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

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2 Notices Notices Edition 2 Part number 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 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 Boeblingen, Germany (+49) United States Philips Medical Systems 2301 Fifth Avenue, Suite 200 Seattle, WA USA (800) Canada Philips Medical Systems 281 Hillmount Road Markham, Ontario, Canada L6C 2S3 (800) Europe, Middle East, and Africa Philips Medizinsysteme Boeblingen GmbH Cardiac and Monitoring Systems Hewlett-Packard Strasse Boeblingen, Germany (+49) Latin America Philips Medical Systems 1550 Sawgrass Corporate Parkway, Suite 300 Sunrise, FL USA (954) Asia Pacific Philips electronics Hong Kong Ltd. 30th Floor, Hopewell Centre, 12, Kennedy Road, Wanchai, Hong Kong (852) 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. Rev

3 Table of Contents Table of Contents 1 Getting Started 1 Starting Event Review Logging On 2 Registering Event Review Understanding Event Review Windows 2 Using the Navigation Bar 3 Getting Help 5 Conventions Used in this Document 6 2 Creating Cases 7 Using the Case Wizard 8 Using the Case Editor 12 Using Import to Create a Case 16 Saving Cases 17 Exporting Cases 17 Synchronizing the Computer Clock 17 Erasing the Data Source 18 3 Adding Case Details 19 Opening Cases 19 Using the General Window 21 Using the Condition Window 24 Using the Times Window 26 Using the Follow-up Window 27 Using the Review Window 29 Using the ECG Window 31 Using the Event Tree 33 Using the Event Log 35 Using the Attachments Window 36 4 Using Case Information 37 Printing 37 Using Encryption 38 Using 39 Using Viewers 39 Managing Cases 41 Sorting, Grouping, and Filtering 42 ii

4 5 Managing Devices 45 Using the Device Wizard 45 Using the Device Viewer 46 6 Managing Users 49 Setting up the System 49 Using the User Editor 50 Using the User Viewer 51 Using the System Log 51 7 Using Configuration Manager 53 Configuring an HS1 Defibrillator (2000 guidelines) 54 Configuring an FRx Defibrillator (2000 guidelines) 58 Configuring an HS1 Defibrillator (2005 guidelines) 62 Configuring an FRx Defibrillator (2005 guidelines) 66 A Customer Support 71 B System Requirements 73 C Installing Event Review Downloading the Update 75 Installing from the CD 76 Starting Event Review Registering Event Review 77 Uninstalling 78 Compatibility 78 D Working with Devices 79 Reading ForeRunner Cards 80 Reading FR2 Series Cards 80 Reading MRx Cards 81 Reading XL, XLT, and 4000 Cards 83 Reading MCM Cards 83 Working with Infrared Connections 84 E Managing the Database 87 F CPC and OPC 89 G Glossary 91 Index 95 iii

5 1 1Getting Started HeartStart Event Review 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 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 3.5 Event Review 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 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

6 1 Getting Started Logging On Logging On If the system administrator enabled logon, the Logon window appears when you start Event Review. Following is an explanation for each field. Fields User ID Password Explanation 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. 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. Changing your Password Information 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 3.5 Event Review 3.5 is an upgrade to Event Review 3.2. 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 . Understanding Event Review Windows When 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. 2

7 Using the Navigation Bar 1 Getting Started A B Menus: The menus have options to access the Event Review features. 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 G Workspace: Event Review displays the active window in the workspace. When you start, this area contains the Welcome window. Status bar: Event Review displays status messages on the status bar. Using the Navigation Bar The 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. 3

8 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. 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... read or download an ECG, create a case, SEE... Using the Case Editor on page 12 or Using the Case Wizard on page 8. Using the Case Editor on page 12 or Using the Case Wizard on page 8. view an ECG, Using the ECG Window on page 31. work with an existing case, Using the Case Viewer on page 41. delete a saved case, Using the Case Viewer on page 41 a case, Using 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. 4

9 Getting Help 1 Getting Started Getting Help Online Help User Guide To take advantage of its many tools, Event Review has the following sources of 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. The 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 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. Appendices provide a glossary, information about card readers, installation, upgrading to Event Review 3.5, and help with the HS1 and FRx defibrillators. Wizards There 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 Connections Most 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. 5

10 1 Getting Started Conventions Used in this Document Conventions Used in this Document To help you identify information, this guide uses the following conventions. Conventions Used for Example Bold Menus and menu options, toolbar buttons, field names and list box names. Click Zoom in on the ECG menu. Screen messages References to field and list box names and chapter sections in general discussions. To help you distinguish voice prompts and screen messages from the general text, this guide displays these messages in this type style. The toolbar has two additional buttons: Zoom in and Zoom out. 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 CAUTION A caution alerts you to circumstances that can result in damage to the Event Review database, incorrect information, or loss of information. NOTE TIP A note calls your attention to additional information. A tip contains information that simplifies tasks, but is not necessary to their completion. 6

11 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 3.5 supports reading information from the following defibrillators: Philips Heartstream ForeRunner Heartstream/HeartStart FR2 series Laerdal Heartstart FR Heartstart FR2 series HeartStart XL and XLT Heartstart 4000 HeartStart MRx Monitor/Defibrillator Laerdal 3000 and 911 HeartStart Home, HeartStart OnSite Defibrillators HeartStart FRx Defibrillator Laerdal HeartStart Defibrillator Laerdal HeartStart FRx 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 This section includes the following topics: 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. 7

12 2 Creating Cases Using the Case Wizard Using the Case Wizard Case Wizard Options 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. 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. Wizard Option Save to Event Review Enter patient name Export to a file Print report file Open the Case Editor Results Saves the ECG and case details to the database. The first time you use the Wizard, it selects Save to Event Review. If you choose different options, the Wizard saves your selections. The next time you use the Wizard, it preselects the same options. You can always change the options. Displays fields where you can change the default Case ID, enter the Patient ID, and enter the Patient name. Saves the ECG and associated information in a cod file outside the database. Read Using Encryption on page 38 before you choose this option. Displays options for selecting and printing reports. Displays the Tool. The Wizard adds the case to an as a cod file. Opens the Case Editor so you can add more information to the case. 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 ECG 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. The following pages contain separate instructions for attaching an ECG from the following sources: Data cards HS1 and FRx defibrillators Files HS1/FRx HotSync 8

13 Using the Case Wizard 2 Creating Cases Attaching from a Data Card The 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 Defibrillator 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 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. 9

14 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. 6 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 a File When 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. 3 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 a Palm HotSync You 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 deviceclock. These applications are available at 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 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. 10

15 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 Name Saving the Case If 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 MRx Monitor/Defibrillator 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. If you selected Save to Event Review 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 File Printing a Report If 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. If 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

16 2 Creating Cases Using the Case Editor ing a File The first time you choose file on the Wizard menu, Event Review may display an profile window. You only need to complete the profile once. After you complete the profile, click OK. Event Review will display the Tool. For more information about the Tool, see Using on page 39. To use the Tool 1 On the Tool, complete the To field. You can also add a message. 2 Click Send. Event Review sends the file as an attachment. Opening the Case Editor If 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 31. Using the Case Editor If 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 ECG IF you want to... SEE... a case, Using 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 19. Before attaching an ECG, close any open cases. If you do not close an open case, Event Review attaches the ECG to the open case. 12

17 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. 3 Insert the data card into the card reader. 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 19. Attaching from an HS1 or FRx Defibrillator 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 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. 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. Before you begin, click Synchronize clock in the Attach ECG window. For more information, see Synchronizing the Computer Clock on page

18 2 Creating Cases Using the Case Editor Attaching from a File To attach an ECG from an HS1 or FRx defibrillator 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. 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 19. When 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 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. 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 19. Attaching from a Palm HotSync You can use the Palm HotSync desktop software to download ECGs from the HS1 or FRx defibrillators. 14

19 Using the Case Editor 2 Creating Cases 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. 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 deviceclock. These applications are available at the 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 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 ECGs If 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

20 2 Creating Cases Using Import to Create a Case Detaching ECGs 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 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 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 Case The 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 an imported file. 16

21 Saving Cases 2 Creating Cases Saving Cases When 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 Cases Exporting 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 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. IF you want to... change the location where you save the file, change the default file name, change the file type, THEN... open the Save in list and navigate to the new location. type a name in File name. you should not change the file type. Event Review needs the cod extension. Synchronizing the Computer Clock Before 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. 17

22 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 Source After 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 Click the device name. 4 Click Erase. Event Review displays a confirmation message. 5 Click Yes in the message box. 18

23 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 includes the following topics: Opening Cases on page 19 explains how to open a case and change information. Using Custom Lists on page 20 explains how to add and remove values from a custom list. Playing the Audio on page 32 provides help playing ECG audio. Using the Event Tree on page 33 explains how to use the event tree to find information. Using User Notes on page 34 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: Opening Cases Using the General Window on page 21 Using the Condition Window on page 24 Using the Times Window on page 26 Using the Follow-up Window on page 27 Using the Review Window on page 29 Using the ECG Window on page 31 Using the Event Log on page 35 Using the Attachments Window on page 36 You 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. 19

24 3 Adding Case Details Opening Cases 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. When you complete the changes, click Save on the toolbar. Using Custom Lists Some 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 remove button in addition to the standard down arrow. and a 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. 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. 20

25 Using the General Window 3 Adding Case Details Using the General Window Use 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 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) Date and Time (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. 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. 21

26 3 Adding Case Details Using the General Window General window (Continued) Group or Field Site of collapse Location Description You can add or remove choices. The list is: Airport EMS Unit Golf course Health club Home/Residence Hospital/Clinic Hotel Long term care facility Mass gathering/public place Restaurant/Retail Street/Highway Unknown Workplace The initial list is empty. You can create a custom list. Device Device type Serial number Shocks When you attach an ECG, the field displays the defibrillator model name. You cannot change it. When you attach an ECG, the field displays the defibrillator serial number. You cannot change it. When you attach an ECG, the field displays the total shocks for each defibrillator. You cannot change it. Patient Patient ID First name Middle name Last name Date of birth Age 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. You can type up to 50 characters. If the ECG is from an MRx Monitor/Defibrillator, this field may contain information from the MRx. You can change it. You can type up to 25 characters. You can type up to 50 characters. If the ECG is from an MRx Monitor/Defibrillator, this field may contain information from the MRx. You can change it. You can type the birth date or click the down arrow to use the calendar. This is the age at the time of the response. Type the value. If the ECG is attached from an MRx Monitor/Defibrillator, this field may contain information from the MRx. You can change it. 22

27 Using the General Window 3 Adding Case Details General window (Continued) Group or Field (Age) Units Gender Race Weight (Weight) Units Height (Height) Units Description You can add or remove choices. The list is: Months Years You can add or remove choices. The list is: Female Male Unknown If the ECG is from an MRx Monitor/Defibrillator, this field may contain information from the MRx. You can change it. You can add or remove choices. The list is: American Indian/Alaska Native Asian/Pacific Islander Black, Hispanic Black, Non-Hispanic Not Applicable Other Unknown White, Hispanic White, Non-Hispanic This is the weight at the time of the response. Type the value. You can add or remove choices. The list is: kg lb This is the height at the time of the response. Type the value. You can add or remove choices. The list is: cm in 23

28 3 Adding Case Details Using the Condition Window Using the Condition Window Use 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. Following is a description of the fields. Condition window Group or Field Description Assessment Defibrillator type Initial rhythm Return of Spontaneous Circulation (ROSC) Efforts terminated at scene You can add or remove choices. The list is: AED AED, Manual Manual None Unknown This field displays the most common rhythms as radio buttons. The radio buttons are: Ventricular fibrillation Asystole Unknown (default checked) Ventricular tachycardia Other - If you choose this field, you can choose from the following list. You can add or remove choices. AED rhythm non-shockable AED rhythm shockable Bradycardia Normal sinus rhythm PEA (Pulseless electrical activity) The choices are: Yes No Unknown (checked by default) The choices are: Yes No Unknown (checked by default) 24

29 Using the Condition Window 3 Adding Case Details Condition window (Continued) Group or Field Description Bystander Information Witnessed by Bystander CPR Provided by Dispatch assisted AED/CPR instruction The choices are: Bystander Not witnessed EMS/Healthcare Unknown The choices are: Yes No Unknown (checked by default) You can enter information if you chose Yes in Bystander CPR. You can add or remove choices. The list is: Healthcare Layperson Other Police Unknown You can choose this field if you chose Yes in Bystander CPR. The default is unchecked. 25

30 3 Adding Case Details Using the Times Window Using the Times Window Use the Times window to record events that are time-specific. Initially, Event Review disables the date and time details for each event. If you know the date and time for an event, clear the check box by clicking in the box. Event Review will enable the date and time fields. Following is an explanation of the fields: Times window Group or Field Estimated collapse Dispatch notification Arrival at patient s side Comments Estimated date and time of patient collapse. If you know the date and time, clear the check box from Estimated collapse unknown. Estimated date and time that dispatch was notified. If you know the date and time, clear the check box from Dispatch notification unknown. Estimated date and time that the responder arrived at the patient s side. If you know the date and time, clear the check box from Arrival at patient s side unknown. 26

31 Using the Follow-up Window 3 Adding Case Details Using the Follow-up Window Use the Follow-up window to enter information about the patient s 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. Following is a description of the fields. Follow-up window Group or Field Description At hospital Admitted to ICU/Ward The choices are: Yes No Unknown (checked by default). At discharge Discharged CPC (Cerebral Performance Categories) OPC (Overall Performance Categories) The choices are: Yes (Enables CPC and OPC) No Unknown (checked by default) 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 performance 2 - Moderate cerebral disability 3 - Severe cerebral disability 4 - Coma, vegetative state 5 - Death Unknown Disabled by default. Event Review enables OPC when you select Yes in Discharged. The list is: 1 - Good overall performance 2 - Moderate overall disability 3 - Severe overall disability 4 - Coma, vegetative state 5 - Death Unknown 27

32 3 Adding Case Details Using the Follow-up Window Follow-up window (Continued) Group or Field Description At one year Alive at one year CPC OPC The choices are: Yes (Enables CPC and OPC) No Unknown (checked by default) 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 performance 2 - Moderate cerebral disability 3 - Severe cerebral disability 4 - Coma, vegetative state 5 - Death Unknown Disabled by default. Event Review enables OPC when you select Yes in Alive at one year. You can add or remove choices. The list is: 1 - Good overall performance 2 - Moderate overall disability 3 - Severe overall disability 4 - Coma, vegetative state 5 - Death Unknown Patient death Patient death The choices are: Pre-hospital In ED In ICU/Ward After discharge Unknown (checked by default) 28

33 Using the Review Window 3 Adding Case Details Using the Review Window A medical director, code team leader, or operations manager can use the Review window to enter comments about the case. Event Review identifies these comments as Reviewer notes. Event Review includes them in the Events Report and displays them in the ECG window, Event Log, and Event Viewer. Recording the Date and Time of the Event Event 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. 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. Managing Reviewer Notes To add a Reviewer note 1 Click New. Event Review displays a set of fields. Event Review completes the Date and Time information. 2 To accept the default date and time, do nothing. -or - To change the date and time, click in the Date or Time field and enter new values. 3 Enter information in any or all of the displayed fields. 4 To enter comments, click in the Comment field and type your comments. The Comment filed is available only after you enter information in one of the note fields. To delete a Reviewer note 1 Click in the row you want to delete. 2 Click the Delete button located in the Review window. (Do not click Delete on the toolbar. This would delete the entire case.) Editing Comments The Comment field displays the first line of a comment. If there are no comments, the comment field is empty. To edit the Comment field 1 Click in the Comment field. 2 Change or add text as you would with any text editor. Following is a description of the fields. 29

34 3 Adding Case Details Using the Review Window Review window Field Name Comment Reviewer title Reviewer name Reviewer department Description You can enter free-form text up to 250 characters. The initial list is empty. You can create a custom list. The initial list is empty. You can create a custom list. The initial list is empty. You can create a custom list. 30

35 Using the ECG Window 3 Adding Case Details Using the ECG Window Refer to the illustration below for help identifying the parts of the ECG window. A B C D E F G H I J K L M Event tree: This view highlights Shock 1 delivered. This is the location of the sweep bar. See note E. 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. Strip Waveform 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. Event marker at sweep bar: Event markers appear as a dot on the waveform. Adjacent to the dot is an identification tag. This one is Shock 1 delivered. Event marker: This event marker is not at a sweep bar. The dotted line connects the event marker to its description. Volume control: If the device recorded audio, use the volume control bar to change the audio volume. See Playing the Audio on page 32. 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 32. 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 32. Elapsed time: The time since the device was turned on. View indicator: (Only available in Event Review Pro) If the device recorded 12-lead information, there are multiple tabs. Click on a tab to change the view. Real time: The device time the event was recorded. 31

36 3 Adding Case Details Using the ECG Window Completing Tasks After 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. IF you want to... change the size of the display, THEN... 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 33. change the location of the sweep bar, add a note to the ECG, click in a new location on the ECG. click Add Note on the toolbar. Playing the Audio Play the audio, see Playing the Audio on page 32. If 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. IF you want to... THEN... Symbol play the audio, click Play/Pause. pause the audio, go to the next event, click Play/Pause again. If you pass the cursor over the button, the Play symbol changes to Pause. click Next. 32

37 Using the Event Tree 3 Adding Case Details IF you want to... THEN... Symbol go to the previous event, click Previous. stop the audio, adjust the volume, mute the sound, click Stop. This will stop the audio and stop the sweep bar. 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%) click Audio. This allows the sweep bar to continue moving without the audio. Using the Event Tree The 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, equipment warnings, and user notes. Event Review uses the following symbols to identify event tree entries. 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. Device On: This green-symbol marks the time the device was turned on. Device Off: This red-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. 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. 33

38 3 Adding Case Details Using the Event Tree Using User Notes A 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. 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. Use the following table as a reference for help completing a task. 34

39 Using the Event Log 3 Adding Case Details IF you want to... THEN... Symbol hide the event tree, click Close on the event tree title bar. display a hidden event tree, show details of an entry in the event tree, hide the details of an entry in the event tree, move the ECG sweep bar to a specific event, expand all event tree nodes, compress all event tree nodes, click Event Tree on the ECG menu. click the expand symbol in front of an event. click the collapse symbol in front of an expanded event. click the event in the event tree. The ECG sweep bar moves to the specified event. press SHIFT + (on the numbers pad). press SHIFT - (on the numbers pad). Using the Event Log Use 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. IF you want to... open the Event Log, view an event in the ECG window, THEN... in the Case Editor, click the Event Log tab. 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, collapse all defibrillator events and user notes, print a list of events, click Expand all (at the top of the window.) click Collapse all (at the top of the window). click Print on the toolbar. Choose Events from the Print Setup window. 35

40 3 Adding Case Details Using the Attachments Window Using the Attachments Window Use 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. 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 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. 36

41 4Using Case Information 4 Printing 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 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 on page 39 explains how to use the Tool and how to a case using your regular application. Using Encryption on page 38 explains how to password-protect a case before attaching it to an 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. Use 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 Type Use 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

42 4 Using Case Information Using Encryption Continuous ECG 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. Event 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. Using Encryption 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. Encryption ensures privacy by making the file unreadable without the password. If you send case files by 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. 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. 38

43 Using 4 Using Case Information Using 3 When you finish, click OK. You can use the Tool or your application to send an ECG or an entire case to another Event Review user. Using the Tool To use the Tool, you need a correctly configured Microsoft Outlook or MAPI-compliant client. The first time you selected the Tool, Event Review may display the profile. Click Help on the 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 Tool, it adds the case file as an attachment. The Tool uses the current Case ID as the file name. The first time you send to a specific recipient, you must enter the address for the recipient (the contact list from your application is not available to this tool). The 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 Tool 1 With the case open, click on the toolbar. Event Review displays the Tool. 2 In , complete the To field. If desired, add a message. 3 Click Send. Using Your Application You need no special tools to use your standard application. You create an export file and then attach the exported file to an message. To use an 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 Open your application and create an to the recipient of your choice. 3 Attach the file created by Export. 4 Send the . Using Viewers Viewers 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. 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. 39

44 4 Using Case Information Using Viewers Case Viewer The following list is an overview of the Viewers. For specific information, see the referenced pages. 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. The Case Viewer is in the Case Manager tool group on the navigation bar. For details, see page 41. Event Log 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, 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 31. Event Viewer 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 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 Viewer User Viewer The 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. 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

45 Managing Cases 4 Using Case Information Managing Cases The Case Manager has two tools to help you manage cases. Using the Case Viewer Case Viewer lists all cases saved to the database. Event Viewer lists all defibrillator events and user notes for all cases in the database. Use 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 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 delete a case 1 On the navigation bar, click Case Viewer in the Case Manager group. 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 Viewer Use 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

46 4 Using Case Information Sorting, Grouping, and Filtering Sorting, Grouping, and Filtering Sorting Records Grouping Records All 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. To 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. You 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 Fields If 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

47 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 Filtering Records 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 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 Filters You 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

48 4 Using Case Information Sorting, Grouping, and Filtering 44

49 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. This section includes the following topics: 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 Wizard Use 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. 2 Insert the data card into the card reader. 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

50 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 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 Viewer Use 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 Outside the United States, call 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

51 Using the Device Viewer 5 Managing Devices To delete test details 1 In the Device Viewer, click the device you want to delete. 2 On the toolbar, click Delete. Event Review displays a confirmation message. 3 Click Yes. 47

52 5 Managing Devices Using the Device Viewer 48

53 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. This section includes the following topics: 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 System Following 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

54 6 Managing Users Using the User Editor Using the User Editor Event 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 Requirements The 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 User ID (Required) Password (Required) Verify password (Required) First name (Optional) Last name (Optional) Organization (Required) Set account permissions Description 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. 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. This field requires that you re-enter the password. Re-entering the password ensures that you typed the password correctly. This is the user s first name. The field accepts up to 50 characters. This is the user s last name. The field accepts up to 50 characters. This is the user s organization. The field accepts up to 50 characters. Use this group to define which permissions you want each user to have. The User Default button enables Case Manager and Maintenance Manager. The Administrator Default button enables all permissions. 50

55 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 Viewer Use 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. 3 On the toolbar, click Delete. Event Review displays a confirmation message. 4 Click Yes. Using the System Log Use 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. 51

56 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

57 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 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. 53

58 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 Make the changes to the configuration settings. For more information, see Using the Configuration Options on page 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. 54

59 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 Options The 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 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 clear path between them. 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. 55

60 7 Using Configuration Manager Configuring an HS1 Defibrillator (2000 guidelines) 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 Speaker volume AutoSend Periodic Self Test (PST) ECG out Shock series Shock series interval (minutes) NSA pause type (Factory default settings are in Green on the screen and gray in print.) 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. This control turns ON or OFF the ability of the HS1 to automatically send periodic self-tests. The default is ON. 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. 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. 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. 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.) 56

61 Configuring an HS1 Defibrillator (2000 guidelines) 7 Using Configuration Manager HS1 (2000 guideline) settings (Continued) Parameter No shock advised (NSA) pause timer Protocol pause timer (minutes) CPR prompt rate (compressions per minute) Call EMS voice instruction CPR prompt (Factory default settings are in Green on the screen and gray in print.) 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. The default is 1 minute. 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. The default is 1 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. 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 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.) 57

62 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. To use Event Review to change settings 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. To receive the settings 1 Make sure that there is a battery in the defibrillator. 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. 4 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.) 5 Release the button. The defibrillator voice message announces Administration. 6 On the Event Review toolbar, click Receive. 58

63 Configuring an FRx Defibrillator (2000 guidelines) 7 Using Configuration Manager Using the Configuration Options The 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 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 1 Make sure that there is a battery in the defibrillator. 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. 4 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.) 5 Release the button. The defibrillator voice message announces Administration. 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. 59

64 7 Using Configuration Manager Configuring an FRx Defibrillator (2000 guidelines) FRx (2000 guideline) settings Parameter Speaker volume AutoSend Periodic Self Test (PST) ECG out CPR prompt rate (compressions per minute) Shock series Shock series interval (minutes) NSA pause type No shock advised (NSA) pause timer (Default settings are in Green on the screen and gray in print.) 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. 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. 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. 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 range is 1 to 4 shocks. 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. The interval can be 1 minute, 2 minutes, or Infinity. The default is 1 minute. This control determines the pause type. There are two choices. 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.) This control sets the length of the NSA pause interval, The NSA pause interval starts after an NSA decision. 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. The time ranges from 0.5 minutes to 3.0 minutes. The default is 1 minute. 60

65 Configuring an FRx Defibrillator (2000 guidelines) 7 Using Configuration Manager FRx (2000 guideline) settings (Continued) Parameter Protocol pause timer (minutes) CPR adult ventilation CPR peds ventilation Call EMS voice instruction CPR prompt (Default settings are in Green on the screen and gray in print.) 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. The timer ranges from 0.5 minutes to 3.0 minutes, in half-minute intervals. The default is 1 minute. 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 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: With ventilation (This is the default.) 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 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 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.) 61

66 7 Using Configuration Manager Configuring an HS1 Defibrillator (2005 guidelines) 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. To use Event Review to change settings 1 On the navigation bar, click HS1 (2005 guidelines) in the Configuration Manager group. 2 Receive the settings from the defibrillator. 3 Make the changes to the settings. 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 To receive the settings from an HS1, follow the instructions in Receiving Settings from the HS1 on page 54. Using the Configuration Options The 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 Settings to the defibrillator To send the settings To send the settings to an HS1, follow the instructions in Sending Configuration Settings to the HS1 on page

67 Configuring an HS1 Defibrillator (2005 guidelines) 7 Using Configuration Manager HS1 (2005 guidelines) settings Parameter Speaker volume AutoSend Periodic Self Test (PST) ECG out Protocol pause timer (minutes) Shock series Shock series interval (minutes) NSA pause type (Default settings are in Green on the screen and gray in print.) 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. 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. 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 timer ranges from 0.5 minutes to 3.0 minutes, in half-minute intervals. The default is 2 minutes. 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 range is 1 to 4 shocks. 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. The interval can be 1 minute, 2 minutes, or Infinity. The default is 1 minute. This control determines the pause type. There are two choices. 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.) 63

68 7 Using Configuration Manager Configuring an HS1 Defibrillator (2005 guidelines) HS1 (2005 guidelines) settings (Continued) Parameter No shock advised (NSA) pause timer CPR adult ventilation CPR peds ventilation CPR Compression ratio (Default settings are in Green on the screen and gray in print.) This control sets the length of the NSA pause interval, The NSA pause interval starts after an NSA decision. 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. The time ranges from 0.5 minutes to 3.0 minutes. The default is 2 minutes. 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: With ventilation (This is the default.) No 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: With ventilation (This is the default.) No ventilation This control sets the rate for CPR compression signals provided by the defibrillator. The choices are: Adult = 30:2 (default) Adult = 30:2 Adult = 15:2 Pediatric = 30:2 (default) Pediatric = 15:2 Pediatric = 15:2 Call EMS voice instruction This control sets the point when the defibrillator 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 64

69 Configuring an HS1 Defibrillator (2005 guidelines) 7 Using Configuration Manager HS1 (2005 guidelines) settings (Continued) Parameter CPR prompt (Default settings are in Green on the screen and gray in print.) This control sets the level of detail provided in the CPR reminder voice prompts. The choices are: 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.) 65

70 7 Using Configuration Manager Configuring an FRx Defibrillator (2005 guidelines) 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. To use Event Review to change settings 1 On the navigation bar, click FRx (2005 guidelines) in the Configuration Manager group. 2 Receive the settings from the defibrillator. 3 Make the changes to the settings. 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 To receive the settings from an FRx, follow the instructions in Receiving Settings from the FRx on page 58. Using the Configuration Options The 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 Settings to the defibrillator To send the settings To send the settings from an FRx, follow the instructions in Sending Settings to the FRx on page

71 Configuring an FRx Defibrillator (2005 guidelines) 7 Using Configuration Manager FRx (2005 guidelines) settings Parameter Speaker volume AutoSend Periodic Self Test (PST) ECG out Protocol pause timer (minutes) Shock series Shock series interval (minutes) NSA pause type (Default settings are in Green on the screen and gray in print.) 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. 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. 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 timer ranges from 0.5 minutes to 3.0 minutes, in half-minute intervals. The default is 2 minutes. 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 range is 1 to 4 shocks. 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. The interval can be 1 minute, 2 minutes, or Infinity. The default is 1 minute. This control determines the pause type. There are two choices. 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.) 67

72 7 Using Configuration Manager Configuring an FRx Defibrillator (2005 guidelines) FRx (2005 guidelines) settings (Continued) Parameter No shock advised (NSA) pause timer CPR adult ventilation CPR peds ventilation CPR Compression ratio (Default settings are in Green on the screen and gray in print.) This control sets the length of the NSA pause interval, The NSA pause interval starts after an NSA decision. 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. The time ranges from 0.5 minutes to 3.0 minutes. The default is 2 minutes. 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: With ventilation (This is the default.) No 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: With ventilation (This is the default.) No ventilation This control sets the rate for CPR compression signals provided by the defibrillator. The choices are: Adult = 30:2 (default) Adult = 30:2 Adult = 15:2 Pediatric = 30:2 (default) Pediatric = 15:2 Pediatric = 15:2 Call EMS voice instruction This control sets the point when the defibrillator 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 68

73 Configuring an FRx Defibrillator (2005 guidelines) 7 Using Configuration Manager FRx (2005 guidelines) settings (Continued) Parameter CPR prompt (Default settings are in Green on the screen and gray in print.) This control sets the level of detail provided in the CPR reminder voice prompts. The choices are: 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.) 69

74 7 Using Configuration Manager Configuring an FRx Defibrillator (2005 guidelines) 70

75 A ACustomer Support Supported Help Unsupported Help 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 3.5. Inside the United States, call Outside the United States, call International support is available at eventreview.support@philips.com. A knowledge base containing answers to many technical questions is available at: Software updates are available from the Help menu. Open the Help menu, and then choose Check for Updates. Our 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. Our 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 Outside the United States, call

76 A Customer Support Helping Us Help You You 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: Corporate Headquarters Microsoft Windows version Event Review version number. This is available from the Help menu. Click About Event Review. Philips Medical Systems Nederland B.V. Postbus DA Best The Netherlands World Wide Web: Software Customer Support: In the United States, call Outside the United States, call to: EventReview.support@philips.com 72

77 B BSystem Requirements Event Review 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 Processor speed Requirement Minimum: 500 MHz Display Minimum: 1024 x 768 Memory Drive Disk space Internet connection Recommended: 256 MB (Memory requirements are approximate.) CD ROM drive for installation 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. If you want to use the 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 IrDA support Palm HotSync To hear audio from the defibrillator, you need a sound card. 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. 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

78 B System Requirements 74

79 C CInstalling Event Review 3.5 You can install Event Review 3.5 as a new installation or as an upgrade to Event Review 3.2. If you are using Event Review 3.0 and want to upgrade to Event Review 3.5, and you want to use your Event Review 3.0 data, you must first install Event Review 3.2. After you install Event Review 3.2, run the migration process, and then follow the instructions in Downloading the Update on page 75. For help with the migration process, see the Event Review 3.2 documentation. You cannot install Event Review 3.5 on a computer that has Event Review Pro 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 , configure Microsoft Outlook or another MAPIcompliant client. For full details about hardware and software requirements, see System Requirements on page 73. This section includes the following topics: 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 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 3.5 removes the previous application from your computer. It does not remove the database. Do not run Event Review 3.5 and the older application on the same computer. Downloading the Update Before you install Event Review 3.5, make sure that you have Windows Administrator privileges on the PC. 75

80 C Installing Event Review 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 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 CD To 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 3.5 Event Review 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 Click Event Review. 76

81 Registering Event Review C Installing Event Review 3.5 Registering Event Review 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 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 . 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: Outside the United States: Entering the Registration Key When you receive the registration key, type the key into the License Manager. To enter the registration key 1 Start Event Review. 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. 77

82 C Installing Event Review 3.5 Uninstalling Using the Unregistered Product Uninstalling You 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 1 Start Event Review. Compatibility 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. If 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. If 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 If you import cases from the following applications, you may lose some information. These applications collect information that Event Review 3.5 does not track. If you are concerned about this, please contact Customer Support at , or outside the United States, call CodeRunner Web 2.1 and 2.3 Event Review Pro: All versions of Event Review Pro track information for the Utstein and System reports that Event Review 3.5 does not use. This information will not transfer to Event Review 3.5. Event Review 3.0: Import brings in all the data, ECG, the events, and available audio. Event Review 3.5 does not have Comments fields in the Case window (now called the General window) or the Follow-up window. Event Review 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 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

83 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 3.5 supports reading information from the following defibrillators: Philips ForeRunner FR2 Series Laerdal Heartstart FR Heartstart FR2 series XL, XLT, and 4000 Heartstart 4000 MRx Monitor/Defibrillator Laerdal 3000 and 911 HeartStart Home and HeartStart OnSite Defibrillators HeartStart FRx Defibrillator Laerdal HeartStart Defibrillator Laerdal HeartStart FRx Defibrillator 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 79

84 D Working with Devices Reading ForeRunner Cards Reading ForeRunner Cards You 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 Type Recommendation Web site Internal Actiontec PC * *Choose Other products/accessories. You can then choose PC-750 and add it to your cart. 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 Cards These 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 USB port Kingston FCR-HS26/1 80

85 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. 2 Check in Windows Explorer to see that the card was recognized. When Windows recognizes the card, it assigns a drive letter to the card. An FR2 card being inserted into a Kingston card reader An FR2 card being inserted into an adapter Reading MRx Cards The MRx Monitor/Defibrillator 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 MRx Monitor/Defibrillator 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. Type Recommendation Web site USB port Kingston FCR-HS26/1 81

86 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. 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 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. 5 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 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. 3 Check in Windows Explorer to see that the card was recognized. When Windows recognizes the card, it assigns a drive letter to the card. An MRx card being inserted into a Kingston card reader An MRx card being inserted into an adapter 82