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HeartStart Event Review Pro User Guide

1. 10 11 In the SQL Server name box use the down arrow to display a list of all available SQL Servers on the network Click the SQL server name that you want To verify the database connection click Test A message from the SQL server software appears noting success or failure If Event Review Pro displays a failure message refer to your SQL Server documentation or your local database administrator for instructions If you see a Success message in the Database Name box type the database name that you want Click Install Event Review Pro is now installed in that database on the server that you selected Click Save A message appears stating that you must restart Event Review Proto use the new database Start Event Review Pro The software connects automatically to the remote database On the Help menu click About to verify the connection Event Review Pro lists the database in use with the remote machine name If the test fails continue with step 3 Troubleshoot the client machine connections to the database 3 Create the Event Review Pro database The following must exist before you create the Event Review Pro database on the server database e A domain account e Log on to the domain using the workstation from which you will run the installation software e Administrative privileges on the Event Review Pro machine used to run the installation software You might need to add your domain account to
2. PUM JEA ALANLI EIE EM opgapAgAgQ0QAAN OOO QOOOODODGDO00000 AOLA m s a a a a a aja ala a am aTa raa Bena RAQ HeartStart Event Review Pro User Guide PHILIPS About this edition HeartStart Event Review Pro version 4 2 Publication date November 2011 Document part number 453564274562 The information in this document applies to the product version indicated above This information is subject to change without notice Philips Healthcare 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 2011 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 Healthcare to provide accurate and up to date information to users and operators alike Medical device directive Event Review Pro complies with the requirements of the Medical Device Directive 93 42 EEC and carries the C mark accordingly Trademarks Philips HeartStart Configure HeartStart FR3 HeartStart FRx HeartStart HS1 HeartStart Defibrillator and the HeartStart logo are either trademarks or registered trademarks of Konink
3. Inthe Color window click a color and click OK You can also click Define Custom Colors to create your own colors type values in the boxes for Hue Saturation Luminosity and RGB preview the results until you have the color you want click Add to Custom Colors and click OK On the File menu or toolbar click Save You can now export and import the case with the current ECG view Event Review Pro also saves the color for future selections To convert an ECG selection to a Q CPR exclusion 1 2 Click the selection on the waveform On the ECG or shortcut menu click Selections and then click Convert to Q CPR Exclusion 81 6 Working with ECGs Event Review Pro User Guide The selection is now a Q CPR exclusion and is available on the shortcut menu For more information on Q CPR reports see Working with Q CPR reports on page 110 For more information on Q CPR exclusions from reports see Removing Q CPR exclusions on page 94 To clear an ECG selection 1 2 Click the selection on the waveform that you want to remove Use one of the following methods e Onthe ECG menu click Selections e Right click the selection to display the shortcut menu and click Selections From the list of selection commands click Remove Selection The selection disappears To clear all ECG selections 1 Use one of the following methods e Onthe ECG menu click Selections e Right click the selection to display the
4. The area of the Navigation pane where configurations can be viewed and filtered based on supported defibrillator type Shock series Also called shock stack A sequence of one or more shocks each separated by no more than a preset interval After completion of a shock series the defibrillator automatically provides a CPR protocol SMART analysis The proprietary algorithm used by the FR3 to analyze the patient s heart rhythm and determine whether a shock is advised Smart CPR A configurable feature that either automatically or by manual selection enables a CPR interval before rhythm analysis and shock decision for patients with a shockable rhythm System log The system log lists all monitored application activity Use the system log to review application usage Task wizard A software feature that guides the user through a task URL Stands for Uniform Resource Locator An address for a resource on the Internet URLs are used by Web browsers to locate Internet resources A URL specifies the protocol to be used in accessing the resource such as http for a World Wide Web page or ftp for an FTP site the name of the server on which the resource resides such as www whitehouse gov and optionally the path to a resource Such as an HTML document or a file on that server 167 16 Glossary Event Review Pro User Guide Workspace The pane to the right of the HeartStart Configure navigation pane It displays
5. Use one of the following methods e Onthe ECG menu click Attach e Onthe toolbar click Attach ECG File On the right pane of the Attach ECG window find the file that generated the ECG The medium for the data source appears in the Source column Use one of the following methods e Click the file for the ECG you want to attach and then click Open 41 4 Working with cases Event Review Pro User Guide e Double click the file for the ECG you want to attach The ECG appears on a separate tab on the ECG tab Removing ECGs from a case Use the Detach option on the ECG menu and toolbar to remove an ECG from the case The ECG menu is available when you open a case and work on the ECG table To detach an ECG 1 Open the case in the Cases workspace For more information see Displaying case details on page 42 2 Click the ECG tab On the ECG tab click the ECG ID tab for the ECG you want to detach Use one of the following methods e Onthe ECG menu click Detach e Onthe toolbar click Detach ECG A confirmation message might appear For more information see Restoring confirmation messages on page 28 5 Click Yes to remove the ECG from the case Displaying case details Use the table on the Cases workspace to display patient identifiers and case details The table lists each case in the database The following appear for each case the reference ID case ID patient ID date and time patient name and institu
6. your entry is the same as an option in the list your entry appears as shown in the option list Click Clear to remove the information in the field or text box 5 Adding case details Event Review Pro User Guide Overview section fields table Case ID When you attach an ECG incident ID becomes the case ID You can change the case ID Required Time zone Initially displays the time zone for the computer clock The time zone displays in the Coordinated Universal Time UCT or Greenwich Mean Time GMT format in a similar format to the Time Zone tab on the Windows Date and Time Properties window For example 1 00 Amsterdam Berlin Bern Rome Stockholm Vienna Select the time zone of the location where the incident occurred Case date and If you attach an ECG before you save the case this field is set to time the date and time when the device was turned on Required To change the date and time click the value you want to change and then type a new value Site of collapse The list includes typical kinds of locations such as Ambulatory or outpatient area Hotel Workplace Adult intensive care unit ICU and Cardiac catheterization lab cath lab Location Detail You can use this field to be more specific about the site of collapse For example consider using this field to record map coordinates or the name of locations such as the room number Reference ID You can use this field to help identify the case
7. e Navigate to the inbox folder e Navigate to the location for the new folder click Make New Folder and type a name for the folder Make sure that the Import Service has read write permission for this folder Click OK The path to the folder in the Inbox folder area now appears To remove an inbox 1 2 Display the Import Service workspace Inthe Inbox folders area click the inbox folder location for the inbox that you want to remove Click Remove Repeat steps 2 and 3 to remove additional inboxes Configuring the Import Service The default installation does not set up the Import Service to start automatically If you need to import cases automatically you must set up the Import Service from Windows To set up the Import Service from Windows 1 2 3 4 5 Complete the typical Event Review Pro installation On the Windows Start menu click Control Panel Double click Administrative Tools Double click Services Right click Event Review Import Service 127 10 Using the Import Service Event Review Pro User Guide 9 10 11 Click Properties In the Startup type field on the General tab click Automatic and then Apply Using the information that your IT technician provides complete the following setup a Inthe Log on as field on the Log On tab click This account The account that you are currently using must have access permission to the Event Review Pro database Complete the accou
8. 4 13 15 total from 13 to 15 Unknown A score of unknown indicates that one or more response scores do not have an entry or have an entry of unknown Obeys commands or Spontaneous or purposeful Patient follows commands Oriented Purposeful or or Coos or babbles Withdrawal from touch Normal fluent Patient locates pain on appropriate speech his body 160 15 Glasgow Coma score Event Review Pro User Guide Spontaneous Eyes open without stimulation To voice Eye opening to loud noise To pain Eye opening to pain only None No eye opening Confused or Irritable and continually crying Confused but fluent speech Inappropriate or Cries to pain Mumbling occasional word recognizable Incomprehensible or Moans to pain Vocalizations but not verbalizations no words None No vocalization or verbalization 161 Withdraws from pain Patient pulls away from pain Flexion to pain or Abnormal flexion to pain Patient flexor postures Extension to pain Patient extensor postures None No motor response 16 Glossary ACI TIPI For acute cardiac ischemia time insensitive predictive instrument A Philips software tool in that can provide a second opinion and decrease the time between the onset of a patient s acute cardiac ischemia ACI symptoms and the treatment of interventional cardiology The ACI TIPI feature computes a patient s lik
9. For example Engine 3 Institution You can use this field to identify the organization where the case originated For example Valley Fire Department Code called The list is Yes No and Unknown Found by The list is Nurse Physician Therapist Med technician and Other Defibrillator section fields table Adjusted On You can use this field to synchronize the defibrillator created date and time with the computer date and time Time Event Review Pro automatically adjusts the date and time of each event on the ECG tab for the adjustment you enter 55 5 Adding case details Event Review Pro User Guide Recorded On Time Debrillator Type Serial Number Note Event Review Pro automatically adjusts the date and time based on the clock of the personal computer when it receives a Bluetooth transmission from a HeartStart MRx version 9 0 or later or from an FR3 This adjustment records the Recorded On Time You can still use this field to override the Recorded On Time When you attach an ECG the field displays the date and time that the defibrillator was turned on HS1 and FRx only If you removed the battery before the ECG was attached downloaded Event Review Pro displays a message requesting the case date and time When you click OK you see this screen F Time Adjustment ff Incident ID BO4K 00096 93 77 This recording is missing the device power on time Th
10. You can return a single column to its unfiltered state or remove all the filters A If you remove a criterion Event Review Pro removes it and each criterion that appears below it To return a single column to its unfiltered state click Remove Criteria for that criteria condition To remove all filters on the first criterion row click Remove Criteria EA Printing System Log entries You can print the System Log table in portrait or landscape format To print the System Log entries 1 On the File menu or toolbar click Print 2 Click Table 3 Inthe Print window in the Select Printer list click the printer that you want to use 4 Optional Click Preferences Optional In the Print Preferences window in the Orientation area click an orientation 124 9 Working with the System Log Event Review Pro User Guide a To print the entire width of the system log table click Landscape 6 Click OK to close the window 7 Optional Complete the fields in the Page range area 8 Click Print or OK 125 10 Using the Import Service Use the Import Service on the Administration navigation pane to import cases into the Event Review Pro database automatically When you do this you can set up inboxes and can use HTTP See Configuring the Import Service on page 127 for information on your configuration options When the Import Service detects that there is a case file with the correct extension it automat
11. 8 Working with reports Event Review Pro User Guide Ventilation section data label table The total number of ventilations Vent Rate The average ventilation rate per minute If the statistics are divided into pre and post intubation periods the ventilation rate is for the specific preintubation and postintubation period If not the ventilation rate is for the entire episode No Sign of Circulation NSC section data label table The total NSC time in milliseconds The average compression rate during the NSC time NFT NSC The ratio of No Flow Time NFT to NSC Working with Vital Trends reports The Vital Trends report provides case information based on the vital trends information that appears on the ECG tab The information appears in a table format The report displays the following information e Case ID device and patient information e Vital trends in a table format The report uses the interval parameter setting An interval can be 1 5 10 15 30 or 60 minutes in duration Working with Response Times reports The EMS edition provides Response Times reports These reports provide uniform records of your information from out of hospital cardiac arrests They follow the recommendations of the Utstein Consensus Conferences for collecting summarizing and reporting response time information 113 8 Working with reports Event Review Pro User Guide You can generate Response Times reports to asse
12. ECG click Bluetooth click HeartStart FR3 and then click Next Follow the instructions from this point 139 12 Working with defibrillators Event Review Pro User Guide For further information see Downloading an ECG using an FR3 Bluetooth transmission on page 37 Setting up Bluetooth transmissions for the MRx and FR3 You can transmit HeartStart MRx and HeartStart FR3 data to Event Review Pro through Bluetooth wireless transmission You must have a supported adapter for Bluetooth transmission Most Microsoft compatible Bluetooth adapters such as 1O Gear GBU421 or in Japan the Logitec Bluetooth 3 0 adapter LBT 13R35861A are suitable You can order an adapter from your Philips representative To transfer the information from the defibrillator to Event Review Pro you must set up the Bluetooth transmission on the defibrillator and the receiving computer that has Event Review Pro installed Consider the following e If your computer is not equipped with Bluetooth it requires a Bluetooth dongle with a USB connector The dongle connects the computer and the defibrillator e Even if your computer is equipped with Bluetooth you may need other adjustments For example Panasonic Toughbooks have a Toshiba Bluetooth driver not a Microsoft driver This works for the MRx for the FR3 adda Bluetooth dongle that supports the Microsoft or Widcomm driver Event summaries and for MRx 12 lead reports might contain inform
13. Event Review Pro User Guide Choosing Bluetooth accessories HeartStart MRx and FR3 defibrillators support data transfer using B uetooth wireless technology Event Review Prowas tested with the following Windows systems and Bluetooth stacks e Windows XP or Windows 7 Microsoft Bluetooth stack for MRx Windows XP or Windows 7 Widcomm Bluetooth stack for FR3 or MRx If your computer did not come with the installed B uetooth option you must use a Bluetooth adapter that supports these stacks Reading FR3 series cards The FR3 series defibrillators store information on a SD card SD card readers are available through your Philips sales representative or local distributor To read a data card 1 One end of the data card has a series of contacts Plug this end 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 At this point Event Review Pro can read the data on the card 3 If the card does not appear in Windows Explorer remove the card from the reader and then insert it into the card reader again Retrieving FR3 data using Bluetooth transmission You can download data from the FR3 to the computer through a Bluetooth transmission Any data currently contained in the FR3 is transferred The Bluetooth wizard guides you through the steps necessary to accomplish the transfer From an open case click Attach
14. OK 5 Click OK To remove trends from display in Chart view on the vital trends configuration pane click the box to the left of the trends arrow below Table Chart c mmHg mmHg fm EtCO2 Lmin Working with 12 lead ECGs 2 lead data acquired during use of a defibrillator is automatically attached to the case along with continuous ECG You can also attach 12 lead data that was transmitted through the B uetooth transmission and XML methods 89 6 Working with ECGs Event Review Pro User Guide The 12 lead ECG and associated data appear on the 12 Lead tab You can also double click a 12 lead acquisition event in the event pane to display the data on the 12 Lead tab This ECG is intended only for basic rhythm identification It is not intended for diagnostic and ST segment interpretation Event Review Pro supports HeartStart MRx version 9 0 or later with the event sum option for Bluetooth transmission The 12 lead ECG along with associated summary data appears in a 12 lead report When a 12 lead report contains Acute Cardiac Ischemia Time Insensitive Predictive Instrument ACI TIPI and Thrombolytic Predictive Instrument TPI data the data appears in the summary text box above the waveform The 12 lead ECG appears in the middle section of the 12 Lead view A summary section at the top of the 12 Lead view shows the following 12 lead data e Patient demographic information e Global measurements Rate
15. Open e Double click the file for the ECG you want to attach Event Review Pro attaches the ECG to the case If the file does not appear in the right pane click Bluetooth on the left pane of the Attach ECG window and use the Bluetooth Wizard to navigate to the Windows Bluetooth Exchange Folder Onthe Browse for Folder window navigate to the Windows Bluetooth Exchange Folder for the user The default folder for Windows XP is located at C Document and Settings user name My Documents Bluetooth Exchange Folder The default folder for Windows 7 is located at C Users user name My Documents e Ifyou specified a different folder when setting up your Bluetooth stack or Neighborhood navigate to that folder e Event Review Pro scans the location you specify to find the ECG It enables the B uetooth icon to the right of the status bar while it reads the Bluetooth files One or more ECG tabs appear with the attached ECG waveform s 38 4 Working with cases Event Review Pro User Guide e If the ECG tab does not display an ECG waveform contact Customer Support See Customer support on page 131 Downloading an ECG from an infrared connection The HeartStart HS1 family of defibrillators and the FRx defibrillator use an IrDA connection to attach an ECG to Event Review Pro To attach an ECG from an infrared connection To retain the actual event times do not remove the battery from HS1 or FRx defibrillators If you remove the batte
16. PR QRSd QT QTc Axes P QRS T ECGsummary interpretations e You can use the configuration section at the bottom of the 12 Lead view to control the display of the 12 lead ECG and display additional 12 lead ECGs attached to the case You can print 12 lead reports from the File menu or application toolbar For more information see Generating reports on page 106 You can do the following tasks on the 12 Lead tab e Configuring the 12 Lead view on page 90 e Reviewing the 12 lead ECG on page 91 Configuring the 12 Lead view Use the configuration section of the 12 Lead view to control the display of the 12 lead ECG To select another 12 lead ECG click the 12 lead drop down list and click a different ECG The selected 12 lead ECG and its associate summary information appear 90 6 Working with ECGs Event Review Pro User Guide To change the time format 1 Click the Timing drop down list to change the time format The following time formats appear e Simultaneous European standard e Time Sequential United States standard 2 Click the time segment that you want The 12 lead ECG appears in the selected time format To scale the report display You can scale the 12 lead report from 1x with the Scale control in the far left position to 3x with the Scale control in the far right position You can also use the magnifying tool in the 12 Lead view when the Scale control is in the 1x position For more informat
17. Save as Type field lists the document type that you selected Click Save If you can open the file click one of the following buttons e Click Yes to preview the file e Click No to continue Emailing reports You can email the export file for a report the same way as you email a case You can use the E mail As option or your email application to send an exported report to another Event Review Pro user Email requires that you configure Microsoft Outlook or a MAPI compliant email client and an email profile For more information see Emailing a case on page 50 To email a report 1 Generate and view the report For more information see Generating reports on page 106 On the Report Preview toolbar click E Mail As Click the file format for the report Waveforms must be in PDF format Depending on the file format that you selected complete the export options and click OK The Save As window opens Navigate to a location where you want to save this report or accept the default Inthe File name field type a name for the report The Save as Type field lists the document type that you selected Click Save Event Review Pro attaches the exported report file when it displays the email window For more information see Emailing a case on page 50 Type the email address in the To field type any addresses for copies in the Cc fields Click Send 118 Working with the System Log You can view the Syste
18. Support and ask for defibrillator support Troubleshooting non Philips products Helping us help you You can help our technicians give you good support by following these steps 1 2 3 Call from a phone near your computer Start Event Review Pro Have the following information e Windows version e The application version number This is available from the Help menu Click the About option e Awritten copy of the error message text The activity and task you did when the error occurred 135 12 Working with defibrillators Most of the defibrillators that Event Review Pro supports store data on data cards also called memory cards Depending on the defibrillator you need a CompactFlash or SD data card reader to transfer the data The HeartStart FR3 defibrillator can transfer information using a data card or a Bluetooth connection The HeartStart HS1 family of defibrillators and FRx defibrillator use an infrared connection to transfer the information The HeartStart MRx Monitor Defibrillator can transfer information using the following methods e A data card to transfer the information e Defibrillators with version 9 0 or later with the Bluetooth option to transfer the information through a Bluetooth connection If you need help choosing a card reader see Selecting accessories for data transfer on page 137 The quick reference has illustrations of the various data cards and the associated defibrillator
19. To increase the scale roll the mouse wheel forward e To decrease the scale roll the mouse wheel backward The adjusted scale appears in mm sec and the waveform display adjusts accordingly To reset the time scale to default hold down CTRL and click the time scale slider The time scale resets to the default scale 25 0 mm sec Scrolling through the channel Use the channel scroll bar at the bottom of the Channels pane to scroll through the waveform strip You can also scroll through the strip using key command shortcuts For more information see Using key command and mouse shortcuts on page 95 74 6 Working with ECGs Event Review Pro User Guide To scroll through the waveform drag the channel scroll bar to the desired location on the waveform Customizing channels Event Review Pro provides a channel properties tool for each channel This tool displays information about the channel waveform and provides features to modify the waveform display You can select to display or hide the tool By default the tool is closed click the arrow key on the left See below to open the tool When the properties area is closed it looks like this mij When the area is open it might look like this Sample rate Scale 0 1000mV per mm The channel properties tool displays the following information about the current waveform e The waveform type or source e The sample rate in Hz e The current vertical of
20. Ventilation channel 0 000000022 c cece cece cece cece cece eeeeeee 94 Using key command and mouse shortcuts 2 2 2 22 eee 95 Key command shortcuts 2 2 22 95 Mouse ShOnCUIS 2 52 2 2o2 e era a ee tats 97 Reviewing case details 20 2 02000220 eeeeeee 99 Reviewing case events 2 2 2 2 cece cece cece cece cece cece ccc ccc cece eee e cece ee eeeeeeeeeeenees 99 Attaching adding files toa case 22 2 2 202 101 Working with reports 222222200 105 Generating reports 2 220222222 cece cece ec eeeeeeeeeeeeeereeeeeees 106 Generating a report for an Open CaS 2 222222 e cece cece cece eeeees 106 Generating a report from the database 2 222 106 Using the Reports toolbar 00 000000 cee ce cece eee eeeeeeeeeeeeeeees 107 Working with case reports 0 e cece cece eeceeeeceeeeeeeees 108 Working with ECG reports 2 0 2 e cece cece cece ecccececceeeeceeees 109 Table of contents Event Review Pro User Guide Working with Q CPR reports 2 2 e cece cece ceececeeceeeeeeees 110 Working with Q CPR Details reports 220000000 c cece ccc c cece cece ceccececeeeeeeeees WH Q CPR report data o oo ool ccc cece eee cece ccc ee eee e cece ceeeeeeeeeeeees 111 Working with Vital Trends reports 2220022222 c cece eee e cece cecceeceeees 113 Working with Response Times reports 2 2 22 c cece cc ceceeceeeeeeees 119 Wor
21. Ventricular fibrillation fibrillation in the lower chambers of the heart is the most common cause of sudden cardiac arrest FR3 A HeartStart compact battery powered automated external defibrillator AED designed for use by trained responders to treat ventricular fibrillation VF the most common cause of sudden cardiac arrest SCA FRx A HeartStart compact battery powered automated external defibrillator AED designed for use by trained responders to treat ventricular fibrillation VF the most common cause of sudden cardiac arrest SCA Getting Started A task pane in HeartStart Configure that allows you to navigate to online help selecting accessories and check for software updates HS1 A HeartStart compact battery powered automated external defibrillator AED that is designed for simple and reliable operation by minimally trained users to treat ventricular fibrillation VF the most common cause of sudden cardiac arrest SCA HTTP Stands for Hypertext Transfer Protocol The set of rules for exchanging files text graphic images sound video and other multimedia files on the World Wide Web Import 165 16 Glossary Event Review Pro User Guide Opening a defibrillator configuration file that is not stored in HeartStart Configure and was created by another user on another installation of HeartStart Configure Incident The series of events involved in treating a patient with a defibrillator In
22. Working with reports Event Review Pro User Guide Total ventilation times before and after intubation Average ventilation rate before and after intubation No flow time Flow time Average no flow time before and after shocks Use 30 sec intervals Defibrillation data Time power was on until the first shock Total and average analysis and shock delivery times Graphic representation of the quality of CPR for the episode maximum 30 minutes from the start of the compression waveform Working with Q CPR Details reports You can see details on all the Q CPR items that are summarized on the Q CPR report card and export this report to a spreadsheet You can also compile details for multiple cases and display them in the same report or in separate reports To see what data is included in this report see Q CPR report data on page 111 When you have generated the details report see Generating reports on page 106 you can customize the display If you want to show details before and after intubation in the Extended Statistics section check Split by Intubation If you want to change the intervals click either No interval Use 30 Sec Interval or Use 60 Sec Interval Q CPR report data This section provides a description of the Q CPR data that appear in the Q CPR Details report You can create a report that includes data from multiple cases the report can be in one file with the results separated by case or in separate report
23. and the shock energy desired If you have any doubt about which pads the responder used contact the responder Click the ECG you want to attach In the Device column right click the FR2 CEP icon and click FR2 Pediatric The pink teddy bear Z icon for FR2 Pediatric appears Use one of the following methods e Click the file for the ECG you want to attach and then click Open e Double click the file for the ECG you want to attach Event Review Pro downloads the file and attaches the ECG to the case It appears on the ECG tab Downloading an ECG using an FR3 Bluetooth transmission You can transfer files from the FR3 to the computer using Bluetooth transmission if the FR3 is equipped with B uetooth capability To attach an ECG using a Bluetooth transmission 1 Set up the Bluetooth software and adapter on the computer For information see your defibrillator documentation and Setting up Bluetooth transmissions for the MRx and FR3 on page 140 Prepare to send the Bluetooth transmission by placing the FR3 turned on after the voice acknowledgment into Administration mode pressing the option button and selecting Wireless Data Transfer In Event Review Pro use one of the following methods Onthe ECG menu click Attach e Onthe toolbar click Attach ECG File On the right pane of the Attach ECG window find the ECG recording that you want to attach The medium for the data source in this case Bluetooth appears und
24. another location on the waveform for closer inspection Customizing Q CPR episodes You can customize the Q CPR reports that you create For example you can use commands on the shortcut menu or the Q CPR menu to define an episode for Q CPR reporting and to mark sections of the waveform to exclude from Q CPR reports Q CPR events appear on the Compression channel For information on excluding sections of the waveform from Q CPR reports see Creating Q CPR exclusions on page 93 For more information on generating and printing Q CPR Details and CPR Report Card reports see Working with Q CPR reports on page 110 To customize a Q CPR episode 1 If necessary click the ECG tab and display the ECG view 2 Click the waveform at the point where you want the episode to begin 3 Use one of the following methods e Onthe Q CPR menu click Set Episode Start e Right click the waveform to display the shortcut menu click Q CPR and click Set Episode Start A vertical bar marks the start of the episode 4 Click the waveform at the point where you want the episode to end 5 Use one of the following methods 92 6 Working with ECGs Event Review Pro User Guide e Onthe Q CPR menu click Set Episode End e Right click the waveform to display the shortcut menu click Q CPR and click Set Episode End A vertical bar marks the end of the episode Creating Q CPR exclusions A Q CPR exclusion identifies the areas of
25. by downloading ECG information shock decisions and any recorded audio from Philips defibrillators You can add details to the case as well Intended use HeartStart Event Review Pro captures reports and manages cardiac arrest information Event Review Pro has tools for collecting and analyzing information reviewing cases identifying trends and evaluating the emergency response All information relating to a specific cardiac emergency is created in a case by downloading ECG information shock decisions and recorded audio from Philips and Laerdal automated external defibrillators AED Event Review Pro also allows users to annotate case details In addition Event Review Pro captures and allows review of more comprehensive response and patient data including Basic Life Support BLS and Advanced Life Support ALS responder observations and interventions It also manages 12 lead ECG information and monitoring data collected by the Philips HeartStart MRx and XL Monitors Defibrillators What s new in this release Event Review Pro 4 2 provides the following new features Support for the Philips HeartStart FR3 defibrillator Support for the Philips HeartStart MRx monitor defibrillator version F 02 R 02 e Upgraded database support SQL Express 2008 R2 and SQL Server 2008 R2 19 2 Getting started Event Review Pro User Guide Getting e Improved waveform display All ECG waveforms are now rendered with a uniform scal
26. configurations CPR Stands for Cardiopulmonary Resuscitation A technique for providing artificial respiration and heart compressions to maintain life in a victim of Sudden Cardiac Arrest SCA DAT Stands for data file This binary file format is used by Event Review 3 5 and Event Review Pro 3 5 for HeartStart FRx and HS1 defibrillator configurations Data Card A computer storage device used for recording and storing information Some HeartStart defibrillators use data cards to record configuration ECG and audio information Defibrillator event Information received from a defibrillator Examples are alarms shocks measurements and error conditions Device A generic term used for defibrillators and data cards ECG Stands for electrocardiogram The electrical rhythm of the heart as detected through defibrillator pads EMS Stands for Emergency Medical Services Error Describes a system error or an erroneous input by the user 164 16 Glossary Event Review Pro User Guide Export Saving a configuration as a file for use on another computer running HeartStart Configure This is typically done to share a configuration with other users or to back up a configuration Feature A link or button within the HeartStart Configure task pane that allows you to complete a task Fibrillation A disturbance of the normal heart rhythm that results in chaotic disorganized activity that cannot effectively pump blood
27. date and time If you use the Case Wizard to create a case Event Review Pro assigns a case ID which you can change It also generates the case ID from the current date and time if Case Wizard or the Import feature did not create the case Different defibrillators may capture different patient information as part of recorded ECG data If you use data from the HeartStart MRx the ECG information might include patient information such as name age and gender that was entered by the responder When you import a case using Case Wizard the Case Summary page displays the information provided by the MRx and the Case ID field displays the MRx incident ID If you export a redacted case that is a case with patient identification removed Event Review Pro replaces the name and patient ID with a series of asterisks The Date of Birth field is blank If the redacted age of the patient is greater than 90 the Age field displays 90 If you then import the case the redacted information the information that was removed does not appear After you attach the ECG you can change any of the information except the information in the following fields which the defibrillator may supply e Recorded On Time e Defibrillator Type Serial Number e Shocks To complete the fields 1 Click the field 2 Click an option on the menu or type the information in the field If Other appears in the option list you can type a value in the Other text box If
28. in chronological order You can sort events in ascending 1 to 9 a to z or descending 9 to 1 z to a order Events and notes appear in the Event Report on the ECG tab and on the Event Log tab 59 5 Adding case details Event Review Pro User Guide If Other appears in the option list you can type a value in the Other text box If your entry is the same as an option in the list your entry appears as shown in the option list Click Clear to remove the information in the field or text box Events that you add on the ECG tab appear on the Timeline tab as read only You can edit the Event Name parameters and the Comment fields but not the Date and Time field Adding describing and removing events You can add edit and remove an event in an open case To add an event 1 Onthe Timeline tab click the Event Name field A menu showing types of events appears You can click an event that is specific to the phase of events an administered treatment and a note added by a responder or reviewer 2 Click an event from one of the menu columns Event Review Pro adds the event to the table in chronological order e If an event does not appear in the list of options in the Phase or Treatment columns click the Custom option in the appropriate column to create one e Click Responder Note to document notes from a responder Click Reviewer Note to document notes from a medical director code team leader or operations manage
29. in seconds before you create the selection e Ifyou want to set a template to create a selection automatically every time a certain event occurs like an alarm a defibrilllation or a ventilation see Using selection templates on page 83 To automatically create ECG selections 1 Inthe Auto selection secs text box type the ECG automatic selection length in seconds 80 6 Working with ECGs Event Review Pro User Guide 2 Hold down CTRL and click the ECG where you want to create an automatic selection A selection appears that is centered on the pointer location A colored overlay highlights the selection Managing ECG selections Use the ECG menu or shortcut menu on the Overview or Channels pane to manage ECG selections To display the shortcut menu right click the ECG In addition to printing and copying ECG selections you can do the following tasks To create an ECG selection using the shortcut menu 1 Move the sweep bar to the point in the waveform where you want the selection to begin On the ECG or shortcut menu click Selections and then click Set Selection Start Move the sweep bar to the point in the waveform where you want the selection to end On the ECG or shortcut menu click Selections and then click Set Selection End To change the color of the ECG selection 1 2 3 Click the selection on the waveform On the ECG or shortcut menu click Selections and then click Selection Color
30. includes 12 lead information click the 12 lead tab within the ECG view to see a separate waveform and accompanying information For details see Working with 12 lead ECGs on page 89 Working in the ECG tab To display an attached ECG open a case and click the ECG tab For more information see Displaying case details on page 42 Events pane All defibrillator events and notes appear in chronological order on the Events pane You can expand events or notes in the Events pane to display additional details For more information see Using the Events pane on page 67 6 Working with ECGs Event Review Pro User Guide Use the Events toolbar to search for specific events or notes You can also add a note for an ECG Use the event filter to control the display of events and notes on the waveform The event filter displays all possible event types and categories Check or uncheck them to control whether they appear Overview pane The Overview pane displays the ECG waveform with flagged events and notes for each channel You can use the Overview toolbar to Select the channel displayed on the Overview pane e Select portions of the ECG for detailed view on the Channels pane e Change the time scale for the ECG For more information see Working with waveforms on page 71 Waveforms Channels pane The Waveform pane provides a more detailed view of waveforms Event Review Pro can display multiple waveforms in separate channels on th
31. kg or grams g You can change the format at any time The list is Female Male Unknown If the ECG is from HeartStart MRx this field might contain information entered on the defibrillator The list is American Indian or Alaska Native Asian or Pacific Islander Black Hispanic Black Non Hispanic White Hispanic 58 5 Adding case details Event Review Pro User Guide White Non Hispanic Unknown Other Describing the conditions at the scene Use the Scene tab to enter the responder s initial impression of the patient and the scene The information on this tab appears in the Case Report To complete the fields 1 Click the field 2 Click an option on the menu or type the information If Other appears in the option list you can type a value in the Other text box If x your entry is the same as an option in the list your entry appears as shown in the option list Click Clear to remove the information in the field or text box The following fields can accept more than one input e Existing medical treatments e Past medical history e Type of first responder Defibrillator types used Documenting events Use the Timeline tab to document the events that occurred during the case the treatments that were administered and the notes that were collected during the case The Timeline tab also lists the notes that you add to the ECG on the ECG tab Event Review Pro sorts events for a new case
32. new case are first sorted in chronological order Click the header to sort the list of values in ascending 1 to 9 or a to z or descending 9 to 1 or z to a order A triangular symbol arrow appears to indicate the sort order Event Review Pro adds new events based on the sort order The location of the event field for the new event changes depending on the sort order For example if you sort events in alphabetical order Event Review Pro inserts the event alphabetically The blank event field is at the top of the table If you sort the event by date and time in descending order Event Review Pro inserts the event at the top of the table The blank event field is at the bottom of the table Changing the date and time of the event You can change the date and time of an event that you entered on the Timeline tab 61 5 Adding case details Event Review Pro User Guide To change the event date and time 1 Click the event 2 Click Date and Time 3 Click the value you want to change and type the correct date or time EMS Edition only The following fields are used and incorporated in Response Times reports e Call Receipt e Bystander CPR e Dispatcher Began AED or CPR Instruction e BLS Unit Notified BLS Vehicle Mobile e BLS Arrival at Scene e BLS EMS CPR e ALS Unit Notified e ALS Vehicle Mobile e ALS Arrival at Scene e ALS arrival at Patient e ALS EMS CPR EMS Edition only The following fields are used and
33. on page 42 You can click the Cases tab to view modify and delete the information You can use the case tabs in any order based on your tasks within your organization e View and print reports For more information see Generating reports on page 106 52 Adding case details Use the Patient Cases navigation button to access a case and enter case information that the defibrillator did not record In Cases you can do the following tasks Document events Document patient outcomes Add responder actions and observations Add responder notes Add reviewer notes Document patient history Review ECG information Review events Attach files to a case For more information see Working with ECGs on page 64 and Reviewing case details on page 99 You can use the case tabs in any order based on your tasks within your organization To add and review case details oa FW DY gt Click the Patient Cases navigation button On the Cases workspace double click a case on the All Records table Click a tab Add or change information on the tab Repeat steps 3 and 4 as necessary On the File menu or toolbar click Save Event Review Pro displays case detail tabs based on your installation 53 5 Adding case details Event Review Pro User Guide Identifying the case Use the Overview tab to enter basic information about the patient and the response location The only required information is the case ID and the case
34. on the Attach ECG window and follow screen instructions You can now send and receive information between the defibrillator and the computer The device announces transferring data 7 When sending and receiving information is complete plug the pads connector in again You can now turn off the defibrillator For more information refer to the defibrillator documentation To set up the IrDA connection between an HS1 defibrillator and Event Review Pro If the HS1 does not receive a transmission within 3 minutesof starting Administration mode it cancels the mode At that point you must start over 1 In Event Review Pro complete one of the following procedures a Use the Case Wizard to create a case up to the point where you see the Attach ECG dialog box b Create acase for the infrared transmission and then on the toolbar click Attach ECG File c Open an existing case for the infrared transmission and then on the toolbar click Attach ECG File 2 Remove the pads cartridge Locate the latch at the top and then slide the latch to the right to release the pads cartridge If you haven t done so already insert the battery into the defibrillator You will hear voice prompts to plug in the pads cartridge Disregard these prompts in this instance These messages will be silenced once you place your defibrillator in Administration mode After the battery is inserted the defibrillator automatically turns on 5 Onthe defibril
35. see Documenting events on page 59 5 Complete the fields as appropriate Click OK The note now appears on the waveform the event tree and the Timeline tab To modify a note 1 Onthe event tree click the note that you want to modify 2 Useone of the following methods how e Onthe Events pane toolbar click Edit Note e Right click the waveform to display the shortcut menu and click Edit Note In the Note window make your modifications to the note Click OK To delete a note 1 Click the note that you want to delete 2 Useone of the following methods e Onthe Events pane toolbar click Delete Note e Right click the waveform to display the shortcut menu and click Delete Note The note disappears from the waveform Zooming in and out of the waveform Use the ECG menu or shortcut menu to zoom in and out of the waveform To zoom in or zoom out 1 Click the waveform 86 6 Working with ECGs Event Review Pro User Guide 2 Use one of the following methods e Onthe ECG menu click Zoom In din or Zoom Out a e Right click the waveform to display the shortcut menu and click Zoom In or Zoom Out e Onthe numeric keypad press PLUS to zoom in or MINUS to zoom out To zoom in or zoom out fully 1 2 Click the waveform Press SHIFT and on the numeric keypad press to zoom in fully or to zoom out fully Customizing the ECG display You can configure the display of the
36. selected value Greater than or equal to are the same follow or are larger than the selected value Less than or equal to are the same precede or are smaller than the selected value Between are between the first and last selected values Use to specify a range of dates numbers or text Not between are before the first selected value or after the last selected value Is null do not exist Not is null exist Is empty do not appear include the selected items do not include the selected items Logical operators table Select the logical operator from the list of operators that you want to use to compare two criteria Event Review Pro outlines the criteria and connects the conditions with a line Displays the entry when the criteria in the first and the second conditions are both met Displays the entry when the criteria in the first condition is met 123 9 Working with the System Log Event Review Pro User Guide and the criteria in the second condition is not met Displays the entry when the criteria in the first condition is met or when the criteria in the second condition is not met Displays the entry when either the criteria in the first condition or the criteria in the second condition are met Removing filters If you filter the entries and then exit Event Review Pro before removing the filter the filter settings persist they appear the next time you use the feature
37. selection Click Search The waveform selection matching the search text is now highlighted in the Channels pane To change the sort order 1 3 Click the Selections tab All selections appear sorted according to time of creation Click the heading of the field you want to sort by The selections sort themselves by the field that you chose Click the field heading again to toggle between ascending or descending order To move quickly from one waveform selection to the next use the UP ARROW and DOWN ARROW keys Using selection templates Use selection templates to create event based ECG selections automatically For instance you can create a template that will mark all shocks delivered showing you 2 seconds before and after the event and make the selection blue To create a selection template 1 Click the Selection Templates tab The headings for a selection templates table appear Click New A new row appears in the selection templates table From the Event Category drop down list click an event category 83 6 Working with ECGs Event Review Pro User Guide Click in the Event Type field for the new selection template From the Event Type drop down list click an event type Inthe Pre seconds field type the number of seconds you want to precede the event in the selection Inthe Post seconds field type the number of seconds you want to follow the event in the selection Inthe Color field
38. send a Bluetooth transmission a popup message appears including an option to Always Allow Authorization If you want to do this check the box if you do not the checkbox will appear every time you send a transmission After the HeartStart MRx transmits the incident to the computer you can attach the ECG from the HeartStart MRx in Event Review Pro For more information see Downloading an ECG using an MRx Bluetooth transmission on page 38 Reading FR2 series cards The FR2 series defibrillators store information on a CompactFlash card Card readers are available through your Philips sales representative or local distributor The FR2 series of defibrillators can use adult defibrillation pads or infant child reduced energy defibrillation pads When a user connects infant child reduced energy defibrillation pads to the FR2 the FR2 delivers a reduced energy defibrillation shock of 50 joules nominal On the Attach ECG window you must indicate to the application whether adult or infant child pads were used on the patient To do this click the FR2 Adult or FR2 Pediatric option from a shortcut menu For more information see Adding ECGs on page 34 If you have any doubt about the type of pads that the responder used contact the responder To read a data card 1 One end of the data card has a series of perforations Plug this end firmly into 144 12 Working with defibrillators Event Review Pro User Guide the card read
39. shortcut menu and click Selections From the list of selection commands click Remove All Selections All selections disappear Naming finding and sorting ECG selections All ECG selections appear in tabular form on the Selections tab Use the Selections tab to sort assign names to and search for selections You can use selection names as bookmarks The selection name appears at the bottom of a named selection in the Channels pane To name ECG selections 1 Click the Selections tab All selections appear sorted according to time of creation Click the name field for a selection to highlight the number assigned at creation Type a name or unique ID for the selection Repeat steps 2 and 3 for each selection 82 6 Working with ECGs Event Review Pro User Guide To search for a selection 1 On the Overview toolbar type search criteria in the Search selections field Event Review Pro searches for selections based on the name field The search text must match the selection name in the same order as it appears on the Selections tab and cannot include a wildcard that is a placeholder for an unknown part of the search string For example to search for Shock 1 delivered you can type shock or Shock 1 Case does not matter However if you type only Shock delivered you will not get results If you want to search for Shock 2 delivered you must specify Shock 2 to find the subsequent
40. stack is the preferred stack and provides the best performance If you are working only with the MRx many other stacks such as the Toshiba stack that comes with the Panasonic Toughbook work well in addition to the Widcomm stack Consult the MRx documentation for information on other supported stacks One notable exception is the Microsoft stack which does not have the protocol implementation that can support the MRx 11 1 Installing Event Review Pro Event Review Pro User Guide The Bluetooth stack requirement dictates the Bluetooth transceiver dongle that you should use Downloading the application You can download and use Event Review Pro on atrial basis for 60 days before purchasing and activating the software Use the authorization that you receive from your sales representative to download the application from the Internet Save the application file to your computer You can use the application on a trial basis and activate the software later To download the application 1 Start Windows 2 Start Internet Explorer 3 Navigate to the URL provided on your Proof of Purchase Certificate or by your sales representative 4 Onthe left pane select the product 5 Onthe right pane click the link in Software Download Navigate to the download link 6 Save the installation file to your computer For information on possible updates to the application see Checking for updates on page 12 For instructions on
41. suggestions 2 2 2 eee eee cece cece ec eceeececeeceeeceeeees 134 Supported help socero teer resia re eae ara a a aE O EE aa ENE 134 Unsupported help 2 2 2 22222222 ec c cece cc cece eee c ccc eeeeeeeeeececceeeeeeeeeeees 135 Helping us help you 2 02 e cece cece eee ceeececcceceeeeees 135 Working with defibrillators 2 022202000 136 Supported defibrillators 222 2202 cco ccc cece eee e cece cece cecceeeeeeeeeees 136 Selecting accessories for data transfer 00 00000002 c cece cece ccc ce cece ee eeeeee 137 Choosing data transfer adapters and readers 02 e eee eeeee 137 Quick reference to data cards 2 0 20 e eee eeeeeeeeeeeees 138 Choosing Bluetooth accessories 20 22 22 e cece cece cece ccc ccc cece cece eeeeeeeees 139 Reading FR3 series cards 22 22 2222 cece cece cece ccc c cece cece ee ceeeeeeeeees 139 Retrieving FR3 data using Bluetooth transmission 2 002 00000 ceeeeee eee eee 139 Setting up Bluetooth transmissions for the MRx and FR3 2 140 Bluetooth option prerequisites for the MRx and FR3 2222 22 22 22 cece eee eee 140 Pairing and testing the Bluetooth option with the computer MRx and FR3 141 MRX 2 2 2 ccc ccc cece cece cece EE EN EEE E A 141 PR ee a a ease eee se ceeet Si kaa maken eae eee eee e Late eee ese aa 142 Table of contents Event Review Pro Use
42. the local Administrators group on the workstation 4 Set up access control on the database Philips Healthcare recommends that you create a user group for Event Review Pro users to access the database This is easy to administer for example create a group called Phillips Data Management and add users to that group However you 154 13 Managing the database Event Review Pro User Guide should set up security and access according to the security policies of your organization It the SQL Server database administrator s responsibility to set up the network security to recognize the user name and password on the domain and workgroup Your SQL Server database administrator must complete the following e Add the user group to the logons for the database server e Grant read write permission to the database created earlier in these procedures to the user group 5 Troubleshoot the client machine connections to the database Consider the following e If Event Review Pro displays a message refer to your SQL Server documentation for a description of the message e Doyou have access privileges on the remote machine Event Review Pro uses Windows Authentication for database access Migrating cases from previous versions You can migrate cases from Event Review Pro 3 5 4 0 or 4 1 to the Event Review Pro 4 2 database If the source database is on another machine see your IT professional for assistance Migrating the da
43. the current position on the waveform Click the ECG on the Overview pane to move the sweep bar to the pointer location on the Waveforms pane For more information see Working with waveforms on page 71 70 6 Working with ECGs Event Review Pro User Guide You can see a closeup view of a segment of the ECG waveform as well as a closeup of compression waveforms on the Waveforms pane The channel displays the waveform in a grid indicates the selected scale and displays events and notes with markers Working with waveforms You can manage notes on the Overview and Waveforms panes On the Overview pane a dashed box arrow below identifies the waveform that appears on the Channels pane Strips Selections Selection Templates To add and manage notes on the waveform see Managing notes on the waveform on page 85 This ECG is intended only for basic rhythm identification It is not intended for diagnostic and ST segment interpretation By default the primary defibrillator channel appears on the Overview pane To select a channel 1 Onthe Overview toolbar click the Channel drop down list 2 From the list of all recorded channels click the channel that you want to view on the Overview pane To view event details on the waveform hover the mouse over the event marker on the ECG waveform Event details appear in a pop up window To select an event on the waveform click on or near the event marker on the waveform
44. the waveform that you do not want to analyze Any data inside the exclusion area is excluded from the analysis Use the Q CPR menu the shortcut menu on the ECG tab or shortcut keys to create Q CPR exclusions You can also convert an ECG selection to a Q CPR exclusion To create a Q CPR exclusion from the Q CPR menu or shortcut menu 1 2 3 If necessary click the ECG tab and display the ECG view Click the waveform at the point where you want the exclusion to begin Use one of the following methods Onthe Q CPR menu click Set Exclusion Start e Right click the waveform to display the shortcut menu click Q CPR and click Set Exclusion Start Click the waveform at the point where you want the exclusion to end Use one of the following methods Onthe Q CPR menu click Set Exclusion End e Right click the waveform to display the shortcut menu click Q CPR and click Set Exclusion End A red overlay highlights the exclusion To create a Q CPR exclusion using shortcut keys 1 2 3 4 5 If necessary click the ECG tab and display the ECG view Click the waveform where you want the exclusion to begin Hold down ALT and press the mouse button Drag the mouse to where you want the exclusion to end Release the key and mouse To create a Q CPR exclusion from an ECG selection see Managing ECG selections on page 81 93 6 Working with ECGs Event Review Pro User Guide Removing Q CPR exclusion
45. to install or upgrade either of these it does so Follow any instructions during this process which can take some time if the User Account Control box asks you to authorize this program to make changes click Yes The Install Shield wizard dialog box is now ready to begin installation of Event Review Pro Click Install On the Welcome screen click Next On the next page click Accept the Terms and click Next The next page displays the current readme file containing any late breaking information When you have read this click Next 13 1 Installing Event Review Pro Event Review Pro User Guide 7 Onthe next page click the edition of Event Review Pro that you want to install The EMS edition includes case information specific to nonhospital settings the Hospital edition includes case information plus extra reports that are specific to hospital settings Click Next 8 Inthe Custom Setup dialog box you have the opportunity to save Event Review Pro ina different location from the default If you need to check this new location for available space click the Space button If you want to choose a different location click Change and navigate to the new location When you are finished or if you want to accept the default location click Next 9 Confirm that you want to continue install click Install 10 When the installation is finished click Finish 11 An entry for Event Review Pro now appears on the Start menu
46. waveforms in the Waveforms pane according to your preferences You can control the display of device events notes and labels You can also configure the display of the grid and the gradient background in the channels To remove ECG information from display 1 2 Click the Waveforms pane Use one of the following methods e Click the ECG menu e Right click the ECG Click Display Items The display items menu opens Click the item that you want removed from display The item disappears from the ECG For additional information see Reviewing case events on page 99 To restore ECG information to the display 1 2 Click the Waveforms pane Use one of the following methods e Click the ECG menu e Right click the ECG Click Display Items The display items menu opens 87 6 Working with ECGs Event Review Pro User Guide 4 Click the item that you want restored The item reappears in the ECG Reviewing vital trends data On defibrillator monitors like the MRx vital trends data is associated with the ECG You can view this data in Event Review Pro in a table or on a chart In Table view you can select the time interval for the vital trends information Table 08 40 08 45 08 50 08 55 09 00 09 05 HA bpm Temp F AwRR rpm ABP mean mmHg ABP systolic mmHg On the Vital Trends toolbar click the Interval drop down menu and click 5 10 1
47. ways 31 4 Working with cases Event Review Pro User Guide e Add new information e Accept the information that the defibrillator provides e Override the information from the defibrillator All information is saved to the database Different defibrillators may capture different patient information as part of recorded ECG data If you use data from the HeartStart MRx the ECG information might include patient information such as name age and gender To complete the Case Summary fields 1 Event Review Pro completes the Case ID field You can change the case ID For defibrillators that generate an incident ID such as HeartStart MRx the case ID corresponds to this incident ID Each device has its own system for generating an ID 2 Fillinthe Patient ID Last Name and First Name fields In Reference ID type a reference ID for the case that you can use to identify it later For example ER Room 3 or Engine 3 Station 27 This information may already appear if the case was imported from an application that provided it 4 In Institution type an institution name for the case For example Valley Hospital or District 5 Fire Department 5 Click Next The Export Case page appears Exporting a file You can export a case to a mic file at any point The file is then available to a colleague who uses or Event Review Pro To create a file containing the ECG and case information check the Export to a File box and
48. 22222 2 222 eee cece ccc ccc cc cece cece cece cece eeeees 62 Working with ECGs 200 2022 ee eee eee eee ence eee eeeeee 64 Working in the ECG tab 002 c ccc e cece cece eccececcccccceeeees 64 Using the Events pane 000 0000 occ eee cece cece eeeeeeeeeeeeeeeenees 67 Viewing waveforms 0 000220 2 cece eee cece ce cee cece cece eeeeeeeeeeceeeeeeeeeeeeeees 70 Working with waveforms 2 222222 22222 e cece cece cece cece cece cc ec cece cece eee e ee eeeeteeeeeeeees P1 Magnifying waveforms 0000000000000000000000 000000000 0a raana adarra oraaa aa nannan 72 Displaying and hiding channels 000 22222 e cece eee cececeececeeeeees 72 Arranging sections of the ECG display 000222222 cece cece cece cece cece cece ee eee ee eens 72 Table of contents Event Review Pro User Guide Changing the display time 0 000000 e cece eeeeeeeeeeees 73 Changing the time scale 00 0 000 e cece eeeeeeeeeeeeeeeees 74 Scrolling through the channel 2 22 22 20 2222222 e cece cece eee e cece cc ccc cece cece cece eeeeeeeeeees 74 Customizing channels 0 22222 e cece eee e eee cecccccceecececcsceeeees 75 Changing the waveform offset 0000000 11 aa ee eeeeeeeeeeeeeees 76 Changing the waveform scale 0 2 0 2 cece e cece cece ccc ceccccecececececeeeeeees 77 Reviewing channel information 0000000000000000000000000 e cece ececeececeece
49. 4 169 Index Cases navigation pane ECGs migration from earlier versions 155 opening 33 printing 48 reviewing details 99 reviewing events 99 saving 45 sorting and grouping 43 Cases navigation pane 30 CDR file sending to Customer Support 150 Cerebral Performance Categories CPC 158 channels changing display time 73 customizing 75 displaying and hiding 72 magnifying waveforms 72 selecting 71 viewing ECG information 79 Channels pane 65 74 Click mode 27 color ECG selections 81 vital trends display 89 CompactFlash card reader 143 compatibility 18 confirmation messages restoring 28 cumulative device records sending to Customer 150 Support cursor delta time 79 customer support 131 emailing System Log to 119 D data card for attaching ECGs 36 41 136 138 data migration from older versions 18 data source erasing 46 data transfer adapters and readers 137 data migration from earlier verions 155 170 database remote server supported verifying location date and time adjusting defibrillator events changing defibrillators adjusting date and time device history data self test supported voice and system messages detaching ECGs device history data device tests Do Not Show This Message Again document conventions downloading ECGs Duplicate ECGs table E ECG Pre and Post shock report ECG selections color creating managing naming and sorting Q CPR templates ECGs 12 Lead view addi
50. 5 30 or 60 minutes from the list that appears In Chart view you can select the duration of the vital trends data o 6 t 3 8 8 t TH Bo a e G G y G ea 9g y p o gt G Bl A A Q A Q A A A ar A a 2 2 i gt On the Vital Trends toolbar click the Length drop down menu and click 10 30 or 60 from the list that appears You can also choose the color and point style for each trend displayed To change the point style in Chart view 1 If you are not already in Chart view click the Chart tab 88 6 Working with ECGs Event Review Pro User Guide 2 Onthe configuration pane to the left of the vital trends chart click the style button to the right of the trend you want or ae Point eee eee ii On the shortcut menu that appears click Point style 4 Click a point style from the list To change the trend color in Chart view 1 If you are not already in Chart view click the Chart tab 2 Onthe configuration pane to the left of the vital trends chart click the style button to the right of the trend you want changed On the shortcut menu that appears click Color 4 Inthe Color dialog box click a color from the BasicColorsilist You can also click Define Custom Colors to create your own colors type values in the boxes for Hue Saturation Luminosity and RGB preview the results until you have the color you want click Add to Custom Colors and click
51. D The last name prints in report headers If the ECG is from HeartStart MRx this field can contain information entered on the MRx You can change it A redacted case displays a series of asterisks for the patient name and patient ID Type the patient date of birth in the field A redacted case displays a blank field 57 5 Adding case details Event Review Pro User Guide Race This is the age of the patient at the time of the response Select the format used and type the age in the field The units of measurements include years months or days You can change the format at any time Event Review Pro calculates the new value for you If the ECG is attached from HeartStart MRx this field might contain information entered on the HeartStart MRx You can change it If you import a redacted case and the age of the redacted patientis greater than 90 the Age field displays 90 If the date of birth is entered age is computed automatically and you may not enter it This is the height of the patient Select the format used by the hospital and type the height in the field The units of measurement include feet ft inches in centimeters cm or meters m You can change the format at any time This is the weight of the patient at the time of the response Select the format used by your organization and type the weight in the field The units of measurement include pounds Ib ounces oz kilograms
52. Event Review Pro User Guide arrests that are in your system The report uses the following parameter settings Start date End date e Location e Population served by EMS system Witnessed with Bystander CPR The Witnessed with Bystander CPR report summarizes witnessed cardiac arrest in which a bystander administered CPR The report uses the following parameter settings e Start date End date e Location e Population served by EMS system Witnessed without Bystander CPR The Witnessed without Bystander CPR report summarizes witnessed cardiac arrests in which no bystander administered CPR The report uses the following parameter settings e Start date End date e Location e Population served by EMS system Printing reports You can print a report for an open case or for a case that is stored in the database Before you print a report you must generate the report 116 8 Working with reports Event Review Pro User Guide To print a report for an open case 1 From the open case click File then Print then Reports and then the report that you want to print On the Customization tab complete one or more parameter settings to specify the information that the report displays Click one of the print options e Click Print to select a printer number of copies and other printing options When you have made these specifications click Print e Click Quick Print to send the report direct
53. Events pane Defibrillator events can include items such as the following e Shocks e Alarms Monitor settings e Equipment status QCPR events In the Events pane you can identify types of events view them search for them and display hide them You can also manage the notes that are attached to each case Identifying types of events Event Review Pro displays the notes that were entered when the case was added to the Event pane For more information see Documenting events on page 59 The following icons identify event entries Note A user input observation about the patient s status or the responder s intervention made on the Timeline tab Note A user input observation about the patient s status or the responder s intervention made on the ECG tab Shock The delivery of therapy by the defibrillator Device On The time the defibrillator was turned on or returned to use Device Off The time the defibrillator was turned off Defibrillator alarm An alert provided by the defibrillator The alarm calls attention to a patient vital sign that is beyond a preset threshold Error condition An error related to the ability of the defibrillator or part of the defibrillator to perform its intended monitoring function 67 6 Working with ECGs Event Review Pro User Guide Viewing events When you click an event in the Events pane the sweep bar automatically moves to the location of the event on the ECG strip on
54. G from an infrared connection on page 39 HS1 family of Infrared connection See Adding an ECG from a file on defibrillators page 40 including HeartStart Home and HeartStart OnSite Defibrillators Imported case file File system See Adding an ECG from a file on page 40 Event Review Pro documentation uses the HS1 or HS1 family of defibrillators toreferto HeartStart Home HeartStart OnSite and HeartStart HS1 Defibrillators If you need help identifying the defibrillator or using a transfer method see Working with defibrillators on page 136 Adding an ECG from a data card The FR2 FR3 XL and HeartStart MRx defibrillators can use a data card to transfer the recorded ECG and other data from the defibrillator to Event Review Pro To attach an ECG from a data card 1 Insert the data card into the card reader 2 Useone of the following methods e Onthe ECG menu click Attach e On the toolbar click Attach ECG File The Attach ECG window opens listing ECG files grouped by the source of the file 3 On the right pane of the Attach ECG window find the file that is associated with the ECG information or 12 lead report The medium for the data source appears under the Source column 36 4 Working with cases Event Review Pro User Guide Optional for FR2 Series defibrillators If the pediatric pads were used choose the FR2 Pediatric option This allows Event Review Pro to properly calculate the pads impedance
55. L Server documentation or your local database administrator for instructions If you see a Success message Click Save A message appears stating that you must restart Event Review Proto use the new database server To verify the database server on the About Event Review Pro window 1 2 3 Start Event Review Pro On the Help menu click About Event Review Pro On the Server line confirm that Event Review Pro is connected to the correct server database Using Microsoft SQL You can purchase the SQL Server software to set up a remote database environment for Event Review Pro Philips Healthcare recommends that IT administrators who use domain controllers create a user group for the Event Review Pro users Setting up SQL Server as a remote database server involves the following tasks a e U N gt Install the SQL Server Software Set up Event Review Pro on the client machines Create the Event Review Pro database Set up access control on the database Troubleshoot the client machine connections to the database 1 Install the SQL Server software Install Microsoft SQL Server on the server machine operating system 2 Set up Event Review Pro on the client machines 1 2 Navigate to the installation folder for Event Review Pro on the client machine Double click SqlInstaller exe The Install SQL database for Event Review Pro 4 2 window opens 153 13 Managing the database Event Review Pro User Guide
56. See Starting the application on page 23 Activating the software After you install the software activate the product You can use the Internet or email to activate the software at any time after you install the application Until you complete the activation you will see the Philips HeartStart Activation Wizard window when the application starts At the end of 60 days however if you have not yet activated you cannot run the application on this computer You can view the serial number by clicking the Help menu and clicking About Event Review Pro In addition save the serial number in a safe place that you can access in case you need to re install the software Email activation support is available in English only at activation support philips com Product support via email is available in English only at eventreview support philips com For complete information on customer support see Customer support on page 131 For telephone support in English only call the following numbers between 9 00 AM and 5 00 PM Pacific Time e 800 263 3342 inside the United States 1 978 659 3332 outside the United States 14 1 Installing Event Review Pro Event Review Pro User Guide Activate over the Internet You can activate the software by the Internet at any point when you first install the application preferably within 60 days of installation At the end of the 60 days however if you have not yet activated you cannot
57. T while clicking to select multiple cases On the File menu or toolbar click Delete X A confirmation message might appear For more information see Restoring confirmation messages on page 28 Click Yes To delete a case that is open 1 On the File menu or toolbar click Delete X A confirmation message might appear For more information see Restoring confirmation messages on page 28 Click Yes The All Records table appears 51 4 Working with cases Event Review Pro User Guide Reviewing cases with duplicate ECGs The Duplicate ECGs table in the Cases workspace lists each case in the Event Review Pro database for which the ECG in the case is also the ECG in another case The cases are listed based on the reference ID case ID patient ID case date and time patient name and institution Cases can be inadvertently duplicated when you download them automatically This table provides an easy way to identify these cases For more information see Using the Import Service on page 126 Use the Duplicate ECGs table to complete the following tasks e Delete duplicate cases For more information see Deleting cases on page 51 e Sort cases See Sorting and grouping cases on page 43 e Search for cases based on a variety of values For more information see Filtering entries on page 121 e Hide or display columns See Working with columns on page 120 e Open cases For more information see Displaying case details
58. aar annann 15 Activate later 2 20 00 0 00000 e cece cece eee aaraa nanara arainn iy Registering the application 20 200 0 2c eee c ec c ee cece ccc e cece cece ccccceceeeeeees T7 Uninstalling Event Review PrO a 00000000000000000000 cece eee cece cece ee eeeeeeeeeeeeeees 17 Product compatibility 0000 00000 e cece cece eee ceceececeeeeees 18 Getting started oes Fei ah ae es te gk oe nk ee area as 19 Intended USE 2 2 eee 19 What s new in this release 2 2 2 e cece oeaio aorar arrarena nanna 19 Getting ASSISTANCE 2 coco access eye oi edb eee ete be phe eeytoentouee ey TENERE ER SERNA cect 20 Conventions used in this guide 2 2 22 2 2222 c ccc ccc cece cece cece naonnu 21 Starting the application 2 22200 23 Understanding the application window 2 222222 2c eee cece cece cece cece cece eceeeeeees 23 Completing fields 2 2 2 2222 c cece ccc cece cece cece cece eeeeeeeeeeeeeees 25 Using the application tables and logs 0 000002 c cece cece cece cece ccc e cee eeceeeeeees 25 Resizing panes and workspaces 22 22 e cece a ariaa a aranana 27 Managing mouse behavior 2 22 22 eee eee 27 Using a Tablet ak OR 27 Saving your Work 22 a00 daoa a cece cece AAAA Aa aa Ea nananana 28 Restoring confirmation messages 2 2 2 2 ce ec eee ccc cece cece aa aa aaner annan 28 Using the Navigation pane 2 00 e eee e ccc
59. ansfer the case from a defibrillator through a Bluetooth transmission Event Review Pro automatically adjusts the case event date on the received data based on the computer clock 3 After you attach an ECG you can change the date and time for the appropriate case in the Adjusted On Time column The date and time automatically adjusts for each event in that case The ECG tab displays the adjustment that you enter 4 Onthe File menu or toolbar click Save Erasing the data source After you attach an ECG and save the case to the database consider erasing the data from the source This ensures that the device has full capacity for the next use 46 4 Working with cases Event Review Pro User Guide You can erase ECG information from the data cards used by the MRx the FR2 and FR3 series and XL defibrillators You can also erase the ECG information from an HS1 or FRx defibrillator You can also use Bluetooth to erase files that were transmitted via Bluetooth from an MRx Make sure that you transfer all the information to the database or an archive before erasing the information Once the data is erased it is lost and cannot be recovered To erase a data card 1 Insert the data card into the card reader 2 Onthe Tools menu click Erase Data on Card or Device The Erase Data on Card or Device window opens Click the card or device name Click Erase A confirmation message might appear For more information see R
60. are among the trademarks or registered trademarks owned by or licensed to Palm Inc Pentium is either a trademark or a registered trademark of Intel Corporation or its subsidiaries in the United States and other countries Q CPR is either a trademark or a registered trademark of Laerdal Medical Toshiba is either a trademark or a registered trademark off TOSHIBA Corporation Widcomm is either a trademark or a registered trademark of Broadcom Corporation Authorized EU representative Philips Medizin Systeme Boeblingen GmbH Hewlett Packard Strasse 2 71034 Boeblingen Germany 49 7031 463 2254 Device manufacturer Philips Healthcare 2301 Fifth Avenue Suite 200 Seattle WA USA 98121 CE Table of contents Installing Event Review Pro 2 2 0 0 20 c ccc nce cece eee eee e eee eeeeeeeee 8 System TEQUINGMOMS 2 22 c8d soe oh tlk Seance Sle eg Le end LENEE ESINEEN EE ENARE EN SEERNES 9 Downloading the application 000 cece cece cece cece ec eeeecceceeeeeeees 12 Checking for updates 2 22222 12 The installation procedure 2 2 2 0 2222 c cece cece ccc cece cece ccc ccceeeeeeeeeseeeeeeees 13 Activating the software 2 0 2 222 e cece cece cece cc cece cece cece cece ee eeeeeeeeeeeeees 14 Activate over the Internet 22 22202202222 o cece eee cece ccc cc ccc cc cece cece cece eeeeeeeeeees 15 Activate by email 2 220 000 2 2222 e cece cece ccc cece cece ccc cece cece cece cece cece na
61. ation about the current sweep bar and pointer locations in an information pane at the bottom of the ECG view Navigating ECG events on the waveform e If youclick Next the sweep bar moves to the location of the next event on the ECG waveform and displays the event time on the information pane e Ifyou click Previous 2 the sweep bar moves to the location of the previous event on the ECG waveform and displays the event time on the information pane e Ifyou click Play the waveform moves at the speed of real time 78 6 Working with ECGs Event Review Pro User Guide Playing the ECG audio If audio clip was recorded with the ECG you can play the audio and move along traverse the waveform on the Channels pane The sweep bar indicates the location on the waveform corresponding to the current audio You can also play and pause the audio by pressing the spacebar if the Channels pane is currently in use For more information see Using key command and mouse shortcuts on page 95 e To play the ECG audio click Play The audio clip and the sweep bar moves through the waveform on the Channels pane and indicates the real time on the information pane If a section of the ECG has no audio you will see a flashing indicator that displays No audio e To pause the ECG audio click Pause k The audio pauses and the sweep bar stops at the current location on the ECG waveform e To change the volume of the ECG audio drag the Volume
62. ation that could be considered Patient Healthcare Information PHI or patient identifiable data Handle the information in accordance with HIPAA or your local patient privacy requirements Bluetooth option prerequisites for the MRx and FR3 The prerequisites for Bluetooth use are slightly different for the MRx and FR3 defibrillators 140 12 Working with defibrillators Event Review Pro User Guide MRx The Bluetooth card on the HeartStart MRx is inside of the defibrillator Confirm that you have a Bluetooth card installed and that the Event Summary Bluetooth transmission feature is enabled For detailed information on setting up the MRx for B uetooth transmission see the most current release of the following documentation HeartStart MRx Instructions for Use Addendum HeartStart MRx M3535A M3536A Instructions for Use e HeartStart MRx Data Transmission Implementation Guide FR3 Confirm that you have a Bluetooth card installed in the defibrillator For detailed information on setting up the FR3 for B uetooth transmission see the most current release of the following documentation HeartStart FR3 Instructions for Administrators Pairing and testing the B uetooth option with the computer MRx and FR3 MRx Use this information to pair and test the Bluetooth option for HeartStart MRx Make sure that the application computer is turned on and that the Bluetooth software and adapter are installed and visibl
63. d by another HeartStart product such as Data Messenger e Add information such as patient demographics initial treatment and notes to clarify or comment on a defibrillator event If you select information from a drop down list your choice persists the next time you use the field At that time you can select another value Use the Database Records pane to access cases in the database Creating a case including ECG with the Case Wizard The wizard that is available on the Getting Started pane and the File menu guides you through the steps required to add download patient data from a defibrillator or its data card create a case and complete some basic tasks After briefly displaying a message listing the completed tasks the wizard displays the page for the next task To start the wizard 1 On the navigation pane click the Getting Started navigation button 2 Onthe Getting Started navigation pane click Case Wizard 3 Inthe Welcome Page window click Next to continue The Attach ECG page appears Attaching adding an ECG To attach an ECG from a Philips defibrillator or its data card 1 Use the table in Adding ECGs table on page 35 to identify the method used to add download an ECG from your defibrillator 2 Follow the instructions in Adding ECGs on page 34to attach the ECG Click Next The Case Summary page appears Entering case summary information On the Case Summary page you can handle case information three
64. der CPR report 116 updates checking for 12 upgrade 8 user accounts 20 Utstein guidelines 113 115 158 Utstein reports 115 V ventilation channel adding notes to 94 vertical offset changing 76 Index vital trends XL defibrillators vital trends 88 color 89 point style 89 Vital Trends report 113 W waveform display 20 waveforms 71 audio 73 changing color 76 changing display time 73 changing scale 77 displaying in channel 76 ECG information 79 exporting data 85 incomplete releases 72 magnifying 72 measuring value 79 navigating ECG events 78 notes 85 offsets 76 viewing 70 zooming in and out 86 Waveforms pane 74 Windows 7 64 bit 20 Windows Server 152 Witnessed with Bystander CPR report 116 Witnessed without Bystander CPR report 116 wizards 20 39 X XL defibrillators attaching ECGs 35 data cards 145 174
65. displays a list of summary case data with the most recent incident at the top Select the incident that you want to transmit Click Send and then All Event Data On your computer in the Attach ECG dialog box watch for a display that includes the MRx folder and open it to see the data that has been transferred Pairing the Bluetooth option for the FR3 occurs automatically Use the following procedure to verify that this has occurred To verify that the FR3 Bluetooth option has paired with the computer 1 2 When the FR3 is on and you have heard the voice acknowledgment put the unit into Administration mode Press the option button and select wireless data transfer 142 12 Working with defibrillators Event Review Pro User Guide 3 Onyour computer in the Attach ECG dialog box Event Review Pro discovers the PIN number and displays a list of the patient cases currently on the FR3 Reading HeartStart MRx cards The HeartStart MRx defibrillator stores information in internal memory To open the information in Event Review Pro transfer the information from the internal memory to an external CompactFlash card and then download it to Event Review Pro Follow the instructions in the HeartStart MRx Monitor Defibrillator nstructions for use guide After you transfer the information to a CompactFlash card you can read the card in a card reader CompactFlash cards and card readers are available through your Philip
66. e On the Report Preview toolbar use a toolbar button to print the report locate information export the report or email the report For more information see Exporting reports on page 117 Generating a report from the database Use Reports to generate a report for a case saved in the database 106 8 Working with reports Event Review Pro User Guide To generate a report from the database 1 Click the Reports navigation button The Reports navigation pane opens Double click the type of report that you want to generate On the workspace above the report preview you see parameter settings that you can use to specify the report format and details Depending on the report do one of the following on the Filter tab a Click the case from the table and click Select b Set the filter criteria and then click Select Depending on the report click a customization tab A preview of the report as you set and change the parameter settings Complete one or more parameter settings to specify the information that the report displays To print the report use one of the following Report Preview toolbar buttons e Click Print to print the report on the printer of your choice e Click Quick Print to print the report on your default printer For more information see Printing reports on page 116 To generate an export file click Export To on the Report Preview toolbar For more information see Exporting reports
67. e case date and time G Glasgow Coma Score GCS grouping events H HeartStart Home defibrillators HeartStart OnSite defibrillators help hiding and displaying cases HS1 defibrillators Admin mode case date and time HTTP using for Import Service 21 25 101 40 101 100 37 35 144 35 37 139 141 139 48 36 39 41 147 145 160 100 36 36 20 22 131 43 36 39 41 148 145 129 icons for events Import Service archives configuring managing inboxes using HTTP importing files automatically manually infrared connections installation introduction IrDA connections K key command shortcuts M main window migration of older data mouse MRx defibrillators Bluetooth data cards multiple files exporting importing N navigation pane minimizing Index icons for events Q CPR Report Card report 67 45 126 128 127 126 129 20 126 45 44 35 39 41 136 146 147 8 21 35 39 41 136 146 95 23 8 155 27 95 19 32 35 38 54 89 141 143 143 20 20 23 28 29 172 new features 19 notes managing 69 O offset waveform 76 online help 21 Overall Performance Categories OPC 158 Overview pane 65 P password protection 32 45 49 126 patient identity removing 32 patient information adding 62 PC card reader 145 PCMCIA card reader 145 pediatric option for FR2 37 40 Percentile Response Times Total System report 114 Perc
68. e initially 2mV 1mV cm This removes the misperception that the ECG signal amplitude changed when only the rendering scale recorded by the device changed Furthermore Event Review Pro can now display many segments as longer contiguous segments Support for Windows 7 64 bit as well as 32 bit e Automatic saving of all user settings including ECG waveform order You can restore defaults by individual UI section e Multiple file import export When you import data you can choose multiple files Each file is imported to a separate new case You can also choose multiple cases and export them and the case IDs will be used to keep their names unique e User entered timeline annotations now use real time as opposed to case time which is more accurate e Customer support for device history data via email from FRx HS1 FR2 and FR3 defibrillators You can send the data file to Philips Customer Support for assistance e Q CPR detail reports now can include information from multiple cases In addition the User Account administration feature including logon and logoff and the ECG Views feature have been removed Any late breaking news on features is in the Read Me document available from the Help menu assistance Event Review Pro offers the following sources of help Application tooltips When you hover the cursor over a toolbar button or event on the ECG waveform text appears in a pop up window The text identifies
69. e or discoverable To pair the HeartStart MRx Bluetooth option with the computer 1 On the HeartStart MRx main menu click Bluetooth Devices 2 Click Add Device The defibrillator searches for your computer 141 12 Working with defibrillators Event Review Pro User Guide FR3 go NO If your computer is not listed after the search your computer Bluetooth is not enabled or set up correctly Refer to the B uetooth documentation to troubleshoot the setup Click the name of your computer and then press Enter Type a passkey for the Bluetooth option using the number menu The passkey is a user defined character sequence such as 000 or 1234 For information on this sequence see the documents listed in the Bluetooth option prerequisites for the MRx and FR3 on page 140 At the top of the number menu click Done On your computer immediately watch for a pop up message Click the pop up message Type the same Bluetooth passkey that you typed on the defibrillator in step 4 The defibrillator and the computer now have a Bluetooth connection and you are ready to test it Click Next and then Finish On the main menu of the MRx click File Transfer and then Enter HeartStart MRx displays the transmission test passed message Click Acknowledge Scroll to Exit and click Enter Onthe main menu of the MRx click Other Data Management and then Acknowledge After changing into Data Management mode the MRx
70. e table and the order in which they appear e To change a column width use the mouse to click and hold the column border and then drag the border to the size you prefer e Tosizeacolumn to fit the width of its current content use the mouse to click the column border and then double click the mouse e To change the order in which columns appear use the mouse to click and hold the column header and then drag the column to the left or right to a new location To hide or display the columns on the table 1 Right click a column header name to display a shortcut menu 2 Click Columns to display a list of column header names 3 Click a check box for each column that you want to hide or display on the table Column headers with a check mark display on the table Grouping and sorting entries In any grid such as the Event Log and the System Log you can arrange entries for your convenience Displaying and hiding entries Right click any column to display a shortcut menu The shortcut menu lists all columns available with check marks next to those that currently display Click the check boxes to display or hide any of the columns Sorting entries You can click the column header to sort the list of values in ascending 1 to 9 or a to z or descending 9 to 1 or z to a order 120 9 Working with the System Log Event Review Pro User Guide Grouping entries You can group entries so as to sort them by multiple criteria F
71. e version of Event Review Pro on each client machine connected to a shared database A Philips Healthcare recommends that Information Technology IT personnel install and configure the remote database server Use this feature with care Before implementing the application on a shared database server keep the following in mind e The application saves only the changes made by the most recent user to save the case For example when more than one user opens the same case makes changes and saves the case the application saves the changes made by the last userto save the case Event Review Pro installed on a client machine cannot run when the remote database is unavailable such as when the server or network is shut down or disconnected Changing the database server You can change the Event Review Pro database server in the following ways To change the database server from the Tools menu 1 On the Tools menu click Database Server The Configure SQL Server for Event Review Pro 4 2 window opens showing the current database name 2 Inthe SQL Server name box use the down arrow to display a list of all available SQL Servers on the network 3 Click the SQL server name that you want 152 13 Managing the database Event Review Pro User Guide 4 Toverify the connection click Test A message from the SQL server software appears noting success or failure If Event Review Pro displays a failure message refer to your SQ
72. eccececeececceeeees 28 Working with cases 2 2 ooo ee 30 Understanding the Cases navigation pane 2 2 2 22222 eee eee eee 30 Creating a case including ECG with the Case Wizard 000000000 eee eee 31 Ea EES ss 4ccehoec nace ans Aled oSclnds mots awk Di decednad eee te see dete de see sachs 33 ACGINGIEC GSS 22 ce2n 2 tb heres es rs ees Bite ea ae peace ce teeta eee on 34 Table of contents Event Review Pro User Guide Adding ECGs table 2 2 2 20020 35 Adding an ECG from a data card 2 22222 36 Downloading an ECG using an FR3 Bluetooth transmission 22 22 37 Downloading an ECG using an MRx Bluetooth transmission 22 22 38 Downloading an ECG from an infrared connection 20 0 2 ee cece cece eeeeees 39 Adding an ECG from a file 2000 c cece cece cece cece cc ccceceeeeeeeees 40 After you addian ECG 2 222222 sic 2 ceget ig nhidaeha dees eesase Ss iedd phgedakckaceeedsseeeieaeias 40 Adding multiple ECGS 0 0 2 c cc ccc ccc cc cece cece cece eeeeeeeeeeeeees 41 Removing ECGs from acaSe 2 eee 42 Displaying case details 2 2 0 2 222 cee inne EAA EA ESE EPIRA ESERE AENEA EESE ERES 42 Sorting and grouping Cases l a oaa aoaaa aana eee 43 Hiding and displaying cases 2 2 22 2 222 43 Importing case files manually 2 2 22 2 022022 e eee e cece cece eee eeeeeeeeees 44 Importing case f
73. ecify parameter settings for the export file appears Click Email As to export the document in one of the available formats and attach it to the email Working with case reports Case reports include detailed case information based on the information collected on the tabs in Cases The type of report determines the parameter settings you can specify You can generate the reports in the Cases category when a case is open For information on how to generate a report see Generating reports on page 106 108 8 Working with reports Event Review Pro User Guide After you have generated the report preview you can choose to append all the available case reports in one report rather than printing each one separately On the Case Customization tab check all the reports that you want to include Then on the tab for each of these reports select the parameter settings you want to include in the report For more information see the following topics e Printing reports on page 116 e Exporting reports on page 117 e Emailing reports on page 118 Working with ECG reports ECG reports are based on the ECG strip on the ECG tab in Cases See Working with reports on page 105 ECG Full Disclosure The ECG Full Disclosure report includes the entire ECG The report uses the following parameter settings e Case required e Change the scale of the waveform Grid Events e Notes Beat labels e Selected channels Dash
74. eeeeeees 78 Defining and viewing ECG selections 2 00000222 2c cece c cece ccc cece cece cece ee eeeeee 80 Creating ECG selections 222 2200 0 0 eee 80 Managing ECG selections 2 2 22 2222 20 81 Naming finding and sorting ECG selections 2 0 0 0 200000 e cece cece eeeeeeeeee 82 Using selection templates 2 2 2 2 2 2000 83 Copying ECGs to the Clipboard 2 2 2 2 2 2 84 Exporting waveform data 2 22 2 e cece cece cece cece cece cece cece cece cece cece eeeeeeeeeees 85 Managing notes on the waveform 2 22222 cece eee e cece cece cece c cece cece cece nannaa nnna 85 Zooming in and out of the waveform 00 e cece eee eeeeeeeeeees 86 Customizing the ECG display 0 0 00000 e cece cece ccc cece cece cece ee ceeeeees 87 Reviewing vital trends data 0 0 00000 c cece cece eee e iauna nordna nanena 88 Working with 12 lead ECGS 2 2 e cece daadaa edarra rraian 89 Configuring the 12 Lead view 2 022222 eee e cece eee c cece ccc ccc cece cece eee noaaraa 90 Reviewing the 12 lead ECG 0 022 222 cc ccc ccc c cece cece aona naonana 91 Magnifying 12 lead ECGs 2 e cece cece ceeeeeececeeeeees 92 Customizing Q CPR episodes 2 2 2 2 2 00 92 Creating Q CPR exclusions 2 2 22 22222 e cece cece cece eeeeeeeeeees 93 Removing Q CPR exclusions 00 0000000 e cece eee eeeeeeeeeeeeeeees 94 Adding notes to the
75. eep bar one strip backward in the WAVEFORMS pane SHIFT PAGE UP Move sweep bar one strip forward in the WAVEFORMS pane SHIFT PAGE DOWN Move sweep bar to beginning of recording HOME Move sweep bar to end of recording END Move sweep bar one second backward LEFT ARROW Move sweep bar one second forward RIGHT ARROW Move sweep bar to previous selection UP ARROW 96 6 Working with ECGs Event Review Pro User Guide Move sweep bar to next selection DOWN ARROW Time scale Time scale expand CTRL PLUS SIGN Time scale compress CTRL MINUS SIGN Zoom Zoom in PLUS SIGN Zoom out MINUS SIGN Zoom in fully SHIFT PLUS SIGN Zoom out fully SHIFT MINUS SIGN Mouse shortcuts Magnification Display magnified view of waveform Click the waveform then hold down SHIFT and press the mouse button Q CPR exclusion Create Q CPR Exclusion Hold down ALT and drag mouse over waveform Time scale Expand time scale Press the mouse wheel and rotate it backward Compress time scale Press the mouse wheel and rotate it forward 97 6 Working with ECGs Event Review Pro User Guide Vertical offset Increase vertical offset Click the BASELINE field and rotate the mouse wheel forward Decrease vertical offset Click the BASELINE field and rotate the mouse wheel backward Waveform scale Increase vertical waveform scale Click the RANGE field and rotate the mouse wheel forward Decrea
76. eform on the Overview Channels and Events panes according to criteria that you choose You can display or hide events either by category or by type If you filter by category for example if you filter by Q CPR then all event types in that category CPR Pads Off CPR Intubated etc are hidden as well By default all events appear except CPR compression events The caution icon appears on the Filter tab when there is at least one event type or category that was filtered See the procedure below to display some or all of these events To use the event filter 1 Onthe Events pane click the Filter tab A list of event categories appears 2 Click Expand next to an event category The event types in the selected category appear 3 Uncheck the box for any event type or event category that you want to remove from the display The following results occur e The event or events disappears from the Overview and Channels panes The event or events disappears from the Events pane e The caution A icon on the Filter tab appears Managing notes You can add modify and delete notes in the Events pane You can also add edit and delete notes directly on the ECG on the Overview or Channels pane For more information see Managing notes on the waveform on page 85 To add a note in the Events pane 1 Click the part of the Events pane where you want the note to appear 2 Onthe toolbar click Add Note A 69 6 Worki
77. elihood of having an ACI based on the patient s age gender chest pain status and acquired 12 lead ECG When the defibrillator runs the ACI TIPI analysis the interpretative block on the 12 lead report includes ACI TIPI data Administration Administration mode allows you to apply or change configuration settings ina HeartStart supported defibrillator and also allows an administrator to view HeartStart Configure activities Administration mode A setting on HeartStart defibrillators that allows the defibrillator to send and receive information Administration pane The Administration pane allows you to view system log entries for the computer running HeartStart Configure AED Stands for Automated External Defibrillator A defibrillator that automatically performs rhythm analysis of the patient s surface electrocardiogram All Configurations A feature in the Saved Configurations pane that allows you to view all configurations that are available for viewing and editing in HeartStart Configure Archive To store or save information 162 16 Glossary Event Review Pro User Guide Attend to Patient Period A period following a no shock Advised NSA decision during which the responder may perform CPR if needed or otherwise attend to the patient BLS Basic Life Support Bluetooth wireless transmission Use of an optional FR3 Bluetooth wireless technology transceiver module to transfer a configuration from a Hear
78. entile Response Times report 115 pinning and unpinning 72 point style vital trends view 89 printing case information 48 reports 33 116 product support 131 Q Q CPR adding notes to ventilation channel 94 creating exclusions 93 customizing episodes 92 removing exclusions 94 report data 111 Q CPR Report Card report 110 Index redaction vertical offset changing R redaction 50 54 106 114 registration 17 removing ECGs 42 removing the application 17 reports 105 case details 109 ECGs 109 emailing 33 118 exporting 117 generating 106 generating for open case 106 generating from database 106 printing 33 116 Q CPR 110 Response Times 113 toolbar icons 107 Vital Trends 113 resetting ECG display layout 73 resizing panes and workspaces 27 Response Times report 113 saving cases 28 45 scale waveform 77 selections templates ECGs 83 self test of defibrillators 20 shortcuts 95 SQL Server 2005 2008 151 starting the product 23 synchronization defibrillator and computer date 48 and time System Log 26 119 emailing to Customer Support 119 filtering entries 121 173 grouping and sorting entries 121 printing entries 124 removing filters 124 system requirements 9 T tables duplicate ECGs 52 printing 48 Tablet Mode 27 Tablet PC 27 telephone support 132 time changing on waveform 73 changing scale 74 Timeline tab 59 tooltips 20 Transport pane 65 U uninstallation 17 version 3 5 18 Unwitnessed with Bystan
79. er 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 Event Review Pro can read the data on the card 3 If the card does not appear in Windows Explorer remove the card from the reader and then insert it into the card reader again Reading XL cards The XL defibrillator stores information on an ATA flash card Read the documentation for the defibrillator to learn how to remove the card from the defibrillator You can read these cards in an ATA flash card reader or a PC Card PCMCIA reader If the computer is not equipped with an adapter you can add one as an external or internal card reader The external card reader plugs into the desktop USB port To read a data card 1 One end of the card has a series of perforations Insert this end 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 The Philips Data Management Solutions application and Event Review Pro can read the data on the card 3 If the card does not appear in Windows Explorer remove the card from the card reader and then insert it into the card reader again Determining the HS1 and FRx case date and time The HS1 family of defibrillators and FRx defibrillators do not have a real time clock that keeps the defibrillator date and time Instead the defibrillat
80. er click Make New Folder and type a name for the folder 129 10 Using the Import Service Event Review Pro User Guide 4 Click OK The path to the folder in the HTTP Import Service area appears To disable the HTTP Import Service 1 Display the Import Service workspace For more information see Managing Import Service inboxes on page 126 2 Inthe HTTP Import Service area click Clear Working Folder The path to the folder in the HTTP Import Service area disappears 130 11 Customer support Philips Healthcare strives to provide you with excellent customer service and technical support Software updates for the integrated applications are available from the application Help menu From the Help menu click Check for Updates Customer support is available through email Internet and telephone Email product support is available in English only at eventreview support philips com In addition if a customer support representative asks you to send the System Log on the Help menu click Email with System Log and send the email message that appears The System log is attached to it by default Internet product support is available at the following address http www philips com DataManagementS upport For telephone assistance outside the United States please call your sales representative or local response center See the following tables for contact information You can also navigate to technical support teleph
81. er the Source column Keep in mind that if your ECG recording is very long or contains audio it may take as long as 5 to 10 minutes or even longer before it appears in the window Use one of the following methods e Click the file for the ECG you want to attach and then click Open e Double click the file for the ECG you want to attach 37 4 Working with cases Event Review Pro User Guide Event Review Pro attaches the ECG to the case and the ECG tab appears with the attached ECG waveform s Downloading an ECG using an MRx Bluetooth transmission Depending on the version of your MRx and its options you can transfer files from the MRx to the computer using Bluetooth transmission To attach an ECG or 12 lead report using a B uetooth transmission 1 Set up the Bluetooth software and adapter on the computer For information see your defibrillator documentation and Setting up Bluetooth transmissions for the MRx and FR3 on page 140 Send the Bluetooth transmission For information see Sending the MRx Bluetooth transmission on page 143 Use one of the following methods e Onthe ECG menu click Attach e Onthe toolbar click Attach ECG File On the right pane of the Attach ECG window find the file that is associated with the ECG or 12 lead report The medium for the data source appears under the Source column Use one of the following methods e Click the file for the ECG you want to attach and then click
82. ervice supports the import of case data using HTTP After you set up HTTP you can transfer case data from HeartStart Data Messenger For more information see the HeartStart Data Management implementation guide Use the Import Service workspace to enable change or disable the working folder for the HTTP import service You must run the Import Service under a named administrator not the default local service for HTTP import to work properly See Configuring the Import Service on page 127 To enable the HTTP import service 1 Display the Import Service workspace For more information see Managing Import Service inboxes on page 126 2 Inthe HTTP Import Service area click Set Working Folder The Browse for Folder window opens 3 Use one of the following methods to create a working folder e Navigate to the working folder e Navigate to the location for the new folder click Make New Folder and type a name for the folder Make sure that the Import Service has read write permission for this folder 4 Click OK The path to the folder in the HTTP Import Service area appears To change the working folder 1 Display the Import Service workspace For more information see Managing Import Service inboxes on page 126 2 Inthe HTTP Import Service area click Set Working Folder Use one of the following methods to change the working folder e Navigate to a different working folder e Navigate to the location for the new fold
83. es in the report indicate periods during the report when there is no waveform data Pre and Post shock The Pre and Post shock report documents the ECG segments surrounding each shock event 109 8 Working with reports Event Review Pro User Guide ae The ECG recording begins the presenting rhythm Presenting seconds at the start of the ECG rather than at the time that the defibrillator was turned on The report uses the following parameter settings e Case required e Change the scale of the waveform Grid e Events e Notes e Beat labels e Selected channels e Presenting seconds e Closing seconds e Preshock seconds e Postshock seconds Working with Q CPR reports The Q CPR report card is based on the quality of the CPR that a patient received during the episode The report uses the information that appears on the ECG tab You can create a report card based on the CPR results from multiple cases each report appears in a separate file You can choose whether to display the results in millimeters or inches You do not have to select parameter settings and you can choose to exclude ventilation data from the report See Working with reports on page 105 The report displays the following information e Case ID and patient information e Episode summary information e Episode length e Number of shocks e Device on and off times e Ventilation data Total number of ventilations 110 8
84. estoring confirmation messages on page 28 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 Pro For more information see Using infrared connections for the HS1 and FRx on page 146 Put the defibrillator in the Administration mode On the Tools menu click Erase Data on Card or Device The Erase Data on Card or Device window opens Click the device name Click Erase A confirmation message might appear 6 Click Yes in the message box To erase data from the Bluetooth Exchange folder MRx only 1 On the Tools menu click Erase Data on Card or Device The Erase Data on Card or Device window opens 2 Click Bluetooth Exchange Folder 47 4 Working with cases Event Review Pro User Guide 3 4 Click Erase A confirmation message might appear Click Yes To erase data from an FR3 defibrillator using Bluetooth 1 Once the unit is on and you have heard the voice prompt place the FR3 in Administration mode press the option button and select Wireless Data Transfer In Event Review Pro on the Tools menu click Erase Data on Card or Device The Erase Data on Card or Device window opens Inthe Bluetooth section click the FR3 icon whose serial number matches the device that you want to erase Click Erase A confirmation message might appear Click Yes The clock on the defibrillator is now synched with the cloc
85. etting up the infrared connection on page 147 If you are sending data from a data card from an FR2 or FR3 device follow the instructions from Customer Support to put the device history data file on the card and then insert the card into a card reader attached to your computer If you are sending data from a Bluetooth connection on an FR3 follow the instructions from Customer Support to put the device history data file on the card then turn the defibrillator on wait for the voice prompts put the device into Administration mode press the option button and select Wireless Data Transfer From the list of devices click the one that you want to send data for and click Finish An email message box appears with the device history data appearing as an attachment Type any comments you want to add to the message Click Send 150 13 Managing the database Event Review Pro stores the application database in Microsoft SQL Server 2008 R2 Express Edition This is a free version that Philips Healthcare installs by default It limits the database size to 10GB The number of cases that can be stored ina database of this size varies depending on the length of captured ECGs and whether or not the file includes audio The versions sold by Microsoft are limited only by the size of the hard disk The Event Review Pro database is low maintenance compared to many other databases Nonetheless attention to routine maintenance tasks will help
86. formation Details action and events of an end user using HeartStart Configure Language Card A secure digital SD card that can be purchased separately for the HeartStart FR3 defibrillator model It contains languages used by the local culture You can either change the primary language or set a second language for bilingual operation License Manager The License Manager allows you to type in your registration key to activate HeartStart Configure software Navigation pane Use the navigation pane to navigate to workspaces and to select a defibrillator and perform defibrillator configuration tasks NSA Stands for no shock advised A decision that is made by the defibrillator based on analysis of the patient s heart rhythm The defibrillator will not deliver a shock in this mode PEA Pulseless Electrical Activity PR Perfusing Rhythm PST For Periodic Self Test A self administered test mode that a HeartStart defibrillator runs to ensure that all defibrillator components are functional and work properly Test results are Pass Warning or Call customer support Recorded On Time 166 16 Glossary Event Review Pro User Guide The date and time the responder turned on the defibrillator Save Adding a new configuration the information and its associated details to the HeartStart Configure dataset for reuse later on other defibrillators in order to standardize defibrillator behavior Saved configurations
87. fset and scale The scale in millivolts per millimeter 75 6 Working with ECGs Event Review Pro User Guide If multiple waveforms are associated with the channel you can select the waveform to display in the channel You can control the vertical offset and can scale the waveform displayed in a channel You can also control the color of the waveforms displayed on the channels If the ECG has multiple channels you can change the display order for the available channels e To display the channel properties tool click Expand 2i To hide the tool click Collapse To move a channel up on the Channels pane click Move Up E To move a channel down on the Channels pane click Move Down E To change the color of the waveform 1 Click the color selector to the right of the waveform ID strip 2 Inthe Color window click the desired color and click OK The waveform appears using the selected color Changing the waveform offset The Baseline field available in the ECG channel when you expand the Properties area with the arrow controls the vertical offset for the waveform The Baseline field displays the current vertical offset in the relevant waveform units for example mV for an ECG Use the Center button to center the waveform segment displayed in a channel The waveform appears with the offset determined by the average of the waveform values in the segment currently displayed in the channel The image below sho
88. g ECG selections ECG selections are portions of the ECG that you need to reference for future examination like bookmarks You can mark any part of an ECG as a selection and give it a name you can also assign it a distinctive color to set it off With selection templates you can set up a process to create selections automatically when a specific event in the ECG occurs Once you have more than one selection you can sort them for quick reference You can also print a strip report of the ECG from the File menu or the application toolbar For more information see Generating reports on page 106 and Working with ECG reports on page 109 Shortcut menu commands on the Channels pane assist in these tasks Creating ECG selections If you want to isolate a section of ECG data for separate attention such as focused analysis during debriefing or printing it by itself and inserting it in slide presentations documents or emails you can create a selection You can do this three different ways e Tocreate an ECG selection manually click where you want the clip to begin on the waveform and press and hold the mouse button as you move the pointer to where you would like the clip to end A green overlay the default color you can change this highlights the selection e Ifyou want to create a single selection of a predetermined length in the part of the ECG that is on the screen at the moment use the Auto selection feature You can set the length
89. g Event Review Pro Event Review Pro User Guide Sound card and speaker Card reader IrDA support Bluetooth adapter To play audio from the defibrillator To read information from a defibrillator see your Philips customer representative to purchase the appropriate card reader See Selecting accessories for data transfer on page 137 fora summary of the major card reader types Required to read information from an HS1 or FRx defibrillator Your computer must support the following technology IrDA functionality An infrared transceiver or an infrared adapter The transceiver will appear as a small dark red or black window on the computer and device To transfer HeartStart MRx and HeartStart FR3 data to your computer Bluetooth stack You can use Bluetooth to transfer MRx or FR3 data from the defibrillator to your computer Bluetooth version 2 0 or higher You must have a supported adapter for Bluetooth transmission Most Bluetooth adapters such as IO Gear GBU421 are suitable You can order an adapter from your Philips representative The Bluetooth protocol varies depending on your Philips defibrillator It becomes more complicated as the Bluetooth stacks from different vendors implement different subsets of the protocols If you are working with both the MRx and the FR3 the Widcomm stack currently can support both at the same time If you are working only with the FR3 the Windows built in Microsoft
90. h case details Select a tab to view modify and delete the information You can use the case tabs in any order based on your tasks within your organization Event Log The Event Log is one of the tabs for a selected case It lists all defibrillator events and notes written for that case Once you open a case and select the Event Log tab you can see details for an event You can sort group and filter the defibrillator events and notes that a responder or reviewer added to the case You can also print the events for the open case For more information see Reviewing case events on page 99 Attachments table The Attachments table in the Cases workspace lists each file that is attached to the case It identifies each attachment by the file name file type and date that the file was attached Use the Attachments tab to manage the files that you attach to the open case Once you open a case and click the Attachments tab you can add and delete an attached file You can also sort group and filter the list of attached files For more information see Attaching adding files to a case on page 101 System Log The System Log table identifies all system activities based on the type action description date and time and the user name The System Log table is on the Administration workspace For more information see Working with the System Log on page 119 26 3 Starting the application Event Review Pro User Guide Resiz
91. h the defibrillator you can add an infrared adapter An infrared adapter that connects to a USB port such as the ActiSYS IR4002US ACT IR4002US if you purchase it from Philips Healthcare is the recommended adapter Setting up an infrared adapter On Windows XP installations Event Review Pro was tested with ACTISYS adapters For best results use the IR4002US ACT IR4002US if you purchase it from Philips Healthcare and follow the manufacturer s instructions More information is available at the following Web site http www actisys com To set up the infrared adapter 1 Read the instructions that came with the infrared adapter 146 12 Working with defibrillators Event Review Pro User Guide 2 Windows XP only Use the CD that comes with the infrared adapter to run the driver setup program on the Windows operating system 3 The New Hardware Wizard guides you through setting up the adapter Setting up the infrared connection Downloading an ECG and device history information from an HS1 or FRx defibrillator requires an infrared connection between Event Review Pro and the defibrillator To transfer information you must put the HS1 or FRx defibrillators into the Administration mode The following discussion explains how to set up each defibrillator to transfer information The process is similar for the HS 1 family of defibrillators and the FRx defibrillator However there are enough differences to warrant separate sec
92. he file for the ECG you want to attach 39 4 Working with cases Event Review Pro User Guide Event Review Pro downloads the file and attaches the ECG to the case 8 A message appears requesting the case start time when the HS1 or FRx case does not have a start time Event Review Pro requests the start time Adding an ECG from a file When you attach an ECG or 12 lead information from a file the file can be on the hard drive external media or the network This might occur when a remote user downloads a case via another HeartStart application like Data Messenger and saves it to a file for your subsequent use To attach an ECG from a file 1 Use one of the following methods Onthe ECG menu click Attach ECG e Onthe toolbar click Attach ECG File e 2 Onthe left pane of the Attach ECG window click File System 5 The Open window lists file extensions in the Files of Type field In the Files of Type field click the file type 4 Click Device Data for files with the s01 index cod xml or mic extensions that is all files except those that include MRx 12 lead reports e Click FR2 Series Peds for files that were recorded using FR2 defibrillator pediatric pads e Click MRx 12 lead XML for 12 lead report files that were recorded with the MRx 5 Navigate to the file you want and double click it Event Review Pro downloads the file and attaches the ECG to the case If the ECG tab does not display a
93. ically creates a case using the patient demographic information and the ECG from the case file Event Review Pro saves the case to the database and lists it on the Case Records table The Import Service moves the file to the archive folder in the inbox folder If the imported case contains a duplicate ECG the case appears on the Duplicated ECGs table For more information see Reviewing cases with duplicate ECGs on page 52 For information on how to monitor system usage see Working with the System Log on page 119 A Case files that are password protected cannot be imported with the Import Service Managing Import Service inboxes Use the Import Service workspace to view add and remove inboxes If the Import Service is running when you add or delete inboxes it detects the change and updates the folders that are monitored You do not need to restart the Event Review Pro Import Service If Import Service is not running when you add or delete inboxes the changes become effective the next time that Import Service runs 126 10 Using the Import Service Event Review Pro User Guide To view the Import Service inboxes 1 2 On the navigation pane click the Administration navigation button On the Administration navigation pane click Import Service To add an inbox 1 2 3 Display the Import Service workspace In the Inbox folder area click Add Inthe Browse for Folder window use one of the following methods
94. iles automatically 2 22 22 eee cee eee e cece ee eeeeeeceeeeeees 45 SVINJ CASES ce see es hPa sa oe case tie tats ge oe ese eee ETEei 45 Adjusting the date and time of the defibrillator data 2 2 2 2 eee eee eee eee 46 Erasing the data source 2 2 2 2 ee 46 Printing case information 22 2 2 e cece aa aara ce eccecececeeeeeees 48 Exporting CaS S eects er eee eea cece cece cece eee aE cece ec ee cece ee eeeeeeeeeeeeeeeees 49 Emailing a CaSe 2 2 00 eee ee cece eee ence cece eee redoa anaran rannen 50 Deleting Cases ono eee oe eee ee eee eb ee ee ee eee 51 Reviewing cases with duplicate ECGs 2 22 22 52 Adding case details lt 2 2 222 22 22 02 0802 oes 0000000 aaaea digests anaona ibe tie cent 53 Identifying the CaSe 0 c cece cece cece eee e cece ee eeeeteeeeteeees 54 Describing the conditions at the scene 22222222 eee cece cece cece cece cece cece eeeeee 59 Documenting events l 0 0000000000000000000 000da aaea cece cece cece cece cece eeeeeeeeeeeeees 59 Adding describing and removing events 0000000000000000000 0000000000 eeceeceeeeeees 60 Hiding and displaying event details 2 2 2 e cece cece cece cceeeeeee 61 Sorting events 0 0000 c ccc cece ce cee ee eee eee ee eee e bebe cece eee eeeeeeeeeeeeeeeees 61 Changing the date and time of the event 000 000002 o cece cece cece ccc cece cece eees 61 Documenting the patient s outcome 2 2
95. incorporated in Utstein reports Admitted ICU or Ward e Patient Death Documenting the patient s outcome Use the Follow up tab and the Outcome tab to enter information about the patient during and after hospitalization To complete the fields 1 Click the field 2 Click an option on the menu or type the information in the field 62 5 Adding case details Event Review Pro User Guide If Other appears in the option list you can type a value in the Other text box If x your entry is the same as an option in the list displays your entry as shown in the option list Click Clear to remove the information in the field or text box Several fields use scores for Cerebral Performance Categories CPC and Overall Performance Categories OPC For more information see CPC and OPC on page 158 EMS Edition only Utstein reports use the Any ROSC field 63 Working with ECGs Use the ECG tab in Cases to add review and print ECG waveforms You can also use the ECG tab to enter information and review events You can complete the following tasks on the ECG tab View an attached ECG Add notes to an ECG e Modify the display properties of an ECG The ECG waveform includes recorded defibrillator events as well as reviewer and responder notes For information on attaching an ECG see Adding ECGs on page 34 For details on the displays and functions of the ECG tab see Working in the ECG tab on page 64 If the case
96. ing panes and workspaces You can change the default layout of the application window The revised layout persists the next time you use the navigation pane or workspace To resize a pane or workspace 1 Use the mouse to click and hold a border on the pane that you want to resize 2 Drag the border in the appropriate direction to a new location The size of the adjacent panes adjusts Managing mouse behavior If you work on a personal computer you can change the mouse to behave like a stylus This is useful when your mouse tends to change its location after you remove your hand from the mouse To change the mouse behavior on the Tools menu click Options and then click Click Mode This used to be called Tablet mode In Click mode you must first point and click the field and then click the value In the standard mode you can point or click the field plus its value at the same time Using a Tablet PC You can also work in Event Review Pro using a Tablet PC Use the stylus in the same way as you would use a mouse or pointing device You can also use the stylus with the Tablet PC Input Panel to enter text To complete a text entry field in tablet mode 1 Use the stylus to tap a field The tablet displays a floating icon 2 Tap the icon to display the Tablet PC Input Panel 3 Click one of the following three modes to enter the information e Writing pad e Character pad e On screen keyboard 27 3 Starting the applicatio
97. install a Program Windows 7 or click Add Remove Programs Windows XP Then click the name of the application 17 1 Installing Event Review Pro Event Review Pro User Guide If you have an active Internet connection at the time you remove the application the removal process contacts the Philips activation server and releases your serial number for installation on another computer The removal process does not remove the application database If you had Event Review Pro 4 0 or 4 1 installed when you install Event Review Pro 4 2 the earlier version is automatically uninstalled However if you had Event Review Pro 3 5 installed and do not want to run both versions on the same machine you must manually uninstall it Product compatibility You can install HeartStart Event Review Pro 4 2 on the same computer as Event Review Pro 3 5 or Event Review Pro 4 0 4 1 Event Review Pro does not remove Event Review Pro 3 5 but it does remove Event Review Pro 4 0 4 1 You can migrate the Event Review Pro 3 5 and Event Review Pro 4 0 4 1 data to Event Review Pro 4 2 after installing HeartStart Event Review Pro 4 2 For more information see Managing the database on page 151 18 Getting started In Event Review Pro a case consists of all the information relating to a specific cardiac emergency This includes information recorded by supported defibrillators as well as information entered by the device user Event Review Pro creates a case
98. installation see The installation procedure on page 13 Checking for updates You can check at any time to see if new updates have been released for Event Review Pro Before you install any software updates on the computer make sure that you 6 oe a have Windows Administrator privileges for the computer 12 1 Installing Event Review Pro Event Review Pro User Guide To check for updates 1 On the Help menu click Check for Updates The application connects to the Web site Click Show Updates The Web site displays a list of available updates If a new update is available follow the rest of this procedure to download and install it Click Get Update for the Application Click Download and follow the instructions to save the update Note the name and location of the saved download file and follow the instructions to install it When the file finishes installing close the window Close the older version of the application The installation procedure Once you have saved the installation file to your computer see Downloading the application on page 12 follow these instructions To install Event Review Pro 1 In the folder where the installation file has been saved double click the file You may see a User Account Control box that asks you to authorize this program to make changes Click Yes The Install Shield wizard checks for your database and for versions of the Microsoft NET Framework If it needs
99. installing see The installation procedure on page 13 e For help setting up a remote database for use with Event Review Pro see Using the Event Review Pro database on a remote database server on page 151 e For help with migrating data from an earlier version of the software to the current version see Migrating cases from previous versions on page 155 1 Installing Event Review Pro Event Review Pro User Guide System requirements Event Review Pro operates on a computer running either the Microsoft Windows XP or Microsoft Windows 7 operating system Make sure that any hardware you choose is certified as Microsoft compatible Philips provides only the Event Review Pro software The software and hardware listed in the following table are provided by the customer unless noted This table has the following sections Software requirements Hardware requirements e Accessories Software requirements table Operating Microsoft Windows XP Professional SP 3 or Microsoft Windows system XP tablet Edition SP3 Microsoft Windows 7 Microsoft Windows Server 2008 R2 2008 2003 R2 or 2003 for a remote server running the shared database Database Microsoft SQL Server 2008 R2 2008 or 2005 Hardware requirements table Processor speed Minimum 1 GHZ Recommended 2 GHZ core duo or higher Display Minimum 1024 x 768 Recommended 1400 x 1050 or higher Video memory Minimum 64 MB video memory Reco
100. int menu clickTables 103 7 Reviewing case details Event Review Pro User Guide 3 Inthe Print window click the printer page range and number of copies 4 Click Print or OK 104 Working with reports Use reports to evaluate the timeliness of effectiveness of and trends in your emergency system response You can generate a report for an open case or directly from the database The first step in working with reports is to create a case Event Review Pro generates the report from the case information In Reports you can also do the following tasks e Preview the report as you specify report details e Print the report e Export the report To set up and manage reports click the Reports navigation button On the Reports navigation pane and workspace the available reports appear They are based on your installation They can appear in the following categories Information onthe tabs in Cases ECG strip on the ECG tab in Cases Q CPR Quality of CPR Vital Trends Vital trends information that appears on the ECG tab in Cases EMS Edition only Response times Emergency response times EMS Edition only Utstein Utstein guidelines for reporting on aggregated out of hospital cardiac arrests The workspace provides features to set up generate and distribute reports For more information see Generating reports on page 106 105 8 Working with reports Event Review Pro User Guide Generating reports Yo
101. ion see Magnifying 12 lead ECGs on page 92 e Complete one of the following procedures e To increase the scale of the 12 lead ECG displayed drag the Scale control to the right e To decrease the scale of the 12 lead ECG displayed drag the Scale control to the left Reviewing the 12 lead ECG Use the scroll bar to move through the 12 lead ECG If the scale has been increased so that sections of the 12 lead ECG are outside of the current view area drag the ECG to view the obscured sections A location key indicates when you have reached the limit of the 12 lead ECG in any direction To scroll through the 12 lead ECG drag the scroll bar to the desired location on the 12 lead ECG To use the location key 1 Click a position on the 12 lead display and press the mouse button A four arrow location key appears 2 Drag the 12 lead ECG display up down or to the right or left to display any obscured sections of the 12 lead ECG 91 6 Working with ECGs Event Review Pro User Guide The location key indicates when you have reached the limit of the 12 lead ECG in any direction by dimming the corresponding arrow Magnifying 12 lead ECGs You can use the magnifier tool for a detailed view of the 12 lead ECG waveform To use the magnifier tool 1 Hold down SHIFT and click the area on the waveform that you want to magnify A magnified view of the waveform appears 2 While continuing to hold the mouse button move the pointer to
102. irmation message appears Click Allow and the process continues When the process is complete click Exit The case opens Creating a case You can create a case manually or automatically with or without ECG information To create a case that has ECG information manually 1 Use one of the following methods e Click the Getting Started navigation button and then click Case Wizard e Onthe File menu click Case Wizard The Case Wizard window opens For more information see Creating a case including ECG with the Case Wizard on page 31 2 Follow the on screen instructions 33 4 Working with cases Event Review Pro User Guide To create a case that does not initially contain ECG information manually 1 On the File menu or toolbar click New The tabs for the case in the workspace appear 2 Complete fields to briefly describe or identify the case For example add the case date and time or select the site of collapse 3 Click Save At alater time you can open the case attach ECG information and complete the tabs To create a case automatically see Importing case files automatically on page 45 Adding ECGs Attaching an ECG means reading ECG information from a defibrillator downloading it a defibrillator data card or a file and adding it to a case You can attach an ECG to a case you are creating or you can open an existing case and attach an ECG to it You can add extra ECGs from other defibrillator
103. is from the File menu or the toolbar when that case is open You can export files with or without a password If you add a password anyone attempting to open the file must have the password to open it Philips Healthcare recommends that you record the password and save it ina secure location If you forget the password Customer Support cannot unlock the file To export one or more case files from the Cases list 1 On the Navigation pane click the Patient Cases navigation button All cases appear 2 Choose the case or cases to export a Click asingle case b CTRL click multiple cases 3 Onthe File menu click Export The Export Selected Cases dialog box appears showing the last folder you used to export a file If you want a different location click the Save in field at the top of the dialog box and navigate to that location The list there shows mic files which is the only supported file format 4 Decide how to name the exported file or files The default name includes a placeholder for the case ID expressed as caselD You can accept the case ID as the filename or you can use this placeholder to create more descriptive names for example if you type my data caselD for Joe mic for the filename and export two cases one with a case ID of abc and one with xyz then the two mic files will have the names my data abc for Joe mic and my data xyz for Joe mic If you type something entire
104. is available in English only at eventreview support philips com 15 1 Installing Event Review Pro Event Review Pro User Guide For complete information on customer support see Customer support on page 131 For telephone support in English only call the following numbers between 9 00 AM and 5 00 PM Pacific Time e 800 263 3342 inside the United States e 1 978 659 3332 outside the United States The Activation Wizard online Help includes the steps on how to activate the software by email Print the Help for future use The Activation Wizard online Help includes the steps on how to activate the software by email Print the Help for future use To activate the software by email 1 Start the application The application opens HeartStart Activation Wizard Type the serial number that you received Click want to activate the software by email Click Next Click Request Activation Code to open your email application with a pre addressed email activation request 6 Click Send Customer Support will send you an email with the activation code a Fw DN When you receive an email from Customer Support complete the following 1 Start the application The application opens the HeartStart Activation Wizard Verify or type the serial number that you received Click want to activate the software by email Click Next to access the Activate by Email page Type the activation code in the Enter your activatio
105. is may be a result of the battery being pulled Please enter the recording start time below 2 8 2011 Bv 0021 Pm Set the case date and time to the Recorded On Time of the ECG You can adjust the time in the Adjusted On Time field 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 number of shocks delivered to the patient by this defibrillator You cannot change it 56 5 Adding case details Event Review Pro User Guide Patient section fields table Patient ID Middle name Last name Date of birth By default the value in the Patient ID field is added based on the patient ID from the defibrillator if the device supports entering such data Otherwise itis blank and you can add an ID The patient ID prints in report headers A redacted case displays a series of asterisks for the patient name and patient ID The first name prints in report headers If the ECG is from HeartStart MRx this field can contain information entered on the MRx You can change it A redacted case displays a series of asterisks for the patient name and patient ID The middle name prints in report headers A redacted case displays a series of asterisks for the patient Event Review name and patient I
106. is pane Use the Waveforms toolbar to Zoom in on a channel waveform Zoom out on a channel waveform e Change the time scale for the channel waveforms You can also use the Waveforms pane to do the following e Add edit or delete notes e Control the display of waveforms in the individual channels e Analyze the quality of the CPR administered Transport pane The Transport pane at the bottom of the ECG view displays the ECG lead information the sweep bar time and the cursor time relative to the sweep bar location on the ECG Use the Play button to play the entire ECG For more information see Reviewing channel information on page 78 65 6 Working with ECGs Event Review Pro User Guide If an audio recording is associated with the ECG you can use the audio controls to play the audio while viewing correlated events on the waveform on the Channels pane For more information see Reviewing channel information on page 78 You can also use the controls on the Transport pane to find and select events on the waveform for review For more information see Reviewing channel information on page 78 The following illustration identifies the components of the ECG view Key to illustration numbers Vital Trends 66 6 Working with ECGs Event Review Pro User Guide Using the Events pane A list of defibrillator events and notes associated with an ECG appears in an expandable tree structure on the
107. ith instructions for establishing both MRx and FR3 connections If you click MRx you then navigate to the MRx Bluetooth Exchange Folder that contains or will contain the transmitted B uetooth files If you click FR3 a wizard appears with instructions for how to put the FR3 into Administration mode so that you can see and download all available ECG files You might have to click the Bluetooth icon the first time that you use the feature paa e e IrDA opens help on how to transmit data from HS1 and FRx defibrillators 4 File System displays the Open window that you can use to browse and attach ECG information from a device s data card or your computer Adding ECGs table Use the following table to identify the method and instructions used to read and or download an ECG from a defibrillator FR2 Series Card reader See Adding an ECG from a data card on page 36 FR3 Series Card reader See Adding an ECG from a data card on Bluetooth connection page 36 See Downloading an ECG using an FR3 Bluetooth transmission on page 37 XL Card reader See Adding an ECG from a data card on page 36 HeartStart MRx Card reader See Adding an ECG from a data card on page 36 HeartStart MRx HeartStart MRx version See Downloading an ECG using an MRx 9 0 or later Bluetooth Bluetooth transmission on page 38 35 4 Working with cases Event Review Pro User Guide connection HeartStart FRx Infrared connection See Downloading an EC
108. k on the computer This synchronization occurs even if you have no data to erase Printing case information You can print case information about an open case and about a case that is stored in the database For more information see Working with reports on page 105 You can also print the tables that appear on the Case Records table Event Log tab and Attachments tab The information that prints is about the open case To print information listed in a table 1 oa Fk Q Open the case and display the Case Records table For more information see Displaying case details on page 42 Optional You can sort group or filter the list of cases For more information see Sorting and grouping cases on page 43 On the File menu or toolbar click Print On the Print menu click Tables Click the table you want to print On the Print window click the printer page range and number of copies 48 4 Working with cases Event Review Pro User Guide 7 Click Print Exporting cases Use Export to create files outside the application that is not in the application database so that you can share information with other Event Review or Event Review Pro users You can also use Export to back up information You can export a single case or multiple cases at a time The Export option is available on the File menu whenever the Cases list appears or a specific case is open In addition if you want to export just one case you can do th
109. king with Utstein reports 000 0002022 e cece eeeeeeeeeeeeeeees 115 Printing TEPONRS actrees deene one cd aeaties ds a 5 a a le e ae Ta i heee e Oiee i 116 Exporting reports 0 2002 22 eraa a e ae aea a aaa Ratei 117 Emailing reports 0 222022 222 c cece cece aaaea aa aaea cece cceceeceeeeeeeeeeeees 118 Working with the System Log 2 2 2 0 200 220 cece cece eee eee eee e eee eens eens 119 Working with Columns 0 0000000002 c cece ccc cc cece cece ce ce cece cece eeeeeeeeeeeeereeeeeees 120 Grouping and sorting entries 2 2222 c cece cece cece eeeeeeeees 120 Filtering entries 2 2 eee ccc cece cece cece cece cece cece cece cee ceeeeeeeeeeeeeeees 121 Removing filters 0 22 02 c cece c cece cece cece cece cece ccc ceeceeeeeeeeeeeees 124 Printing System Log entries 2 22 2 e cece cece cece cece cece ee eeeeeeeeees 124 Using the Import Service 2 2 2 0 2000 ce eee eee eee e eect eee 126 Managing Import Service inboxes 0 00 02 c cece oraora iaria 126 Configuring the Import Service 2 2 2 2 2c cece cece cece ce cece cece ec eeeeeeeeeees 127 Managing Import Service archives 00 00 000 c eee eee cece cece cece eeeeeeeeeeees 128 Using the HTTP Import Service 000 00000 e eee eeeeeeeeeeees 129 Customer support 2 222222 ee 131 Philips Response Center telephone numbers 2 2222222eececeeeeeececccceees 132 Comments or
110. l Records table to manage the case To save an open case on the File menu or toolbar click Save The case is now in the Event Review Pro database 45 4 Working with cases Event Review Pro User Guide Adjusting the date and time of the defibrillator data It is possible for the internal clock on your defibrillator to drift slightly over time In addition if someone removed the battery from an HS1 or FRx defibrillator before downloading the patient data case and event real time could be lost leaving only event elapsed time In these cases you may want to adjust the times of the downloaded case and its individual events Before you transfer information from a defibrillator confirm that your computer clock is accurate For example if the computer does not connect to a time server you can compare the date and time with an atomic clock on the Internet Also confirm that the battery was not pulled from the HS1 or FRx defibrillator since the cardiac emergency For information on HS1 and FRx defibrillators case date and time see Determining the HS1 and FRx case date and time on page 145 To adjust the defibrillator date and time based on the computer date and time 1 Open the case in the Cases workspace For more information see Displaying case details on page 42 2 Onthe Overview tab navigate to the Defibrillators area Confirm that the date and time for the defibrillator are correct in the Defibrillators area If you tr
111. lapse All options 102 7 Reviewing case details Event Review Pro User Guide To use the shortcut menu 1 Open Cases For more information see Displaying case details on page 42 2 Click the Attachments tab 3 Right click the table 4 Click Refresh Expand All or Collapse All To refresh the list of cases on the View menu or short cut menu click Refresh To hide the attached files in a group click Collapse next to the group To hide all event details on the View menu or shortcut menu click Collapse All To display the attached files in a group click Expand fc next to the group To display all attachments on the View menu or shortcut menu click Expand All Viewing file contents To display the contents of an attached file Use one of the following methods e Onthe Attachments menu or toolbar click Open e Double click the row in the Attachments table The attachment opens in the associated application Printing the attachments in an open case You can print the contents of the files attached to an open case when you have the associated application installed on your computer Open the attachment in this associated application and print using its features You might not be able to print all attachments such as a video clip You can also print the list of attachments as they appear on the Attachments tab To print the list of attached files 1 Onthe File menu or toolbar click Print 2 Onthe Pr
112. lator press and hold the blue Information button and then wait for three tones 6 Release the blue button A voice message announces Administration 7 Briefly press the blue Information button again The voice message says Mode 1 8 Position the defibrillator to communicate with the computer 148 12 Working with defibrillators Event Review Pro User Guide The defibrillator and computer should be at least 12 inches apart and aligned with each other For help aligning the defibrillator and the computer click the IrDA icon on the Attach ECG window and follow screen instructions You can now send and receive information between the defibrillator and the computer The device announces sending data 9 When sending and receiving information is complete reinstall the pads cartridge You can now turn the defibrillator off For more information refer to the defibrillator documentation Understanding voice and system messages Defibrillators and Windows use messages to announce the current state Defibrillator voice messages Philips Healthcare designed the defibrillators to ensure that they are always ready for use in an emergency Remember to insert the HS1 pads cartridge or plug in the FRx pads connector when you finish transferring information This will ensure that the defibrillator is ready for use on the next patient At several points in the Event Review Pro instruction you are instructed to ignore the defibrilla
113. lijke Philips Electronics N V The Event Review Pro application uses Bluetooth wireless technology The Bluetooth wordmark and logos are either trademarks or registered trademarks of Bluetooth SIG Inc The Bluetooth wordmark and logos are owned by Bluetooth SIG Inc Acrobat Adobe Reader and PDF are either trademarks or registered trademarks of Adobe Systems Incorporated in the United States and or other countries Microsoft Windows Windows XP Windows Vista Windows 7 Windows Explorer Microsoft NET Framework and Internet Explorer are either trademarks or registered trademarks of Microsoft Corporation in the United States and or other countries Actiontec is either a trademark or a registered trademark of Actiontec Electronics Inc Adobe Acrobat Acrobat Reader and PDF are either trademarks or registered trademarks of Adobe Systems Incorporated in the United States and or other countries CompactFlash is either a trademark or a registered trademark of ScanDisk Corporation IrDA and IR logo are trademarks or registered trademarks of Infrared Data Association IVT is either a trademark or a registered trademark of Interactive Video Technologies Inc Kingston is either a trademark or a registered trademark of Kingston Technologies Company Microsoft Windows Internet Explorer Excel Word and Outlook are either trademarks or registered trademarks of Microsoft Corporation in the United States and or other countries Palm and HotSync
114. ly different for the name that doesn t include a case ID the case ID will be appended to the filename by the software 49 4 Working with cases Event Review Pro User Guide 5 If you want to remove confidential patient identifiers such as name patient ID and age if over 90 from the exported file called redaction check the Remove Patient Identity box 6 Decide whether you want to protect the file or files with a password If so type it in the Password field for security it appears as Remember to provide the password for the recipient 7 Click Save A progress bar appears as the export operation proceeds and a confirmation message tells you that the export operation succeeded To export a single case file from the case display 1 On the navigation pane click the Patient Cases navigation button 2 Inthe list of cases click a case to open it 3 On the File menu or toolbar click Export 4 Follow steps 3 through 7 in the procedure above Emailing a case You can use the Email option or your email application to send an exported ECG or an entire case to another Event Review Pro user Event Review Pro attaches the exported case file to the email when it displays the email window Before you use the Email option complete the following prerequisites e Correctly configure Microsoft Outlook or a MAPI compliant email client Set up the email profile in Windows if needed Click Help on the email
115. ly to the default printer without making changes Exporting reports You can export a report for an open case or for a case that is stored in the database Event Review Pro saves a copy of the report to a file outside of the database You can then email the export file or add the export file to the case on the Attachments tab To export a case with the wfdb format which is used by researchers for data analysis use the Export option on the File menu or toolbar For more information see Exporting cases on page 49 See http www physionet org for information on wfdb format If you frequently review a report or want to track your system s performance generate the report and then use the Export tool to save the report as a file Sample reports include month end quarterly and year end reports To export a report 1 Generate and view the report For more information see Generating reports on page 106 On the Report Preview toolbar click Export To Click the arrow and click the file format for the exported file A list of file formats that are appropriate for the type of report appears Waveform data must be in PDF format Complete the parameter settings for the file format and click OK The Save As window opens Navigate to a location where you want to save this report or accept the default 117 8 Working with reports Event Review Pro User Guide In the File name field type a name for the report The
116. m Log to see the status of all Event Review Pro activity You can sort group and filter the list of entries A filter shows only those entries that meet the criteria you select This section provides an overview of how to use the System Log You can change the default layout of the System Log This change persists the next time you use the navigation pane or workspace For more information see Resizing panes and workspaces on page 27 To display the system log 1 Onthe navigation pane click the Administration navigation button 2 Onthe Administration navigation pane click System Log The system log appears The System Log lists Event Review Pro activity For each action the following information is included e The type of activity for example Information or Error e A description of the action e The date and time when the action occurred e The user logon name If a customer support representative asks you to send the System Log on the Help menu click Email Customer Support and send the email message that appears The System log is attached to it by default Each time you start Event Review Pro the software automatically retains the last 20 000 System Log entries and clears or deletes older entries 119 9 Working with the System Log Event Review Pro User Guide Working with columns You can customize the columns that appear on the table You can resize the width of acolumn You can also hide or display the columns on th
117. mmended 256 MB video memory 1 Installing Event Review Pro Event Review Pro User Guide Memory Minimum 1 GB Recommended 2 GB or higher Disk space Minimum 2 GB of disk space Recommended 5 GB of disk space Hard disk space requirements vary depending on usage and defibrillator type Variables affecting disk space requirements include the number of cases archived and the amount of audio information archived For example a 15 minute FR2 ECG with no audio is approximately 100 KB The same ECG with audio can exceed 5 MB An ECG and audio from a HeartStart MRx defibrillator can be as large as 256 MB Internet Required to activate the application software to use the Email connection feature and to receive software updates Accessories table Printer To print reports Preferred Color printer PDF Reader To view HeartStart Event Review Pro user guide Recommended Adobe Reader latest version For more information see the following Web site http get adobe com reader Backup and To help prevent data loss and corruption restore tool Connection to To synchronize your computer date and time a time server Note If you use a time server do not alter your system clock manually Email To activate the software by email or to send cases using email and application to configure a MAPI compliant email client Spreadsheet To display Q CPR data in charts data is exported in x s format only application 10 1 Installin
118. n ECG waveform contact Customer Support 8 See Customer support on page 131 After you add an ECG After you attach the ECG information to a case use the tabs on the Cases workspace to add details to the case The following table lists common tasks and related instructions 40 4 Working with cases Event Review Pro User Guide Add details to a case Adding case details on page 53 Printing case information on page 48 Exporting cases on page 49 Emailing a case on page 50 Adding multiple ECGs If the emergency response for a single patient involved multiple ECGs on supported defibrillators you can attach all ECG files to the same case On the ECG tab a tab appears for each attached ECG The tab text identifies the defibrillator date and time transmitted by the defibrillator For example HeartStart MRx 3 10 2007 3 10 44 PM To attach the first ECG follow the instructions in Adding ECGs on page 34 To attach additional ECGs 1 Make sure that the case is open For more information see Displaying case details on page 42 Use one of the following methods e Ifyou are attaching an ECG from an HS1 or FRx defibrillator make sure that the defibrillator is set up to communicate using an infrared connection e Ifyou are attaching an ECG from a data card insert the card into the card reader e Ifyou are attaching an ECG using a Bluetooth connection make sure that the defibrillator is set up for transmission
119. n Event Review Pro User Guide 4 Type the information For more information click the Help icon on the input panel 5 Click Insert or tap the Enter key on the input panel Saving your work Philips Healthcare recommends that you save your modified patient details periodically To save your work on the File menu or toolbar click Save ki Restoring confirmation messages A confirmation message does one of two things e Informs you that an action might result in a change to a configuration Warns you that an action may cause a permanent change By default confirmation messages are enabled If you have disabled confirmation messages by checking the Do Not Show This Message Again box when such a message appears you can re enable them at any point To restore confirmation messages on the Tools menu click Options and then Restore Confirmations Using the Navigation pane The navigation pane on the left of the Event Review Pro display provides access to the application tasks To display a set of tasks click a navigation button Following is a description of the navigation buttons e Cases has tasks to work with defibrillator patient data It includes tools to download patient data from a supported defibrillator It can also import it from a file that was previously downloaded by another HeartStart product such as Data Messenger Use Cases to record information such as patient demographics initial treatment a
120. n code here field Click Activate oa FW DN The wizard validates your entry and displays a congratulations message 7 Click OK The wizard starts the application 16 1 Installing Event Review Pro Event Review Pro User Guide Activate later If you do not want to activate your copy of the application when you start it you can activate the software at any time when you start the application At the end of the 60 days however if you have not yet activated you cannot run the application on this computer During the 60 days you can use the application and save your work Until you activate the software you will see the HeartStart Activation Wizard window each time that you start the application To use the application without activating the software 1 Start the application 2 When HeartStart Activation Wizard opens click Skip The wizard starts the application Registering the application You can register your copy of the application using the Internet Registration is optional and is not the same as the activation which is required To register the software 1 Start Windows 2 Start Internet Explorer 3 Navigate to the following URL http www philips com software_registration 4 Click alanguage 5 On the language page click the product Complete the registration form Uninstalling Event Review Pro If you need to remove the application in the Windows Control Panel click Programs and then Un
121. nd outcome You can also add comments to clarify a defibrillator event or treatment Responders and the medical staff can add notes on the case 28 3 Starting the application Event Review Pro User Guide To hide the navigation pane at the top of the navigation click the Auto Hide Reports includes alist of all available reports plus a toolbar for printing navigation view changing and export Administration helps the system administrator monitor and troubleshoot system activity Getting Started helps you create a case quickly import an existing patient case and open a case already in your database You can hide the left navigation pane to increase the size of the workspace on the right pane You can always return to the navigation pane while you work on the set of features iY icon The navigation pane disappears and the Navigation Panel tab along the left edge of the pane appears To display the navigation pane temporarily 1 To restore the navigation pane click the tab and then click the Stay Open Point to the tab along the left edge of the pane The navigation pane appears temporarily Point to or tap the right pane The navigation pane disappears Point to the tab again to redisplay the navigation pane icon 29 Working with cases The word case refers to all the information relating to a specific cardiac or monitoring event This includes information recorded by supported defibrillator
122. nel Properties tool for the channel you want to hide For information on docking undocking and pinning unpinning areas of the ECG display see Arranging sections of the ECG display on page 72 Arranging sections of the ECG display You can use the pinning function to customize the display of sections in the ECG display 72 6 Working with ECGs Event Review Pro User Guide If you ever need to put the sections back to their default locations on the Configuration menu click Reset Panel Layout Pinning and unpinning refer to the size of an ECG section A pinned section might look like the illustration below 12 21 2004 2 51 40 PM Lead il 00 09 24 20 Cursor time 0 00 00 000 When you click the pin for the section it is minimized all that you see is a marker for it at the edge of the display as in the figure below Transport paun Click the marker to pin it again Changing the display time At the top of the Channels pane a ruler indicates the time scale of the waveform displayed in elapsed time or real time Use the channels ruler to change the time scale between elapsed time or real time e Real time is the actual clock time based on the Adjusted Time e Elapsed time is the time since the defibrillator was turned on The time scale appears with divisions for seconds and fractions of seconds If an audio clip is associated with the waveform the channels ruler displays a blue overlay where the audi
123. nformation from out of hospital cardiac arrest the Utstein style Circulation 1991 84 960 975 This section explains the scores for each category Cerebral performance categories table Good cerebral performance Conscious Alert able to work and lead a normal life May have minor psychological or neurological deficits mild dysphasia nonincapacitating hemiparesis or minor cranial nerve abnormalities Moderate cerebral disability Conscious Sufficient cerebral function for part time work in sheltered environment or independent activities of daily life dressing traveling by public transportation and preparing food May have hemiplegia seizures ataxia dysarthria dysphasia or permanent memory or mental changes Severe cerebral disability Conscious Dependent on others for daily support because of impaired brain function in an institute or at home with exceptional family effort At least limited cognition includes a wide range of cerebral abnormalities from ambulatory with severe memory disturbance or dementia precluding independent existence to paralytic and able to communicate only with eyes as in locked in syndrome Coma vegetative state Not conscious Unaware of surroundings no cognition No verbal or psychological interactions with environment Death Certified brain dead by traditional criteria 158 14 CPC and OPC Event Review Pro User Guide Overall performance categories table Good overall perfo
124. ng attaching changing time scale Channels pane copying to clipboard customizing display detaching duplicates 151 151 19 152 46 61 136 46 20 20 136 149 42 20 150 28 21 34 126 109 80 81 80 81 82 81 83 64 90 91 34 41 31 34 40 74 65 84 87 42 52 126 Index email HTTP using for Import Service Events pane multiple attachments navigating on waveform Overview pane playing audio removing reports shortcuts tab Transport pane view viewing information views deleted vital trends email cases reports erasing data source Event Log events adding changing date and time documenting editing expanding and collapsing nodes filtering finding and viewing grouping hiding and displaying icons managing notes printing removing searching for sorting tree structure viewing on waveform Events pane exclusions for Q CPR creating removing exporting files multiple password protection 64 41 78 65 79 42 109 95 64 65 64 79 20 88 50 33 46 26 99 26 60 61 59 60 68 100 68 100 121 69 100 67 69 100 60 68 61 121 67 71 64 93 94 32 20 32 171 F F1 using for Help fields completing files adding to case files attaching ECGs from filtering events FR2 defibrillators attaching ECGs data cards FR3 defibrillators Bluetooth data cards synchronizing clock via data erasure FRx defibrillators Admin mod
125. ng with ECGs Event Review Pro User Guide The Note window appears with a table similar to the table on the Timeline tab Click in the Annotation Type field From the list of events in the pop up window click and complete an event the same as when you add events on the Timeline tab For more information see Documenting events on page 59 Complete the fields as appropriate For example for a Reviewer Note type Reviewer name Reviewer title and Reviewer department If you click Custom type the event name and unit if appropriate Click OK The note now appears on the event tree the ECG waveform and the Timeline tab To modify a note in the Events pane 1 Click the note you want to modify On the toolbar click Edit Note A In the Note window modify the note Click OK To delete a note in the Events pane 1 Click the note you want to delete 2 Onthe toolbar click Delete Note The note disappears from the Event pane the ECG waveform and the Timeline tab Viewing waveforms You can see the entire ECG as a continuous strip on the Overview pane It includes markers and labels for recorded events and notes You can point to event labels on the ECG on the Overview pane to view event details In the Channel view you can zoom in to see an ECG segment of interest On the Overview and Waveforms Channels panes a vertical sweep bar indicates the current ECG time The sweep bar provides a visual cue to
126. not place an icon on the desktop To start Event Review Pro use the shortcut on the Start menu or the All Programs menu To start Event Review Pro 1 Click the Windows Start button 2 Click All Programs 3 Click Philips HeartStart Event Review Pro 4 2 You can also start Event Review Pro directly from a cod or mic file Navigate to the folder containing the cod or mic file and double click the file To use Event Review Pro click a navigation button on the left pane of the application window Understanding the application window When you start Event Review Pro the Getting Started pane is above the navigation buttons on the left A welcome page is on the right The Getting Started pane helps you to start working in the application Menu options and toolbar buttons change based on the navigation button and functions that you select e The menus list options to access the application features e The toolbar buttons provide quick access to frequently used menu options Beneath the menus and toolbar buttons the navigation pane is on the left and the workspace is on the right e The navigation pane has navigation buttons and a pane above the buttons e A navigation button groups major application tasks by their function You can hide or display navigation buttons e A navigation pane is above the navigation buttons The pane lists navigation tasks 23 3 Starting the application Event Review Pro User Guide The works
127. nt and password information c Unless you havea specific reason do not change the entries on the Recovery or Dependencies tabs d Click Apply Click the Overview tab and click Start Click OK to close the Properties window Close the Service window To start the Import Service manually N QO a F WDNH a On the Windows Start menu click Control Panel Double click Administrative Tools Double click Services On the Service window click the Standard tab Right click Event Review Import Service Click Start Close the Services window The System Log lists any Event Review Import Service activity For more information see Working with the System Log on page 119 Managing Import Service archives After a file is imported successfully to the database Import Service moves the file to the archive folder Import Service creates the archive folder as a subfolder of the inbox folder Each inbox folder has its own archive folder Under the archive folder Import Service creates separate subfolders to keep the number of files manageable The name of the daily archive folder is yyyymmdd where yyyy is the year mm is the month and dd is the day of the month 128 10 Using the Import Service Event Review Pro User Guide Import Service does not delete the files or the archive directories It is the responsibility of the user to periodically delete old archived files and folders Using the HTTP Import Service The Import S
128. nt it 100 7 Reviewing case details Event Review Pro User Guide For more information see the procedures above On the File menu or toolbar click Print On the Print menu click Tables Click Event Log Inthe Print window click the printer page range and number of copies Click OK oa FW DN To print a list of events for a case saved in the database 1 Click the Reports navigation button 2 Onthe Reports navigation pane click a report from the list of reports in the Cases or ECG groups For more information see Working with case reports on page 108 and Working with ECG reports on page 109 Attaching adding files to a case Use the Attachments tab to manage the files that you attach to the open case For example you can manage a text document a pdf file or a graphics file Use the Attachments menu to attach files open the attachments and remove attached files from the case No attachment file can be larger than 10 Mb To view an attachment you must have the associated application on your computer For example to open a picture you must have an application that can open graphic files Displaying the Attachments tab Use the following procedure to display the Attachments tab To display the Attachments tab 1 On the Cases workspace open a case For more information see Displaying case details on page 42 2 Click the Attachments tab 101 7 Reviewing case details Event Review Pro Use
129. nu or shortcut menu on the All Records table The shortcut menu lists the Refresh Expand All and Collapse All options To use the shortcut menu 1 Open Patient Cases and then All Records For more information see Displaying case details on page 42 Right click the All Records table Click an option To refresh hide or display cases e To refresh the list of cases on the View menu or shortcut menu click 43 4 Working with cases Event Review Pro User Guide Refresh e To hide cases in a group click Collapse All to the left of the grouping e To hide cases in each group on the View menu or shortcut menu click Collapse All e To display cases in a group click Expand All to the left of the group e To display all cases in the table on the View menu or shortcut menu click Expand All Importing case files manually You can import one or more case files that were exported by another HeartStart software application such as Data Messenger For each file you import Event Review Pro creates a case in the Event Review Pro database adds the case to the All Records table and adds the information from the file to the case You can use the file in the same way as any other case you created You can save modify print export and email an imported file You can import using the Import option available on the File menu and toolbar or using drag and drop methods When you import a case file Event Review Pro impo
130. o is present in relation to the waveforms d To change the display time 1 Right click the channels ruler 2 Onthe shortcut menu that appears click one of the following time formats e Elapsed Time e Real Time The display time changes according to your selection 73 6 Working with ECGs Event Review Pro User Guide Changing the time scale Use the time scale slider on the bottom left side of the Waveforms Channels pane to select the time scale in mm sec The default time scale is 25 0 mm sec You can also use the mouse wheel to change the time scale if the Channels pane is currently in use The time scale grid adjusts according to the time scale selected At the default time scale setting of 25 0 mm sec the grid marks indicate 1 second intervals If you decrease the time scale the grid marks indicate larger intervals For example if you decrease the time scale to 12 5 mm sec the grid marks indicate 5 second intervals To change the time scale using the time scale slider click the time scale slider and complete one of the following procedures e To increase the scale drag the slider to the right e To decrease the scale drag the slider to the left The adjusted scale appears in mm sec and the waveform display adjusts accordingly To change the time scale using the mouse wheel use one of the following methods Point to the waveform and click the mouse wheel to complete one of the following actions
131. on click Clear Ifa menu does not appear type or write the information using the keyboard or stylus Using the application tables and logs In Cases Administration and Defibrillators information appears in tables and logs to help you manage your data Each row represents one record in the database A record can be a case an event an attachment or a system activity Each column has values for a specific field You can modify your view of the information by grouping and sorting the rows You can also print a table or log from the File menu or toolbar click Print then Table and then the table or log All Records table The All Records table in the Cases workspace lists each case in the Event Review Pro database The cases show the reference ID case ID patient ID case date and time and patient name You can use the All Records table to do the following tasks e Sort and group cases See Sorting and grouping cases on page 43 25 3 Starting the application Event Review Pro User Guide e Search for cases based on a variety of values For more information see Filtering entries on page 121 e Hide or display columns See Working with columns on page 120 Open and delete cases For more information see Displaying case details on page 42 and Deleting cases on page 51 e View and print reports For more information see Working with reports on page 105 Once you open a case you see a set of screen tabs wit
132. on page 117 To email the report click E mail As on the Report Preview toolbar For more information see the previous step and Emailing reports on page 118 Using the Reports toolbar The following table provides a description of the toolbar buttons on the Reports workspace and Reports Preview window Click Quick Print to send the document directly to the default printer without making changes Click Find to find text in the document based on your entry in the Find what field and Search options 107 8 Working with reports Event Review Pro User Guide IQ Click First Page or press CTRL HOME to navigate to the first page of the document Click Previous Page or pressPAGEUP to navigate to the previous page of the document Click NextPage or press PAGEDOWN to navigate to the next page of the document gt Click Last Page or press CTRL END to navigate to the last page of the document Click Mouse Pointer to show the mouse pointer Click Magnifier to display the full page Click Magnifier again to zoom to a 100 view of the report page Click Many Pages to select the page layout and to arrange the document pages in preview Click Zoom Out to see more of the page ata reduced size Click Zoom to change the zoom level of the document preview Click Zoom In to get a close up view of the document Click Export To to export the document in one of the available formats and save it to a file on a disk A window to sp
133. on the Overview pane The sweep bar moves to the location of the event on the ECG waveform on the Waveforms pane 71 6 Working with ECGs Event Review Pro User Guide Magnifying waveforms Use the magnifier to get a detailed view of a section on the waveform An asterisk appears for each incomplete release on the compression waveform similar to the view on HeartStart MRx To use the magnifier tool 1 Hold down SHIFT and press the mouse button as you point to the area on the waveform that you want to magnify A magnified view of the waveform appears with crosshairs at the location of the pointer 2 While continuing to press the mouse button move the pointer to another location on the waveform for closer inspection The elapsed time and waveform values appear for the magnified section as well as the endpoints of each axis Displaying and hiding channels If the ECG has multiple channels you can select which channels to display or hide on the Channels pane You can also increase the display area of the Channels pane to accommodate multiple channels To display additional channels on the Channels pane click Expand on the Channel Properties tool for the channel you want to show The selected channel then appears You can use the vertical scroll bar to see additional channels You can also drag the border to increase the size of the Channels pane To hide a channel on the Channels pane click Collapse a on the Chan
134. one numbers for data management products at this address http www healthcare philips com main services response_center United States Philips Healthcare 3000 1 800 263 3342 Minuteman Road Andover Massachusetts 01810 1099 Canada Philips Healthcare a Division of 1 800 291 6743 Philips Electronics Ltd 281 Hillmount Road Markham Ontario Canada L6C 283 Authorized EU Philips Medizin Systeme 49 7031 463 2254 Representative Europe Boeblingen GmbH Cardiac and Middle East and Africa Monitoring Systems Hewlett Packard Strasse 2 131 11 Customer support Event Review Pro User Guide Latin America Philips Medical Systems Ltda 0800 7017789 Rua Verbo Divino 1400 70 Andar0 04719 002 Sao Paulo Brazil Asia Pacific Philips Electronics Hong Kong 852 2821 5888 Ltd 6 F Core Building 1 1 Science Park East Avenue Hong Kong Science Park Shatin New Territories Hong Kong You can also navigate to technical support telephone numbers for data management products at the above addresses For telephone support in English only you can call the following numbers between 9 00 AM and 5 00 PM Pacific Time e 800 263 3342 inside the United States 1 978 659 3332 outside the United States Philips Response Center telephone numbers The following table contains telephone numbers for Philips Response Centers around the world United States of America 800 722 9377 132 11 Customer suppor
135. or example you can select a primary major sort by Type and a secondary minor sort by Description or a primary sort by Device and a secondary one by Event Use the gray area above the entries to set up groups If you want to create further minor sorts you can then drag more column headings into the gray area to create subgroups To group information 1 Click a column header and drag it to the grouping area labeled Drag a Column Header Here to Group by That Column The column name moves to the grouping area and the table displays the groups you create 2 Repeat step 1 as necessary to create more groups Each additional column name becomes a minor sort below the major sort that you created in step 1 To rearrange any of these column names in the grouping area drag them to a new position The table readjusts to the new order of sorts 3 Click the column header to sort the order in which the grouped information appears To ungroup information 1 Click a column header for example Type or Event in the grouping area and drag it below the table header If it is the only column head in the grouping area the table then reverts to its original organization If other column headers are still in the grouping area the table readjusts to sort according to the column heads that are still there Filtering entries Use a filter to limit the number of entries that appear A filter specifies selection criteria for the entries that a
136. or has a continuously running timer that starts when you insert the battery Event Review Pro uses this timer and the computer date and time to calculate case and event time The timer resets when you remove the battery Therefore do not remove the battery until after you have downloaded the patient data to the application 145 12 Working with defibrillators Event Review Pro User Guide Each time that Event Review Pro communicates with an HS1 and FRx defibrillator through IrDA it uses the date time of the computer clock and the timer of the HS1 FRx defibrillator to synchronize the date time of all events and data since the battery was last inserted This is called the time sync point If Event Review Pro does not find a time sync point you need to set the case start time The time sync point might not match the date and time of the computer by 15 to 30 seconds Using infrared connections for the HS1 and FRx The HS1 family of defibrillators and the FRx defibrillator use an infrared IrDA communications port to transfer information For information on how to determine the case date and time see Determining the HS1 and FRx case date and time on page 145 The infrared port is located on the lower right side of the defibrillator To transfer information the receiving computer must be set up for infrared communication Some computers have infrared ports If the computer does not have an infrared port or the port does not work wit
137. pace on the right pane changes based on the navigation button and the task that you select For example if you click Cases and then click the All Records navigation tool all the cases stored in the database appear in the workspace When you double click a row on the workspace the details of the case appear for viewing or editing The following illustration shows a typical Cases tab 1 r 2 chje Qim ph Saa o ll oe Ae eee a The menu bar displays the following menus File Edit View Tools and Help Use the menu bar to select the actions that you want to perform The navigation pane lists tasks that you can perform in the workspace The pane content changes depending on which button is clicked and the workspace that is active 24 3 Starting the application Event Review Pro User Guide Completing fields Use a pointing device such as a mouse or stylus to select field values from a window and to change the way information on tables and logs appears In Cases when you use the mouse to click or point to a field a menu with options for that field might appear e If check boxes appear to the left of the options you can select multiple options for the field e If check boxes do not appear to the left of the options you can select only one option for the field e Ifan option is a text box type or write the information using your keyboard or stylus e If you want to remove the selected opti
138. ppear Each additional criterion that you specify for the entries further refines the subset of entries that appear You can combine filtering with sorting and grouping 121 9 Working with the System Log Event Review Pro User Guide Use the upper area above the entries to filter the list of entries To set up a filter select a column header and specify a value to use as a criterion To further refine the list set up additional criteria For example you might first filter for entries within a certain date range Then you might filter these for an institution To filter log entries You can click the arrow to sort the entries in ascending 1 to 9 or a to z or descending 9 to 1 or z to a order 1 Click Click Here to Add Filter Criteria A row for the criteria condition appears 2 Click Choose Field and click a column name For example to limit the display to entries with one specific action click Action 3 Click Equal and click an operator that qualifies the value for the column You can specify a specific value or a range of values For a description of each operator that specifies a value see Comparison Operators below For example to limit the display to entries with one specific action click Equal 4 Inthe next field click the down arrow and select a value for the column that you selected 5 Optional Click Add Criteria to add another criteria condition The list of entries updates and displays another c
139. profile window for information on setting up your profile After you complete the profile the profile does not appear again To use the Email option 1 On the Cases workspace display the case details For more information see Displaying case details on page 42 2 Onthe File menu or toolbar click Email The Email window opens and attaches the file to the email form 3 Complete the To field The contact list for your email application is not available for the Email tool 50 4 Working with cases Event Review Pro User Guide Email saves the address The next time you send an email to that recipient you can select the same address by clicking the arrow at the end of the To field If you want add a message Click Send To use your email application 1 2 3 4 5 Export the file For more information see Exporting cases on page 49 Note the location of the exported file The file has the supported extension Open your email application and create an email to the recipient of your choice Attach the file created by Export in Step 1 to the email form Send the email Deleting cases You can delete a case or multiple cases from the database The case or cases then disappear from the All Records table To delete a case or cases from the list of cases 1 2 Click the Patient Cases navigation button to start the Cases feature On the All Records table click the case you want to delete or press CTRL or SHIF
140. r e Ifthe event displays additional fields complete the appropriate information for each field Event Review Pro displays a button to the left of the event Click the button to collapse or expand the additional fields that document the event Optional Type text in the Comment field 4 Repeat steps 1 2 and 3 for each event as necessary To edit an event 1 On the Timeline tab click the appropriate event in the Event Name field 2 Useone of the following methods e Select the appropriate option on the menu e Type the correction 60 5 Adding case details Event Review Pro User Guide To remove one event 1 On the Timeline tab click the Event Name field 2 Onthe menu click Remove this event The event disappears from the event table Hiding and displaying event details You can hide or display the events details for the open case For more information see Displaying case details on page 42 To refresh the list of cases on the View menu or shortcut menu click Refresh To hide one event row on the Timeline tab click Collapse to the left of the Event Name field To hide all event rows on the View menu or shortcut menu click Collapse All 3 To display one event row on the Timeline tab click Expand E the left of the Event Name field To display all rows on the View menu or shortcut menu click Expand All Q Sorting events You can sort the information based on the column Events in a
141. r Guide A table of the files that are attached to the case appears The table is blank when there are no attachments in the Event Review Pro database that are associated with the case Adding and removing attachments Use the following procedures to manage the attachments that are associated with the open case To attach a file 1 Onthe Attachments menu click Attach 2 Inthe Attach File window navigate to the file location 3 Click Open Depending on the size of the file it can take a few seconds for the file to show in the Attachments list To remove an attached file 1 Onthe Attachments tab click the file description in the Attachments table 2 Onthe Attachments menu click Detach Sorting grouping and filtering attachments You can change the way information displays in the list of attached files You can sort and group the list of files based on the date when the file was attached to the case the file type and the file name For more information see Grouping and sorting entries on page 120 You can also decide which columns to display see Working with columns on page 120 If you want to limit the number of entries that appear see Filtering entries on page 121 A filter shows only those rows in the table that meet the criteria you select Hiding and displaying attachment groups You can also hide or display the group of attachments The View menu and shortcut menu lists the Refresh Expand All and Col
142. r Guide Reading HeartStart MRx cards 2 2 2 cece eee e cece ee ecceeceecceceeeees 143 Sending the MRx Bluetooth transmission 020 2020002022 e cece cece cece eee c cece ee eeeees 143 Reading FR2 series Cards 22 22 2222 e ccc cece cece cece ceceeeeeeeeeees 144 Reading XL cards 2 2 2 e cece aa oaao aaraa naaran aranan 145 Determining the HS1 and FRx case date and time 2 0000 00000220 c cece eee 145 Using infrared connections for the HS1 and FRX 0 000 020 2c cece cece e eee eee 146 Setting up an infrared adapter 0000 0000000000000000 0000000000 e cece eeeeeeeeeeeees 146 Setting up the infrared connection 000000 c cece cece cece ccc cece cece cece eeeees 147 Understanding voice and system mesSsag amp 222 e cece cece eee eeeeeeeeeee 149 Emailing device history data 000 00000 cece cece cece eeeeeeeeeeeeeees 150 Managing the database 2 2 151 Using the Event Review Pro database on a remote database server 151 Changing the database Server 2 2 2 2 222 cece cece cece cece ccc cece cece cece ee eeeeeees 152 Using Microsoft SQL 2 2 e cece cece cece ccc e cece ec eeeeeeeeeeeees 153 Migrating cases from previous verSiOns 00 02022 e cece cece cece cece cece ce eeeeeeeees 155 CPC and OPC en doce os csseycdnecest eed eeueetene Segue dA Gees a eeu Sues Wiss Miko ee eeeeesee
143. riterion row 6 Click And and select a logical operator to evaluate the new criterion in relation to the previous criterion For a description of each operator used to evaluate criteria see Logical Operators below 7 Repeat steps 2 through 6 for each additional criterion you want to add to the filter Event Review Pro compares the entries that meet the last condition to the previous condition Only the entries that meet the two conditions appear The process repeats for each preceding criteria condition Comparison operators table You can select a comparison operator to filter a number a date or text For example to see all entries created after June 1 2001 click Greater Than and type 06 01 2001 You can enter a date using the MM DD YYYY format or click the down arrow to choose a date from the calendar You can filter for specific dates or for a range of dates You cannot filter for specific times For the purpose of filtering the 122 9 Working with the System Log Event Review Pro User Guide log uses a time of 12 00 AM for all dates To select a range of dates use the Between operator Use the comparison operators in the following table with these columns User Name Type Action Description and Date and Time Equal are the same as the selected value Not equal are not the same as the selected value Greater than follow or are larger than the selected value Less than are preceded or are smaller than the
144. rking with waveforms on page 71 Hiding and displaying events You can hide or display the list of events for the open case from the shortcut menu To use the shortcut menu 1 2 Open Cases For more information see Displaying case details on page 42 To display a list of options use the View menu or right click the Event Log table Click Refresh Expand All or Collapse All To refresh hide and display events To refresh the list of events on the View menu or shortcut menu click Refresh To hide event details click Collapse L to the left of the event To hide all event details on the View menu or shortcut menu click Collapse All To display event details click Expand E3 to the left of the event To display all event details on the View menu or shortcut menu click Expand All Sorting grouping and filtering events You can change the way information displays in the list of events You can sort and group the list of events and you can filter them so that only the events that meet the criteria you select appear For more information see Working with columns on page 120 Grouping and sorting entries on page 120 Filtering entries on page 121 and Removing filters on page 124 Printing case events You can print the events for the open case or for any case saved in the database To print a list of events for the open case 1 On the Event Log tab decide how you want to format the list before you pri
145. rmance Healthy alert capable of normal life Good cerebral performance CPC1 plus no or only mild functional disability from noncerebral organ system abnormalities Moderate overall disability Conscious Moderate cerebral disability alone CPC2 or moderate disability from noncerebral system dysfunction alone or both Performs independent activities of daily life dressing traveling and food preparation May be able to work part time in sheltered environment but disabled for competitive work Severe overall disability Conscious Severe cerebral disability alone CPC3 or severe disability from noncerebral organ system dysfunction alone or both Dependent on others for daily support Coma vegetative state Not conscious Unaware of surroundings no cognition No verbal or psychological interactions with environment Death Certified brain dead by traditional criteria 159 Score Finding 15 Glasgow Coma score The Glasgow Coma score is a score given to head trauma victims based on the Glasgow Coma Scale GCS The total score is based on examination of eye opening verbal output and motor movement responses to different modalities and intensity of stimulation You give each of these three attributes a score and then Event Review Pro totals the three scores The choices in the GCS Total field are 0 3 total up to 3 1 4 5 total from 4 to 5 2 6 8 total from 6 to 8 3 9 12 total from 9 to 12
146. rts all the details that were in the case such as patient demographics responder and reviewer notes and physician notes When you use the Attach ECG feature Event Review Pro attaches only the ECG to the case To import files using drag and drop 1 2 On the navigation pane click the Patient Cases navigation button Open the folder where your mic hic or codfiles are stored and drag one or more into the All Records table Event Review Pro imports the cases saves them to the database and lists them on the All Records table If any of the cases failed to import successfully because they required a password for example the outcome for each appears in the System Log See Working with the System Log on page 119 To import files using the Import option 1 2 On the navigation pane click the Patient Cases navigation button On the File menu or toolbar click Import The Import Case window opens 4 Working with cases Event Review Pro User Guide 3 Navigate to the folder that contains the files you want to import The list of files includes only those with a cod hic and mic extension A hic file is a defibrillator device file that is forwarded by an electronic patient care record ePCR application or HeartStart Data Messenger 4 If you want to import only one file click it If you want to import multiple files press CTRL and click each one Click Open 5 If any of the files were password pro
147. run the application on this computer The activation wizard sends encoded information to the Philips server to validate that the serial number you enter has not already been used for the allowed number of installations and to activate your software If you are not connected to the Internet the wizard alerts you that there is no connection To activate the software by the Internet 1 Start the application The application opens HeartStart Activation Wizard 2 Type the serial number that you received Click want to activate the software over the Internet Click Activate The wizard starts the application Activate by email You can request to activate the software by email at any time after you first install the application preferably within 60 days of installation When you use the activation wizard it attaches an encrypted file when it sends the activation request Customer Support sends you the activation code An email application must be installed on this computer or you must have access to an installed email application You can continue to use the software for up to 60 days before you complete the activation At the end of the 60 days however if you have not yet activated you cannot run the application on this computer If an email application is not installed on this computer contact Customer Support Email activation support is available in English only at activation support philips com Product support via email
148. ry before you download the case information the files created before you removed the battery might appear in thelist without a date and time though they will show elapsed time for events and ECG data when you open them For information on HSI and FRx defibrillators case date and time see Determining the HS1 and FRx case date and time on page 145 1 Set up the infrared connection between the defibrillator and the computer For more information see Using infrared connections for the HS1 and FRx on page 146 2 Use one of the following methods Onthe ECG menu click Attach e Onthe toolbar click Attach ECG File 3 Put the defibrillator in Administration mode For more information see Setting up the infrared connection on page 147 4 Optional If you need help with setting up the IrDA handshake for HS1 or FRx defibrillators use the IrDA Wizard On the left pane of the Attach ECG window click IrDA K On the IrDA Wizard window follow the on screen instructions The IrDA icon to the right of the status bar appears enabled while it transfers the data 5 When the defibrillator connects the voice message says Sending for the HS 1 or Transferring data for the FRx 6 Onthe right pane of the Attach ECG window find the file that contains the ECG The data source appears in the Source column 7 Use one of the following methods e Click the file for the ECG you want to attach and then click Open e Double click t
149. s 111 8 Working with reports Event Review Pro User Guide Q CPR statistic section data label table The time period for the data Episode Period or Interval Start The start time of the statistics coverage in milliseconds from one second before the first compression event Length The length of the statistics covered time up to one second after the last compression event in milliseconds The no flow time NFT in milliseconds NFT The no flow time ratio NFT divided by length expressed in percent The flow time FT in milliseconds It is defined as the length of the statistic minus the NFT in milliseconds FT The FT ratio FT divided by the length expressed in percent Compression section data label table The total number of compressions Comp Adequate The total number of compressions that are performed with adequate depth or are not too shallow Correct The total number of compressions that are not too shallow or are not leaning The number of compressions that are too deep Shallow The number of compressions that are too shallow Depth The average depth of compression in millimeters or inches The number of compressions with incomplete release Rate The average compression rate per minute The rate is computed over the active compression time The time without compression activities is excluded Duty Cycle The compression duty cycle Adeq The ratio of adequate count to total count 112
150. s You can remove a single exclusion or all exclusions To remove a Q CPR exclusion 1 2 3 If necessary click the ECG tab and display the ECG view Click the waveform where you want the episode to begin Use one of the following methods Onthe Q CPR menu click Remove Exclusion e Right click the waveform to display the shortcut menu click Q CPR and click Remove Exclusion The highlighted exclusion disappears To remove all Q CPR exclusions 1 2 3 If necessary click the ECG tab and display the ECG view Click the waveform Use one of the following methods Onthe Q CPR menu click Remove All Exclusions e Right click the waveform to display the shortcut menu click Q CPR and click Remove Exclusions All Q CPR exclusions disappear Adding notes to the Ventilation channel The notes in the calculations appear in the Q CPR Report Card report To add notes to a ventilation channel 1 2 3 4 5 If necessary click the ECG tab and display the ECG view On the Waveforms pane expand the ventilation channel Click the ventilation waveform at the point that you want to add the note Right click the mouse to display the shortcut menu Click Q CPR and then Annotations 94 6 Working with ECGs Event Review Pro User Guide 6 Click one of the following options to add a note both of which appear at the cursor e Ventilation e PR Perfusing Rhythm To add notes using keyboard
151. s It can help you recognize the data cards and select the appropriate card reader Supported defibrillators You can download product owners manuals for supported defibrillators from the Philips Healthcare support Web site To download products and services materials 1 Navigate to this site http www philips com productdocs 2 Click Resuscitation Defibrillators products 136 12 Working with defibrillators Event Review Pro User Guide 3 Click the defibrillator to display a page that lists the product user and service materials The following table identifies the method used to read defibrillator data To understand how to use the method click the appropriate link in the Instructions column HeartStart FR3 Secure digital SD card or Reading FR3 series cards on page 139 Bluetooth connection Downloading an ECG using an FR3 Bluetooth transmission on page 37 HeartStart MRx Card reader or Reading HeartStart MRx cards on page 143 Bluetoothconnection Downloading an ECG using an MRx Bluetooth transmission on page 38 HeartStart FRx Infrared IrDA connection Downloading an ECG from an infrared connection on page 39 HeartStart HS1 Infrared IrDA connection Downloading an ECG from an infrared connection on page 39 Selecting accessories for data transfer Before attempting data transfer from defibrillators and devices to Event Review Pro be sure that you have all the accessories you need Defibrillators and device
152. s and information entered by a user For information about supported defibrillators see Supported defibrillators on page 136 The first step in working with ECG information ECG is to create a case You can do this in the following ways e Use the case wizard to download data from a defibrillator or its data card Import a case with an ECG from a mic hic or cod file created by another application such as Data Messenger Mic files are created by the export function of products such as HeartStart Data Messenger and Event Review Pro Hic files are created by third party ePCR software using the Philips Software Development Kit SDK Codfiles are created by the export function of older products such as Review Express Connect and Event Review Pro 3 5 e Create a case that does not have ECG information in it yet and add it later Starting the cases feature To create review and manage cases click the Cases navigation button On the Navigation Pane the database records appear and on workspace the All Records table appears For more information see Displaying case details on page 42 Understanding the Cases navigation pane Use the Cases navigation pane to work with ECG information You can complete the following tasks in Cases e Download information from a supported defibrillator or its data card 30 4 Working with cases Event Review Pro User Guide Import information from a patient data file create
153. s as well Depending on the defibrillator you can attach an ECG information and 12 lead information from a data card or a file or through a Bluetooth or an infrared transmission If you need help identifying the defibrillator or inserting a data card see Working with defibrillators on page 136 The defibrillator that you use determines the method that you can use to attach an ECG The Attach ECG window lists the types of transfer methods that you can use to attach an ECG or 12 lead report on the left pane The window lists data files in the right pane The data files include those that were transmitted or are stored ona removable device To display the Attach ECG window for an existing case 1 Click the Cases navigation button 2 Onthe All Records table double click a case 3 On the toolbar click Attach ECG File Any time you have a case open for reviewing or editing you can attach an ECG Onthe ECG menu click Attach or on the toolbar click Attach ECG File 4 Working with cases Event Review Pro User Guide Choosing a transfer method Event Review Pro activates the following methods automatically If you are transferring data from the MRx you might have to click the Bluetooth icon the first time that you use the feature You can also click the following icons to attach ECG data Q Bluetooth begins the process of gaining access to ECG data from MRx and FR3 devices When you click this icon a wizard appears w
154. s sales representative or local distributor To read a data card 1 Remove the data card from the HeartStart MRx data card tray 2 One end of the data card has a series of perforations Insert this end firmly into the card 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 Event Review Pro can read the data on the card 4 Ifthe card does not appear in Windows Explorer remove the card from the card reader and then insert it into the card reader again Sending the MRx Bluetooth transmission You can download a case from HeartStart MRx to the computer through a Bluetooth transmission Before downloading make sure that the MRx has been paired with your computer See Pairing and testing the Bluetooth option with the computer MRx and FR3 on page 141 for information on pairing and testing the connection 143 12 Working with defibrillators Event Review Pro User Guide To make a Bluetooth transmission 1 ak WwW DN On the HeartStart MRx place the defibrillator in the Data Management mode If necessary use the MRx documents that are listed in Bluetooth option prerequisites for the MRx and FR3 on page 140 Click Next Item or Prev Item to navigate to the incident of your choice Scroll to Send Press Send Select the type of information that you want to transmit to Event Review Pro and click Enter The first time you
155. s vary as to whether they use data cards and card readers infrared connections and or Bluetooth connections to transfer data Choosing data transfer adapters and readers If your computer did not come installed with the appropriate software or adapter for the transfer method you can use an adapter or reader Use the following table to identify the requirements for the adapter or drive that you need HeartStart FR2 CompactFlash data card 137 12 Working with defibrillators Event Review Pro User Guide HeartStart FR3 Custom Philips version of the SD data card Bluetooth data transfer HeartStart FRx Infrared data transfer HeartStart HS1 Infrared data transfer HeartStart MRx CompactFlash data card Bluetooth data transfer batch LAN data transfer HeartStart XL ATA flash data card Quick reference to data cards The following table shows the defibrillators with their associated data cards HeartStart FR2 FR2 defibrillators use the CompactFlash cards with the CompactFlash card reader or an ATA flash card reader with an adapter FR3 defibrillators use Philips secure digital SD data cards with the SD data card reader or an ATA flash card reader with an adapter MRx defibrillators use CompactFlash cards with the CompactFlash card reader or an ATA flash card reader with an adapter HeartStart XL XL defibrillators use ATA flash cards with the ATA flash card reader 138 12 Working with defibrillators
156. se vertical waveform scale Click the RANGE field and rotate the mouse wheel backward 98 Reviewing case details Use the Cases navigation button to add or review case events plus detailed information about them and to attach additional files to the case For example you can add responder actions and observations and followup information about the patient The events and attached files appear in a table You can change how the entries appear Reviewing case events Use the Event Log tab to view all the defibrillator events and user notes that are associated with the ECG The events that appear on the Timeline and ECG tabs are in the Event Log In the Event Log you can do the following e View details for an event e Sort and group the defibrillator events and notes that a responder or reviewer added to the case e Filter events and notes to display only those that fit your selection criteria e Print the events for the open case To display the event log 1 On the Cases workspace click a case to open For more information see Displaying case details on page 42 2 Click the Event Log tab The table that appears is a log of events for the case in the Event Review Pro database Viewing event details To view event details double click an event The details appear on the ECG tab 99 7 Reviewing case details Event Review Pro User Guide The sweep bar identifies the event For more information see Wo
157. select the color you want to highlight the selection Click Create ECG selections appear according to your criteria To delete a selection template 1 2 Click the Selection Templates tab The headings for a selection templates table appear Click a template and click Delete Copying ECGs to the Clipboard You can copy ECG strips and ECG selections to the Clipboard You can then paste the strips and selections into documents created by a word processing or graphic application Copy the ECG strips and selections from the ECG view To copy an ECG strip to the Clipboard 1 2 3 Right click the strip in the Overview or Channels pane On the menu that appears click Copy to Clipboard Paste the contents of the clipboard into a document To copy an ECG selection to the Clipboard 1 2 3 4 Right click the selection you want to copy On the menu that appears click Selections Click Copy Selection to Clipboard Paste the contents of the clipboard into a document 6 Working with ECGs Event Review Pro User Guide Exporting waveform data To export a case with the wfdb format which is used for data analysis use the Export option on the File menu or toolbar For more information on this format see http www physionet org Event Review Pro cannot import wfdb files For more information see 8 Importing case files automatically on page 45 To export only ECG data 1 Open a case For more informa
158. sete 158 Glasgow Coma score 2 222222 2 ee eee 160 GIOSSANY esse ood ah eae pe tiene ee sa si e ea eaten once eee EE 162 LL gt Smee ate i i tte ees eae eRe SC Ore Ree Pe et a AR OE A NE 169 Installing Event Review Pro You can install HeartStart Event Review Pro 4 2 as a new installation or as an upgrade from Event Review Pro 4 0 4 1 If you install Event Review Pro 4 2 as a new installation you can install and run the new version for 60 days while you purchase a license Event Review Pro stops working if you do not activate the software within 60 days of installation You can install Event Review Pro on the same computer as Event Review Pro 3 5 or Event Review Pro 4 0 1 Event Review Pro does not remove Event Review Pro 3 5 but it does remove other more recent versions You can migrate case data from previous versions after installation The following table lists the upgrade path from earlier versions of Event Review Pro to Event Review Pro 4 2 Note that if you are using a version of Event Review Pro before 3 5 you need to upgrade to 3 5 before upgrading to 4 2 Event Review Pro 3 0 3 2 Event Review Pro 3 5 Event Review Pro 4 2 Event Review Pro 3 5 Event Review Pro 4 2 Event Review Pro 4 0 4 1 Event Review Pro 4 2 e For full details about hardware and software requirements see System requirements on page 9 e For help with downloading see Downloading the application on page 12 e For help with
159. shortcuts 1 If necessary click the ECG tab and display the ECG view 2 Onthe Waveforms pane expand the ventilation channel 3 Click the ventilation waveform at the point that you want to add the note 4 Press the following key combination e Press ALT V to add a Ventilation note e Press ALT R to add a PR perfusing rhythm note at the cursor location To move a note to another location on the waveform click the note on the waveform and drag it to another location using your mouse Using key command and mouse shortcuts You can use the shortcuts in the table below to complete many of the operations on the ECG tab Key command shortcuts Audio Play Pause audio Click the ECG waveform and then press SPACEBAR Reset audio volume to default level Hold down CTRL and click the Volume slider Event tree Expand selected event tree nodes SHIFT PLUS SIGN Collapse selected event tree nodes SHIFT MINUS SIGN 95 6 Working with ECGs Event Review Pro User Guide Q CPR Annotate compression waveform with ventilation event ALT V Annotate compression waveform with Perfusing Rhythm ALT R Selections Create an automatic selection centered on the pointer location CTRL and click waveform Add a note on a ventilation channel ALT V to add a Ventilation note ALT R to add a PR perfusing rhythm note Sweep bar Move sweep bar one minute backward PAGE UP Move sweep bar one minute forward PAGE DOWN Move sw
160. slider to the level you want This adjustment is relative to the volume that you set in the Windows audio control If your Windows audio is muted or the volume is very low the Event Review Pro volume setting cannot override it e To reset the ECG audio volume to the default level hold down CTRL and click the Volume slider Viewing ECG information The date of the ECG and the real time and elapsed time for the sweep bar location appear in an information pane at the bottom of the ECG view The waveform type and value for the current pointer location also appears as well as the cursor delta time The cursor delta time is the difference in milliseconds between the current pointer location on the waveform and the sweep bar location To measure the cursor delta time click a location on the waveform The difference between the pointer location and the sweep bar appears in the Cursor time field on the information pane To measure the waveform value click a location on the waveform Event Review Pro dynamically assigns a name to the waveform type field according to the waveform type or source and displays the waveform value in the waveform value field The waveform value is displayed in units appropriate to the waveform type as in the following examples mV for leads 79 6 Working with ECGs Event Review Pro User Guide e mmHg for blood pressure and CO2 mm for compression mOhms for ventilation Defining and viewin
161. ss your system s overall response performance and compare performance with service level commitments The type of report determines the parameter settings you can specify For information on how to generate a report see Generating reports on page 106 Event Review Pro saves the parameter settings and displays them the next time you select the report You can select or clear any of these fields If you import a redacted case Event Review Pro replaces the name and patient ID with a series of asterisks If the redacted age of the patient is greater than 90 the Date of birth field is blank and the Age field shows 90 Average Response Times Total System This report summarizes the average response times for key milestones in your system s response protocols You can specify the date range and site of collapse to limit the cases you want to summarize in the reports The report uses the following parameter settings e Start date End date e Site of collapse Percentile Response Times Total System This report summarizes response times achieved in a specific percentage of responses You can specify the date range and site of collapse to limit the cases you want to summarize in the report You must specify the percentile The report uses the following parameter settings e Start date End date e Site of collapse e Percentile required median is 50 Average Response Times This report summarizes for a specific unit
162. st multidigit scale values based on the digit selected For example if the value in the Range field is 100 mV and the third digit is increased by 1 the scale increases to 101 if the second digit is increased by 1 the scale increases to 110 77 6 Working with ECGs Event Review Pro User Guide To change the waveform scale gradually single click the specific digit that you want to change in the Range field for instance if you want to change 125 63 to 125 69 click the 3 so that it is highlighted and complete one of the following procedures To increase the waveform scale turn the mouse scroll wheel forward or move the mouse so that the cursor moves upward on the screen To decrease the waveform scale turn the mouse scroll wheel backward or move the mouse so that the cursor moves downward on the screen The adjusted scale value appears in the Range field and modifies the scale of the waveform displayed in the Channels pane accordingly To specify the waveform scale double click the Range field and type the scale value in mV The waveform appears in the Channels pane according to the specified scale To restore the default waveform scale press CTRL and click in the Range field Reviewing channel information Use the transport control shown below to navigate through events on an ECG waveform play the waveform and play an associated audio clip while reviewing the waveform Coe You can also review inform
163. t Event Review Pro User Guide 902 304050 Sweden o 08 59852530 59 85 2530 133 11 Customer support Event Review Pro User Guide Asia and Pacific Australia China Indonesia Japan Korea Malaysia New Zealand Philippines Singapore South Africa Thailand Taiwan 1800 251 400 Hong Kong 852 2821 5888 18004256788 021 794 7542 0120 381 557 1800 866 188 02 845 7875 0800 251 400 1800 PHILIPS 1800 744 5477 011 471 6000 02 614 3559 0800 005 616 Comments or suggestions Please send your feedback and suggestions to eventreview support philips com Supported help Customer support technicians provide help for the following e Explaining the proper use of application features and answering your questions about how the application works e Explaining the proper installation and maintenance of the application e Assisting you in selecting and configuring card readers 134 11 Customer support Event Review Pro User Guide Unsupported help Customer support technicians do not provide help for the following Interpreting ECG or medical data Please call your medical director or clinical specialist 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 the Philips HeartStart application software Troubleshooting defibrillators Instead call Philips Customer
164. tStart FR3 defibrillator to a Bluetooth enabled computer Bluetooth A short range wireless technology that uses radio links between devices such as defibrillators and computers mobile computers mobile phones and other portable devices Bystander CPR The attempt to perform basic CPR by someone who is not part of an organized emergency response system Typically this person witnessed the arrest In certain situations physicians nurses and paramedics may perform bystander CPR Card reader Hardware that reads information from a data card CFG Stands for configuration file This binary file extension type is used for a HeartStart FR3 configuration file Configuration A file that sets the behavior of a defibrillator Configuration Tasks A task pane in HeartStart Configure that allows you to create defibrillator configurations per American Heart Association AHA guidelines and set time date and language options for the HeartStart FR3 defibrillator Configurations feature 163 16 Glossary Event Review Pro User Guide A feature set that allows you to configure manage and review information about a defibrillator configuration HeartStart Configure identifies each configuration based on the type name and the date and time of the configuration This allows you to list configurations based on a variety of values Configurations pane The Configurations pane allows you to view and manage supported defibrillator
165. ta involves the following steps 1 You identify the database from which the cases are to be migrated the source database 2 Event Review Pro creates a list of all the cases from the source database and compares them using the case ID to the cases in the current Event Review Pro 4 2 database the destination database Cases that are not already in the destination database are marked for migration 3 You migrate the marked cases Use the following procedures to complete the migration 155 13 Managing the database Event Review Pro User Guide To select and identify the source database 1 2 Inthe main workspace click the Administration button Inthe Administration navigation pane click one of the following options e Migrate Records from Event Review Pro 3 5 e Migrate Records from Event Review Pro 4 0 e Migrate Records from Event Review Pro 4 1 A database selection dialog box appears displaying only those computers with the expected well known instance and database names as shown in this table 3 5 HeartStart ERPro35 4 0 Philips ER40 4 1 Philips ER41 Click the appropriate source database Recommended To test the accessibility of the source database click Test A message appears reporting the success or failure of the test Click OK to continue the migration process To view and confirm the list of cases to be migrated 1 Once you have selected the source database Event Review Pro connects to
166. tected type the file password in the Password field before you attempt to open the file Passwords can have up to 16 characters and are case sensitive If some of the files are associated with a different password they will not import and you will need to import them separately with their own password 6 Event Review Pro imports the cases saves them to the database and lists them on the All Records table If you were working with an open case when you imported more than one case the last case in the list that you imported opens If you were working in the All Records table the same table appears after the import If any of the cases failed to import successfully because they had a different password from the others for example the outcome for each appears in the System Log See Working with the System Log on page 119 Importing case files automatically Use the Import Service on the Administration navigation pane to set up inboxes to import cases automatically When the Import Service is running Event Review Pro monitors the inboxes for case files with hic mic and cod extensions If an imported case contains a duplicate ECG the case appears on the Duplicated ECGs table See Reviewing cases with duplicate ECGs on page 52 For more information see Using the Import Service on page 126 Saving cases When you save a case Event Review Pro adds it to the database All the information is available for reports Use the Al
167. the active window for entering and viewing information XML Stands for eXtensible Markup Language This file format has a set of rules for encoding documents in machine readable form It is used for HeartStart Configure 3 0 configuration files A HeartStart Configure 3 0 file is exported in the XML file format 168 Index cod file cases Index Average Response Times report 115 B cod file 30 hic file 30 45 Bluetooth 89 136 139 140 143 mic file 30 accessories 139 i attaching ECGs 35 37 38 widb file format 85 automatic synchronization 46 erasing data source 47 exchange folders 38 1 pairing and testing 141 prerequisites 140 12 lead information 40 89 90 attaching 34 magnifying 92 C reviewing 91 card readers 138 case 30 A Case Capture 1 0 20 accessories selecting 137 Case Detalls report 193 activating the product 14 case ID 3 email 15 Case Summary 32 Internet 15 Case Wizard 31 33 within 60 days 17 cas s 30 32 42 All Records table 25 adding details 53 ATA flash card reader 145 adding patient information 62 attachments 26 35 araug aks creating 30 31 33 Sai a defined 19 30 ECGs 31 34 40 f Itinle ECG 41 deleting 51 ae eae duplicate ECGs 52 printing 103 i emailing 50 sorting and filtering 102 yan 102 exporting 49 vere hiding and displaying 43 Attachments table 26 identifying 54 audio playing on ECGs 79 importing automatically 45 importing manually 44 Average Response Times Total System report 11
168. the Overview and Channels panes You can expand the event in the Events pane to view event details To view event details in the Events pane click Expand next to the event you want to view Event details appear You can also double click the event label to view details To expand an Events pane node 1 Click an event or event node 2 Click the PLUS SIGN To collapse an Events pane node 1 Click an event or event node 2 Click the MINUS SIGN To find and view an event using the scroll bar 1 Click and drag the scroll bar down the Events pane to find an event 2 Click the event The sweep bar moves to the location of the event on the waveform 3 Double click the event The event expands to display event details Searching for events Use the Search button on the Events toolbar to search for events or notes To search for an event 1 Type or select the event name in the text box on the Events toolbar The search text can be any portion substring of the event name as it appears in the event label For example to search for patient age you could type patient patient age age or even just patien 2 Click Search 68 6 Working with ECGs Event Review Pro User Guide If the search finds an event it appears selected in the event tree and the sweep bar moves to the location of the event on the waveform Hiding or displaying events Use the Filter tab to display or hide events on the wav
169. the average response times for key milestones in your response protocols You can specify the date range and site of 114 8 Working with reports Event Review Pro User Guide collapse to limit the cases you want to summarize in the reports The report uses the following parameter settings e Start date End date e Site of collapse e Unit name Percentile Response Times This report summarizes for a specific unit the response times achieved in at least a specific percentage of responses You can specify the date range and site of collapse to limit the cases you want to summarize in the report You must specify the percentile The report uses the following parameter settings e Start date e End date e Site of collapse e Unit e Percentile Required The median is 50 Working with Utstein reports The EMS edition provides Utstein reports These reports follow the Utstein guidelines for reporting information on out of hospital cardiac arrests They use the recommended terms and follow the Utstein template approach The type of report determines the parameter settings that you can specify For information on how to generate a report see Generating reports on page 106 Event Review Pro saves the parameter settings and displays them the next time you select the report Unwitnessed with Bystander CPR The Unwitnessed with Bystander CPR report summarizes the unwitnessed cardiac 115 8 Working with reports
170. the toolbar button and describes the event Wizards A wizard guides you through common tasks 20 2 Getting started Event Review Pro User Guide The wizard that is available on the Getting Started navigation pane and File menu guides you through creating a case The IrDA wizard is available from the Attach ECG window in Cases This wizard guides you through the process that downloads and attaches ECG information using the infrared transfer method Event Review Pro essentials This document in PDF format is designed for new users It focuses on the simplest and most common workflows adding and documenting a case reviewing a case generating reports and sending reports to other medical personnel It includes only basic procedures to accomplish these tasks To see this document on the Help menu click Event Review Pro Essentials Online help To get help with the current feature press F1 To read an overview of a topic on the Help menu click Help Select a topic from Help Contents You can use the browse buttons to move from topic to topic User guide The printable user guide which includes all the information in the online Help system is in Portable Document Format PDF You can view it using a PDF reader such as Adobe Acrobat You can view the user guide online print sections or print the whole guide For customer support see Customer support on page 131 Conventions used in this guide This document
171. this database and displays a list of all the cases The ones to be migrated have the sign If a case with the same case ID already exists in the destination database the case will not be migrated If you still want to migrate such a case cancel the migration rename or delete the case in the destination database and then restart the migration process To migrate the cases 1 Click OK The data migration begins This takes some time particularly if you have many cases If you need to cancel migration click Cancel You can restart the migration process at another time Because any already migrated cases will have the same case ID as those in the source database those cases will not be migrated again 156 13 Managing the database Event Review Pro User Guide The migration status of each case is logged in the System Log including any errors The successfully migrated cases now appear in the All Records table 157 14 CPC and OPC The Cerebral Performance Categories CPC and Overall Performance Categories OPC are two scores that are used when reporting cardiac arrest The Follow up tab uses these categories EMS Edition only The two scores are the recommended guidelines for uniform reporting of information from out of hospital cardiac arrest in the Utstein style templates Cummins RO Chamberlain DA Abramson NS et al AHA Medical Scientific Statement Recommended guidelines for uniform reporting of i
172. tion You can customize how the information appears For more information see y Working with columns on page 120 and Grouping and sorting entries on page 120 Once you open a case you select a tab to view and modify the detailed information You can also view and print reports for the open case and export the open case toa different location as a file 42 4 Working with cases Event Review Pro User Guide To open a saved case 1 2 Click the Cases navigation button Use one of the following methods e Onthe All Records table double click the case you want to open e On the File menu or toolbar click Open The case appears in the Cases workspace Sorting and grouping cases You can change the way information displays on the All Records table You can sort cases and group them based on a shared parameter value You can filter or select cases that meet the criteria you select You can also hide or display groups of cases For information on how to add columns to and delete columns from the display see Working with columns on page 120 For information on how to group and sort information in columns see Grouping and sorting entries on page 120 For information on how to filter the information that appears in the list of cases see Filtering entries on page 121 Hiding and displaying cases You can hide or display the list of cases in the groups You can also view and refresh the list of cases from the View me
173. tion see Displaying case details on page 42 2 Click the ECG tab 3 Click the ECG view tab 4 Onthe ECG menu click Export to WFDB The Save As window opens 5 Inthe Save inbox navigate to the location where you want to save the exported ECG data 6 Inthe File namebox type a name for the data files Click Save Event Review Pro exports the files to the folder that you name Managing notes on the waveform You can add edit and delete notes on the waveform You can also use the application toolbar to add notes If you want to add a note that is fixed on the ECG waveform that is its time and date do not change use the Timeline tab If you want to add a note whose time and date move according to the Adjusted On time set on the Defibrillators section of the Overview tab use the ECG menu To add a note 1 2 Click the waveform where you want the note to appear The sweep bar moves to the pointer location Use one of the following methods 85 6 Working with ECGs Event Review Pro User Guide e Onthe ECG menu click Add Note e Onthe Events pane toolbar click Add Note A e Right click the waveform to display the shortcut menu and click Add Note The Note window opens with a table similar to the table on the Timeline tab Click the Event Name field 4 Onthe list of events click and complete an event from the list the same as when you add events on the Timeline tab For more information
174. tions To set up the IrDA connection between an FRx defibrillator and Event Review Pro If the FRx does not receive a transmission within 3 minutes of starting Administration mode it cancels the mode At that point you must start over 1 In Event Review Pro complete one of the following procedures a Use the Case Wizard to create a case up to the point where you see the Attach ECG dialog box b Create acase for the infrared transmission and then on the toolbar click Attach ECG file c Open an existing case for the transmission and then on the toolbar click Attach ECG file 2 Remove the pads connector If you haven t done so already insert the battery into the defibrillator You will hear voice prompts to plug in pads connectors Disregard these prompts in this instance These messages end once you place the defibrillator in Administration mode 4 On the defibrillator press and hold the blue Information button and wait for three tones 5 Release the blue Information button The voice message announces Administration The defibrillator enters data transfer mode 147 12 Working with defibrillators Event Review Pro User Guide 6 Position the defibrillator to communicate with the computer The defibrillator and computer should be between 4 and 24 inches apart and aligned with each other with an unobstructed path between them For help aligning the defibrillator and the computer click the IrDA icon
175. to ensure database integrity It is the database administrator s responsibility to set up the appropriate database management features and to check that they execute successfully Back up the database on a regular basis preferably every day to tape or some other medium Disaster recovery experts recommend that you store the backup tapes somewhere safe so that disasters such as fire or theft cannot harm them Without a recent backup you have no chance of recovery after a catastrophe such as a disk failure or fire Use your organization s backup and recovery policy to set up this procedure For information on migrating data from an older version of the application see Migrating cases from previous versions on page 155 Using the Event Review Pro database on a remote database server Event Review Pro supports use of a remote database that is installed on another machine Multiple instances of Event Review Pro can share the remote database Philips Healthcare supports implementing this feature with the following software SQL Server 2008 R2 SQL Server 2008 151 13 Managing the database Event Review Pro User Guide e SQL Server 2005 These can run on the following e Windows Server 2008 R2 Windows Server 2008 e Windows Server 2003 R2 Windows Server 2003 Not all versions of SQL Server run on all versions of Windows servers Check the SQL Server specifications before proceeding You must install the sam
176. tor voice message that says Insert the pads cartridge for HS1 or No connector installed Plug in pads connector for FRx The message is there to ensure that you are aware of the defibrillator s current state If you remove the HS1 pads cartridge or the FRx pads connector the defibrillator is not available for use on the patient When the defibrillator enters the Administration mode the message stops You can put the FR3 into Admin mode without removing pads System messages If Windows detects an active wireless device it starts the Windows Wireless Link Event Review Pro does not use this application and cannot disable it As a result the Windows Wireless Link might display messages These messages do not apply to your current task You can ignore them 149 12 Working with defibrillators Event Review Pro User Guide Emailing device history data If you ask for assistance from Philips Customer Support you may be asked to retrieve the device history data from a specific defibrillator Use the following steps or as directed by Customer Support to retrieve and email this data To email device history data to Customer Support 1 From the Help menu click Email Device History The Email Device History dialog box appears Set up the device that you are sending data from a If you are sending data from an FRx or HS1 device put the device into Administration mode For details on setting up the connection see S
177. u can generate a report for an open case or for a case that is stored in the database In either case you use the same steps to generate the reports Above the preview of the report the appropriate parameter settings appear The default parameter settings appear as selected You can select or clear the field If you select information from a drop down list your choice persists the next time you use the field At that time you can select another value Remember that if you import a redacted case in any report that includes that case Event Review Pro replaces the name and patient ID with a series of asterisks If the redacted age of the patient is greater than 90 the Date of Birth field is blank and the Age field displays 90 Generating a report for an open case You can generate a report for an open case on the File menu and toolbar To generate a report for an open case 1 Open the case in the Cases workspace For more information see Displaying case details on page 42 On the File menu or toolbar click Print and then click Reports Click the type of report that you want to generate The Report Preview window opens While you preview the report you can use the Report Preview fields and toolbar to customize the report For more information see Using the Reports toolbar on page 107 If you want to add extra reports to this report check their boxes These reports may include extra customizable parameters that you can chang
178. uses the following conventions to help identify information Menu options buttons field On the File menu click Import names and list box names that you need to click 21 2 Getting started Event Review Pro User Guide Screen To distinguish defibrillator The defibrillator voice prompt message voice prompts and announces Administration HeartStart FR3 screen messages from general text Press the center soft key soft key 2 The screen message reads Ready for Data Transfer Italics with File extension types The configuration is exported as an leading period xml file Lower case Specific file names Name the configuration file italics sample xml Italics Variables and placeholders The default folder is located at C Document and Settings user name My Documents A yellow box with a triangular caution icon and exclamation mark identifies circumstances that can result in data corruption or information loss A blue box with a note icon contains information on how features are used a A green box with a light bulb tip icon contains information to complete a task Using online help Use online help system to search for information using the full text search feature glossary or an index You can access online help in these ways e Press F1 to open online help for the selected feature e Onthe Help menu click Event Review Pro Help 22 Starting the application Event Review Pro does
179. verify the file name and folder where you want to save it If you want to password protect the exported file in the Password box type the password Passwords can have no more than 16 characters They are case sensitive Remember to provide this password to anyone who needs to open the exported file If you need to remove patient identity check the Remove Patient Identity box Click Next 32 4 Working with cases Event Review Pro User Guide Printing a report You can print a case report at any point If you want to print it as part of the Case Wizard check the Print a Report box click the buttons for any available reports and click Next The Email page opens Emailing case data You can email a case at any point the case is added to an email as a mic file If you want to email it as part of the Case Wizard check the Email Case box type or click the appropriate address or addresses change the subject if you want and type a note to accompany the case if you want You can also password protect the file or remove patient identify information Click Next The Execute page opens Opening the case At this point you can specify that the case will open after all tasks are completed so that you can make further changes and review them Check the Open Case box and click Finish The status of each task within the Case Wizard displays in the box If your email system needs verification before it can send the email a conf
180. ws a display before centering The image below shows a display after centering 76 6 Working with ECGs Event Review Pro User Guide You can adjust multidigit scale values based on the digit selected For example if the value in the Range field is 100 mV and the third digit is increased by 1 the scale increases to 101 if the second digit is increased by 1 the scale increases to 110 To change the waveform vertical offset gradually single click the specific digit you want to change in the Baseline field for instance if you want to change 125 63 to 125 69 click the 3 so that it is highlighted and complete one of the following procedures e To increase the vertical offset turn the mouse scroll wheel forward or move the mouse so that the cursor moves upward on the screen To decrease the vertical offset turn the mouse scroll wheel backward or move the mouse so that the cursor moves downward on the screen The adjusted vertical offset value appears in the Baseline field and modifies the vertical offset of the waveform displayed in the Channels pane accordingly To specify the waveform vertical offset double click the Baseline field and type the offset value The waveform in the Channels pane appears with the specified offset Changing the waveform scale The Range field available in the ECG channel when you expand the Properties area with the arrow controls the scale of the waveform You can adju

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