROSC)Continuing CPREfforts ceased (Reason efforts ceased is available if you choose this field.)Unknown (default checked)

Reason efforts ceased

This field is available if you chose Efforts ceased in Final status at scene.

You can add or remove choices. The pre-defined list is:

Do not resuscitate orderMedical control orderObvious deathOtherProtocol/Policy requirements metUnknown

Transport

Transported by The initial list is empty. You can create a custom list.

Receiving hospital The initial list is empty. You can create a custom list.

39

3 Adding Case Details Using the Outcome Window

Status on arrival at ED (Emergency Department)

Status on arrival at ED

The choices are:

Pulse restored (ROSC)Continuing CPREfforts ceasedUnknown (default checked)

Eye This is the eye component of the Glasgow Coma Score. (See Appendix G, “Glasgow Coma Score,”)

The choices are:

1 - None2 - To pain3 - To voice4 - SpontaneousUnknown

Verbal This is the verbal component of the Glasgow Coma Score

Choices are:

1 - None2 - Incomprehensible3 - Inappropriate4 - Confused5 - OrientedUnknown

Motor This is the motor component of the Glasgow Coma Score

Choices are:

1 - None2 - Extension to pain3 - Flexion to pain 4 - Withdrawal from pain5 - Purposeful6 – Obeys commandsUnknown

Outcome window (Continuación)



40

Using the Outcome Window 3 Adding Case Details

Total GCS This is the sum of the eye, verbal, and motor scores. If the value is incorrect, Event Review prompts you to correct it. The choices represent ranges for the total score.

Choices are:

0 (3) (Total up to 3)1 (4-5) (Total from 4 to 5)2 (6-8) (Total from 6 to 8)3 (9-12) (Total from 9 to 12)4 (13-15) (Total from 13 to 15)Unknown

Respiration rate (resp) Enter the rate of respiration.

BP This is the blood pressure at the time of admission to the emergency department.

Enter the systolic/diastolic reading.

HR (bpm) This is the heart rate at the time of admission to the emergency department. Enter the heart rate in beats per minute.

Admitted to ED (Emergency Department)

The choices are:

YesNoUnknown (checked by default).

Outcome window (Continuación)



41

3 Adding Case Details Using the Follow-up Window

Using the Follow-up WindowUse the Follow-up window to enter information about the patient status after the patient reaches the hospital.

Several fields in the Follow-up window use scores for CPC (Cerebral Performance Categories) and OPC (Overall Performance Categories). For an explanation of these scores, see CPC and OPC on page 89.


Follow-up window



At hospital

*Admitted to ICU/Ward The choices are:

YesNoUnknown (checked by default).

At discharge

Discharged The choices are:

Yes (Enables CPC and OPC)No Unknown (checked by default)

CPC (Cerebral Performance Categories)

Disabled by default. Event Review enables CPC when you select Yes in Discharged.

You can add or remove choices.

The list is:1 - Good cerebral performance2 - Moderate cerebral disability3 - Severe cerebral disability4 - Coma, vegetative state5 - Death Unknown

OPC (Overall Performance Categories)

Disabled by default. Event Review enables OPC when you select Yes in Discharged.


The list is:1 - Good overall performance2 - Moderate overall disability3 - Severe overall disability4 - Coma, vegetative state5 - Death Unknown

42

Using the Follow-up Window 3 Adding Case Details

Destination The choices are:

Extended careHomeHospiceNursing homeOtherPre-arrest residenceRehabilitation facilityUnknown

At one year

*Alive at one year The choices are:

Yes (Enables CPC and OPC)No Unknown (checked by default)

CPC Disabled by default. Event Review enables CPC when you select Yes in Alive at one year.

You can add or remove choices. The list is:1 - Good cerebral performance2 - Moderate cerebral disability3 - Severe cerebral disability4 - Coma, vegetative state5 - Death Unknown

OPC Disabled by default. Event Review enables OPC when you select Yes in Alive at one year.


The list is:1 - Good overall performance2 - Moderate overall disability3 - Severe overall disability4 - Coma, vegetative state5 - Death Unknown

Patient death

*Patient death The choices are:

Pre-hospitalIn EDIn ICU/WardAfter dischargeUnknown (checked by default)

Follow-up window (Continuación)



43

3 Adding Case Details Using the Follow-up Window

Cause of death The choices are:

CADCancerComplicationsOther medicalTraumaUnknown

Follow-up window (Continuación)



44

Using the Response Window 3 Adding Case Details

Using the Response WindowUse the Response window to enter information about the responder, Event Review identifies these user notes as “Responder notes.” Event Review includes them in the Events Report and displays them in the ECG window, Event Log, and Event Viewer.

The window functions similarly to the Times window. The instructions are repeated here for your convenience.

To add a Responder note

1 Click New in the Response window. Event Review adds an empty row to the display. By default, Event Review specifies the Event name as Responder notes.


To delete a Responder note


2 Click the Delete button in the Response window. (Do not click Delete on the toolbar. This would delete the entire case.)











45

3 Adding Case Details Using the Response Window

.

Response window

Field Name Description

Comment Add free-form text.

Title The initial list is empty. You can create a custom list.

Responder name The initial list is empty. You can create a custom list.

Unit The Unit field identifies the responding EMS vehicle.

If you added unit values to the custom lists, the Unit list is pre-filled with those values.

Responder type You can add or remove choices.

The list is:

UnknownALS (Advanced Life Support) BLS (Basic Life Support)

AED operator The choices are:

NoUnknownYes

Manual operator The choices are:

UnknownNoYes

In charge The choices are:

UnknownNoYes

46

Using the Review Window 3 Adding Case Details

Using the Review WindowA medical director, code team leader, or operations manager can use the Review window to enter comments about the case. Event Review identifies these user notes as “Reviewer notes.” You cannot change the label. Event Review includes them in the Events Report and displays them in the ECG window, Event Log, and Event Viewer.

The window functions the same as the Response window. The instructions are repeated here for your convenience.

To add a Reviewer note

1 Click New in the Review window. Event Review adds an empty row to the display.


To delete a Reviewer note


2 Click the Delete button located in the Review window. (Do not click Delete on the toolbar. This would delete the entire case.)











47

3 Adding Case Details Using the Review Window

.

Review window

Field Name Description

Comment You can enter free-form text up to 250 characters.

Reviewer title The initial list is empty. You can create a custom list.

Reviewer name The initial list is empty. You can create a custom list.

Reviewer department The initial list is empty. You can create a custom list.

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Using the ECG Window 3 Adding Case Details

Using the ECG WindowRefer to the illustration below for help identifying the parts of the ECG window.

A Event tree: This view highlights Shock 1 delivered. This is the location of the sweep bar. See note E.

B ECG ID: The ECG ID contains the device serial number. When there are multiple ECGs attached to a case, there is an ECG ID for each ECG.

C Strip

D Waveform

E Sweep bar: The sweep bar synchronizes with the event tree. If the device recorded audio, the sweep bar marks the location of the audio playback.

F Event marker at sweep bar: Event markers appear as a dot on the waveform. Adjacent to the dot is an identification tag. This is Shock 1 delivered.

G Event marker: This event marker is not at a sweep bar. The dotted line connects the event marker to its description.

H Volume control: If the device recorded audio, use the volume control bar to change the audio volume. See Playing the Audio on page 50.

I Audio control: If the device recorded audio, use the audio control bar to change the location of the play back. See Playing the Audio on page 50.

J Mute/audio indicator: If the device did not record audio, this symbol has a line through it. If the device recorded audio, click the button to turn on or off the sound. See Playing the Audio on page 50.

K Elapsed time: The time since the device was turned on.L View indicator: If the device recorded 12-lead information, there are multiple tabs. Click

on a tab to change the view. M Real time: The device time the event was recorded.

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3 Adding Case Details Using the ECG Window

Completing TasksAfter you attach an ECG, use the ECG window to view the ECG waveform. The ECG waveform includes any annotations you added and the recorded defibrillator events.

While reviewing an ECG, you can change the size of the display, see details about an event, find a specific event, add user notes, and hear the audio.

The following table contains help for completing common tasks.

Playing the AudioIf the defibrillator recorded audio, there is an audio icon next to the audio controls at the bottom of the window. If you play the audio, the sweep bar moves along the ECG and indicates the approximate time the defibrillator recorded the audio. Following is an illustration and explanation of the controls.


change the size of the display, use Zoom in or Zoom out on the ECG menu or use the keyboard. To use the keyboard, press + on the number pad to increase the display size. Press - to reduce the display size.

see details for an event,click the expand symbol in front of an event.

find a specific event, see Using the Event Tree on page 51.

change the location of the sweep bar, click in a new location on the ECG.

add a note to the ECG, click Add Note on the toolbar.

view a 12-lead event, click the 12-lead tab in the ECG window.

IF you want to... THEN... Symbol

play the audio, click Play/Pause.

pause the audio, click Play/Pause again. If you pass the cursor over the button, the Play symbol changes to Pause.

go to the next event, click Next.

go to the previous event, click Previous.

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Using the Event Tree 3 Adding Case Details

Using the Event TreeThe event tree is in the ECG window, to the left of the ECG. The event tree lists all the defibrillator events and user notes associated with the ECG. These include shocks, alarms, monitor settings, 12-Lead events, equipment warnings, and user notes.

Use the following table as a reference for help completing a task.

Event Review uses the following symbols to identify event tree entries.

stop the audio, click Stop. This will stop the audio and stop the sweep bar.

adjust the volume, click on the Volume bar where you want the new volume. Event Review displays the volume level in a tool tip (For example, Volume at 50%).

mute the sound, click Audio. This allows the sweep bar to continue moving without the audio.



hide the event tree, click Close on the event tree title bar.

display a hidden event tree, click Event Tree on the ECG menu.

show details of an entry in the event tree, click the expand symbol in front of an event.

hide the details of an entry in the event tree, click the collapse symbol in front of an expanded event.

move the ECG sweep bar to a specific event, click the event in the event tree. The ECG sweep bar moves to the specified event.

expand all event tree nodes, press SHIFT + (on the numbers pad).

collapse all event tree nodes, press SHIFT - (on the numbers pad).

view 12-lead information, click the 12-lead symbol. After the 12-report appears, you can click the tab at the bottom of the window to switch to the ECG view.

Symbol Meaning

User note: This symbol marks a user-input observation about the patient's status or the responder's intervention.

Shock: This symbol marks the delivery of therapy by the defibrillator.

51

3 Adding Case Details Using the Event Tree

Using User NotesA user note is an annotation you add to the ECG. These notes can be the result of information you entered in a Case Editor window or you can add them directly to the ECG.

Event Review treats user notes differently from defibrillator events. You can add, modify, and delete user notes, but you cannot add, modify, or delete defibrillator events. On the event tree, Event Review displays the user-notes symbol in front of a user note.

To search for an event

1 Click the magnifying glass in the title bar of the event tree. Event Review displays the Find event window.

2 In Find what, type your search text.

3 Click Find. Event Review moves the sweep bar to the event in the ECG.

To add a note

1 Click on the ECG or the event tree where you want the note to appear.

2 On the toolbar, click Add Note.

3 Type an Event Name. The Event Name identifies the note on the ECG and in the event tree. Add additional information in the Comment field.

4 Click OK.

Device On: This symbol marks the time the device was turned on.

Device Off: This symbol marks the time the device was turned off.

Defibrillator alarm: This symbol marks an alert provided by the MRx Monitor/Defibrillator. The alarm calls the responder's attention to a patient's vital sign that is beyond a preset threshold.

Monitor setting: This symbol marks parameters that an MRx monitors. When there is activity in one of the monitored settings, the MRx records the event. Event Review displays the event.

12-lead event: This symbol marks the recording of a 12-lead ECG by the defibrillator. If you have a 12-lead event, click the 12-lead symbol and Event Review will display the 12-lead information in addition to the ECG.

Error condition: This symbol marks an error related to the ability of the device or part of the device to perform its intended monitoring function.

Symbol Meaning

52

Using the Event Log 3 Adding Case Details

To modify a note

1 On the ECG or in the event tree, right-click the note. Event Review displays a shortcut menu.

2 Click Edit Note. Event Review displays the note in the Edit Note window.

3 Select the text you want to change.

4 Type the new text.

5 Click OK.

To delete a note

1 In the event tree, right-click the note you want to delete. Event Review displays a shortcut menu.

2 Click Delete Note.

Using the Event LogUse the Event Log to view details of the defibrillator events and user notes associated with the ECG. You can see details for any event, and you can sort and filter the defibrillator events and user notes. See Sorting, Grouping, and Filtering on page 42 for information about modifying the Event Log display.

Using the Attachments WindowUse the Attachments window to manage files you are attaching to the case. For example, you can attach a Word document, a PDF file, or a picture. Attachments cannot be greater than 10Mb in length.

To view an attachment, you must have the associated application on your computer. For example, to see a PDF file, you must have Acrobat Reader.

To attach a file

1 Click the Attachments tab to display the window.

2 Click the New button at the top of the window. Event Review displays the Open dialog box.


open the Event Log, in the Case Editor, click the Event Log tab.

view an event in the ECG window, double-click the event in the Event Log.

see event details, click the expand symbol next to the event. The event expands to display details.

expand all defibrillator events and user notes,

click Expand all (at the top of the window.)

collapse all defibrillator events and user notes,

click Collapse all (at the top of the window).

print a list of events click Print on the toolbar. Choose Events from the Print Setup window.

53

3 Adding Case Details Using the Attachments Window

3 Go to the file location.

4 Click Open. Depending upon the size of the file, it may take a few seconds for the file to show in the Attachments list.

To view an attachment

1 Click the file description in the Attachments list.

2 Click View at the top of the window. Event Review opens the attachment in the associated application.

To delete an attachment

1 Click the file description in the Attachments list.

2 Click Delete at the top of the window.

54

4

4Using Case Information

In addition to the basic functions of reading, viewing, and saving information, Event Review has tools to help you manage information, print case and ECG details, use email to send cases to other Event Review users, encrypt files to protect patient privacy, and more.

This section covers the following features:

• Printing on page 37 explains the options for printing case information.

• Using Email on page 39 explains how to use the Email Tool and how to email a case using your regular email application.

• Using Encryption on page 38 explains how to password-protect a case before attaching it to an email and how to open a protected case.

• Using Viewers on page 39 provides an overview of the Event Review Viewers.

• Managing Cases on page 41 explains how to use the Case and Event Viewers to open and delete cases and events.

• Sorting, Grouping, and Filtering on page 42, explains how to change the way a Viewer displays information.

PrintingUse the Print option on the toolbar to print case details, event reports, and ECGs. The Print option is available only when you have a case open in the Case Editor. The information it prints is for the open case.

To open Print Setup

1 Use Case Viewer to open a case. (For help with the Case Viewer, see Using the Case Viewer on page 41.)

2 On the toolbar, click Print. Event Review displays Print Setup. Print Setup has two sections, Report type and Continuous ECG. Begin by selecting the report type.

Report TypeUse the Report type section to choose which reports you want to print. You can choose multiple options.

• Continuous ECG prints the ECG. This option set has choices to determine how you want to print the information. When you click Continuous ECG, Event Review makes available the options in the Continuous ECG section.

37

4 Using Case Information Using Encryption

• Case Details prints a summary of the information from the Case Editor windows.

• Events prints a list of all the defibrillator events and user notes for the open case.

• The 12-lead ECG report option only appears on the screen if the current case has 12-lead data associated with it. Selecting this option, prints the 12-Lead data.

Continuous ECGEvent Review makes the Continuous ECG section available when you click Continuous ECG in the Report type section. The Continuous ECG section has the following options:

• Entire ECG prints the complete ECG for the case. If you click Entire ECG, the options in Pre/Post Shock ECG and Time Range ECG are unavailable.

• Pre/Post Shock ECG prints only the ECG within the settings you choose for the following types of ECGs: Presenting, Pre-Shock, Post-Shock, and Closing.

• Time Range ECG prints only the information within the range you define. When you choose this option, Event Review displays a control for defining the time range. Use the mouse to move the left end of the control to the beginning time and the right end of the control to the ending time.

• Strip height has two options for strip height: 40mm or 20mm. The default is 40mm.

• Grid resolution has two options for how Event Review spaces the grid lines. Click 5mm for a coarse version. If your printer is capable of printing finer detail, click 1mm for a finer grid.

Button Options• Print sends your selections to the default printer.

• Preview allows you to view the selected reports before sending them to the printer.

• Setup displays the Windows Print window. You can use this option to choose different paper trays or printers. This is helpful if you switch between printing 12-lead reports to paper with grid lines or printing to plain paper.

• Cancel closes the Print Setup window without printing.

Using EncryptionEncryption ensures privacy by making the file unreadable without the password. If you send case files by email or save them in an archive, you may want to encrypt the files.

Passwords are limited to 15 characters and are case sensitive. You can set two types of passwords.

An encryption password applies to all files that you export. Enter a password only when you want to send an encrypted file.

A decryption password applies to any encrypted file you receive. You may need to change the decryption password each time you open an encrypted file.

To use encryption

1 On the Tools menu, click File Encryption. Event Review displays the File Encryption window.

2 Complete either or both of the following steps:

• To password-protect a file you want to export, type a password in Encryption password before you export the file.

38

Using Email 4 Using Case Information

• To open a password-protected file, type the file password in Decryption password before you attempt to open the file. If you receive files with different passwords, you will need to customize this password for each file’s password.

3 When you finish, click OK.

Using EmailYou can use the Email Tool or your email application to send an ECG or an entire case to another Event Review user.

Using the Email ToolTo use the Email Tool, you need a correctly configured Microsoft Outlook or MAPI-compliant email client. The first time you selected the Email Tool, Event Review may display the email profile.

Click Help on the email profile window for information on setting up your profile. Complete the profile and click OK. Event Review will not display the profile again.

When Event Review displays the Email Tool, it adds the case file as an attachment. The Email Tool uses the current Case ID as the file name. The first time you send to a specific recipient, you must enter the email address for the recipient (the contact list from your email application is not available to this tool). The Email Tool saves the address. The next time you send to that recipient, you can choose the address by clicking the arrow at the end of the To field.

To use the Email Tool

1 With the case open, click Email on the toolbar. Event Review displays the Email Tool.

2 In Email, complete the To field. If desired, add a message.

3 Click Send.

Using Your Email ApplicationYou need no special tools to use your standard email application. You create an export file and then attach the exported file to an email message.

To use an email application

1 Export the file. (Make sure to note the location of the exported file. The file will have a cod extension.) For more information, see Exporting Cases on page 17.

2 Open your email application and create an email to the recipient of your choice.

3 Attach the file created by Export.

4 Send the email.

Using ViewersViewers are tabular displays of information, much like an Excel spreadsheet. Each row represents one record. Each column contains values for a specific field. Event Review provides a set of Viewers to help you manage your data.

You can modify your view of the information and print the displayed information.

39

4 Using Case Information Using Viewers

To print the current open view, click on a record, and then press the computer keys ALT+P.

To view the report before you print, click on a record, and press the computer keys ALT+R.

The following list is an overview of the Viewers. For specific information, see the referenced pages.

Case ViewerThe Case Viewer lists all cases saved to the database. It identifies each case by Case ID, Date, Time, Patient ID, Last name, and First name. This allows you to search for cases based on a variety of values. You can use Case Viewer to open and delete cases. The Case Viewer is in the Case Manager tool group on the navigation bar. For details, see page 41.

Event LogThe Event Log is a tabular view of all defibrillator events and user notes for the current case. The Event Log identifies each event by Event type, Event sub-category, Date, Time, and Elapsed time. You can use the Event Log to organize case information for analysis or to display an event in the ECG window. The Event Log is a window in the Case Editor. For details, see page 53.

Event ViewerThe Event Viewer lists all defibrillator events and user notes for all cases saved to the database. It identifies each event by Event type, Date, Time, and Elapsed time. Use the Event Viewer to open a case based on an event. The Event Viewer is a convenient way to group and filter cases for analysis. The Event Viewer is in the Case Manager tool group on the navigation bar. For details, see page 41.

Device ViewerThe Device Viewer identifies each device by the Serial number, Model, Manufacture date, and Device type. Use the Device Viewer to see a list of all devices associated with defibrillator self-tests. The Device Viewer is in the Maintenance Manager tool group on the navigation bar. For details, see page 46.

User Viewer The User Viewer lists all Event Review user accounts. It identifies each user account by User ID, First name, Last name, and Organization. Use the User Viewer to delete an account or open an account for modification. The User Viewer is in the System Manger tool group on the navigation bar. For details, see page 51.

System Log The System Log lists all monitored Event Review activity. Use the System Log to review Event Review usage. It identifies all events by Type, Category, Action, Description, Date, Time, and User. The System Log is in the System Manger tool group on the navigation bar. For details, see page 51.

Report ViewerUse Report Viewer to open exported reports. For example, if you generate a specific report each quarter and need to refer to it frequently, use the Report Generator to export it. You can then use the Report Viewer to open it. The Report Viewer lists all reports by File name, Path, File type, Date, and Time. The Report Viewer is in the Report Manager tool group on the navigation bar. For details, see page 94.

40

Managing Cases 4 Using Case Information

Managing CasesThe Case Manager has two tools to help you manage cases.

• Case Viewer lists all cases saved to the database.

• Event Viewer lists all defibrillator events and user notes for all cases in the database.

Using the Case ViewerUse the Case Viewer to open and delete cases. The Case Viewer identifies each case by Case ID, Date, Time, Patient ID, Last name, and First name. This allows you to search for cases based on a variety of information. For help sorting, filtering, or grouping the records in the Viewer, see Sorting, Grouping, and Filtering on page 42.

To print the current list of cases

To print the current open view, click on a case, and then press the computer keys ALT+P.

To view the report before you print, click on a case, and press the computer keys ALT+R.

To open a case


2 Double-click the case you want to open. Event Review displays the case in the Case Editor.

To delete a case


2 Click the case you want to delete.

3 On the toolbar, click Delete. Event Review displays a confirmation message.

4 Click Yes.

Using the Event ViewerUse the Event Viewer to lists all defibrillator events and user notes for all cases in the database. The Event Viewer identifies each event by Event type, Date. Time, and Elapsed time. Use the Event Viewer to open a case based on an event. The Event Viewer is a convenient way to group and filter cases for analysis. For help sorting, filtering, or grouping the records in the Viewer, see Sorting, Grouping, and Filtering on page 42.

To print the current list of events

To print the current open view, click on an event, and then press the computer keys ALT+P.

To view the report before you print, click on an event, and press the computer keys ALT+R.

To open a case

1 On the navigation bar, click Event Viewer in the Case Manager group.

2 Double-click the event for the case you want to open. Event Review opens the case in the ECG window. It places the sweep bar on the selected event.

41

4 Using Case Information Sorting, Grouping, and Filtering

Sorting, Grouping, and FilteringAll Viewers have tools to change the way Event Review displays information. These include tools for sorting, grouping, and filtering the information. You change the way Viewers display information when you want to analyze information or search for specific information. This section uses the Case Viewer to demonstrate these tools, but they apply to all Viewers. After you change the way Event Review displays information, you can print the view. When you close Event Review, Event Review returns the Viewers to their default settings.

Sorting RecordsTo change the sort order of a column, click anywhere in the column header. When you click in the column header, Event Review displays a triangular symbol in the column header. The symbol changes direction to indicate the sort order.

Grouping RecordsYou use the grouping option to sort records by multiple values. For example, you can choose a primary group by the patient’s last name and a secondary group by the patient’s first name. This gathers all cases related to the same name into one group. If you expand a group, the Viewer displays all the records in the group.

When you use the grouping feature, Event Review displays the grouping parameters in the group box. The group box is the area at the top of a Viewer that displays the following notation: Drag a column header here to group by that column.

To group records

1 Click in the header for the column you want to use as the primary group.

2 Use the mouse to drag the header to the group box. Event Review re-orders the display to show all records in the defined groups.

To add a sub-group

Repeat the process in To group records. Event Review places each sub-group below the previous group.

To expand a group

Click the expand symbol in front of the group you want to expand. An expanded group lists all the records assigned to that group.

To collapse a group

Click the collapse symbol in front of the group you want to collapse. A collapsed group displays the group title.

To undo grouping

Drag each header back to its place in the grid.

Changing the Visible FieldsIf a Viewer does not display all fields, you can add them to the display. You can also hide fields to limit the display to specific fields.

42

Sorting, Grouping, and Filtering 4 Using Case Information

To add a field

1 On the View menu, click Runtime Column Customization. Event Review displays a list of fields. (If the list is empty, all the fields appear in the Viewer.)

2 Drag the field you want to display from the Customization list to the header area.

3 On the Customization list, click Close .

To hide a displayed field

1 On the View menu, click Runtime Column Customization. Event Review displays a list of available fields.

2 Drag the column header you want to hide off of the grid.

3 On the Customization list, click Close .

Filtering RecordsFiltering creates a subset of records that meets your requirements. You can combine filtering with sorting and grouping. Each Viewer contains a blank row below the header row. This is the filter criteria row. You can filter on as many fields as you need.

To filter a list for a specific value

1 Click the filter criteria row for the column you want to filter. Event Review displays a blank field with a down arrow.

2 Click the arrow to open the list.

3 On the list, click the value you want to display. Event Review displays the value in the filter and re-orders the display to show only the records that meet the criteria.

Removing FiltersYou can return a column to its unfiltered state.

To remove a filter

1 Click in the filter criteria row. Event Review displays the filter criteria box.

2 Click the symbol for unfiltering . Event Review returns the display to its unfiltered state.

43

4 Using Case Information Sorting, Grouping, and Filtering

44

5

5Managing Devices

Maintenance Manager has tools to download, review, report, and store test results for the FR2 series and the HS1 and FRx defibrillators. These tests are called device tests or periodic self-tests (PST). (Note, Event Review and Event Review Pro documentation use HS1 or HS1 family of defibrillators to refer to HeartStart Home, HeartStart OnSite, and Laerdal HeartStart Defibrillators.)

The Maintenance Manager includes the following tools:

• Device Wizard guides you through reading the self-test information or device history from FR2 series, HS1 and FRx defibrillators.

• Device Viewer lists the defibrillators that have self-test information in the database.


• Using the Device Wizard on page 45 explains how to use the Device Wizard to download and store test information from devices.

• Using the Device Viewer on page 46 explains how to use the Device Viewer to manage device reports.

Using the Device WizardUse the Device Wizard to download, view, and store self-test information from the FR2 series, FRx, or HS1 defibrillators. You have two choices for how to save the information: you can save it to Event Review or to Philips Support File.

• Saving it to Event Review places it in the database and makes it available from the Device Viewer.

• Saving it to Philips Support File prepares it for transfer to Philips Medical for analysis. Only use the Philips Support File options when instructed to by a Philips support technician.

To download FR2 Series information

1 On the navigation bar, click Device Wizard in the Maintenance Manager group. Event Review displays the Load from window.


3 In Load from, click FR2 Device, and then click Next. In Load to, choose Event Review or Philips Support File, and then click Next. Event Review displays a list of available files.

4 Click the file you want to read, and then click Open.

5 Click Finish.

45

5 Managing Devices Using the Device Viewer

To download HS1 or FRx information

If you need help setting up the defibrillator to communicate or putting it into administration mode, see Working with Devices on page 79.

1 Set up the infrared connection between the defibrillator and the Event Review computer.

2 In Maintenance Manager, click Device Wizard. Event Review displays the Load from window.

3 In Load from, click HS1 Device or FRx Device, and then click Next. Event Review displays the Load to window.

4 Put the defibrillator in administration mode.

5 In the Device Wizard, click Load to.

6 In Load to, choose either Event Review or Philips Support File, and then click Next. Event Review displays a transfer status message. When the defibrillator establishes a connection, the defibrillator voice message announces Sending (for the HS1) or Transferring data (for the FRx). When the defibrillator finishes sending, Event Review displays a confirmation message.

7 Click Finish.

Using the Device ViewerUse the Device Viewer to see a list of all devices associated with device self-tests. The Device Viewer lists the Serial number, Model, Manufacture date, and Device type. For help sorting, filtering, or grouping the records in the Viewer, see Sorting, Grouping, and Filtering on page 42.

Use the Device Viewer to complete the following tasks:

• View a list of devices in the database

• Sort, group, and filter information

• Display device test details

• Delete tests from the database

To display a list of devices

On the navigation bar, click Device Viewer in the Maintenance Manager group.

To display self-test details

Click the expand symbol in front of the device you want to expand. Event Review displays the self-test report.

Event Review reports the results of each self-test as Pass, Warning, or Call customer support.

The usual cause of a Warning is a low battery, dead battery, or a device stored outside of the recommended temperature range.

If the status is Call customer support, contact Philips Customer Support at 800.263.3342. Outside the United States, call +1 206.664.7745.

All battery insertions reset the sequence of the PSTs (periodic self-tests). Resetting the sequence does not change the Sequence number that appears in the Device Details.

46

Using the Device Viewer 5 Managing Devices

To delete test details

1 In the Device Viewer, click the device you want to delete.


3 Click Yes.

47

5 Managing Devices Using the Device Viewer

48

6

6Managing Users

The System Manager group on the navigation bar has tools to manage, set up, and maintain Event Review user accounts.

• User Editor is the tool for adding and modifying user accounts. Use it to create accounts and set user account privileges.

• User Viewer lists all user accounts. Use it to delete accounts or open them for modification.

• System Log helps you monitor system usage.


• Setting up the System on page 49 suggests some things to consider before setting up user accounts.

• Using the User Editor on page 50 explains how to create and maintain user accounts.

• Using the User Viewer on page 51 explains how to use the User Viewer to manage user accounts.

• Using the System Log on page 51 explains how to use the System Log to monitor Event Review activity.

Setting up the SystemFollowing are some things to consider before setting up user accounts.

• Decide if you want users to log on. If you have only a few users and security is not an issue, you may want to leave the logon feature disabled. If you do this, all users will be able to use all features. However, if users do not log on, the System Log will not identify the user who performs an action.

• If you decide that you want users to log on, decide on a naming convention for the User ID. For example, you might decide to use the first initial and last name. The User ID field accepts from 6 to 20 letters and numbers. The User ID does not accept spaces or punctuation. The field is case sensitive.

• If users will log on, decide which privileges you want them to have.

• If users will log on, consider using a default password. Give all users this password and tell them to change it the first time they log on. The Password field accepts from 5 to 10 letters or numbers. The Password field does not accept spaces or punctuation. The field is case sensitive.

49

6 Managing Users Using the User Editor

Using the User EditorEvent Review comes with one user account named Administrator. The default User ID is administrator and the default password is heartstart.

You cannot change the account permissions for the Administrator account, and you cannot delete this account; however, you are encouraged to change the password. Be sure to keep it secure.

Event Review does not require additional user accounts. If you decide not to have users log on, you do not need additional accounts. If you do not need accounts, do not enter information in the User Editor. For help deciding if you need to set up accounts, see Setting up the System on page 49.

If you decide to have users log on, use the User Editor to create user accounts. The Event Review system administrator typically creates the user accounts.

Logon RequirementsThe first time you start Event Review, it does not require a user to log on. If you want users to log on, set up a new user account and click the Require Logon box in the user account. Once you turn on the logon requirement, all users must log on.

Requiring users to log on has two advantages:

• Logon allows you to restrict who uses a specific group of tools.

• Logon allows you to use the System Log to track Event Review user activity. (See Using the System Log on page 51 for details.)

Following is a description of the fields in the User Editor.

Fields Description

User ID (Required)

This is the user’s logon identification. The field accepts from 6 to 20 letters and numbers. The User ID field does not accept spaces or punctuation. The field is case sensitive.

Password (Required)

This is the password the user enters to log on. The field accepts from 5 to 10 letters or numbers. The Password field does not accept spaces or punctuation. The field is case sensitive. To protect security, Event Review hides the password on the screen.

When you set up a user for the first time, provide a temporary password. The user can change this temporary password when logging on to Event Review the first time.

Verify password (Required)

This field requires that you re-enter the password. Re-entering the password ensures that you typed the password correctly.

First name (Optional)

This is the user’s first name. The field accepts up to 50 characters.

Last name (Optional)

This is the user’s last name. The field accepts up to 50 characters.

Organization (Required)

This is the user’s organization. The field accepts up to 50 characters.

Set account permissions

Use this group to define which permissions you want each user to have. The User Default button enables Case Manager, Maintenance Manager, and Report Manager. The Administrator Default button enables all permissions.

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Using the User Viewer 6 Managing Users

To set up a new user

1 On the navigation bar, click User Editor in the System Manager group.

2 On the toolbar, click New.

3 Complete the fields. You must choose at least one permission.

4 Click Require Logon.

5 On the toolbar, click Save. Event Review displays a confirmation message.

6 Click OK to close the confirmation message.

Using the User ViewerUse the User Viewer to choose a user account to view, modify, or delete. You do not use it to create a user account. To create an account, use the User Editor.

The User Viewer sorts accounts by User ID. You can change the sort order by clicking on the column name. To reverse the sort order, click the column again.

To modify an account

1 On the navigation bar, click User Viewer in the System Manager group.

2 Double-click the user account you want to modify. Event Review displays the account information in the User Editor window.

3 Move the cursor to the field you want to change.

4 Select the field and enter the new information.

5 On the toolbar, click Save.

To delete an account

1 On the navigation bar, click User Viewer in the System Manager group.

2 Click the User ID for the account you want to delete.


4 Click Yes.

Using the System LogUse the System Log to monitor Event Review activity. You can sort, group, and filter the log. For help with managing the information, see Sorting, Grouping, and Filtering on page 42.

The System Log monitors the following activities:

• Security monitors changes to the user accounts and which users log on and log off.

• Patient data access monitors case activity. Monitored access includes opening, adding, deleting, exporting, and importing cases. If you require logon, the log shows the User ID for the person accessing the information.

• Device monitors requests for self-test data.

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6 Managing Users Using the System Log

To open the System Log

On the navigation bar, click System Log in the System Manager group.

TIP The default view of the System Log does not include the Network ID. You can add this field by using Runtime Column Customization. See Changing the Visible Fields on page 42.

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7

7Using Configuration Manager

The HeartStart defibrillators come with a factory default configuration that meets the needs of most users.

CAUTION Changing the factory default configuration of a defibrillator can affect its performance. Make changes under the authorization of your medical director. If changes to the default settings result in any modification to the device operation, you should provide user training that specifically covers the changes.

You can use Event Review to change the configuration for the following defibrillators:

• HS1 family of defibrillators (Note, Event Review and Event Review Pro documentation use HS1 or HS1 family of defibrillators to refer to HeartStart Home, HeartStart OnSite, and Laerdal HeartStart Defibrillators.)

• FRx Defibrillator

There are two versions of HS1 and FRx defibrillators. The original version of each defibrillator has configuration settings that do not comply with the new American Heart Association guidelines. The Configuration Manager identifies these defibrillators as HS1 (2000 guidelines) and FRx (2000 guidelines). Recently, Philips released a new version of the HS1 and the FRx that conforms to the new guidelines. The Configuration Manager refers to theses defibrillators as HS1 (2005 guidelines) and FRx (2005 guidelines). The newer defibrillators have a label that contains the version number. The older defibrillators do not have this label. If you are unsure about the version of your defibrillator, let Event Review determine the version.

To let Event Review determine the version

1 Follow the instructions for setting up the defibrillator to communicate. For help with this task, see Working with Infrared Connections on page 84.

2 On the navigation bar, choose any item from the Configuration Manager.When you choose any of the options in the Configuration Manager, Event Review displays the following warning:

Warning: Changing AED configuration setting can change AED behavior during an emergency, and should only be done under the supervision of a medical director by authorized personnel.

3 Read the warning and click OK.

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7 Using Configuration Manager Configuring an HS1 Defibrillator (2000 guidelines)

4 When Event Review displays the Configuration Manager, Click Receive on the toolbar. For help with receiving the settings, see Receiving Settings from the HS1 on page 54 or Receiving Settings from the FRx on page 58.Event Review will display the correct Configuration Manger screen and populate the fields with the current settings.

Because each defibrillator has specific requirements, this chapter has a section for each supported defibrillator.

Configuring an HS1 Defibrillator (2005 guidelines)

Configuring an FRx Defibrillator (2005 guidelines)

Configuring an HS1 Defibrillator (2000 guidelines)

To modify settings, begin by receiving the current configuration from the HS1 Defibrillator; then, modify that configuration.

After you complete the settings in Event Review, send the new configuration to the HS1.

To use Event Review to change settings

1 On the navigation bar, click HS1 (2000 guidelines) in the Configuration Manager group.

2 Receive the configuration settings from the HS1.For more information, see To receive the settings on page 54.

3 Make the changes to the configuration settings.For more information, see Using the Configuration Options on page 55.

4 Send the new configuration settings to the HS1.For more information, see To send the settings on page 55.

Receiving Settings from the HS1

NOTE If you made a successful connection to the HS1 within the last 30 minutes, skip to Step 8. The defibrillator stays in Mode 1 for 30 minutes after a transmission. You do not have to repeat the connection steps.

To receive the settings

1 Make sure that there is a battery in the defibrillator.

2 Locate the latch at the top edge of the HS1. Slide it to the side. The HS1 releases the pads cartridge.

3 Remove the pads cartridge. The defibrillator voice message may tell you to insert the pads cartridge. Do NOT insert the pads cartridge. See Understanding Voice and System Messages on page 84 for details.

4 Set up the defibrillator to communicate with the computer. Make sure that the defibrillator infrared port and the computer infrared port face each other, are within 2 feet of each other, and have a clear path between each other.

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Configuring an HS1 Defibrillator (2000 guidelines) 7 Using Configuration Manager

5 On the defibrillator, press and hold the blue button for three tones. (The defibrillator sounds a tone once in about two seconds after pressing the button. In about two more seconds, it sounds a tone two more times.)

6 Release the button.The defibrillator voice message announces Administration.

7 Briefly press the blue button one more time. The defibrillator voice message announces Mode 1.

8 On the Event Review toolbar, click Receive.

Using the Configuration OptionsThe Configuration Manager uses a series of knobs to change the configuration. You change a setting by using the mouse to move the knobs.

When the mouse is over a knob, the knob turns a brighter shade of blue. Event Review highlights the current setting in a white rectangle with a blue border.

If you place the mouse over a part of the control that will react to a click, Event Review surrounds the potential setting with a dotted rectangle.

To change a configuration option that has a knob for a control

Use the mouse to repeatedly click in the middle of the knob. Each time you click the knob, it points to a different setting. - or - Click the new setting.

Sending Configuration Settings to the HS1

NOTE If you made a successful connection to the HS1 within the last 30 minutes, skip to Step 8. HS1 stays in Mode 1 for 30 minutes after a transmission; so, you do not have to repeat the connection steps.

To send the settings



3 Remove the pads cartridge. The defibrillator voice message may tell you to insert the pads cartridge. Do NOT insert the pads cartridge. See Understanding Voice and System Messages on page 84 for details.

4 Set up the defibrillator to communicate with the computer. Make sure that the defibrillator infrared port and the computer infrared port face each other, are within 2 feet of each other, and have clear path between them.


6 Release the button. The defibrillator voice message announces Administration.

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7 Briefly press the blue button one more time. The defibrillator voice message announces Mode 1.

8 On the Event Review toolbar, click Send. When you click Send, Event Review displays the following warning message.

Changing a defibrillator’s configuration settings changes its behavior during use. It must only be done with the oversight of your medical director. Access to this software should be tightly controlled. Are you sure you want to change defibrillator behavior?

9 Read the warning. If you choose to continue, click Yes. Event Review sends the new settings to the defibrillator.

HS1 (2000 guideline) settings

Parameter (Factory default settings are in Green on the screen and gray in print.)

Speaker volume This control sets the volume of the HS1 speaker. 1 is lowest; 8 is highest. The HS1 uses the speaker for voice instructions and the charge-done tone.

The default is 8.

AutoSend Periodic Self Test (PST)

This control turns ON or OFF the ability of the HS1 to automatically send periodic self-tests.

The default is ON.

ECG out This control turns ON or OFF the ability to send ECG information (in real time) from the HS1 infrared communications port.

The default is ON.

Shock series This control sets the number of shocks that the HS1 must deliver to start the automatic protocol pause for patient assessment and CPR.

During the protocol pause, the HS1 does not perform rhythm analysis.

The protocol pause timer setting determines the length of the protocol pause after the HS1 completes a shock series.

The range is 1 to 4 shocks.

The default is 3 shocks.

Shock series interval (minutes)

This control sets the interval between shocks. The interval determines if a shock is part of the same shock series as the previous shock.

The interval can be 1 minute, 2 minutes, or Infinity.

The default is 1 minute.

NSA pause type This control determines the pause type. There are two choices.

Standard NSA pause: The HS1 does not perform rhythm analysis for the pause time determined by the selected protocol pause timer and NSA pause timer settings. (This is the default.)

SMART NSA pause: The HS1 conducts background monitoring during the pause. If the HS1 detects a potentially shockable rhythm, the HS1 ends the SMART NSA pause and resumes rhythm analysis (unless CPR or CPR coaching is being performed). (This is the default.)

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No shock advised (NSA) pause timer

This control sets the length of the NSA pause interval, The NSA pause interval starts after an NSA decision.

If the HS1 delivered a shock within the shock series interval, the HS1 overrides this setting and defines the length of the pause by the protocol pause timer setting.

The time ranges from 0.5 minutes to 3.0 minutes.


Protocol pause timer

(minutes)

This control sets the length of the CPR pause interval. The CPR pause interval starts after the HS1 completes voice instruction and a shock series. After the protocol pause, the HS1 returns to automatic rhythm analysis.

The timer ranges from 0.5 minutes to 3.0 minutes, in half-minute intervals.


CPR prompt rate

(compressions per minute)

This control sets the rate for CPR compression signals provided by the HS1.

Choices are 80 or 100 compressions per minute.

The default is 100 compressions per minute.

Call EMS voice instruction

This control sets the point when the HS1 plays the voice instruction to call emergency medical services. The choices are:

At Power on

At power on and at the start of the first pause interval

At the start of the first pause interval (This is the default.)

No reminder

CPR prompt This control sets the level of detail provided in the CPR reminder voice prompts. The choices are:

CPR 1: Check circulation. Begin CPR if needed.

CPR 2: Check airway, breathing, circulation. Begin CPR if needed.

CPR 3: Check circulation. Begin CPR if needed. Press blue button for CPR coaching.

CPR 4: Check airway, breathing, circulation. Begin CPR if needed. Press blue button for CPR coaching. (This is the default.)

HS1 (2000 guideline) settings (Continuación)

Parameter (Factory default settings are in Green on the screen and gray in print.)

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7 Using Configuration Manager Configuring an FRx Defibrillator (2000 guidelines)

Configuring an FRx Defibrillator (2000 guidelines)To modify settings, begin by receiving the current configuration from the FRx Defibrillator; then, modify that configuration.

When you complete the settings in Event Review, send the new setting to the FRx Defibrillator.


1 On the navigation bar, click FRx (2000 guidelines) in the Configuration Manager group.

2 Receive the settings from the FRx.

3 Make the changes to the settings.

4 Send the new settings to the FRx.

Receiving Settings from the FRx

NOTE If you made a successful connection to the FRx within the last 30 minutes, skip to Step 6. The FRx stays in Administration mode for 30 minutes after a transmission. You do not have to repeat the connection steps.



2 Remove the pads connector. The defibrillator voice message may tell you to insert the pads connector. Do NOT insert the pads connector. See Understanding Voice and System Messages on page 84 for details.

3 Set up the defibrillator to communicate with the computer. Make sure that the defibrillator infrared port and the computer infrared port face each other, are within 2 feet of each other, and have a clear path between them.



6 On the Event Review toolbar, click Receive.

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Configuring an FRx Defibrillator (2000 guidelines) 7 Using Configuration Manager






Sending Settings to the FRx

NOTE If you made a successful connection to the FRx within the last 30 minutes, skip to Step 6. The FRx stays in Administration mode for 30 minutes after a transmission. You do not have to repeat the connection steps.

To send the settings


2 Remove the pads connector. The defibrillator voice message may tell you to insert the pads connector. Do NOT insert the pads connector. See Understanding Voice and System Messages on page 84 for details.

3 Set up the defibrillator to communicate with the computer. Make sure that the defibrillator infrared port and the computer infrared port face each other, are within 2 feet of each other, and have a clear path between each other.



6 On the Event Review toolbar, click Send. Event Review displays the following warning message.

Changing a defibrillator’s configuration settings changes its behavior during use. It must only be done with the oversight of your medical director. Access to this software should be tightly controlled. Are you sure you want to change defibrillator behavior?

7 Read the warning. If you choose to continue, click Yes. Event Review transmits the new settings to the defibrillator.

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FRx (2000 guideline) settings

Parameter (Default settings are in Green on the screen and gray in print.)

Speaker volume This control sets volume of the FRx speaker. 1 is lowest; 8 highest. The FRx uses the speaker for voice instructions and the charge-done tone.

The default is 8.


This control turns ON or OFF the ability of the FRx to automatically send periodic self-tests results.

The default is ON.

ECG out This control turns ON or OFF the ability to send ECG information (in real time) from the FRx infrared communications port.

The default is ON.

CPR prompt rate

(compressions per minute)

This control sets the rate for CPR compression signals provided by the HS1.

Choices are 80 or 100 compressions per minute.

The default is 100 compressions per minute.

Shock series This control sets the number of shocks that the FRx must deliver to start the automatic protocol pause for patient assessment and CPR.

During the protocol pause, the FRx does not perform rhythm analysis.

The protocol pause timer setting determines the length of the protocol pause after the FRx completes a shock series.


The default is 3 shocks.


This control sets the interval between shocks. The interval determines if a shock is part of the same shock series as the previous shock.




Standard NSA pause: The FRx does not perform rhythm analysis for the pause time determined by the selected protocol pause timer and NSA pause timer settings.

SMART NSA pause: The FRx conducts background monitoring during the pause. If the FRx detects a potentially shockable rhythm, the FRx ends the SMART NSA pause and resumes rhythm analysis (unless CPR or CPR coaching is being performed). (This is the default.)



If the FRx delivered a shock within the shock series interval, the FRx overrides this setting and defines the length of the pause by the protocol pause timer setting.



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(minutes)

This control sets the length of the CPR pause interval. The CPR pause interval starts after the FRx completes the voice instruction and a shock series. After the protocol pause, the FRx returns to automatic rhythm analysis.



CPR adult ventilation This control specifies that the responders used ventilation while the FRx was in use. You have two choices when the responders used ventilation: CPR adult ventilation and CPR peds ventilation. Choose this option if responders DID NOT use a pediatric connector

The choices are:

With ventilation (This is the default.)

No ventilation

CPR peds ventilation This control specifies that the responders used ventilation while the defibrillator was in use. You have two choices when the responders used ventilation: CPR adult ventilation and CPR peds ventilation. Choose this option if responders USED a pediatric connector.

The choices are:


No ventilation


This control sets the point at which the FRx plays voice instruction to call emergency medical services. The choices are:

At power on



No reminder


CPR 1: Check circulation. Begin CPR if needed.

CPR 2: Check airway, breathing, circulation. Begin CPR if needed.

CPR 3: Check circulation. Begin CPR if needed. Press blue button for CPR coaching.

CPR 4: Check airway, breathing, circulation. Begin CPR if needed. Press blue button for CPR coaching. (This is the default.)

FRx (2000 guideline) settings (Continuación)


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Configuring an HS1 Defibrillator (2005 guidelines)To modify settings, begin by receiving the current configuration from the defibrillator; then, modify that configuration.

When you complete the settings in Event Review, send the new setting to the HS1 Defibrillator.


1 On the navigation bar, click HS1 (2005 guidelines) in the Configuration Manager group.

2 Receive the settings from the defibrillator.


4 Send the new settings to the defibrillator.

Receiving Settings from the defibrillator

NOTE If you made a successful connection to the defibrillator within the last 30 minutes, skip to Step 8. The defibrillator stays in Administration mode for 30 minutes after a transmission. You do not have to repeat the connection steps.


To receive the settings from an HS1, follow the instructions in Receiving Settings from the HS1 on page 54.






Sending Settings to the defibrillatorTo send the settings

To send the settings to an HS1, follow the instructions in Sending Configuration Settings to the HS1 on page 55.

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HS1 (2005 guidelines) settings


Speaker volume This control sets the volume of the defibrillator speaker. 1 is lowest; 8 is highest. The defibrillator uses the speaker for voice instructions and the charge-done tone.

The default is 8.


This control turns ON or OFF the ability of the defibrillator to automatically send periodic self-tests.

The default is ON.

ECG out This control turns ON or OFF the ability to send ECG information (in real time) from the defibrillator’s infrared communications port.

The default is ON.


(minutes)

This control sets the length of the CPR pause interval. The CPR pause interval starts after the defibrillator completes voice instruction and a shock series. After the protocol pause, the defibrillator returns to automatic rhythm analysis.


The default is 2 minutes.

Shock series This control sets the number of shocks that the defibrillator must deliver to start the automatic protocol pause for patient assessment and CPR.

During the protocol pause, the defibrillator does not perform rhythm analysis.

The protocol pause timer setting determines the length of the protocol pause after the defibrillator completes a shock series.


The default is 1 shock.


This control sets the interval between shocks. The interval determines if a shock is part of the same shock series as the previous shock. This parameter is only applicable if you choose a Shock series setting other than 1 shock.




Standard NSA pause: The defibrillator does not perform rhythm analysis for the pause time determined by the selected protocol pause timer and NSA pause timer settings. (This is the default.)

SMART NSA pause: The defibrillator conducts background monitoring during the pause. If the defibrillator detects a potentially shockable rhythm, the defibrillator ends the SMART NSA pause and resumes rhythm analysis (unless CPR or CPR coaching is being performed). (This is the default.)

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If the defibrillator delivered a shock within the shock series interval, the defibrillator overrides this setting and defines the length of the pause by the protocol pause timer setting.



CPR adult ventilation This control specifies that the responders used ventilation while the defibrillator was in use. You have two choices when the responders used ventilation: CPR adult ventilation and CPR peds ventilation. If you choose “No ventilation,” the coaching will be compression-only. Choose this option if responders DID NOT use a pediatric connector

The choices are:


No ventilation

CPR peds ventilation This control specifies that the responders used ventilation while the defibrillator was in use. You have two choices when the responders used ventilation: CPR adult ventilation and CPR peds ventilation. If you choose “No ventilation,” the coaching will be compression-only. Choose this option if responders USED a pediatric connector.

The choices are:


No ventilation

CPR Compression ratio

This control sets the rate for CPR compression signals provided by the defibrillator.

The choices are:


This control sets the point when the defibrillator plays the voice instruction to call emergency medical services. The choices are:

At Power on



No reminder

HS1 (2005 guidelines) settings (Continuación)


Adult = 30:2 (default) Adult = 30:2 Adult = 15:2

Pediatric = 30:2 (default) Pediatric = 15:2 Pediatric = 15:2

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CPR 1: Begin CPR.

CPR 2: It is safe to touch the patient. Begin CPR.

CPR 3: Begin CPR. Press blue button for CPR coaching.

CPR 4: It is safe to touch the patient. Begin CPR. Press blue button for CPR coaching. (This is the default.)

HS1 (2005 guidelines) settings (Continuación)


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Configuring an FRx Defibrillator (2005 guidelines)To modify settings, begin by receiving the current configuration from the defibrillator; then, modify that configuration.

When you complete the settings in Event Review, send the new setting to the FRx Defibrillator.


1 On the navigation bar, click FRx (2005 guidelines) in the Configuration Manager group.

2 Receive the settings from the defibrillator.


4 Send the new settings to the defibrillator.

Receiving Settings from the defibrillator

NOTE If you made a successful connection to the defibrillator within the last 30 minutes, skip to Step 8. The defibrillator stays in Administration mode for 30 minutes after a transmission. You do not have to repeat the connection steps.


To receive the settings from an FRx, follow the instructions in Receiving Settings from the FRx on page 58.






Sending Settings to the defibrillatorTo send the settings

To send the settings from an FRx, follow the instructions in Sending Settings to the FRx on page 59.

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FRx (2005 guidelines) settings


Speaker volume This control sets the volume of the defibrillator speaker. 1 is lowest; 8 is highest. The defibrillator uses the speaker for voice instructions and the charge-done tone.

The default is 8.


This control turns ON or OFF the ability of the defibrillator to automatically send periodic self-tests.

The default is ON.

ECG out This control turns ON or OFF the ability to send ECG information (in real time) from the defibrillator’s infrared communications port.

The default is ON.


(minutes)

This control sets the length of the CPR pause interval. The CPR pause interval starts after the defibrillator completes voice instruction and a shock series. After the protocol pause, the defibrillator returns to automatic rhythm analysis.



Shock series This control sets the number of shocks that the defibrillator must deliver to start the automatic protocol pause for patient assessment and CPR.

During the protocol pause, the defibrillator does not perform rhythm analysis.

The protocol pause timer setting determines the length of the protocol pause after the defibrillator completes a shock series.


The default is 1 shock.


This control sets the interval between shocks. The interval determines if a shock is part of the same shock series as the previous shock. This parameter is only applicable if you choose a Shock series setting other than 1 shock.




Standard NSA pause: The defibrillator does not perform rhythm analysis for the pause time determined by the selected protocol pause timer and NSA pause timer settings. (This is the default.)

SMART NSA pause: The defibrillator conducts background monitoring during the pause. If the defibrillator detects a potentially shockable rhythm, the defibrillator ends the SMART NSA pause and resumes rhythm analysis (unless CPR or CPR coaching is being performed). (This is the default.)

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If the defibrillator delivered a shock within the shock series interval, the defibrillator overrides this setting and defines the length of the pause by the protocol pause timer setting.



CPR adult ventilation This control specifies that the responders used ventilation while the defibrillator was in use. You have two choices when the responders used ventilation: CPR adult ventilation and CPR peds ventilation. If you choose “No ventilation,” the coaching will be compression-only. Choose this option if responders DID NOT use a pediatric connector

The choices are:


No ventilation

CPR peds ventilation This control specifies that the responders used ventilation while the defibrillator was in use. You have two choices when the responders used ventilation: CPR adult ventilation and CPR peds ventilation. If you choose “No ventilation,” the coaching will be compression-only. Choose this option if responders USED a pediatric connector.

The choices are:


No ventilation

CPR Compression ratio

This control sets the rate for CPR compression signals provided by the defibrillator.

The choices are:


This control sets the point when the defibrillator plays the voice instruction to call emergency medical services. The choices are:

At Power on



No reminder

FRx (2005 guidelines) settings (Continuación)


Adult = 30:2 (default) Adult = 30:2 Adult = 15:2

Pediatric = 30:2 (default) Pediatric = 15:2 Pediatric = 15:2

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CPR 1: Begin CPR.

CPR 2: It is safe to touch the patient. Begin CPR.

CPR 3: Begin CPR. Press blue button for CPR coaching.

CPR 4: It is safe to touch the patient. Begin CPR. Press blue button for CPR coaching. (This is the default.)

FRx (2005 guidelines) settings (Continuación)


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8

8Managing Reports

Event Review Pro 3.5 has pre-defined reports that you can use to evaluate the timeliness, effectiveness, and trends in your emergency system response. You can see sample reports in the Documentation folder in Help.

To open the Sample Reports

1 Click Help.

2 Point to User Guides.

3 Click Sample Reports.

The Report Manager group has two groups of tools:

• Report Generator has tools to generate, view, save, and print three types of reports: Case Reports, Utstein and System Reports, and Custom Reports.

• Report Viewer has access to saved reports.

This section guides you through using these tools to complete the following tasks:

When you generate a report, Event Review displays it in the Report Generator window. Many reports have multiple parts with each part having multiple pages. The Report Generator displays each part in a separate window. The Report Generator identifies each window with a tab. To view a different report, click the tab for the report you want to view.

Toolbar ButtonsWhen you open the Report Generator, Event Review adds four buttons to the toolbar: Zoom In, Zoom Out, Previous, and Next.

Use the Zoom In and Zoom Out to adjust the size of the display.

Use the Previous and Next buttons to move through the pages of a multi-page report.

IF you want to... THEN...generate a Case Report, see Generating Case Reports on page 90.generate a Utstein-style or System report, see Generating Utstein and System Reports on page 90.use a Custom report, see Using Custom Reports on page 93.print a report, see Printing Reports on page 93.save a report, see Exporting Reports on page 93.view a saved report, see Using Report Viewer on page 94.

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8 Managing Reports Generating Case Reports

Generating Case ReportsYou can print Case Reports when a case is open, or you can use the Report Generator to generate and print a Case Report for a closed case. The Case Report has detailed case information based on information in the Case Editor windows. You can choose three different Case Report formats.

• The Case Details report includes the details from the following Case Editor windows: General, Condition, Follow-up, and Outcome.

• The Events report shows all defibrillator events and user notes associated with the case.

• The ECG report prints the entire ECG.

On the Case Reports menu, you can choose to print the following sets of reports:

• Case Details, Events, ECG (Entire)

• Case Details, Events, ECG (Pre/Post Shock)

• Case Details

• Events

To generate a Case Report

1 In the Report Manager group, click Report Generator. Event Review displays the Report Generator navigation bar.

2 On the Report Generator navigation bar, click Case Reports. Event Review displays a list of reports.

3 Click the report set you want to generate. Event Review displays a prompt for the Case ID.

4 Choose the Case ID from the drop-down list.

5 Click OK. Event Review displays the Report in the workspace.

Generating Utstein and System ReportsThe Utstein and System Reports provide uniform reporting of your information from out-of hospital cardiac arrests.

• Utstein Reports follow the Utstein-style guidelines for reporting information on out-of hospital cardiac arrests. They use the recommended nomenclature and follow the Utstein template approach.

• System Response Reports follow the recommendations of the Utstein Consensus Conferences for collecting, summarizing, and reporting response-time information. You can use these reports to assess your system’s overall response performance and compare performance with service-level commitments.

To generate an Utstein or System Report

1 In the Report Manager group, click Report Generator.

2 In the Report Generator, click Utstein & System Reports. Event Review displays a report list.

3 Click the report set you want to generate.

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Generating Utstein and System Reports 8 Managing Reports

The following table describes the report choices.

System Reports Settings

Average Responses - Total System

Summarizes the average response times for key milestones in your system’s response protocols.

Start and End Date: Insert start and end dates to limit the cases you want to summarize to a specific period.Site of Collapse: Optional. Limit the report to a specific site by entering a site of collapse.

Percentile Responses - Total System

Summarizes response times achieved in a specific percentage of responses. (You choose the percentile.)

Start and End Date: Insert start and end dates to limit the cases you want to summarize to a specific period.Site of Collapse: Limit the report to a specific site by entering a site of collapse.Percentile: Required. Median is 50%

Average Responses

Summarizes, for a specific unit, the average response times for key milestones in your response protocols.

Start and End Date: Insert start and end dates to limit the cases you want to summarize to a specific period.Site of Collapse: Limit the report to a specific site by entering a site of collapse.Unit: Enter the Unit exactly as entered in Event Review or select from the list.

Percentile Responses

Summarizes for a specific unit, the response times achieved in at least a specific percentage of responses. (You choose the percentile.)

Start and End Date: Insert start and end dates to limit the cases you want to summarize to a specific period.Site of Collapse: Site of Collapse is optional. Enter a site of collapse to limit the report to a specific site.Unit: Enter Unit exactly as entered in Event Review or select from the list. Percentile: Required.

Utstein Reports Settings

Unwitnessed with Bystander CPR

Summarizes unwitnessed cardiac arrests in your system

Start and End Date: Insert start and end dates to limit the cases you want to summarize to a specific period.Population: Optional. Enter the population value of your service area.Location: Optional. Enter a location to limit the report to a specific location.

Witnessed with Bystander CPR

Summarizes witnessed cardiac arrest where a bystander administered CPR.


Witnessed without Bystander CPR

Summarizes witnessed cardiac arrests where no bystander administered CPR.


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8 Managing Reports Using Custom Reports

Using Custom ReportsYou can create custom reports using Crystal Reports version 9 and the Event Review database. To use custom reports you create the report and then import it into Event Review.

To add a custom report

1 On the toolbar, click Import. Event Review displays the Import File dialog box.

2 Open the Look in list, and then go to the location for the report you are importing.

3 Click the name of the report you want to import.

4 Click Open. Event Review adds the report to the Custom Reports list.

To use a custom report

1 Open Custom Reports.

2 Double-click the report name.

3 If the report requires parameters, complete the parameter fields.

4 Click Finish.

Printing ReportsAfter you generate a report, click Print on the toolbar. Event Review prints the report to your default printer.

Exporting ReportsIf you frequently review a report or want to track your system’s performance, generate the report, and then save it using Export. For example, many users save month-end, quarterly, and year-end reports.

Export saves a copy of the report and lists it in Report Viewer. The Export Report dialog box suggests a folder in which to save reports (My Documents/Event Review/Exported Reports). If you save reports to a different location, Report Viewer cannot display them. If you export a report, you can choose to save it as one of the following types of documents:

• Adobe PDF (*.pdf)

• Microsoft Word (*.doc)

• Microsoft Excel (*.xls)

• Rich Text (*.rtf)

• Crystal Reports (*.rpt)

To export a report

1 Generate the report, and then view it to ensure that it is correct.

2 Click Export on the toolbar. Event Review displays the Export Report dialog box with the Save in set to Exported Reports. If you change the location, the Report Viewer cannot display it.

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Using Report Viewer 8 Managing Reports

3 In File name, enter a name for the report.

4 In Save as type, choose the document type, and then click Save.

Using Report ViewerUse Report Viewer to open exported reports. For example, if you generate a specific report each quarter and need to refer to it frequently, use the Report Generator to export it. You can then use the Report Viewer to open it.

To open a report

1 In the Report Manager group, click Report Viewer.

2 In Report Viewer, double-click the report name.

To delete a report

1 In the Report Manager group, click Report Viewer.

2 In Report Viewer, click the report name you want to delete.

3 Click Delete.

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8 Managing Reports Using Report Viewer

94

A

ACustomer Support

To provide the best service to all of our software application customers, we employ methods that will quickly provide solutions to problems. The types of problems we receive frequently require us to review user files and, in many instances, these problems involve some research and testing in order to reach a solution.

Our professional support technicians understand and appreciate the sense of urgency that each support request requires. Thus, support technicians handle each request in the order that they are received.

Support is available from the following sources.

• Telephone support is available during normal business days from 9:00 AM to 4:00 PM Pacific Time. Tell the operator you have a question about Event Review Pro 3.5.

• Inside the United States, call 800.263.3342.

• Outside the United States, call +1.206.664.7745.

• International email support is available at [email protected].

• A knowledge base containing answers to many technical questions is available at: www.medical.philips.com/goto/EventReview

• Software updates are available from the Help menu. Open the Help menu, and then choose Check for Updates.

Supported HelpOur software support technicians provide help for the following:

• Explaining the proper use of Event Review features and answering your questions about how Event Review works.

• Explaining the proper installation and maintenance of Event Review.

• Helping you choose and configure card readers.

• Answering questions about managing the Event Review database.

Unsupported HelpOur software support technicians do not provide help for the following:

• Repairing hardware. The support technicians can help you determine if you have a hardware problem, but they cannot help you fix problems that are not related to Event Review software.

• Troubleshooting defibrillators. Please call Philips Customer Support and ask for defibrillator support.

• Inside the United States, call 800.263.3342.

• Outside the United States, call +1.206.664.7745.

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A Customer Support

Helping Us Help YouYou can help our technicians give you good support by following these steps:

1 Call from a phone near your computer.

2 Have the following information:

• Microsoft Windows version

• Event Review version number. This is available from the Help menu. Click About Event Review.

Corporate HeadquartersPhilips Medical Systems

Nederland B.V.

Postbus 10.000

5680 DA Best

The Netherlands

World Wide Web: www.medical.philips.com/goto/eventreview

www.medical.philips.com

Software Customer Support: In the United States, call 800.263.3342.

Outside the United States, call +1.206.664.7745.

Email to: [email protected]

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http://medical.philips.com/goto/eventreview

http://www.medical.philips.com

B

BSystem Requirements

Event Review Pro 3.5 operates on a standard PC running a Microsoft Windows operating system. Please be sure that any hardware you choose is certified Microsoft compatible.

Hardware Requirements

Component Requirement

Processor speed Minimum: 500 MHz

Display Minimum: 1024 x 768

Memory Recommended: 256 MB (Memory requirements are approximate.)

Drive CD ROM drive for installation

Disk space 300 MB of disk space during software installation and 100 MB minimum for event storage. Hard disk space requirements vary depending on usage. Both the number of cases and the amount of audio information affect disk space requirements. For example, a 15-minute ECG with no audio is about 100 KB. The same ECG with audio from an FR2 series card can be as large as 16 MB.

Internet connection If you want to use the Email Tool or receive software updates, you need an internet connection.

Card reader For help choosing a card reader, see Working with Devices on page 79.

Sound card To hear audio from the defibrillator, you need a sound card.

IrDA support To read information from an HS1 or FRx defibrillator, your computer needs to support IrDA functionality. In addition, you need either an infrared transceiver or an infrared adapter. The transceiver will appear as a small, dark red or black window.

Palm HotSync If you want to use the Palm HotSync feature to transfer defibrillator data from a defibrillator to a Palm device and then transfer the data to Event Review, you need the appropriate Palm hardware and software. See the Palm Web site for help.

73

B System Requirements

74

C

CInstalling Event Review Pro 3.5

You can install Event Review Pro 3.5 as a new installation or as an upgrade to Event Review Pro 3.0 or Event Review Pro 3.1.

• You cannot install Event Review Pro 3.5 on a computer that has Event Review Pro 3.5 or Review Express Connect 3.5.

• The installation requires Microsoft Internet Explorer 6 or higher.

• You must have Windows Administrator privileges on the PC to upgrade Event Review. To confirm that you have Administrator privileges, check with your technical support department or go to Microsoft Windows online Help for your operating system.

• If you need to send cases using email, configure Microsoft Outlook or another MAPI-compliant email client.

• For full details about hardware and software requirements, see System Requirements on page 73.


• Downloading the Update on page 75 guides you through downloading and installing the update.

• Installing from the CD on page 76, guides you through using the CD to install Event Review Pro 3.5.

• Registering Event Review on page 77 explains the License Manager and the registration requirements.

• Uninstalling on page 78 explains how to remove Event Review from your computer.

NOTE Event Review Pro 3.5 removes the previous application from your computer. It does not remove the database. Do not run Event Review Pro 3.5 and the older application on the same computer.

Downloading the UpdateBefore you install Event Review Pro 3.5, make sure that you have Windows Administrator privileges on the PC.

75

C Installing Event Review Pro 3.5 Installing from the CD

To download the update

1 Open the application you want to upgrade.

2 On the Help menu, click Check For Updates. Event Review connects to the web site.

3 Click Show Updates. The web site displays a list of available updates.

4 Click the Get Update button for Event Review Pro 3.5.

5 Click the Download button. Note the name and location of the download.

6 When the file finishes downloading, close the Update Service window.

7 Close the older application.

To install the update

1 Navigate to the directory where you saved the file.

2 Double-click the downloaded file.

3 Read the on-screen messages and follow the instructions.

Installing from the CDTo install from the CD, you do not need to have Event Review installed on your computer.

To install from the CD

1 Close all currently running programs, including virus checkers.

2 Insert the CD into the drive. Installation should start automatically. If it doesn’t start automatically, use Internet Explorer to browse the CD. Double-click Setup.exe.

3 Read the on-screen messages and follow the instructions.

Starting Event Review Pro 3.5Event Review Pro 3.5 does not place an icon on the desktop. To start Event Review, use the shortcut on the Start menu.

To start Event Review

1 Open the Start menu by clicking the Windows Start button.

2 Point to Programs (All Programs on Windows XP).

3 Point to Event Review Pro 3.5.

4 Click Event Review.

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Registering Event Review C Installing Event Review Pro 3.5

Registering Event ReviewIf you did not register your previous version of Event Review, you need to register the upgrade. Event Review stops working if you do not register within 30 days of installation. Registering your copy helps Philips Medical Systems to provide you with accurate and up-to-date information and software updates.

Until you register Event Review, you will see the License Manager each time the application starts. The License Manager keeps track of how long you have before the unregistered product stops working.

You can register Event Review by telephone or on the internet using the Event Review Registration window. The easiest and fastest method is to register on the internet. Either way, you will receive the registration key by email.

To register on the internet

1 Connect to the internet.

2 Start Event Review.

3 When the License Manager appears, click I would like to register now.

4 Click Next. Event Review displays the Registration window.

5 Click Register online at our web site.

6 Event Review connects you to the Software Registration web site.

7 Complete the registration form, and then click Submit.

To register by telephone

Call either of the following numbers and tell the operator that you want to register Event Review.

• In the United States: 800.263.3342.

• Outside the United States: +1.206.664.7745.

Entering the Registration KeyWhen you receive the registration key, type the key into the License Manager.

To enter the registration key


2 When the License Manager appears, click I would like to register now.

3 Click Next. Event Review displays the Registration window.

4 Type the Registration Key in Enter your key.

5 Click Next. Event Review displays a verification message.

6 Click OK. Event Review displays a confirmation window.

7 Click Finish.

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C Installing Event Review Pro 3.5 Uninstalling

Using the Unregistered ProductYou can use the unregistered product for 30 days from the date of installation. Event Review stops working if you do not register within 30 days of installation.

To use Event Review without registering


2 When the License Manager appears, click I would like to register this product later. The Next button changes to Finish.

3 Click Finish. Event Review displays the Welcome window.

UninstallingIf you need to remove Event Review, use Add/Remove Programs in the Windows Control Panel. The removal process will not remove the Event Review database or saved cases. If you want to remove these, you must do so manually.

CompatibilityIf you import cases from the following applications, the import process includes all the data, the ECG, and any available audio.

• CodeRunner Web Express 2.1, 2.2, and 2.3

• Event Review 3.1, 3.2, and 3.5

• Review Express Connect 1.0

• Review Express 3.0 and 3.1

• Event Review Pro 3.0, 3.1, and 3.5

If you import cases from the following applications, you may lose some information. These applications collect information that Event Review Pro 3.5 does not track. If you are concerned about this, please contact Customer Support at 800.263.3342, or outside the United States, call +1.206.664.7745.

• CodeRunner Web 2.1 and 2.3

• Event Review Pro 2.3

• Event Review 3.0: Import brings in all the data, ECG, the events, and available audio. Event Review Pro 3.5 does not have Comments fields in the Case window (now called the General window) or the Follow-up window. Event Review Pro 3.5 stores comments from the Case window as an attachment. It displays them in the Attachments window. Event Review names the file Case notes from import.rtf. Event Review Pro 3.5 adds comments from the Follow-up window that are less than 250 characters to the Review tab. It adds comments greater than 250 characters as an attachment. It displays them in the Attachments window. Event Review names the file Review notes from import.rtf.

• CodeRunner 1.3: If you import cases from CodeRunner 1.3 the import process includes only the ECG; however, you can import these files into one of the other CodeRunner applications.

78

D

DWorking with Devices

Most of the defibrillators that Event Review supports store data on data cards (also called memory cards). You need a card reader to read this information. If you need help choosing a card reader, use the Card Reader Selector in online help. The Card Reader Selector is available from a link in the Welcome window. It has illustrations of the various data cards and their associated defibrillators. It can help you recognize the data cards and choose the appropriate card reader.

The exceptions to defibrillators that use data cards are the HeartStart HS1 family of defibrillators and the FRx Defibrillator. The HS1 family of defibrillators includes HeartStart Home, HeartStart OnSite, and Laerdal HeartStart Defibrillators. For help reading data on an HS1 or FRx Defibrillator, see Working with Infrared Connections on page 84.

Event Review Pro 3.5 supports reading information from the following defibrillators:

NOTE The label on earlier models of supported defibrillators may say Heartstream, Hewlett-Packard, or Agilent Technologies. Event Review and Event Review Pro documentation use HS1 or HS1 family of defibrillators to refer to HeartStart Home, HeartStart OnSite, and Laerdal HeartStart Defibrillators.

Philips Laerdal

ForeRunner Heartstart FR

FR2 Series Heartstart FR2 series

XL, XLT, and 4000 Heartstart 4000

MRx Monitor/Defibrillator Laerdal 3000 and 911

HeartStart Home and HeartStart OnSite Defibrillators

Laerdal HeartStart Defibrillator

HeartStart FRx Defibrillator Laerdal HeartStart FRx Defibrillator

79

D Working with Devices Reading ForeRunner Cards

Reading ForeRunner CardsYou can read ForeRunner data cards in most laptop PC Card (PCMCIA) reader slots. You may need an additional card reader to read a ForeRunner card on a desktop computer. The kind of card reader you need depends upon the type of bus the computer uses. If you are unsure, contact your technical support department. Following is a recommendation for a card reader and the internet address for the product.

Computers equipped with PCI bus

To insert a ForeRunner card into a PC Card (PCMCIA) reader

1 Follow the instructions from the manufacturer for removing the card from the defibrillator.

2 One end of the card has a series of perforations. The other end of the card has a tag to make removal easy.

3 Insert the perforated end firmly into the card reader. Typically, the computer sounds an audio signal to indicate that the reader is active.

Reading FR2 Series CardsThese defibrillators store information on a compact flash card. You can read these cards in a compact flash card reader or, with an adapter, in an ATA flash card reader or a PC Card (PCMCIA) reader. If the computer is not equipped with an appropriate reader, you can add an external or internal card reader. The external card reader plugs into the USB port or parallel port (printer port).

CAUTION The FR2 series of defibrillators can use adult defibrillation pads or infant/child reduced-energy defibrillation pads. When a user connects the FR2 to an infant/child reduced-energy defibrillation pads, the FR2 delivers a reduced-energy defibrillation shock of 50 joules (nominal). In Event Review, the Attach ECG window has two choices for the FR2 series of defibrillators, one for adult pads (labeled FR2 Series), and one for infant/child reduced-energy pads (labeled FR2 Series Peds). Use the FR2 Series Peds option to read the card for an infant/child case. This option adjusts the impedance readings.If you have any doubt about which pads the responder used, contact the responder.

If you need to add a reader, see the following recommendations.

Type Recommendation Web site

Internal Actiontec PC-750 http://www.actiontecstore.com*

*Choose Other products/Accessories. You can then choose PC-750 and add it to your cart.


USB port Kingston FCR-HS26/1 http://www.kingston.com

80

Reading MRx Cards D Working with Devices

To read a data card with an adapter

1 One end of the data card has a series of perforations. This end goes into the adapter.

2 One end of the adapter has the same series of perforations. This end of the adapter goes into the PC Card (PCMCIA) reader.

3 Insert the adapter firmly into the card reader. Typically, the computer sounds an audio signal to indicate that the reader is active.

4 Check in Windows Explorer to see that the card was recognized. When Windows recognizes the card, it assigns a drive letter to the card.

NOTE If the card does not appear in Windows Explorer, Event Review will not be able to read the card. Try removing the card and inserting it into the card reader again.

To read a data card without an adapter

1 One end of the data card has a series of perforations. This end goes into the card reader. Insert the card firmly into the card reader.


Reading MRx CardsThe Monitor/desfibrilador MRx stores information on an internal drive. To open the information in Event Review, you need to transfer the information from the internal drive to a compact flash card. Follow the instructions in the Monitor/desfibrilador MRx Owner’s Manual.

After you transfer the information to a compact flash card, you can read these cards in a compact flash card reader or, with an adapter, in an ATA flash card reader or a PCMCIA card reader. If the computer is not equipped with an appropriate reader, you can add an external or internal card reader. The external card reader plugs into the desktop parallel port (printer port) or the USB port. If you need to add a reader, see the following recommendations.

An FR2 card being inserted into a Kingston card reader

An FR2 card being inserted into an adapter


USB port Kingston FCR-HS26/1 http://www.kingston.com

81

D Working with Devices Reading MRx Cards

Any adapter that Windows Explorer recognizes as a Removable Disk is acceptable. Check in Windows Explorer to see that the card was recognized. When Windows recognizes the card, it assigns a drive letter to the card.


To read a card with an adapter

1 Remove the data card from the MRx Monitor/Defibrillator data card tray.

2 One end of the data card has a series of perforations. This end goes into the adapter.

3 One end of the adapter has the same series of perforations. This end of the adapter goes into the PC Card (PCMCIA) reader.

4 Insert the adapter firmly into the card reader. Typically, the computer sounds an audio signal to indicate that the reader is active.


To read a card without an adapter

1 Remove the data card from the MRx Monitor/Defibrillator data card tray.

2 One end of the data card has a series of perforations. This end goes into the card reader. Insert the card firmly into the reader.


An MRx card being inserted into a Kingston card reader

An MRx card being inserted into an adapter

82

Reading XL, XLT, and 4000 Cards D Working with Devices

Reading XL, XLT, and 4000 CardsThese defibrillators store information on an ATA flash card. Please read the documentation for the defibrillator to learn how to remove the card from the defibrillator.

You can read these cards in an ATA flash card reader or a PC Card (PCMCIA) reader. If the computer is not equipped with an appropriate reader, you can add one as an external or internal device. The external device plugs into the desktop parallel port (printer port) or USB port.

To read the card

1 Insert a XL/XLT or 4000 card into a card reader. One end of the card has a series of perforations. This end goes into the reader. Insert the card firmly into the reader.



Recommended readers

Reading MCM CardsThe Laerdal Heartstart 3000 and 911 store information on an MCM card. You can read MCM information cards in most laptop PC slots. An additional card reader may be required to read an MCM card on a desktop computer. The kind of card you need depends upon the type of bus the computer uses. If you are unsure, contact your technical support department. Following are recommendations for card readers and the internet address for each product.

Computers equipped with PCI bus

To insert an MCM card into a PC Card (PCMCIA) reader

1 Follow the manufacturer’s instructions for removing the card from the defibrillator.

2 Insert the MCM card into the MCM2PC adapter. One end of the adapter has a series of perforations. This end goes into the card reader. Typically, the computer sounds an audio signal to indicate that the reader is active.


USB port Kingston FCR-HS2/ATA http://www.kingston.com


Internal Actiontec PC-750 http://www.actiontecstore.com*

*Choose Other products/Accessories. You can then choose PC-750 and add it to your cart.

83

D Working with Devices Working with Infrared Connections

Working with Infrared ConnectionsThe HS1 family of defibrillators and the FRx Defibrillator use an infrared (IR) communications port to transfer information. The infrared port is located on the lower right side of the defibrillator. To transfer information, the receiving computer must be set up for infrared communication.

Many computers have infrared ports. However, some of these ports do not work with the infrared port on the defibrillator. If the computer does not have an infrared port or the port does not work with the defibrillator, you can add an infrared adapter. You have a choice between an infrared adapter that connects to a USB port or one that connect to a serial port. The USB adapter is the recommended adapter.

Installing an Infrared DeviceEvent Review Pro 3.5 was tested with ACTiSYS adapters. For best results, use the ACT-IR4000U and follow the manufacturer’s instructions. Following are some additional tips to help with the installation.

• Read the instructions that came with the driver.

• Run the driver setup program so the Windows operating systems can use the driver.

• After you install the device driver, connect the infrared adapter to the computer.

• The New Hardware Wizard will appear and guide you through setting up the adapter.

Understanding Voice and System MessagesDefibrillator Voice Messages

Several places in the Event Review instructions tell you to ignore the defibrillator voice message that says Insert the pads cartridge (for HS1) or No connector installed. Plug in pads connector (for FRx). Philips Medical Systems designed these defibrillators to ensure that they are always ready for use in an emergency. If you remove the HS1 pads cartridge or the FRx pads connector, the defibrillator is not available for defibrillation. The message is there to ensure that you are aware of its current state. When the defibrillator enters administration mode, the message stops.

Remember to insert the HS1 pads cartridge or plug in the FRx pads connector when you finish transferring information. This will ensure that the defibrillator is ready for defibrillation.

System MessagesIf Windows detects an active wireless device, it starts the Windows Wireless Link. Event Review does not use this application and cannot disable it. As a result, the Windows Wireless Link may display messages. These messages do not apply to your current task. You can ignore them.

Setting up the ConnectionDownloading an ECG and self-test information from an HS1 or FRx defibrillator requires an infrared connection between Event Review and the defibrillator. To transfer information, you must put the HS1 and FRx defibrillators into administration mode. The following discussion explains how to setup each defibrillator to transfer information. The process is similar for the HS1 family of defibrillators and the FRx Defibrillator; however, there are enough differences to warrant separate sections.

Putting the HS1 in Administration Mode

If the HS1 does not receive a transmission within 30 seconds of starting administration mode, it cancels administration mode and you have to start over.

84

Working with Infrared Connections D Working with Devices



3 Remove the pads cartridge. The defibrillator voice message may tell you to insert the pads cartridge. Do NOT insert the pads cartridge. See Defibrillator Voice Messages on page 84 for details.

4 Set up the defibrillator to communicate with the computer. Make sure that the defibrillator infrared port and the computer infrared port face each other, are within 2 feet of each other, and have a clear path between them.


6 Release the button. The defibrillator voice message will say Administration.

7 Briefly press the blue button one more time. The defibrillator voice message will say Mode 1.

You can now send and receive information between the defibrillator and the computer.

Putting the FRx Defibrillator in Administration Mode

If the FRx does not receive a transmission within 3 minutes of starting administration mode, it cancels administration mode and you have to start over.

1 Make sure the battery is in the defibrillator.

2 Remove the pads connector. The defibrillator voice message may tell you to plug in the pads connector. Do NOT plug in the pads connector See Defibrillator Voice Messages on page 84 for details.

3 Set up the FRx Defibrillator to communicate with the computer. Make sure that the defibrillator infrared port and the computer infrared port face each other, are within 2 feet of each other, and they have clear path between them.

4 On the defibrillator, press and hold the blue button for three tones. (The FRx sounds a tone once in about two seconds after pressing the button. In about two more seconds, it sounds a tone two more times.)

5 Release the button. The defibrillator voice message will announce Administration.

You can now send and receive information between the defibrillator and the computer.

85

D Working with Devices Working with Infrared Connections

86

E

EManaging the Database

Event Review Pro 3.5 stores information in the Microsoft SQL Server 2000 Desktop Engine (MSDE 2000), a data engine built on SQL Server technology. This is the free Microsoft SQL Server. It limits the database size to 2 gigabytes. The full version of Microsoft SQL Server does not have this limitation. You can purchase and install the full version.

The Event Review database is low-maintenance compared to many other databases. Nonetheless, attention to routine maintenance tasks will help to ensure database integrity. It is the database administrator’s responsibility to set up appropriate database management tools and to check that they execute successfully.

Back up the Event Review database on a regular basis (preferably every day) to tape or some other medium. Disaster recovery experts recommend that you store the backup tapes somewhere safe, so that disasters such as fire or theft cannot harm them. Without a recent backup, you have no chance of recovery after a catastrophe (disk failure, fire, mistakenly dropping a critical table, etc.).

CAUTION Event Review does not backup your database. Maintaining proper backups is the database administrator’s responsibility.

For help setting up a remote database, see Using a Remote Database.

Using a Remote DatabaseThe default installation places the Event Review Pro database on the same PC as the application. You can choose to install it on a server. The advantage of this is that all cases are available to any Event Review Pro user. You can delegate the administration and backup to the IT department. The disadvantage is that Event Review Pro cannot run if the database is not available.

The remote database may be either Microsoft SQL Server (Standard or Enterprise Editions) or the freely available MSDE2000. Event Review Pro includes the MSDE2000 database. MSDE2000 is limited to a maximum size of 2 gigabytes. For typical users storing audio with their ECGs, this is approximately 1,000 cases. Actual limits vary depending on the length of captured ECGs and whether or not the file includes audio.

Using MSDE2000 as the Remote DatabaseFor users wishing to use the free edition, installation is straightforward. Install Event Review Pro on the server and on every workstation, and then configure each workstation to use the server database.

87

E Managing the Database Using SQL Server as the Remote Database

To configure the workstations

1 Open Windows Explorer.

2 Follow the install path (by default, this is C:\Program Files|Philips\Heartstart|Event Review Suite 3.5).

3 From a command line, run DBConfigTool.exe. DBConfigTool displays the Data Link Properties window.

4 Use the down arrow to display a list of all available SQL Servers on the network.

5 Choose the desired server. The named instance will be ServerNameERPRO35, where ServerName is the name of the computer server. Do not change the user name or password.

6 Choose ERPRO35.

7 Click the Test Connection button.

8 Choose OK.

9 Run Event Review Pro.

10 On the Help menu, choose About.

11 Confirm that you are attached to the Server database.

For help setting up SQL Server, see Using SQL Server as the Remote Database

Using SQL Server as the Remote DatabaseBecause the process for setting up SQL Server is slightly different if this is a new installation or if you are upgrading from Event Review Pro 3.1, this document has two sections: Setting up a New Installation and Setting up an Up Grade Installation. The Prerequisites are the same for both installations.

Prerequisite1 Install Event Review Pro on the workstations ONLY. Do not install it on the server.

2 Before installing SQL Server, read the remaining steps.

3 Make note of the system admin password for the “sa” user.

4 Make note of the “named instance” for the server. The named instance can be anything, but we recommend creating a named instance that is recognizable, such as HeartStart. The named instance always uses the computer name. For a server named SERVE89, the named instance becomes SERVE89\HeartStart. Note: it is possible to install SQL Server without a named instance. In this case, only the computer name is required. See Microsoft SQL Server documentation for more information.

5 Install SQL Server by following Microsoft documentation.

88

Using SQL Server as the Remote Database E Managing the Database

Setting up a New InstallationTo setup the database

1 Go to any workstation where you have installed Event Review Pro.

2 Open a CMD console.

3 Change to the following directory: C:\Program Files\Philips\HeartStart\Event Review Suite 3.5\MSSQL\Create Database Pro

4 Enter the following command: Create.cmd SA_PASSWORD SERVER\INSTANCE_NAME DB_NAME For example: Create.cmd abracadabra MyServer\HeartStart ERPPRO35 (Note: You can give the database any name you want. ERPRO35 is only a suggestion.) or Create.cmd openSesame Alpha\EventReviewPro ERPRO

5 Change directories to the installation directory. The default installation directory is C:\ Program Files\Philips\HeartStart\Event Review Suite 3.5.

6 Run the DBConfigTool.exe program and use it to point to the server database.



2 Follow the install path (by default, this is C:\Program Files|Philips\Heartstart|Event Review Suite 3.5)

3 Run the program DBConfigTool.exe. DBConfigTool displays the Data Link Properties window.

4 Use the down arrow to display a list of all SQL Servers on the network.

5 Choose the desired server. The named instance will be ServerNameERPRO35, where ServerName is the name of the computer server. Do not change the user name or password.

6 Choose ERPRO35.

7 Click Test Connection.

8 Choose OK.




Setting up an Up Grade InstallationTo setup the database

1 Go to any workstation where you have installed Event Review Pro.

2 Open a CMD console.

3 Change to the following directory: C:\Program Files\Philips\HeartStart\Event Review Suite 3.5\MSSQL\Migrate From Pro 3.1

89

E Managing the Database Using SQL Server as the Remote Database

4 Enter the following command: Migrate.cmd SOURCE SERVER\INSTANCE_NAME SOURCE DB_NAME SOURCE SA_PASSWORD TARGET SERVER\INSTANCE_NAME TARGET DB_NAME TARGET SA_PASSWORD For example: Migrate.cmdERPRO-2K\EVENTREVIEWPRO ERPRO31 eventreview ERPRO-2K\EVENTREVIEWPRO ERPRO35 eventreview

5 Change directories to the installation directory. The default installation directory is C:\ Program Files\Philips\HeartStart\Event Review Suite 3.5.

6 Run the DBConfigTool.exe program and use it to point to the server database.



2 Follow the install path (by default, this is C:\Program Files|Philips\Heartstart|Event Review Suite 3.5)

3 Run the program DBConfigTool.exe. DBConfigTool displays the Data Link Properties window.

4 Use the down arrow to display a list of all SQL Servers on the network.

5 Choose the desired server. The named instance will be ServerName\ERPRO35, where ServerName is the name of the computer server. Do not change the user name or password.

6 Choose ERPRO35.

7 Click the Test Connection button.

8 Choose OK.




90

F

FCPC and OPC

CPC is the abbreviation for Cerebral Performance Categories*. OPC is the abbreviation for Overall Performance Categories. The Follow-up window uses these categories. These two scores are the recommended guidelines for uniform reporting of information from out-of-hospital cardiac arrest in the Utstein-style templates. Following is a detailed explanation of the scores for each category.

Cerebral Performance Categories

Overall Performance Categories

Score Description

1 Good cerebral performance: Conscious: Alert, able to work and lead a normal life. May have minor psychological or neurological deficits (mild dysphasia, non-incapacitating hemiparesis, or minor cranial nerve abnormalities).

2 Moderate cerebral disability: Conscious. Sufficient cerebral function for part-time work in sheltered environment or independent activities of daily life (dressing, traveling by public transportation, and preparing food). May have hemiplegia, seizures, ataxia, dysarthria, dysphasia, or permanent memory or mental changes.

3 Severe cerebral disability: Conscious. Dependent on others for daily support because of impaired brain function (in an institute or at home with exceptional family effort). At least limited cognition; includes a wide range of cerebral abnormalities from ambulatory with severe memory disturbance or dementia precluding independent existence to paralytic and able to communicate only with eyes, as in locked-in syndrome.

4 Coma, vegetative state: Not conscious. Unaware of surroundings, no cognition. No verbal or psychological interactions with environment.

5 Death: Certified brain dead by traditional criteria.

Score Description

1 Good overall performance: Healthy, alert, capable of normal life. Good cerebral performance (CPC1) plus no or only mild functional disability from noncerebral organ system abnormalities.

2 Moderate overall disability: Conscious. Moderate cerebral disability alone (CPC2) or moderate disability from noncerebral system dysfunction alone or both. Performs independent activities of daily life (dressing, traveling, and food preparation). May be able to work part-time in sheltered environment but disabled for competitive work.

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F CPC and OPC

*Cummins RO, Chamberlain DA, Abramson NS, et al. AHA Medical/Scientific Statement - Recommended guidelines for uniform reporting of information from out-of-hospital cardiac arrest: the Utstein style. Circulation 1991;84:960-975.

3 Severe overall disability: Conscious. Severe cerebral disability alone (CPC3) or severe disability from noncerebral organ system dysfunction alone or both. Dependent on others for daily support.

4 Coma, vegetative state: Not conscious. Unaware of surroundings, no cognition. No verbal or psychological interactions with environment.

5 Death: Certified brain dead by traditional criteria.

Score Description (Continuación)

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G

GGlasgow Coma Score

The Glasgow Coma Score (GCS) is a score given to head trauma victims based on examination of verbal output, eye opening, and motor (movement) responses to different modalities and intensity of stimulation. You give each of these three attributes a score, and then you total the three scores.

The choices in the Total GCS field are:

0 (3) (Total up to 3)1 (4-5) (Total from 4 to 5)2 (6-8) (Total from 6 to 8)3 (9-12)(Total from 9 to 12)4 (13-15)(Total from 13 to 15)

Verbal output Eye opening Motor (movement) responses

Score Finding Score Finding Score Finding

6 Obeys commands

patient follows commands

5 Oriented

normal, fluent, appropriate speech

5 Purposeful

patient locates pain on his body

4 Confused

confused but fluent speech

4 Spontaneous

eyes open without stimulation

4 Withdraw from pain

patient pulls away from pain

3 Inappropriate

mumbling, occasional word recognizable

3 To voice

eye opening to loud noise

3 Flexion to pain

patient flexor postures

2 Incomprehensible

vocalizations but not verbalizations (no words)

2 To pain

eye opening to pain only

2 Extension to pain

patient extensor postures

1 None

no vocalization or verbalization

1 None

no eye opening

1 None

no motor response

119

G Glasgow Coma Score

120

G

GGlossary

A

Administration mode Administration mode is a setting on the FRx that allows the FRx to send and receive information.

AED For Automated External Defibrillator. A defibrillator that automatically performs rhythm analysis of the patient’s surface electrocardiogram.

Archive To store or save information.Attach ECG Reading or downloading an ECG from a defibrillator, defibrillator data card, or by

opening an ECG file.

B

Bystander CPR The attempt to perform basic CPR by someone who is not part of an organized emergency response system. Typically, this person witnessed the arrest. In certain situations, physicians, nurses, and paramedics may perform bystander CPR.

C

Card reader Hardware that reads information from a data card.Case All information relating to a specific cardiac emergency. This includes information

recorded by supported defibrillators as well as information entered by a user.Case details All the information entered into Event Review about one emergency response. The

defibrillator supplies some of the details. Event Review users supply the remainder.Case Editor A tool in the Case Manager group on the navigation bar. The Case Editor allows you to

capture information about a case.Case ID A unique identifier for a case. The Case ID assigned by Event Review is the current

date and time. You can change it. The field accepts numbers or letters up to 25 characters. It must be unique.

Case Viewer A tool in the Case Manager group on the navigation bar.

The Case Viewer lists all cases saved to the database. It identifies each case by Case ID, Date, Time, Patient ID, Last name, and First name. This allows you to search for cases based on a variety of values. You can use Case Viewer to open and delete cases.

cod file The common name for the file format used by the Event Review family of products and CodeRunner version 2.x. It refers to the extension added to files.

COD or cod The generic term for files created by the Event Review family of products and CodeRunner version 2.x.

CPC For Cerebral Performance Categories. See CPC and OPC on page 89.

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G Glossary

CPR For Cardiopulmonary Resuscitation. A technique for providing artificial respiration and heart compressions to maintain life in a victim of Sudden Cardiac Arrest (SCA).

D

Data card A computer storage device used for recording and storing information. Some HeartStart defibrillators use data cards to record ECG and audio information.

Decryption The use of a required password to open an encrypted file.Defibrillator event Information received from a defibrillator. Examples are alarms, shocks, measurements,

and error conditions.Detach ECG Removing an ECG from a case.Device A generic term in Event Review used for defibrillators and data cards.Device on The date and time the responder turned on the defibrillator.Device Viewer A tool in the Maintenance Manager tool group on the navigation bar.

The Device Viewer identifies each device by the device serial number, manufacture date, device type, and model information. Use the Device Viewer to see a list of all devices associated with defibrillator self-tests.

E

ECZ The file extension for HS1 and FRx patient data files. These are the file extensions from Hotsync.

Elapsed time The time since the responder turned on the defibrillator. EMS For Emergency Medical Services.Encryption The Event Review feature that sets a password for exported Event Review files.

Encryption ensures privacy by making the attachment unreadable to anyone other than the intended recipient.

ERC The extension added to a CodeRunner 1.3 ECG file. An ERC file can contain and ECG and audio.

Event Log A window in the Case Editor.

The Event Log is a tabular view of all defibrillator events and user notes for the current case. The Event Log identifies each event by Event type, Event sub-category, Date, and Time. You can use the Event Log to organize case information for analysis or to display the event in the ECG window.

Event tree The hierarchical view of defibrillator events and user notes associated with a specific case. It appears to the left of the ECG in the ECG window.

Event Viewer A tool in the Case Manager tool group on the navigation bar.

The Event Viewer lists all defibrillator events and user notes for all cases saved to the database. It identifies each event by Event type, Date, Time, and Case ID. Use the Event Viewer to open a case based on an event. The Event Viewer is a convenient way to group and filter cases for analysis.

Export Saving an ECG and its associated information as a file outside the database. This is typically done to share a case with other Event Review users or to back up information. Event Review gives these files an extension of cod. Exporting does not update the database information; however, you can save and export the same case.

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G Glossary

H

HS1 HS1 family

Event Review and Event Review Pro documentation use HS1 or HS1 family of defibrillators to refer to HeartStart Home, HeartStart OnSite, and Laerdal HeartStart Defibrillators.

I

Import Opening an ECG file that is not stored in the database. These are files created by Event Review or another application, such as Event Review Pro 3.5, CodeRunner, CodeRunner Web, or CodeRunner Web Express.

INC The extension added to a CodeRunner 1.3 exported case file. An INC file can contain case information and an ECG, audio and annotations.

M

MCM For Medical Control Module. The MCM is a storage device used by some Laerdal defibrillators. Use the MCM2PC adapter to read an MCM card in a PC Card (PCMCIA) Reader.

Mode 1 A setting on the HS1 that allows it to send and receive information.

O

OPC For Overall Performance Categories. See CPC and OPC on page 89.

P

Patient ID Identifier for the patient referenced in the case.PEA For Pulseless Electrical Activity.Permissions Indicates access to specific tool groups in Event Review. The Event Review

administrator assigns permissions to the users.

R

ROSC For Return of Spontaneous Circulation.

S

Save Adding the ECG and its associated details to the Event Review database.Serial number Serial number of the defibrillator used during the response. Event Review reads the

serial number from the defibrillator.S01 The file extension added to FR2 Series, XL, XLT, and Laerdal 4000 cases.Sweep bar The vertical line on an ECG strip that marks the playback or event location.System Log System Log is in the System Manager tool group on the navigation bar.

The System Log lists all monitored Event Review activity. Use the System Log to review Event Review usage.

T

Tool group The tool groups are on the navigation bar in the left pane of the Event Review window. They are always visible. The tool group contains groups of tools based on tasks. To use a tool, click the tool name.

U

User account A record of user name, logon password, and permissions for each Event Review User.User note Comments added to the case by a user. User notes are also called annotations.User permissions Indicates access to specific tool groups in Event Review. The Event Review

administrator assigns permissions to the users.

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G Glossary

User Viewer A tool in the System Manager tool group on the navigation bar.

The User Viewer lists all Event Review User Accounts. It identifies each record by User ID, First name, Last name, and Organization. Use the User Viewer to delete an account or open an account for modification

V

Viewers Viewers give you access to information stored in Event Review. They provide the ability to open and delete records. They include Case Viewer, Event Viewer, Event Log, Device Viewer, User Viewer, Report Viewer, and System Log.

W

Wizard A software feature that guides the user through a task. Event Review has two wizards:

Case Wizard, which guides the user through reading an ECG from a data card and setting up a case.

Device Wizard, which guides the user through downloading test information from a defibrillator.

Workspace The right pane of the Event Review window. It displays the active window for entering and viewing information.

X

XML The extension for an MRx Index file.

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I Index

A

AED See DefibrillatorsAttach ECG

Case Editor 12Case Wizard 8detaching 16multiple ECGs 15

Attachments window 49

Audio, playing 46

C

Card readers 99–103

Case Editor 12–18

Case Manager 3creating cases 7tools 55

Case Reports 51Report Generator 86

Case Viewer 55

Case Wizard 8–12Attach ECG 8case summary 11closing 12emailing 12exporting 11menu 8printing 11saving 11starting 8

Casesadding details 20creating 12deleting 55editing 20exporting 17importing 16managing 55saving 17

Cerebral Performance Categories 111

Clock, synchronizing 17

Compatibilityof applications 98of defibrillators 7

Condition window 25–28

Configuration Manager 4, 67–83

CPC See Cerebral Performance CategoriesCustom

lists 20reports 88

Customer Support 91

D

Data cardserasing 18ForeRunner 100FR2 series 100Heartstart 3000/911 103MCM 103MRx 101reading 12XL and XLT 103

Data cards See Card readersDatabase

managing 107MSDE2000 107remote 107SQL Server 108upgrading 109

Decryption 52

Defibrillatorsaudio 46data 22managing 59–61supported 7

Detaching ECGs 16

Device See DefibrillatorsDevice Viewer 60

Device Wizard 59

E

ECG window 45–49

ECGsdeleting 16detaching 16event details 46events

finding 46magnifying 46multiple 15

Emailingusing Case Editor 53using Case Wizard 12

Encryption 52

Erasing data cards 18

Event details

Event Log 49Event Viewer 55

Event Log 49

Event Reviewstarting 1uninstalling 98

Event treesymbols 47using 47

Event Viewer 55

Eventsdetails 46finding 46monitoring 65

Exporting casesCase Editor 17Case Wizard 11

Exporting reports 88

F

FieldsAdmitted ICU 38

Time 30Admitted to ED 37Admitted to ICU/Ward 38Airway management 32ALS arrival 30ALS unit notified 30ALS vehicle mobile 30BLS arrival 30BLS EMS CPR 30BLS unit notified 30BLS vehicle mobile, time 30BP (Blood Pressure)

Outcome 37Treatment 34

Breathing labored 34Bystander CPR

Condition 27Times 30

CPC 38CPR

stopped 30CPR provider 28Custom time user note 30Defibrillator serial number 23Defibrillator type 23Discharged 38Dispatch assisted AED/CPR 28

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Drugs administered 33Efforts ceased 35Estimated collapse 30Final status at scene 35Glasgow Coma Score, recording 36Hospital discharge 30HR (Heart Rate)

Outcome 37Treatments 34

Initial rhythm 26intubation 33IV access 33Location of collapse 23Motor response 34OPC 38Patient

age 24date of birth 24gender 24height 24ID 23name 23race 24weight 24

Patient death 39Times 30

Pulse 33Pupil response 34Receiving hospital 35Respiration

rate 34spontaneous 34

Responder 42Responder data 42Reviewer details 44ROSC

Outcome window 35Times window 30Treatments window 34

Shocks delivered 23Site of collapse 23Skin condition 34Status on arrival at ED 36Transfer care to hospital

Outcome 35Times 30

Transported by 35Verbal response 34VF, termination 34Witnessed by 27

File encryption 52

Filtersadding 57removing 57

Follow-up window 38–40

ForeRunner data cards 100

FR2 seriesdata cards 100

infant/child reduced-energy defibrillation pads 100

FRxAdministration mode 105setting up to communicate 104

FRx 2000configuring 72–73

FRx 2005configuring 80–82

G

General window 22–24

Glasgow Coma Score 113

Grouping records 56

H

Hardware requirements 93

Heartstart 3000/911 data cards 103

HS1administration mode 104definition 7setting up to communicate 104

HS1 2000configuring 68–71

HS1 2005configuring 76–79

I

Importing 16custom reports 88

Infrared devicesFRx 104HS1 104installing 104setting up connection 104system messages 104using 104voice messages 104

L

License Manager 97

Logging on 2Logon requirements 64

M

Maintenance Manager 4, 59–61

Managing users 63

MCM data cards 103

Menusshortcut 5

Monitoringevents 65System Log 65

MRx data cards 101

O

Online Help 5Outcome window 35–37

Overall Performance Categories 111Follow-up window 38

P

Passwordsencryption 52user 2, 64

PrintingCase Details 51Case Wizard 11ECG 51Events 51reports 86

PST See Self-tests

R

Registration key 97

Report Generator 88Case Report 86exporting reports 88printing 86Utstein and System Reports 86

Report Manager 85–89

Report Viewer 85

Reportscustom 88exporting 88opening saved 89saving 88

Response window 41–43

Review window 43–44

Runtime Column Customization 57

S

Savingreports 88

Saving cases 17

SecuritySystem Log 65

Setting upuser accounts 63

Shortcut menus 5Sorting records 56

Starting Event Review 1Synchronizing clock 17

System Log 65opening 66patient data access 65

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System Manager 4, 63–66

System Requirements 93

System setup 63

T

Time events 29, 31, 41, 43

Times window 29–30

Tool groupCase Manager 3Configuration Manager 4Maintenance Manager 4System Manager 4

Treatment notesCustom 34

Treatment window 31–34

Typographical conventions 6

U

User accountsdeleting 65modifying 65setting up 63, 65

User Editor 64

User ID 2assigning 64

User notes 29, 31, 41, 43, 47, 48

User Viewer 65

Usersmanaging 63monitoring 65permissions 64

Utstein and System ReportsArrest Not Witnessed 87Bystander CPR 87No Bystander CPR 87Report Generator 86System Average Response 87System Percentile Responses 87Unit Average Response 87Unit Percentile Responses 87

V

Viewers 53–55Case Viewer 55changing the view 56Device Viewer 60Event Log 49Event Viewer 55Report Viewer 85System Log 65User Viewer 65

Vital signsblood pressure 34heart rate 34motor 34

pupil 34respiration 34skin condition 34verbal 34

W

WizardsCase Wizard 8Device Wizard 59

X

XL and XLT data cards 103

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