HeartStart Event Review Pro User Guide

HeartStartEvent Review Pro

User Guide

About this edition

HeartStart Event Review Pro version 5.0

Publication date: December 2015

Document part number: 453564556351

The information in this document applies to the product

version indicated above. This information is subject to

change without notice.

Philips Medical Systems shall not be liable for errors

contained herein or for incidental or consequential

damages in connection with the furnishing,

performance, or use of the material.

Philips North America Corp.

No part of this publication may be reproduced,

transmitted, transcribed, stored in a retrieval system, or

translated into any human or computer language in any

form by any means without the consent of the copyright

holder.

Unauthorized copying of this publication may not only

infringe copyright but also reduce the ability of Philips

Medical Systems to provide accurate and up-to-date

information to users and operators alike.

Medical device directive

Event Review Pro complies with the requirements of the

Medical Device Directive 93/42/EEC and carries the

mark accordingly.

Trademarks

HeartStart Event Review Pro, HeartStart FR3, HeartStart

FRx, HeartStart HS1, HeartStart Defibrillator, HeartStart

MRx, HeartStart XL+, Efficia DFM100, and the HeartStart

logo are either trademarks or registered trademarks of

Koninklijke Philips 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.

Adobe, Acrobat, and Reader are either trademarks or

registered trademarks of Adobe Systems Incorporated in

the United States and/or other countries. Microsoft®

Windows, Windows 7, Windows 8.1, Windows 10,

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. CompactFlash is either a

trademark or a registered trademark of SanDisk

Corporation. IrDA and IR logo are trademarks or

registered trademarks of Infrared Data Association.

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.

Q-CPR is either a trademark or a registered trademark of

Laerdal Medical.

Authorized EU representative

Philips Medizin Systeme

Boeblingen GmbH

Hewlett-Packard Strasse 2

71034 Boeblingen, Germany

(+49) 7031 463-2254

Manufacturer

Philips Medical Systems

22100 Bothell Everett Highway

Bothell, WA 98021-8431, USA

EN 11/2/2015

Table of contents

Installing Event Review Pro 8

About the Event Review Pro software 9

System requirements 9

Downloading the software 12

Checking for software updates 13

The installation procedure 13

Activating the software 14

Activate over the Internet 15

Activate by email 15

Activate later 17

Uninstalling the software 17

Product compatibility 18

Getting started 19

Intended use 19

What’s new in this release 19

Getting assistance 20

Conventions used in this guide 21

Starting the application 23

Understanding the Getting Started options 23

Using the navigation pane 24

Using the Administration workspace 25

Understanding the application window 26

Understanding the Case Editor 28

Using the application tables and logs 32

Working with columns 35

Grouping and sorting entries 35

Filtering entries 37

Removing filters 39

Printing table entries 39

Exporting data to Excel 40

Completing fields 40

Table of contents Event Review Pro User Guide

Resizing panes and workspaces 41

Using a Tablet PC 41

Saving your work 42

Restoring confirmation messages 42

Working with cases 43

Searching for cases 44

Using queries 46

Creating a case (including ECG)with wizards 47

Creating a case 50

AttachingECGs 51

AttachingECGs table 54

Attachingan ECG from a data card 55

Attachingan ECG from a USB port 56

Attaching an ECG using an FR3 Bluetooth transmission 56

Downloadingan ECG using a HeartStart MRx Bluetooth transmission 57

Downloadingan ECG from an infrared connection 58

Attachingan ECG from a file 60

After you add an ECG 60

RemovingECGs from a case 61

Displaying case details 61

Sorting and grouping cases 62

Hiding and displaying grouped cases 63

Importing case files manually 64

Importing case files automatically 65

Saving cases 66

Adjusting the date and time of the defibrillator data 66

Erasing the data source 67

Printing case information 69

Exporting cases 69

Emailing a case 71

Deleting cases 72

Reviewing cases with duplicate ECGs 73

Merging related cases 74

Merging related cases automatically 76

Adding case details 78

Identifying the case 79

Describing the conditions at the scene 84

Documenting events 85

Adding, describing, and removing events 85

Table of contents Event Review Pro User Guide

Sorting events 86

Changing the date and time of the event 87

Documenting the patient's outcome 87

Working with ECGs 88

Understanding the Case Editor 88

Using the Events pane 93

Viewing waveforms 97

Working with waveforms 97

Displaying and hiding waveforms 99

Arranging sections of the ECGdisplay 99

Magnifying waveforms 100

Changing the display time 100

Changing the time scale 101

Scrolling through the waveform 102

Customizing waveforms 102

Changing the waveform offset 104

Changing the waveform scale 106

Reviewing waveform information 106

Defining and viewing ECG selections 108

Creating ECG selections 109

Managing ECG selections 109

Naming, finding, and sorting ECG selections 111

Using selection templates 112

Copying ECGs to the Clipboard 113

Exporting waveform data 113

Managing notes on the waveform 114

Zooming in and out of the waveform 116

Customizing the ECG display 117

Reviewing vital trends data 117

Working with 12-lead ECGs 119

Configuring the 12-lead view 121

Reviewing the 12-lead ECG 122

Magnifying 12-lead ECGs 122

Working with CPR data 123

Customizing CPR episodes 123

Creating CPRexclusions 125

Removing CPR exclusions 126

Adding CPR annotations 127

Adding CPR responder annotations 128

Table of contents Event Review Pro User Guide

Using key command and mouse shortcuts 129

Reviewing case details 133

Reviewing case events 133

Attaching files to a case 135

Completing a final case review 137

Using the Import Service 138

Managing Import Service inboxes 139

Configuring the Import Service 141

Managing Import Service archives 142

Using the HTTPImport Service 143

Working with the System Log 145

Working with reports 147

Selecting cases for reports 148

Selecting CPR Guidelines for reporting 150

Generating reports 151

Generating a report for an open case 151

Generating a report using the Reports workspace 152

Working in Report Preview 153

Printing reports 154

Exporting reports 154

Working with case reports 155

Working with ECG reports 155

Working with 12-lead reports 156

Working with Q-CPR Report Card reports 158

Information in the Q-CPR Report Card chart 159

Information in the Q-CPR Report Card details 163

Information in the Q-CPR Report Card compression strips 166

Working with Q-CPR Details reports 167

Q-CPR Details report data 169

Working with Q-CPR Response Time reports 173

Information in the Q-CPR Response Times overview 174

Information in the Q-CPR Response Times details 178

Working with zCPR Report Card reports 179

Information in the zCPR Report Card chart 180

Information in the zCPR Report Card compression strips 182

Working with Vital Trends reports 183

Working with Response Times reports 183

Working with Utstein reports 186

Working with Device Self-test History reports 187

Table of contents Event Review Pro User Guide

Customer support 189

Working with defibrillators 192

Supported defibrillators 192

Selecting accessories for data transfer 193

Reading FR3 series cards 195

Retrieving FR3 data using Bluetooth transmission 195

Reading HeartStart MRx cards 196

Setting up Bluetooth transmissions for the HeartStart MRx 197

Bluetooth option prerequisites for the HeartStart MRx 198

Pairing and testing the HeartStart MRx Bluetooth option with the computer 198

Sending the HeartStart MRx Bluetooth transmission 199

Reading FR2 series cards 200

Reading HeartStart XL cards 201

Transferring HeartStart XL+ data 201

Transferring Efficia DFM100 data 202

Determining the HS1 and FRx case date and time 202

Using infrared connections for the HS1 and FRx 203

Setting up an infrared adapter 204

Setting up the infrared connection 204

Understanding voice and system messages 206

Emailing device history data 207

Importing device self-test data using the Device Self-test Wizard 209

Managing the database 212

Using the Event Review Pro database on a remote database server 213

Migrating cases from previous versions 214

CPC and OPC 217

Glasgow Coma score 219

Glossary 221

Index 223

Installing Event

Review Pro

HeartStart Event Review Pro 5.0 is a major upgrade for both Event

Review Pro and Event Review, and requires a new license. 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.

HeartStart Event Review Pro 5.0 installation removes any existing

4.x versions of Event Review Pro and Event Review from the

computer.

If you have Event Review or Event Review Pro older than version

3.5, You must first upgrade and migrate the data to 3.5, then you

can migrate the data to Event Review Pro 5.0.

• For information about migrating data from earlier versions, see

Migrating cases from previous versions on page.214.

• For information about product compatibilty, see Product

compatibility on page.18.

• For full details about hardware and software requirements, see

System requirements on page.9.

• For help with downloading, see Downloading the software on

page.12.

• For help with installing, see The installation procedure on page.13.

• 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.213.

About the Event Review Pro software

Event Review Pro is available in two editions. Each offers viewing and

editing features for cases acquired from defibrillators in specific

situations:

• EMS edition: defibrillators used by first-responders, in resuscitations

outside a hospital

• Hospital edition: defibrillators used for resuscitations within a

hospital

When you install the software, the default option is the EMS edition;

however, you will have the opportunity to select the Hospital edition

instead.

Event Review Pro is available in different license types, determined at

the time of purchase:

• Single-installation license, for use on only one computer

• Site license, for use on multiple computers

System requirements

Event Review Pro operates on a computer running the Microsoft

Windows 7, Windows 8.1 or Windows 10 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

• Accessories

1 - Installing Event Review Pro Event Review Pro User Guide

Software requirements table

Component Requirement

Operating

system

Microsoft Windows 7, 32-bit or 64-bit, with SP1

Microsoft Windows 8.1, 32-bit or 64-bit

Microsoft Windows 10, 32-bit or 64-bit

Database Note: Windows SQL 2014 Express is included and delivered

with the product.

For a shared database: Microsoft SQL Server 2008, 2008 R2,

2012, 2012 R2, or 2014

For a remote server running the shared database:

Microsoft Windows Server 2008 R2 with SP1, 2012,

or 2012 R2

Microsoft Windows 7, 32-bit or 64-bit, with SP1

Microsoft Windows 8.1, 32-bit or 64-bit

Microsoft Windows 10, 32-bit or 64-bit

Hardware requirements table

Component Requirements

Processor speed Minimum: 1 GHZ x86 or x64 processor

Recommended: 2 GHZ core duo or higher

Display

resolution

Minimum: 1024 x 768

Recommended: 1600 x 1200 or higher

Video memory Minimum: 64 MB video memory

Recommended: 256 MB video memory

Memory Minimum: 2 GB

Recommended: 4 GB or higher

1 - Installing Event Review Pro Event Review Pro User Guide

Component Requirements

Disk space Minimum: 25 GB of available disk space for database

storage and backup

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

connection

Required to activate the application software, to use the

Email feature, and to receive software updates.

Accessories table

Component Requirement

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:

https://get2.adobe.com/reader/

Backup and

restore tool

To help prevent data loss and corruption

Connection to

a time server

To synchronize your computer date and time

Note: If you use a time server, do not alter your system clock

manually.

application

To send cases using email or activate the software by email.

Spreadsheet

application

To display Q-CPR data in charts; data is exported in .xlsx format

only

Sound card

and speaker

To play audio from the defibrillator

1 - Installing Event Review Pro Event Review Pro User Guide

Component Requirement

Card reader 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.193 for a

summary of the data card types.

IrDA support 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.

Bluetooth

adapter

To transfer HeartStart MRx and HeartStart FR3 data to your

computer

Bluetooth

stack

To 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 are suitable. You

can order an adapter from your Philips representative.

Downloading the software

You can download and use Event Review Pro on a trial basis for 60 days

before purchasing and activating the software.

Use the authorization that you receive from your sales representative to

download the software from the Internet. Save the downloaded file to

your computer. You can use the software on a trial basis and activate it

later.

To download the software

1. Navigate to the URL provided on your Proof of Purchase Certificate

or by your sales representative.

2. Click the download link.

3. Save the installation file to your computer.

1 - Installing Event Review Pro Event Review Pro User Guide

For information on possible updates to the software, see Checking for

software updates on page.13.

For instructions on installation, see The installation procedure on

page.13.

Checking for software updates

You can check at any time to see if new updates have been released for

Event Review Pro software.

Before you install any software updates on the computer, make

sure that you have Windows Administrator privileges for the

computer, and that the computer is connected to the Internet.

To check for software updates

1. On the Help menu, click Check for Updates.

The software connects to the Web site.

2. 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.

3. Click Get Update for the Application.

4. Click Download and follow the instructions to save the update.

5. Close the older version of the software.

6. Note the name and location of the saved, downloaded file and follow

the instructions to install it.

The installation procedure

Once you have saved the installation file to your computer (see

Downloading the software on page.12), follow these instructions.

To install Event Review Pro

1. In the folder where the installation file has been saved, right-click

the file and click Run as Administrator.

You may see a User Account Control box that asks you to authorize

this program to make changes. Click Yes.

1 - Installing Event Review Pro Event Review Pro User Guide

2. The Install Shield wizard checks for your database and for versions

of the Microsoft .NETFramework. If it needs 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.

3. The Install Shield wizard dialog box is now ready to begin

installation of Event Review Pro. Click Install.

4. On the Welcome screen, click Next.

5. On the next page, click I Accept the Terms.... and click Next.

6. The next page displays the current Read Me file, containing any late-

breaking information. Read the text and then click Next.

7. On the next page, click the edition of Event Review Pro that you want

to install, EMS or Hospital edition, and then click Next.

8. In the Custom Setup dialog box, you have the opportunity to save

Event Review Pro in a 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. 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

Once the software is activated, you can view the license number by

clicking the Help menu and clicking About Event Review Pro. In addition,

save the license 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

1 - Installing Event Review Pro Event Review Pro User Guide

Product support via email is available in English only at:

eventreview.support@philips.com

For support telephone numbers and other information about customer

support, see Customer support on page.189.

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 run the application on this computer.

The activation wizard uses an encrypted transfer to validate that the

license number you enter has not already been used and to activate

your software. If you are not connected to the Internet, the wizard

alerts you that there is no connection.

For more information, see Customer support on page.189.

To activate the software by the Internet

1. Start the application.

The application opens the HeartStart Activation Wizard.

2. Type the license number that you received.

3. Click I want to activate the software over the Internet.

4. Click Activate.

The wizard validates your entry and displays a congratulations

message.

5. Click OK.

The wizard starts the application.

Activate by email

The email activation involves exchanging emails with Philips Customer

Support.

An email application must be installed on this computer or you must

have access to an email application.

For more information, see Customer support on page.189.

Print this topic for future use.

1 - Installing Event Review Pro Event Review Pro User Guide

To activate the software by email

1. Start the application.

The application opens the HeartStart Activation Wizard.

2. Type the license number that you received.

3. Click I want to activate the software by email.

4. Click Next.

5. Click Export Activation Request File.

The software saves a file named Philips HeartStart Event Review Pro

5.0 Activation Request File.bin to your desktop.

6. Create a new email message and, in the To: field, enter

activation.support@philips.com.

7. In the email Subject: field, enter Activation Request.

8. Locate the file previously saved on your desktop: Philips HeartStart

Event Review Pro 5.0 Activation Request File.bin, and attach that file to

the email message.

9. Send the email and wait for a response from Customer Support.

If you cannot send email from your computer, transfer the file

saved on your desktop to a computer that can send email, and send

the message from there.

When you have received your activation code

When you receive your activation code from Customer Support, you are

ready to activate your software.

1. Start the application.

The application opens the HeartStart Activation Wizard.

2. If the license number is not already pre-filled, enter the license

number.

3. Click I want to activate the software by email.

4. Click Next.

5. Enter the activation code you received.

6. Click Activate.

The wizard validates your entry and displays a congratulations

message.

7. Click OK.

1 - Installing Event Review Pro Event Review Pro User Guide

The wizard starts the application.

Activate later

If you do not want to activate your copy of the application when you first

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.

Uninstalling the software

If you have an active Internet connection at the time you remove the

software, the removal process contacts the Philips activation server and

releases your license number for installation on another computer. The

removal process does not remove the database.

To uninstall the software

1. Navigate to the Windows Control Panel.

2. From Control Panel, click All Control Panel Items, and then click

Programs and Features.

3. Right-clickthe application name, and then click Uninstall.

Your license must be released before you can install your software on

another computer. In the event that the uninstall process is not able to

automatically release the license, follow these instructions to request

license number release from customer support.

Note that if automatic license release is unable to complete, a

Philips HeartStart Event Review Pro 5.0 License Release Request

File.bin file is saved to the desktop.

1 - Installing Event Review Pro Event Review Pro User Guide

Sending a support request for license number release

1. Create a new email message and, in the To: field, enter

activation.support@philips.com.

2. In the email Subject: field, enter License Release Request.

3. Locate the file previously saved on your desktop: Philips HeartStart

Event Review Pro 5.0 License Release Request File.bin, and attach

that file to the email message.

4. Send the email and wait for a response from Customer Support.

Customer support will notify you by email when the license number

is released.

If you cannot send email from your computer, transfer the file

saved on your desktop to a computer that can send email, and send

the message from there.

Product compatibility

HeartStart Event Review Pro 5.0 installation removes any existing

4.x versions of Event Review Pro and Event Review from the

computer.

You can migrate the Event Review Pro 3.5 and Event Review Pro 4.x

data to Event Review Pro 5.0 after installing Event Review Pro 5.0. For

more information, see Migrating cases from previous versions on

page.214.

If you have Event Review or Event Review Pro older than version 3.5,

You must first upgrade and migrate the data to 3.5, then you can

migrate the data to Event Review Pro 5.0. For more information, see

Managing the database on page.212.

1 - Installing Event Review Pro Event Review Pro User Guide

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 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 rhythm

ECG information, 12-lead ECG information, shock decisions, patient vital

sign data, and recorded audio from Philips automated external

defibrillators (AED), and Philips advanced monitors/defibrillators. Event

Review Pro allows users to annotate case details, including Basic Life

Support (BLS) and Advanced Life Support (ALS) responder observations

and interventions.

What’s new in this release

Event Review Pro 5.0 provides the following new features:

• Support for the Philips HeartStart FR3 defibrillator with Q-CPR.

• Improved Q-CPR reporting with AHA and ERC Guidelines-compliant

report card.

• Customizable CPR Guidelines with ability to define depth and rate

targets for CPR Report Cards.

• zCPR for retrospective review of CPR hands-on / hands-off times and

compression rate using patient impedance.

• Improved ECG viewing, including overlay of multiple waveforms on

screen and reports.

• Icons for incomplete release and compression events.

• Merging of case data allows for manual or automated integration of

patient cases. This is based upon chosen criteria and supports up to

30 minutes of device time overlap. Compatible with any supported

Philips defibrillators.

• Filtering of imported case data and timed purging of archived data.

Automatic cleanup of incomplete MRx BLDT transmissions.

• Auto-completion of Quick Notes.

• Device self-test management, including a wizard which guides the

user through downloading device self-test data.

• Migration of data from Event Review Pro 4.2/4.3 and Event Review

4.2/4.3.

• Supports AHA and ERC Guidelines 2015.

Any late-breaking news about features is in the Read Me document,

available from the Help menu.

Getting 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 the

toolbar button and describes the event.

Wizards

A wizard is a software feature that guides you through common tasks.

Several wizards are built into Event Review Pro.

Wizards are available on the Getting Started navigation pane to guide

you when you download data, import cases, and open cases.

Other wizards are available to guide you when you transfer data from a

device.

Online help

To get help with the current feature, press F1.

2 - Getting started Event Review Pro User Guide

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.189.

Conventions used in this guide

This document uses the following conventions to help identify

information.

Conventions

Used for Example

Bold Menu options, buttons,

field names, and list box

names that you need to

click.

On the File menu, click Import.

Italic Manual names. Instructions for administrator's

guide.

Screen

message

To distinguish defibrillator

voice prompts and

HeartStart FR3 screen

messages from general

text.

The defibrillator voice prompt

announces Administration

Press the center soft key (soft key

#2). The screen message reads

Ready for Data Transfer

Italics with

leading period

File extension types. The configuration is exported as an

.xml file.

Lower-case

italics

Specific file names. Name the configuration file

sample.xml.

Italics Variables and

placeholders

The default folder is located at

C:\Document and Settings\user

name\My Documents.

2 - Getting started Event Review Pro User Guide

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 green box with a light bulb tip icon contains information to

complete a task.

Using online help

Use the 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:

• Press F1 to open online help for the selected feature.

• On the Help menu, click Event Review Pro Help.

2 - Getting started Event Review Pro User Guide

Starting the

application

Event Review Pro does 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. In Windows, navigate to the programs menu.

2. Under Philips HeartStart Event Review Pro 5.0, click Event

Review Pro.

To use Event Review Pro, click a navigation button on the left pane of

the application window.

Understanding the Getting Started

options

Use the Getting Started navigation pane to access wizards that help you

perform a simple set of tasks with ECG information.

In the Welcome area, under What would you like to do today?, a set of

links open wizards to help you perform common tasks.

You can complete the following tasks under What would you like to do

today?:

• Download patient data from your defibrillator or its data card

• Import a patient case

• Open an Event Review Patient Case

Click one of the links to start a wizard for that task, and follow the steps

in the wizard.

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 and their

workspaces.

• Patient Cases is the workspace you see by default when the

software first opens. Work in this area when you are searching for

cases. For details, see Working with cases on page.43.

• Reports includes a list of all available reports, plus a toolbar for

printing, navigation, view changing, and export. For details, see

Working with reports on page.147.

• Devices takes you to a work area where you can select a wizard to

download AED self-test date, or view a table of self-test data that

has been downloaded. For details, see Importing device self-test

data using the Device Self-test Wizard on page.209.

• Administration helps the system administrator monitor and

troubleshoot system activity. The Administration workspace also has

settings for customizing reports. For details, see Using the

Administration workspace on page.25.

• Getting Started helps you create a case quickly, import an existing

patient case, and open a case already in your database. For details,

see Understanding the Getting Started options on page.23.

You can hide the navigation pane to increase the size of the

workspace in the right pane. You can display the navigation pane

again when you need it. See the following instructions.

To hide the navigation pane

At the top of the navigation, click the Auto Hide icon.

The navigation pane disappears, and the Navigation Panel tab along the

left edge of the pane appears.

To display the navigation pane temporarily

The following illustration shows the general arrangement of a

navigation tab when a navigation pane is hidden. The arrangment is

the same in all languages.

3 - Starting the application Event Review Pro User Guide

1. Point to the tab along the left edge of the pane.

The navigation pane appears temporarily.

2. Point to or tap the right pane.

The navigation pane disappears

3. Point to the tab again to redisplay the navigation pane.

To restore the navigation pane

Click the tab, and then click the Stay Open icon.

Using the Administration workspace

The Administration workspace is intended for use by System

Administrators and IT Specialists.

Click the Administration button in the navigation pane to open the

Administration workspace.

Selections in the workspace include:

• System LogOpen the System Log for viewing. For details, see

Working with the System Log on page.145.

• Import ServiceConfigure the Import Service folder. For details,

see Using the Import Service on page.138.

• Merge RulesConfigure rules for merging cases. For details, see

Merging related cases automatically on page.76.

• MigrationConfigure database migration. For details, see Migrating

cases from previous versions on page.214.

• CPR GuidelinesAccess settings for customizing CPR Guidelines,

used in reporting. For details, see Selecting CPR Guidelines for

reporting on page.150.

3 - Starting the application Event Review Pro User Guide

Understanding the

application window

In Event Review Pro, the work areas, the menu options, and the toolbar

buttons change, based on the navigation button and navigation pane

selections that you make.

• The menus list options to access the application features.

• 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.

• The navigation pane has navigation buttons and a pane above the

buttons.

• A navigation button groups major application tasks by their function.

You can hide or display navigation buttons.

• A navigation pane is above the navigation buttons. The pane lists

navigation tasks.

The workspace on the right pane changes based on the navigation button

and the task that you select. For more information about the navigation,

see Using the navigation pane on page.24.

For example, if you click Patient Cases, and then click All Cases, all the

cases stored in the database appear in the case selection table, as

shown in the following illustration.

The case selection table

The following illustration shows the general arrangement of the case

selection table. The general arrangement is the same in all languages.

Refer the table after the illustration for definitions.

3 - Understanding the application window Event Review Pro User Guide

Key to illustration numbers for the previous illustration:

1 The title bar displays the product name and software version.

2 The toolbar provides quick access to frequently used actions that you

can perform for the selected workspace, as represented by icons.

3 The menu bar displays the menus suitable for the work area. Use the

menu bar to select the actions that you want to perform.

4 The navigation panelists selections in the workspace. The pane

content changes depending on which navigation button is clicked, and

which workspace is active.

5 Use the navigation buttons in the navigation pane to move among the

workspaces.

6 Case selection table, where you can double-click a row to open a case.

To search for a case, rather than viewing all cases, see Searching for

cases on page.44.

3 - Understanding the application window Event Review Pro User Guide

Understanding the Case Editor

When a case opens, it opens on the ECG tab, by default. The ECGtab is

the area where the waveforms are displayed.

If you navigate away from the ECG tab, you can return to it by clicking

it.

The ECGtab is one of a group of tabs on the Case Editor. Each tab in the

Case Editor provides a different work area.

The Case Editor tabs, in order, as they appear from left to right:

• Overview

• Scene

• Timeline

• Outcome (Event Review Pro EMS edition)

• Follow-up

• ECG

• Event Log

• Attachments

• Final Review

The Case Editor default view

The following illustration shows the general arrangement of the Case

Editor workspaces in the default view. The general arrangement is the

same in all languages. Refer to the table after the illustration for

definitions.

For information on viewing 12-lead ECGs in the Case Editor, see

Working with 12-lead ECGs on page.119.

3 - Understanding the application window Event Review Pro User Guide

Key to illustration numbers for the previous illustration:

1 The Case Editor

2 The tabs of the Case Editor, used to open different work areas

3 The ECG tab of the Case Editor, the active tab when a case is opened

4 The ECG overview pane. NOTE: For details about waveform display,

see The Case Editor Waveforms view on page.30.

5 The Events pane, used to view events in the case, ordered

chronologically. See Events pane on page.31.

6 The Rhythm strip pane. Rhythm strip shows the waveforms used for

rhythm identification, recorded by the device sequentially, in one

strip.

7 The Transport pane, used to play, rewind, or fast-forward the

waveform. If audio is present, use to play or mute audio. See

Transport pane on page.32.

8 Label for a displayed waveform, in collapsed view.

9 The Patient Cases navigation pane.

10 The Waveforms button: click to open the Waveforms pane. See

Waveforms pane on page.32.

3 - Understanding the application window Event Review Pro User Guide

11 The Vital Trends button: click to open the Vital Trends pane.

Navigating between the work panes in the Case Editor

When a case is first opened, the default view of the Case Editor shows

the ECG tab with the Rhythm strip pane (see item 6 in the previous

table). In the same region of the Case Editor, you can instead choose to

show the Waveforms pane, or the Vital Trends pane. Those work areas,

when not displayed, appear as buttons along the bottom of the Case

Editor. To expand one of these work areas, click the corresponding

button.

The Case Editor Waveforms view

The following illustration shows the Case Editor, with the expanded

Waveforms pane. The general arrangement is the same in all

languages. Refer the table after the illustration for definitions.

Key to illustration numbers for the previous illustration:

1 The Case Editor, ECG tab.

2 The expanded Waveforms pane.

3 - Understanding the application window Event Review Pro User Guide

3 The Waveforms pane drop-down menu: By default, all waveforms in

the case are shown, stacked vertically. Use the menu checkboxes to

hide/show waveforms by type. Changes from the default are

remembered in future sessions and cases.

4 Arrow button, used to expand or collapse the waveform controls.

5 Vertical scroll bar, used to view waveforms above or below the visible

area.

6 Time scale control, used to compress or expand the visible time range

of the waveforms.

7 Horizontal scroll bar, used to scroll the visible waveform left or right.

8 Zoom control, used to scale the waveform as a percentage of the

default 25mm/sec x 40mm.

9 The Waveforms Overview: By default, only the first waveform recorded

in the case is shown in this view. See Overview pane on page.31.

10 The Waveforms Overview drop-down menu: You can choose to overlay

multiple waveforms in this view. Check or uncheck boxes to show/hide

waveforms by type. Changes from the default are remembered in

future sessions and cases.

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.93.

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.

You can use the Overview toolbar to:

• Select the waveform displayed on the Overview pane.

• Select multiple waveforms to display them overlayed on one

another.

• Select portions of the ECG for detailed view on the Waveforms pane.

3 - Understanding the application window Event Review Pro User Guide

• Change the time scale for the ECG.

Waveforms pane

The Waveforms pane can provide a more detailed view of each

waveform. Event Review Pro can display multiple waveforms in this

pane.

Use the Waveforms pane to do the following:

• Add, edit, or delete notes

• Control the display of waveforms

• 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.

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 Waveforms pane.

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 waveform information on

page.106.

Using the application tables and logs

Throughout the application workspaces, information appears in tables

and logs to help you manage your data. This topic introduces some

important tables and logs, and helps you locate them.

You can interact with most tables and logs in the following ways:

• Working with columns on page.35

• Grouping and sorting entries on page.35

• Filtering entries on page.37

• Removing filters on page.39

• Printing table entries on page.39

• Exporting data to Excel on page.40

3 - Understanding the application window Event Review Pro User Guide

An example of an important table in the application is the case selection

table. To view it, from Patient Cases, click All Cases. In the case

selection table, each row represents one record in the database.

You can modify your view of the table information by grouping and

sorting the rows. (See the links noted previously, about interacting with

tables.)

For help identifying the regions of the application named in the following

information, see an illustrated overview of the case selection table and

the Case Editor in Understanding the application window on page.26.

The case selection table

In Event Review Pro 4.3 and newer, the Patient Cases workspace

provides selection tools that allow you to narrow your case list to just

the cases you want to see. See Searching for cases on page.44 for more

information.

Alternatively, click All Cases to list all cases in the database. In Event

Review Pro versions earlier than 4.3, All Cases was the default view.

In the case list, the cases show the reference ID, case ID, patient ID,

case date and time, patient name, and other attributes.

In the case selection table, you can do the following tasks:

• Sort and group cases. See Sorting and grouping cases on page.62.

• Hide or display columns.Right-click on the column heading row to

select the columns to display. Check or uncheck the list items to add

or remove columns from your display. Once you customize your

column list, the settings persist for future sessions.

In Event Review Pro 5.0, new column options are added: Includes

STEMI, Pediatric, and Includes zCPR.

• Drag column headers to rearrange the left-to-right order of the

columns displayed.

• Print the table information. See Printing table entries on page.39.

• Export the case selection table to Microsoft® Excel. See Exporting

data to Excel on page.40.

• Open and delete cases. For more information, see Displaying case

details on page.61 and Deleting cases on page.72.

• View and print reports. For more information, see Working with

reports on page.147.

Once you open a case (by double-clicking a case row in the case

selection table), the Case Editor appears.

3 - Understanding the application window Event Review Pro User Guide

Case Editor

The Case Editor has tabs across the top, allowing you to view and edit

the case in separate work areas. The ECGtab is opened first, allowing

you to view the ECG and other waveforms. You can click the tabs to go

to the areas.

Click a tab to go to an area. On the tabs, you can view, modify, and

delete the case information. You can use the case tabs in any order.

Event Log

Event Log is one of the tabs in the Case Editor. The log for a selected

case 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 device events and notes

that a responder or reviewer added to the case. You can also print the

events for the open case. See Printing table entries on page.39.

You can export the Event Log to Microsoft® Excel. See Exporting data to

Excel on page.40.

For more information, see Reviewing case events on page.133.

Attachments table

Attachments is one of the tabs in the Case Editor. The Attachments table

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. You can print the list of attachments. See Printing table

entries on page.39. You can export the Attachments table to Microsoft®

Excel. See Exporting data to Excel on page.40.

For more information, see Attaching files to a case on page.135.

System Log

From Administration, click System Log to open the System Log

workspace.

In the System Log workspace, the System Log table identifies all system

activities based on the type, action, description, date and time, and the

user name. You can print the system log. See Printing table entries on

page.39. You can export the System Log table to Microsoft® Excel. See

Exporting data to Excel on page.40.

For more information, see Working with the System Log on page.145.

3 - Understanding the application window Event Review Pro User Guide

All Devices table

From Devices, click All Devices to open the All Devices table. AED self-

test data is available in this table. You can print the All Devices table.

See Printing table entries on page.39. You can export the All Devices

table to Microsoft® Excel. See Exporting data to Excel on page.40.

For information about self-test data, see Importing device self-test data

using the Device Self-test Wizard on page.209.

Working with columns

You can customize the columns that appear on the table. You can resize

the width of a column. You can also hide or display the columns on the

table and the order in which they appear.

• 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.

• To size a column to fit the width of its current content, use the

mouse to click the column border, and then double-click.

• 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.

3 - Understanding the application window Event Review Pro User Guide

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.

Grouping entries

You can group entries so as to sort them by multiple criteria. For

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 header 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 headers that are still there.

3 - Understanding the application window Event Review Pro User Guide

Filtering entries

Use a filter to limit the number of entries that appear. A filter specifies

selection criteria for the entries that appear. 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.

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 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, if you

are filtering by the Description column, click Description.

3. Click Equal (to open the menu of operators, where Equal is one of

the possible modifiers you can choose), and then click an operator

that qualifies the value for the column. You can specify a specific

value or a range of values, depending on the operator you choose.

For a description of each operator, see Comparison Operators,

below.

For example, to display only entries that exactly match a specified

field value, click Equal.

4. In the next field, click the down arrow and select or type 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 criterion 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.

3 - Understanding the application window Event Review Pro User Guide

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, a time of 12:00 AM is used

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:

Comparison operator Lists the entries whose values for the column

...

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 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.

Is not null ...exist.

Is empty ...do not appear.

Is not empty ...appear.

Any of ...include the selected items.

None of ...do not include the selected items.

3 - Understanding the application window Event Review Pro User Guide

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.

Logical operator Description

And Displays the entry when the criteria in the first and the

second conditions are both met.

And not Displays the entry when the criteria in the first condition

is met and the criteria in the second condition is not met.

Or Displays the entry when either the criteria in the first

condition or the criteria in the second condition are met.

Or not Displays the entry when the criteria in the first condition

is met or when the criteria in the second condition is not

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.

You can return a single column to its unfiltered state or remove all the

filters.

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

Printing table entries

You can print a table in portrait or landscape format.

3 - Understanding the application window Event Review Pro User Guide

To print table entries

1. On the File menu or toolbar, click Print.

2. Click Table.

3. In the Print window, in the Select Printer list, click the printer that

you want to use.

4. (Optional) Click Preferences.

5. (Optional) In the Print Preferences window, in the Orientation area,

click an orientation.

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.

Exporting data to Excel

Tables and logs in Event Review Pro can be exported to a Microsoft®

Excel spreadsheet. Files are exported in the .xlsx format. Users with

older versions of Excel, such as Excel 2003, can open the .xlsx files

using the Microsoft Office Compatibility Pack. For more information,

contact Microsoft.

To export table data to Excel

1. Right-click in the table.

A menu opens.

2. In the menu, click Export table.

3. Use the settings in the resulting window to export the file.

Completing fields

Use a pointing device, such as a mouse or stylus, to select field values

from a window and to change the way that information on tables and

logs appears.

While working in the Case Editor, when you use the mouse to click or

point to a field, a menu with options for that field might appear.

3 - Understanding the application window Event Review Pro User Guide

• If check boxes appear to the left of the options, you can select

multiple options for the field.

• If check boxes do not appear to the left of the options, you can select

only one option for the field.

• If an option is a text box, type or write the information using your

keyboard or stylus.

• If you want to remove the selected option, click Clear.

• If a menu does not appear, type or write the information using the

keyboard or stylus.

Resizing 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.

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:

• Writing pad

• Character pad

• On-screen keyboard

3 - Understanding the application window 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 recommends that you save your modified patient details

periodically. To save your work, on the File menu or toolbar, click Save

Restoring confirmation messages

A confirmation message does one of two things:

• 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, Restore Defaults

Confirmations, and then Confirmations.

3 - Understanding the application window Event Review Pro User Guide

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 defibrillators and information entered by a user. For

information about supported defibrillators, see Supported defibrillators

on page.192.

The first step in working with ECG information (ECG) is to create a case.

You can do this in the following ways:

• 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 HeartStart 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), and optionally by HeartStart Data

Messenger.

.Cod files are created by the export function of older products such

as Review Express Connect and Event Review Pro 3.5.

• Create a case that does not have ECG information in it yet and add it

later.

Starting in Patient Cases

To create, review, and manage cases, click the Patient Cases

navigation button.

Use the Case Selection options on the Patient Cases navigation area to

control which cases are available for viewing. You can chose from

different date ranges, or use other search options. For more

information, see Searching for cases on page.44.

Searching for cases

You can use different methods to control which cases appear in the case

selection table. This helps you when you need to quickly find a specific

case for reviewing or reporting. Ways you can search for cases include:

• Case Selection options

• Select Cases

• Using a Query (see the Using queries on page.46)

Case Selection options

The Patient Cases navigation pane contains built-in date ranges. You can

select from the following case dates:

• Today's Cases

• Yesterday's Cases

• Last 7 Days' Cases

• Last 30 Days' Cases

• All Cases

Click any of the above to view a list of matching cases. For a large

database with more than 10,000 cases, clicking All Cases may require

some time. For the fastest response, limit your selections to view fewer

than 2,000 cases.

Using Select Cases

You can search cases by combining the case date range, case properties

and device data. You can search by date ranges only or further define

your search by adding properties for the case and device data.

To search for a case

1. Do one of the following:

• Under Select Cases, click From the last, type any number of

days up to 365, and click Select. The date is calculated from

today’s date and is automatically saved.

• Click From and then choose a date range using the pop-up

calendar to select the dates. This setting is saved only for the

current session.

2. Under the With portion of the screen, in the Case State field, click

any of the following case states:

4 - Working with cases Event Review Pro User Guide

• Any

• Unopened

• Not yet reviewed

• Review complete

3. Under the With portion of the screen, type information in any of the

following fields:

• Reference ID

• Institution Name

• Case ID

• Patient ID

• Patient Last Name

Note: Supported wild cards are _ (single-character match) and

% (multiple-character matches). For example, Patient ID = 004_

will match any case in the date range with a Patient ID exactly

four characters long starting with 004, but 004% will match all

cases in the date range with a Patient ID starting with 004

regardless of its length.

4. Under the And have portion of the screen, click any of the following

device data fields:

• ECG

• 12-Lead

• Shocks

• Q-CPR

• Inadequate CPR

• Audio

• EtCO2

• STEMI

• Pediatric Pads

• Device Type

For Device Type, you select from a list of devices. You can select

one or more device types for your search.

Note: All selected Device data properties must exist in the case.

Your selections are saved for future use.

5. Click Select.

If your search criteria are met, then a list of cases appear.

The height of the case list can be adjusted. Adjust it by placing the

mouse over the divided lines, and then clicking and dragging. Once

set, the height is saved for future sessions.

6. Double-click a case to view the case.

Also see these topics about using the case list:

4 - Working with cases Event Review Pro User Guide

• Using the application tables and logs on page.32.

• Sorting and grouping cases on page.62.

Using queries

You can create and save custom queries to search for cases using the

advanced case selection editor.

For other ways to search for cases, see Searching for cases on page.44.

To create a custom query

1. On the left side of the Patient Cases screen, under User Queries,

click Create New Query.

2. In Advanced case selection, at the top of the work area, do one of

the following:

• Click From the last, type any number of days up to 365.

• Click From and then choose a date range using the pop-up

calendar to select the dates.

3. From the Choose field menu, click a parameter, such as Patient ID,

or Case creation date and time.

4. To the right of the Choose field menu is the operator menu. Click

an appropriate operator for the selected parameter. The default

operator is Equal; however, it is not always the best option.

When querying for Case creation date and time, consider using one

of the following operators:

• Between

• Greater than

• Greater than or equal to

• Less than

• Less than or equal to

NOTE: When building queries against time fields (such as Recording

length, Time to first shock, and Time to first 12-lead acquired) the

time can be entered either in milliseconds (such as 60000 for 1

minute) or formatted as hh:mm:ss (such as 00:01:00 for 1 minute).

5. To add more criteria to a query, click Add Criteria , and add

multiple criteria with AND/AND NOT/OR/OR NOT statements.

6. To remove an added criteria from a query, click Remove Criteria

4 - Working with cases Event Review Pro User Guide

7. Click Select to display the case list.

The case list appears below the query, in a separate pane. The

height of the case list can be adjusted. Adjust it by placing the

mouse over the divided lines, and then clicking and dragging. Once

set, the height is saved for future sessions

8. Click the Save as button when the query works as expected.

9. Type a name for the query and click OK.

The named query will appear in the navigation pane for quick

access.

Note: User queries are accessible only by the user who created them.

Each user may create up to 15 queries.

Note: To delete a query, right-click the named query to expose the

Delete menu. Clicking Delete will delete the named query and remove it

from the navigation pane.

Creating a case (including ECG)with

wizards

There are several wizards available in the Getting Started workspace, in

the Welcome area. Use them to guide you through the steps required to

download patient data from a defibrillator or its data card, import a

case, or open a case. For more information, see Understanding the

Getting Started options on page.23.

On the Getting Started navigation pane, the Case wizard is available.

Click Case Wizard to start the wizard. It guides you through the steps.

The Case wizard presents all its options in a sequence of screens. To

bypass the options you do not want, simply un-check those checkboxes

on the screens and click Next. Continue to the last action in the wizard,

Complete the tasks, click Proceed, and then click Exit. It is then that

the case is written to the database. The case opens in the Case Editor

(unless you un-checked the Open case checkbox in the wizard).

The Case wizard workflow

The wizard steps are described here, for your reference:

To start the Case wizard

1. On the navigation pane, click the Getting Started navigation

4 - Working with cases Event Review Pro User Guide

button.

2. On the Getting Started navigation pane, click Case Wizard.

3. In the Welcome Page window, click Next to continue.

The Attach ECG page appears.

Attaching an ECG

To attach an ECG from a Philips defibrillator or its data card

1. Use the table in AttachingECGs table on page.54 to identify the

method used to add/download an ECG from your defibrillator.

2. Follow the instructions in AttachingECGs on page.51to attach the

ECG.

You can also use the wizard to help you transfer data. Click an icon

under Data source to start the instructions.

3. Click Next.

The Case Summary page appears.

Entering case summary information

On the Case Summary page, you can handle case information three

ways:

• Add new information

• Accept the information that the defibrillator provides

• Override the information from the defibrillator

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 here if you want to.

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. Fill in the Patient ID, Last Name, and First Name fields.

4 - Working with cases Event Review Pro User Guide

3. 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 or device that provided it.

4. In Institution, type an institution name for the case. For example,

"Valley Hospital" or "District 5 Fire Department." This information

may already appear, if the case was imported from an application or

device that provided it.

5. Click Next.

The Export Case page opens.

Exporting a file

The wizard guides you in exporting a case to a .mic file. The file is then

available to a colleague who uses Event Review Pro.

1. To export a file containing the ECGand case information at the end

of the wizard, check the Export to a File box, and verify the file

name and folder where you want to save it.

The exported file is then available to be imported into your

colleague's Event Review Pro database.

2. If you want to password-protect the exported file, in the Password

box, type the password.

Passwords can have up to 16 characters. They are case-sensitive.

Remember to provide this password to anyone who needs to open

the exported file.

3. 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.

4. Click Next.

The Printing a report page opens.

Printing a report

The wizard guides you in printing a case report.

1. To print a report at the end of the wizard, check the Print a Report

box.

2. Click Next.

4 - Working with cases Event Review Pro User Guide

The Email page opens.

Emailing case data

1. If you want to email case data 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.

2. You can also password-protect the file or remove patient identity

information.

3. Click Next.

The Complete the task page opens.

Opening the case

The last pane of the wizard, Complete the tasks, has a checkbox for

Open case.

By default, the case will open after all tasks are completed (the Open

case box is checked), so that you can view the case, add information,

and make annotations.

1. Check or un-check the Open Case box, depending on whether you

want to open the case at the end of the wizard.

2. Click Proceed.

The status of each task for the case being processed appears,

sequentially.

3. When the processing is complete, click Exit.

If you chose to send by email, and if your email system needs

verification before it can send the email, a confirmation message

appears. Click Allow, and the process continues.

Creating a case

You can create a case manually or automatically, with or without

ECGinformation.

To manually create a case that has ECG information

1. Use one of the following methods:

4 - Working with cases Event Review Pro User Guide

• Click the Getting Started navigation button, and then click

Case Wizard.

• On the File menu, click Case Wizard.

The Case Wizard window opens. For more information, see Creating

a case (including ECG)with wizards on page.47.

2. Follow the on-screen instructions.

To manually create a case that does not initially contain ECG

information

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 site of collapse and location detail.

3. Click Save.

At a later time, you can open the case, attach ECG information, and

complete the tabs.

For information about those tasks, see:

• AttachingECGs on page.51

• Working with ECGs on page.88

• Adding case details on page.78

Attaching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

defibrillators as well. Depending on the defibrillator, you can attach

continuous 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.192.

4 - Working with cases Event Review Pro User Guide

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 on a removable device.

To display the Attach ECG window for an existing case

1. Click the Patient Cases navigation button, and use Case Selection

to display a list of cases. For more information on selecting a case,

see Searching for cases on page.44.

2. On the list of cases, double-click a case to open it.

3. On the toolbar, click Attach ECG File.

Any time you have a case open for reviewing or editing, you can

attach an ECG. On the ECG menu, click Attach, or on the toolbar,

click Attach ECGFile.

To attach an ECG, or ECGs

1. Make sure that the case is open. For more information, see

Displaying case details on page.61.

2. Prepare to use the correct data transfer method for your device. For

details, see Choosing the correct data transfer method for your

device on page.53.

3. On the ECG menu, click Attach, or on the toolbar, click Attach ECG

File.

4. On the right pane of the Attach ECG window, find the ECG file you

want to attach.

The medium for the data source appears in the Source column.

5. Use one of the following methods:

• Click the file for the ECG you want to attach, and then click

Open.

• Double-click the file for the ECG you want to attach.

The attached ECG appears on the ECG tab in the open case.

For information on viewing a case in the Case Editor, see

Understanding the Case Editor on page.88.

4 - Working with cases Event Review Pro User Guide

Attaching additional 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.

The process for attaching additional ECGs is the same as attaching the

first ECG. The method varies depending on the device from which you

are transferring the ECG. Follow the process in To attach an ECG, or

ECGs on page.52.

Once the additional ECG is attached, you can view it on the ECG tab in

the Case Editor. On the ECG tab, a sub-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. For information on viewing a case in the Case Editor, see

Understanding the Case Editor on page.88.

Choosing the correct data transfer method for your device

Event Review Pro activates the following defibrillator data transfer

methods automatically.

In the wizard, help is available to guide you. You can also click the

following icons to attach ECG data:

• Bluetooth— opens a wizard with instructions for establishing

either HeartStart MRx or FR3 connections.

If you click MRx, a window opens, allowing you to point Event

Review Pro to the Bluetooth Exchange Folder where the

transmitted Bluetooth files will be saved. For more information,

see Downloadingan ECG using a HeartStart MRx Bluetooth

transmission on page.57.

If you click FR3, a wizard appears with instructions for how to

put the FR3 into Administration mode and ready it for wireless

data transfer. For more information, see Attaching an ECG using

an FR3 Bluetooth transmission on page.56.

• IrDA—opens help on how to transmit data from HS1 and FRx

defibrillators. For more information, see Downloadingan ECG from

an infrared connection on page.58.

4 - Working with cases Event Review Pro User Guide

• File System—displays the Open window that you can use to

browse and attach ECG information from the file system on your

computer.

AttachingECGs table

Use the following table to identify the method and instructions used to

read and/or download an ECG from a defibrillator and attach it to a case.

Defibrillator

model

Method used to read

data Instructions

HeartStart FR2

Series

Card reader See Attachingan ECG from a data card

on page.55.

See also Reading FR2 series cards on

page.200.

HeartStart FR3

Series

Card reader See Attachingan ECG from a data card

on page.55.

HeartStart FR3

Series

Bluetooth connection See Attaching an ECG using an FR3

Bluetooth transmission on page.56.

HeartStart XL Card reader See Attachingan ECG from a data card

on page.55.

HeartStart XL+ USBdata drive See Attachingan ECG from a USB port

on page.56 .

Efficia DFM100

defibrillator/monitor

(where available)

USBdata drive See Attachingan ECG from a USB port

on page.56 .

HeartStart MRx

monitor/defibrillator

Card reader See Attachingan ECG from a data card

on page.55.

HeartStart MRx

monitor/defibrillator

HeartStart MRx, version

9.0 or later Bluetooth

connection

See Downloadingan ECG using a

HeartStart MRx Bluetooth transmission

on page.57.

HeartStart MRx

monitor/defibrillator

HeartStart MRx with

BLDT

See Using the HTTPImport Service on

page.143.

Also see the HeartStart MRx

Monitor/Defibrillator Instructions for

use, and the HeartStart Data

Management Solutions

Implementation Guide.

4 - Working with cases Event Review Pro User Guide

Defibrillator

model

Method used to read

data Instructions

HeartStart FRx Infrared connection See Downloadingan ECG from an

infrared connection on page.58.

HS1 family of

defibrillators,

including

HeartStart Home

and HeartStart

OnSite defibrillators

Infrared connection See Downloadingan ECG from an

infrared connection on page.58.

Imported case file File system See Attachingan ECG from a file on

page.60.

Event Review Pro documentation uses the HS1 or HS1 family of

defibrillators to refer to 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.192.

Attaching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. Use one of the following methods:

• On the ECG menu, click Attach.

• 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.

4 - Working with cases Event Review Pro User Guide

4. (Optional for FR2 Series defibrillators) If the pediatric pads were

used, click the FR2 Pediatric option. This allows Event Review Pro to

properly calculate the pads impedance and the shock energy. 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 icon and click FR2 Series with infant/child pads. The pink

teddy bear icon for FR2 infant/child pads appears.

5. Use one of the following methods:

• Click the file for the ECG you want to attach, and then click

Open.

• 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.

Attachingan ECG from a USB port

The HeartStart XL+ defibrillators and Efficia DFM100

defibrillator/monitors use a USB data drive to transfer the recorded ECG

from the defibrillator to Event Review Pro.

To import data from the USBdata drive to Event Review Pro

1. Insert the USB data drive into the USBdata port on the computer

running Event Review Pro.

2. Ensure that Windows recognizes the USBdata drive as a connected

device, and that Event Review Prois running.

Windows detects the USBdata drive and begins transferring data. All

data is transferred to Event Review Pro.

3. When data transfer is completed, follow Windows procedures to

safely remove the USBdata drive from your computer.

Attaching an ECG using an FR3 Bluetooth

transmission

You can transfer data from the FR3 to the computer using Bluetooth

wireless transmission. Once the FR3 data is saved in Event Review Pro,

it becomes a case.

4 - Working with cases Event Review Pro User Guide

Prepare the FR3 for Bluetooth data transfer as described in Retrieving

FR3 data using Bluetooth transmission on page.195.

This task can also be performed with the help of a wizard. For that

method, from Getting Started, in the Welcome area, click Download

patient data from your defibrillator or its data card.

To attach an ECG using a Bluetooth transmission

1. In Event Review Pro, use one of the following methods:

• From Getting Started (or from Patient Cases, from the menu),

click New to initiate a new case, and then click Attach ECG

File.

• From Patient Cases, open an existing case, and then, from the

menu, click Attach ECGfile.

The Attach ECG window opens.

2. If you need to be reminded of how to prepare the FR3 for wireless

data transfer, in the Attach ECG file window, click the Bluetooth icon

to open the Bluetooth Wizard, and review the steps.

3. Watch the Attach ECG window and the status line, as well as the FR3

screen, for feedback.

4. When data appears in the Attach ECG window, verify that the device

type, serial number, date, and time match your device.

5. Use one of the following methods to attach the ECG to the case:

• In the Attach ECG window, click the file for the ECG you want to

attach, and then click Open.

• Double-click the file for the ECG you want to attach.

Event Review Pro attaches the ECG to the case, and the ECG tab

appears with the attached ECG waveform(s).

6. Remember to save the case.

Downloadingan ECG using a HeartStart MRx

Bluetooth transmission

Depending on the version of your HeartStart MRx monitor /defibrillator,

and its options, you can transfer files from the HeartStart MRx to the

computer using Bluetooth transmission.

4 - Working with cases Event Review Pro User Guide

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 HeartStart MRx on page.197.

2. Send the Bluetooth transmission. For information, see Sending the

HeartStart MRx Bluetooth transmission on page.199.

3. Use one of the following methods:

• On the ECG menu, click Attach.

• On the toolbar, click Attach ECG File.

4. On the right pane of the Attach ECG window, find the file that is

associated with the ECGor 12-lead.

The medium for the data source appears under the Source column.

5. Use one of the following methods:

• Click the file for the ECG you want to attach, and then click Open.

• Double-click the file for the ECG you want to attach.

Event Review Pro attaches the ECG to the case.

6. 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.

• On the Browse for Folder window, navigate to the Windows

Bluetooth Exchange Folder for the user. The default folder for is

located at C:\Users\user name\My Documents\Bluetooth

Exchange Folder.

• If you specified a different folder when setting up your Bluetooth

stack or Neighborhood, navigate to that folder.

• Event Review Pro scans the location you specify to find the ECG.

It enables the Bluetooth 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).

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.

4 - Working with cases Event Review Pro User Guide

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 battery before you

download the case information, the files created before you

removed the battery might appear in the list 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.202.

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.203.

2. Use one of the following methods:

• On the ECG menu, click Attach.

• On the toolbar, click Attach ECG File.

3. Put the defibrillator in Administration mode. For more information,

see Setting up the infrared connection on page.204.

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 . 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 HS1) or Transferring data (for the FRx).

6. On the right pane of the Attach ECG window, find the file that

contains the ECG. This process may take several minutes.

The data source appears in the Source column.

7. Use one of the following methods:

• Click the file for the ECG you want to attach, and then click

Open.

• Double-click the file for the ECG you want to attach.

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.

4 - Working with cases Event Review Pro User Guide

Attaching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 (a data card), 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 use a wizard to attach a file, from Getting Started, in the

Welcome area, click Download patient data from your

defibrillator or its data card.

To attach an ECG from a file

1. Use one of the following methods:

• On the ECG menu, click Attach ECG.

• On the toolbar, click Attach ECG File.

2. On the left pane of the Attach ECG window, click File System .

The Open window lists file extensions in the Files of Type field.

3. 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 HeartStart

MRx 12-lead reports.

• Click FR2 Series Peds for files that were recorded using FR2

defibrillator pediatric pads.

• Click MRx 12- lead (XML) for 12-lead report files that were

recorded with the HeartStart 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.

After you add an ECG

After you attach the ECG information to a case, use the tabs on the Case

Editor to add details to the case.

The following table lists common tasks and related instructions.

4 - Working with cases Event Review Pro User Guide

Task Topic

Add details to a case Adding case details on page.78

Save a case Saving cases on page.66

Print reports Printing reports on page.154

Export a case Exporting cases on page.69

Email a case Emailing a case on page.71

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 tab.

To detach an ECG

1. On the case selection table, open a case. For more information, see

Displaying case details on page.61.

The Case Editor opens, to the ECGtab.

2. On Case Editor, click the ECG tab.

3. On the ECG tab, click the ECG ID tab for the ECG you want to

detach.

4. Use one of the following methods:

• On the ECG menu, click Detach.

• On the toolbar, click Detach ECG.

A confirmation message might appear. For more information, see

Restoring confirmation messages on page.42.

5. Click Yes to remove the ECG from the case.

Displaying case details

The case selection table is opened from the Patient Cases, using the

Case Selection menu. Cases in the database are listed in the case

selection table. From there, you can open the cases for viewing.

4 - Working with cases Event Review Pro User Guide

In the case selection table, the following details can appear in columns

for each case: the reference ID, case ID, patient ID, date and time,

patient name, and institution.

You can customize how the case selection table information

appears. For more information, see Sorting and grouping cases on

page.62, Working with columns on page.35, and Grouping and

sorting entries on page.35.

Once you open a case, it appears in the Case Editor. You click any tab to

view and modify the detailed information.

To use a wizard to open a case, from Getting Started, in the

Welcome area, click Open an Event Review Patient Case.

To open a saved case

1. Click the Patient Cases navigation button.

2. If you want, limit the display of cases by clicking one of the built-in

date ranges (such as "Last 7 Day's Cases") from the navigation

pane, or search for a particular group of cases. See Searching for

cases on page.44 for information.

3. Use one of the following methods:

• On the case selection table, double-click the case you want to

open.

• On the File menu or toolbar, click Open.

The case appears in the Case Editor.

Sorting and grouping cases

You can change the way information displays on the case selection

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.35.

Also see Using the application tables and logs on page.32.

4 - Working with cases Event Review Pro User Guide

For information on how to group and sort information in columns, see

Grouping and sorting entries on page.35.

For information on working with grouped cases, see Hiding and

displaying grouped cases on page.63.

For information on how to filter the information that appears in the list

of cases, see Filtering entries on page.37.

Hiding and displaying grouped cases

You can hide or display cases that have been grouped in the case

selection table. Grouping is described in Grouping and sorting entries on

page.35.

When cases are grouped, you can expand and collapse all the groups.

You can also hide or display cases at the level of a specific group. Doing

this can help you manage viewing in a long list of cases.

To hide or display all cases

1. Click Patient Cases and then All Cases, to open the case selection

table. For more information, see Displaying case details on page.61.

2. Right-click the case selection table.

A menu of options opens.

3. Click your preferred option:

• Expand all

• Collapse all

All the groups in the case selection table are affected.

To refresh, hide, or display specific groups of cases

• To refresh all the cases, on the View menu or shortcut menu,

click Refresh.

• To hide the cases in a group (collapse that group), to the left of

the group, click Collapse .

• To hide all the cases in groups (Collapse the cases in every

group), on the View menu or shortcut menu, click Collapse All.

• To display a group (expand the cases in a group), to the left of

the group, click Expand .

• To display all the groups (expand the cases in every group), on

the View menu or shortcut menu, click Expand All.

4 - Working with cases Event Review Pro User Guide

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, 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. The

case can then be viewed, modified, printed, exported or emailed.

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 imports 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. On the navigation pane, click the Patient Cases navigation button.

2. Open the folder where your .mic., .hic, or .cod files are stored, and

drag one or more files onto the open Event Review Pro application

window.

3. Event Review Pro imports the cases, saves them to the database,

and lists them on the case selection table.

If any of the cases failed to import successfully (because they

required a password, for example), look for the outcome for each in

the System Log. See Working with the System Log on page.145.

To import files using the Import option

1. On the navigation pane, click the Patient Cases navigation button.

2. On the File menu or toolbar, click Import.

The Import Case window opens.

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.

4 - Working with cases Event Review Pro User Guide

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-protected, 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 case selection 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 cases selection table, the same table is

open 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.145.

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, as well as HeartStart MRx BLDT and

Bluetooth files (with .tgz, .tsy, and .don 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.73.

For more information, including configuration options, see Using the

Import Service on page.138.

4 - Working with cases Event Review Pro User Guide

Saving cases

When you save a case, Event Review Pro adds it to the database. All the

information is available for reports. Use the case selection 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.

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

clock 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.

The date and time formats used in this software and in the reports

is controlled by the Windows Region and Language control panel.

Use that control panel to adjust the date and time format. For

example, use it to choose 24 hour time.

Before you transfer information from a defibrillator, confirm that your

computer clock is accurate. 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.202.

To adjust the defibrillator date and time based on the computer

date and time

1. Open the case from the case selection table.

The case opens on the ECG tab of the Case Editor. For more

information, see Displaying case details on page.61.

2. On the Case Editor, click the Overview tab, and navigate to the

Defibrillators area.

Confirm that the date and time for the defibrillator are correct in the

Defibrillators area.

4 - Working with cases Event Review Pro User Guide

If you transfer 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. On the 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.

You can erase ECG information from the data cards used by the

HeartStartMRxmonitor/defibrillators, the FR2, FR3 series, and

HeartStart XL defibrillators.

You can erase ECG information from the USBdata drive used by

HeartStart XL+ defibrillators and EfficiaDFM100monitor/defibrillators.

You can erase ECG information from an HS1 or FRx defibrillator.

You can erase files that were transmitted via Bluetooth from an

HeartStart MRx monitor/defibrillator or from an FR3 defibrillator.

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. On the Tools menu, click Erase Device or Data Card.

The Erase Device or Data Card window opens.

3. Click the card or device name.

4. Click Erase.

A confirmation message might appear. For more information, see

Restoring confirmation messages on page.42.

5. If so, click Yes in the message box.

4 - Working with cases Event Review Pro User Guide

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.203.

2. Put the defibrillator in Data Transfer mode.

3. On the Tools menu, click Erase Device or Data Card.

The Erase Device or Data Card window opens.

4. Click the device name.

5. Click Erase.

A confirmation message might appear.

6. If so, click Yes in the message box.

To erase data from the Bluetooth Exchange folder (HeartStart

MRx only)

1. On the Tools menu, click Erase Device or Data Card.

The Erase Device or Data Card window opens.

2. If it is visible, click Bluetooth Exchange Folder.

3. Click Erase.

A confirmation message might appear.

4. If so, 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.

2. In Event Review Pro, on the Tools menu, click Erase Device or

Data Card.

The Erase Device or Data Card window opens.

3. In the Bluetooth section, click the FR3 icon whose serial number

matches the device that you want to erase.

4. Click Erase.

A confirmation message might appear.

5. If so, click Yes.

4 - Working with cases Event Review Pro User Guide

The clock on the defibrillator is now synched with the clock on the

computer. This synchronization occurs even if you have no data to

erase.

To erase data from a USBdata drive for the HeartStart XL+

defibrillator

1. Use the HeartStart XL+ defibrillator to erase data from the USB data

drive. For more information, see the HeartStart XL+ Instructions for

Use.

2. Use the Efficia DFM100 defibrillator/monitor to erase data from the

USB data drive. For more information, see the Efficia DFM100

Defibrillator/Monitor Instructions for Use.

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.147.

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. For more information see Printing table entries on

page.39.

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 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 when the case selection table is open, from the File

menu, the toolbar, or by right-clicking on a case row. In addition, if you

want to export just one case, you can do this (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 recommends that you record the password and save it in a

secure location. If you forget the password, Customer Support

cannot “unlock” the file.

4 - Working with cases Event Review Pro User Guide

To export one or more case files from the case selection table

1. In the case selection table, choose the case or cases to export:

a. Click a single case.

b. CTRL-click multiple cases.

2. On the 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 (the only supported file

format).

3. Decide how to name the exported file or files. The default name

includes a placeholder for the case ID, expressed as {caseID}. You

can accept the case ID as the file name, or you can use this

placeholder to create more descriptive names; for example, if you

type “my data {caseID} for Joe.mic” for the file name 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 entirely different

for the name that doesn’t include a case ID, the case ID will be

appended to the file name by the software.

4. 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.

5. 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 to the recipient in a

separate communication.

6. 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, when the case is open

1. Open a case, so that it appears on the ECG tab of the Case Editor.

2. On the File menu or toolbar, click Export.

3. Follow steps 3 through 6 in the procedure above.

4 - Working with cases Event Review Pro User Guide

Emailing a case

You can use the Email option or your email application to send an email

to another Event Review Pro user. You have the option of attaching the

case report, the case .MICfile, or both.

Before you use the Email option, complete the following prerequisites:

• Correctly configure Microsoft Outlook or a MAPI-compliant email

client.

• Set up the email profile in Windows, if needed. Click Help on the

email 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 case selection table, open a case. For more information, see

Displaying case details on page.61.

2. On the File menu or toolbar, click Email.

The Email window opens.

3. Complete the To field. The contact list for your email application is

not available for the Email tool.

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.

4. Check Email case

5. Check Attach case archive MIC file, Attach case report PDF,

or both. You must check at least one.

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 to the recipient in a

separate communication.

7. 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.

8. If you want, add a message.

9. Click Send.

Philips recommends that you record the password and save it in a

secure location. If you forget the password, Customer Support

cannot “unlock” the file.

4 - Working with cases Event Review Pro User Guide

To use your email application

1. Export the file. For more information, see Exporting cases on

page.69.

2. Note the location of the exported file. The file has a .mic extension.

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

your choice.

4. Attach the files created by Export in Step 1 to the email form.

5. Send the email.

Deleting cases

You can delete a case or multiple cases from the database. The case or

cases then disappear from the case selection table.

To delete a case or cases from the list of cases

1. Click the Patient Cases navigation button to open the case

selection table.

2. Use any of the queries to find the specific case or cases you want to

delete. For more information, see Searching for cases on page.44.

3. Click the case you want to delete, or press CTRL or SHIFT while

clicking to select multiple cases.

4. On the File menu or toolbar, click Delete .

A confirmation message might appear. For more information, see

Restoring confirmation messages on page.42.

5. If so, click Yes.

To delete a case that is open

1. On the File menu or toolbar, click Delete .

A confirmation message might appear. For more information, see

Restoring confirmation messages on page.42.

2. If so, click Yes.

The case selection table appears.

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.138,

Use the Duplicate ECGs table to complete the following tasks:

• Delete duplicate cases. For more information, see Deleting cases on

page.72.

• Sort cases. See Sorting and grouping cases on page.62.

• Search for cases based on a variety of values. For more information,

see Filtering entries on page.37.

• Hide or display columns,. See Working with columns on page.35.

• Open cases. For more information, see Displaying case details on

page.61. 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.

• View and print reports. For more information, see Generating

reports on page.151.

Note:Deleting duplicate cases is not the same as merging two

related cases. Atrue duplicate case is identical in all respects; in

the case of merging cases, the cases (and their respective ECGs)

were created at slightly different times and possibly different

devices but refer to the same event. For information on merging

related cases, see Merging related cases on page.74.

4 - Working with cases Event Review Pro User Guide

Merging related cases

If you have two cases with data from the same incident (for example, if

one case were created by the EMTs on the scene and another by

ambulance or hospital personnel using a different device), you might

want to merge them into the same case. Event Review Pro can tell

whether two cases have ECGs recorded very close in time, and it

displays only those candidates for you to consider. In addition, you can

set further limitations on the cases that are considered merge

candidates.

This is not the same as deleting a duplicate case. A true duplicate

case has an identical ECG; in the case of merging cases, the cases

(and their respective ECGs) were created at slightly different times

and possibly on different devices but refer to the same event. For

information on deleting duplicate cases, see Reviewing cases with

duplicate ECGs on page.73.

When merge candidates have been identified, you can merge the newer

one into the older one. The newer one is then deleted. If the old case

does not contain values for certain fields and the newer one does, these

additional values are retained.

You can merge cases manually, changing the criteria for each, or you

can set Event Review Pro to merge cases automatically upon import,

based on criteria that you set. For instructions on how to merge cases

automatically, see Merging related cases automatically on page.76.

To merge related cases manually:

1. Click the Patient Cases navigation button.

2. From the left panel, under Merging and Duplicates, click Merge

Candidates.

A screen appears where you can set conditions for potential merge

candidates.

3. In the Merge Patient Cases Where area, you can decide how far

apart in time the case ECGs must be. The default is 10 minutes from

the end of one case to the start of the next; both cases must have

ECGs recorded 120 minutes or less apart to be considered. ECGs

may overlap by up to 30 minutes to be considered as merge

candidates. Click the slider and move it to the right or left to change

this time value.

4 - Working with cases Event Review Pro User Guide

4. In the AND section, you can specify (by checking or unchecking)

whether certain details of the cases must be equal as well, such as

Case IDs or last names. The default is that all of these items must be

equal for the two cases to be considered merge candidates.

5. You can also limit merge candidates by time—that is, how recently

the cases were created. On the Were Created in the Last line,

use the up and down arrows to change the number of days.

6. You can change the maximum number of recordings that can be

contained in the merged case. The default is 2 and the maximum is

7. When you are satisfied with the limitations you have set, click

Select.

Merge candidates that fulfill all of these requirements appear in the

case list below, grouped with the older case above and any potential

newer cases below it. This process may take many minutes to

complete.

In a given group of potential merge candidates, you can merge up

to four cases. Once a case has four attached ECGs, it is not eligible

for further merging.

8. If you want to examine each of the cases before you make the

decision to merge, you must leave the Merge Candidates screen and

open the cases manually. When you are confident that the two cases

refer to the same event, click Merge.

Merging cases changes the database, and these changes are

difficult to undo.

How to separate a merged case:

It is possible to separate the ECGs in a merged case; however, any

additional case data that you entered before the merge may not be

restored to the pre-merged state after the separation.

1. Open the merged case and then, in the File menu, click Export. (For

this example, we assume you have a merged case with ECG from a

HeartStart FR3 and a HeartStart MRx.)

2. In the open case, in the Case Editor, click the ECG tab for the case

you want to separate from the current case (for example, detach the

HeartStart FR3 ECG), and then, on the ECG menu, click Detach.

3. Save the changes (for example, resulting in a case with only the

HeartStart MRx ECG).

4. Import the merged case that you exported in step 1 above.

4 - Working with cases Event Review Pro User Guide

5. Select the ECG tab you saved in step 3 (for example, an MRx ECG),

and then, on the ECG menu, click Detach.

6. Save the changes (for example, resulting in a case with only the

HeartStart FR3 ECG).

The previous steps preserve the original ECG waveforms from each

defibrillator in separate cases. Any patient data entered on other

tabs, including the Case ID, will be identical in both cases. Consider

changing the Case ID in one of the cases, in order to distinguish the

cases.

Merging related cases automatically

If you have two cases with data from the same incident (for example, if

one case were created by the EMTs on the scene and another by

ambulance or hospital personnel using a different device), you might

want to merge them into the same case during import. You can set

criteria for the cases that are considered merge candidates, and these

criteria will apply to all potential cases. When the criteria are fulfilled,

the two cases will be merged automatically when imported into Event

Review Pro.

When merge candidates have been identified, the newer one is merged

into the older one. The newer one is then deleted. If the old case does

not contain values for certain fields and the newer one does, these

additional values are retained.

If you want to merge cases manually, changing the criteria for each, see

Merging related cases on page.74.

To make any changes to the merging rules, you must run Event

Review Pro as an administrator.

To set ER Pro to merge cases automatically

1. On the navigation pane, click the Administration button.

1. Under Importing, click Merge Rules. A screen appears on the right

with the criteria for automatic merging.

2. By default, Event Review Pro can merge cases automatically only if

they were created within 120 minutes of each other. You can set this

time limitation lower; the default is 10 minutes. ECGs may overlap

by up to 30 minutes to be considered as merge candidates.

In the Recordings are Separated by Less Than area, click the

slider and move it to the time you want.

4 - Working with cases Event Review Pro User Guide

3. By default, all criteria (such as equal case IDs and patient last

names) in the AND (At Least One) area must be met as well for

automatic merging to occur. You can uncheck any of these boxes if

you do not want these criteria to be required. However, at least one

of them must remain checked.

4. In the AND section below that, you can decide whether Institution

Names and Reference IDs need to be equal as well for the case to be

considered a merge candidate. Check these boxes as appropriate.

5. You can change the maximum number of recordings that can be

contained in the merged case. The default is 2 and the maximum is

6. When you are satisfied with the criteria you want for merging, check

the Enable Automatic Merging box.Only cases imported after you

enable automatic merging will be eligible for automatic merging.

Merging cases changes the database, and these changes are

difficult to undo.

How to separate a merged case:

It is possible to separate the ECGs in a merged case; however, any

additional case data that you entered before the merge may not be

restored to the pre-merged state after the separation.

1. Open the merged case and then, in the File menu, click Export. (For

this example, we assume you have a merged case with ECG from a

HeartStart FR3 and a HeartStart MRx.)

2. In the open case, in the Case Editor, click the ECG tab for the case

you want to separate from the current case (for example, detach the

HeartStart FR3 ECG), and then, on the ECG menu, click Detach.

3. Save the changes (for example, resulting in a case with only the

HeartStart MRx ECG).

4. Import the merged case that you exported in step 1 above.

5. Select the ECG tab you saved in step 3 (for example, an MRx ECG),

and then, on the ECG menu, click Detach.

6. Save the changes (for example, resulting in a case with only the

HeartStart FR3 ECG).

The previous steps preserve the original ECG waveforms from each

defibrillator in separate cases. Any patient data entered on other

tabs, including the Case ID, will be identical in both cases. Consider

changing the Case ID in one of the cases, in order to distinguish the

cases.

4 - Working with cases Event Review Pro User Guide

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.88 and Reviewing

case details on page.133. You can use the case tabs in any order based

on your tasks within your organization.

To add and review case details

1. Click the Patient Cases navigation button.

2. On the case selection table, double-click a case.

3. Click a tab.

4. Add or change information on the tab.

5. Repeat steps 3 and 4 as necessary.

6. On the File menu or toolbar, click Save.

Event Review Pro displays case detail tabs based on your

installation.

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 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 HeartStart MRx, and

the Case ID field displays the HeartStart MRx incident ID.

If you import a redacted case, in any report that includes that case, the

redacted case appears with a series of asterisks in the patient name

fields, and the patient ID is replaced by a series of letters and numbers,

unique to each patient ID. If the redacted age of the patient is greater

than 90, the Date of Birth field is blank and the Age field displays 90.

If the case includes audio, audio is removed from the case. 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:

• Recorded “On” Time

• Defibrillator Type

• Serial Number

• Shocks

To complete the fields

1. On the Overview tab, click the field.

2. Click an option on the menu or type the information in the field.

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.

Overview section fields table

Group or

field Description

Case ID

(Required)

When you attach an ECG, incident ID becomes the case ID.

You can change the case ID.

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.

Click the time zone of the location where the incident

occurred.

Case date and

time

(Required)

If you attach an ECG before you save the case, this field is set

to the date and time when the device was turned on.

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. For example,

Engine 3. Maximum of 40 characters.

Institution You can use this field to identify the organization where the

case originated. For example, Valley Fire Department.

Maximum of 60 characters.

Code called

(Hospital

edition only)

The list is: Yes, No, and Unknown

Found by The list is: Nurse, Physician, Therapist, Med technician, and

5 - Adding case details Event Review Pro User Guide

Group or

field Description

(Hospital

edition only)

Other

Defibrillator section fields table

Group or

field Description

Adjusted

“On”

Time

You can use this field to synchronize the defibrillator-created

date and time with the computer date and time.

Event Review Pro automatically adjusts the date and time of

each event on the ECG tab for the adjustment you enter.

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.

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:

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.

Defibrillator

Type

When you attach an ECG, the field displays the defibrillator

model name.

You cannot change it.

5 - Adding case details Event Review Pro User Guide

Group or

field Description

Serial

Number

When you attach an ECG, the field displays the defibrillator

serial number.

You cannot change it.

Shocks When you attach an ECG, the field displays the total number of

shocks delivered to the patient by this defibrillator. You cannot

change it.

Patient section fields table

Group or

field Description

Patient ID 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, it is blank, and you can add an

ID.

The patient ID prints in report headers.

A redacted case appears with the patient ID replaced by a

series of letters and numbers, unique to each patient ID.

First name The first name prints in report headers.

If the ECG is from HeartStart MRx, this field can contain

information entered on the HeartStart MRx. You can change it.

A redacted case appears with a series of asterisks in the patient

name fields.

Middle name The middle name prints in report headers.

A redacted case appears with a series of asterisks in the patient

name fields.

Last name The last name prints in report headers.

If the ECG is from HeartStart MRx, this field can contain

information entered on the HeartStart MRx. You can change it.

A redacted case appears with a series of asterisks in the patient

name fields.

5 - Adding case details Event Review Pro User Guide

Group or

field Description

Date of birth Type the patient date of birth in the field.

A redacted case displays a blank field.

Age This is the age of the patient at the time of the response. Click

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 the 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

patient is 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.

Height This is the height of the patient.

Click 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.

Weight This is the weight of the patient at the time of the response.

Click the format used by your organization and type the weight

in the field. The units of measurement include pounds (lb.),

ounces (oz.), kilograms (kg), or grams (g).

You can change the format at any time.

Gender The list is:

Female

Male

Unknown

If the ECG is from the HeartStart MRx, this field might contain

information entered on the defibrillator.

5 - Adding case details Event Review Pro User Guide

Group or

field Description

Race The list is:

American Indian or Alaska Native

Asian or Pacific Islander

Black, Hispanic

Black, Non-Hispanic

White, Hispanic

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. On the Scene tab, 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 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:

• Existing medical treatments

• Past medical history

• Type of first responder

• Defibrillator types used

5 - Adding case details Event Review Pro User Guide

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 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.

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. On the 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.

• 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.

• Click Responder Note to document notes from a responder.

• Click Reviewer Note to document notes from a medical

director, code team leader, or operations manager.

5 - Adding case details Event Review Pro User Guide

• If the 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.

3. (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. Use one of the following methods:

• On the menu, click the appropriate option.

• Type the correction.

To remove one event

1. On the Timeline tab, click the Event Name field.

2. On the menu, click Remove this Event.

The event disappears from the event table.

Sorting events

You can sort the information based on the column. Events in a 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.

5 - Adding case details Event Review Pro User Guide

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.

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.

Documenting the patient's outcome

Use the Outcome tab (EMS edition only) and the Follow-up tab to enter

information about the patient's outcome during and after hospitalization.

The intent for the Outcome tab is to enter information about the patient

immediately following arrest and resuscitation. This information could

be added while creating the case.

The intent for the Follow-up tab is to enter information about the patient

in the future, for instance, on discharge from the hospital, or if the

patient does not survive.

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 your entry is the same as an option in the list, your

entry displays 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.217.

EMS Edition only: Utstein reports use the Any ROSC field.

5 - Adding case details Event Review Pro User Guide

Working with ECGs

Use the ECG tab in the Case Editor to add, review, and print ECG

waveforms. You can also use the ECG tab to enter information and

review events.

Displayed and printed waveforms do not meet the requirements of

American National Standard ANSI/AAMI EC11:1991 (R)2007 for

display of diagnostic electrocardiograms, and may not be suitable

for diagnosis.

You can complete the following tasks on the ECG tab:

• View an attached ECG

• Add notes to an ECG

• 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

AttachingECGs on page.51.

For an explanation of the Case Editor workspaces on the ECG tab, see

Understanding the Case Editor on page.88.

If the case 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.119.

Understanding the Case Editor

When a case opens, it opens on the ECG tab, by default. The ECGtab is

the area where the waveforms are displayed.

If you navigate away from the ECG tab, you can return to it by clicking

it.

The ECGtab is one of a group of tabs on the Case Editor. Each tab in the

Case Editor provides a different work area.

The Case Editor tabs, in order, as they appear from left to right:

• Overview

• Scene

• Timeline

• Outcome (Event Review Pro EMS edition)

• Follow-up

• ECG

• Event Log

• Attachments

• Final Review

The Case Editor default view

The following illustration shows the general arrangement of the Case

Editor workspaces in the default view. The general arrangement is the

same in all languages. Refer to the table after the illustration for

definitions.

For information on viewing 12-lead ECGs in the Case Editor, see

Working with 12-lead ECGs on page.119.

Key to illustration numbers for the previous illustration:

6 - Working with ECGs Event Review Pro User Guide

1 The Case Editor

2 The tabs of the Case Editor, used to open different work areas

3 The ECG tab of the Case Editor, the active tab when a case is opened

4 The ECG overview pane. NOTE: For details about waveform display,

see The Case Editor Waveforms view on page.90.

5 The Events pane, used to view events in the case, ordered

chronologically. See Events pane on page.92.

6 The Rhythm strip pane. Rhythm strip shows the waveforms used for

rhythm identification, recorded by the device sequentially, in one

strip.

7 The Transport pane, used to play, rewind, or fast-forward the

waveform. If audio is present, use to play or mute audio. See

Transport pane on page.93.

8 Label for a displayed waveform, in collapsed view.

9 The Patient Cases navigation pane.

10 The Waveforms button: click to open the Waveforms pane. See

Waveforms pane on page.92.

11 The Vital Trends button: click to open the Vital Trends pane.

Navigating between the work panes in the Case Editor

When a case is first opened, the default view of the Case Editor shows

the ECG tab with the Rhythm strip pane (see item 6 in the previous

table). In the same region of the Case Editor, you can instead choose to

show the Waveforms pane, or the Vital Trends pane. Those work areas,

when not displayed, appear as buttons along the bottom of the Case

Editor. To expand one of these work areas, click the corresponding

button.

The Case Editor Waveforms view

The following illustration shows the Case Editor, with the expanded

Waveforms pane. The general arrangement is the same in all

languages. Refer the table after the illustration for definitions.

6 - Working with ECGs Event Review Pro User Guide

Key to illustration numbers for the previous illustration:

1 The Case Editor, ECG tab.

2 The expanded Waveforms pane.

3 The Waveforms pane drop-down menu: By default, all waveforms in

the case are shown, stacked vertically. Use the menu checkboxes to

hide/show waveforms by type. Changes from the default are

remembered in future sessions and cases.

4 Arrow button, used to expand or collapse the waveform controls.

5 Vertical scroll bar, used to view waveforms above or below the visible

area.

6 Time scale control, used to compress or expand the visible time range

of the waveforms.

7 Horizontal scroll bar, used to scroll the visible waveform left or right.

8 Zoom control, used to scale the waveform as a percentage of the

default 25mm/sec x 40mm.

9 The Waveforms Overview: By default, only the first waveform recorded

in the case is shown in this view. See Overview pane on page.92.

6 - Working with ECGs Event Review Pro User Guide

10 The Waveforms Overview drop-down menu: You can choose to overlay

multiple waveforms in this view. Check or uncheck boxes to show/hide

waveforms by type. Changes from the default are remembered in

future sessions and cases.

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.93.

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.

You can use the Overview toolbar to:

• Select the waveform displayed on the Overview pane.

• Select multiple waveforms to display them overlayed on one

another.

• Select portions of the ECG for detailed view on the Waveforms pane.

• Change the time scale for the ECG.

Waveforms pane

The Waveforms pane can provide a more detailed view of each

waveform. Event Review Pro can display multiple waveforms in this

pane.

Use the Waveforms pane to do the following:

• Add, edit, or delete notes

• Control the display of waveforms

• Analyze the quality of the CPR administered

6 - Working with ECGs Event Review Pro User Guide

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.

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 Waveforms pane.

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 waveform information on

page.106.

Using the Events pane

A list of defibrillator events and notes associated with an ECG appears in

an expandable list on the Events pane. Defibrillator events can include

items such as the following:

• Shocks

• Alarms

• Monitor settings

• Equipment status

• Q-CPR 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 by the user and

events recorded by the device. For more information, see Documenting

events on page.85.

The following icons identify event entries:

Symbol Meaning

Note: A user-input observation about the patient's status or the

6 - Working with ECGs Event Review Pro User Guide

Symbol Meaning

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.

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 the

Overview and Waveforms 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.

6 - Working with ECGs Event Review Pro User Guide

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 age," "age," or even just "patient."

2. Click Search .

If the search finds an event, it appears selected in the event pane,

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 waveform on the

Overview, Waveforms, 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. On the Events pane, click the Filter tab.

A list of event categories appears.

6 - Working with ECGs Event Review Pro User Guide

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:

• The event or events disappears from the Overview and

Waveforms panes.

• The event or events disappears from the Events pane.

• The caution 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

Waveforms pane. For more information, see Managing notes on the

waveform on page.114.

To add a note in the Events pane

1. Click the part of the Events pane where you want the note to appear.

2. On the toolbar, click Add Note .

The Note window appears, with a table similar to the table on the

Timeline tab.

3. Click in the Event Name field.

4. 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.85.

5. Complete the fields, as appropriate.

For example, for a Reviewer Note, type Reviewer name, Reviewer

title, and Reviewer department.

If you click Custom event, type the event name and unit, if

appropriate.

6. Click OK.

The note now appears on the event pane, the ECG waveform, and

the Timeline tab.

To modify a note in the Events pane

1. Click the note you want to modify.

6 - Working with ECGs Event Review Pro User Guide

2. On the toolbar, click Edit Note .

3. In the Note window, modify the note.

4. Click OK.

To delete a note in the Events pane

1. Click the note you want to delete.

2. On the 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 series of strips 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 Waveformsview, you can zoom in to see an ECGsegment

of interest.

On the Overview and Waveformspanes, a vertical sweep bar indicates

the current ECG time. The sweep bar provides a visual cue to 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.97.

You can see a close-up view of a segment of the waveform on the

Waveforms pane or the Rhythm strip pane.

To see the location of these panes in the Case Editor, see Understanding

the Case Editor on page.88.

Working with waveforms

You can manage notes on the Overview and Waveforms panes.

The following illustration shows the general arrangement of the

Overview pane. The general arrangement is the same in all languages.

The dashed box (at the black arrow, below) identifies the extents of

waveform that appears on the Waveforms pane (below the Overview

pane).

6 - Working with ECGs Event Review Pro User Guide

By default, the primary defibrillator waveform appears on the Overview

pane, and is checked in the Waveform drop-down menu (at the red

arrow, below) on the Overview. Check other waveforms in the menu to

display them. Menu changes will persist in future sessions and with

future cases.

To add and manage notes on the waveform, see Managing notes on the

waveform on page.114.

This ECG is intended only for basic rhythm identification. It is not

intended for diagnostic and ST segment interpretation.

To select a waveform

1. On the Overview toolbar, click the Waveform drop-down menu.

2. From the menu of all recorded waveforms in the case, click the

waveform or waveforms 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.

You can set multiple waveforms to display simultaneously. In the

Waveform drop-down menu (shown on the previous illustration),

click the check box next to each waveform that you want to display.

To remove a waveform from the overview, uncheck it in the menu.

In the Overview pane, the multiple waveforms appear overlapped,

and in different colors. Each waveform is labeled at its beginning.

6 - Working with ECGs Event Review Pro User Guide

Displaying and hiding waveforms

If the case has multiple waveforms, you can select which waveforms to

display or hide on the Waveforms pane.

See the location of the Waveforms pane and Waveforms drop-down

menu in the section "The Case Editor Waveforms view" in Understanding

the Case Editor on page.88.

To open waveforms for viewing on the Waveforms pane, select the

waveforms from the Waveforms drop-down menu at the top of the

Waveforms pane (the inspector must first be opened). The selected

waveform then appears. You can use the vertical scroll bar to see open

waveforms. You can also drag the border to increase the size of the

Waveforms pane.

To hide a waveform on the Waveforms pane, uncheck the waveform the

Waveforms drop-down menu at the top of the Waveforms pane.

Waveforms in the Rhythm strip pane

The waveforms used for rhythm identification are shown in the Rhythm

strip pane, arranged sequentially in a single strip, in the order recorded

by the device. All the waveforms that make up the rhythm strip are

included on the strip; therefore, there is no need for a Waveforms drop-

down menu in this pane. To display the waveforms on the Rhythm strip

pane, scroll horizontally through the timeline on the Rhythm strip pane.

The same waveforms can also be viewed individually in the Waveforms

pane.

For information on docking/undocking and pinning/unpinning areas of

the ECGdisplay, see Arranging sections of the ECGdisplay on page.99.

Arranging sections of the ECGdisplay

You can use the pinning function to maximize or minimize sections of

the ECGdisplay work area.

If you ever need to put the sections back to their default sizes and

locations, on the Tools menu, click Options, then Restore

Defaults, and then ECG Viewer and Reports. The settings will

be restored when the application is restarted.

"Pinning" and "unpinning"refer to maximizing or minimizing a section of

the work area.

6 - Working with ECGs Event Review Pro User Guide

100

The following illustrations show the general arrangement of the work

area. The general arrangement is the same in all languages. A pinned

section might look like the illustration, where the pin is visible in the

upper right corner:

When you click the pin for the section, it becomes minimized; all that

you see is a tab for it at the edge of the display, as in the figure below.

Click the tab, and then click the pin, to pin it open again.

Magnifying waveforms

Use the magnifier to get a detailed view of a section on the waveform.

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. Release the SHIFT button 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.

Changing the display time

At the top of the Waveforms pane, a ruler indicates the time scale of the

waveform displayed in elapsed time or clock time. Use the waveforms

ruler to change the time scale between Elapsed time and Clock time.

• Elapsed time is the time since the defibrillator was turned on.

• Clock time is the actual clock time based on the Adjusted Time.

The time scale appears with divisions for seconds and fractions of

seconds.

6 - Working with ECGs Event Review Pro User Guide

101

The date and time formats used in this software and in the reports

is controlled by the Windows Region and Language control panel.

Use that control panel to adjust the date and time format. For

example, use it to choose 24 hour time.

If an audio clip is associated with the waveform, the waveforms

ruler displays a blue overlay where the audio is present, in relation

to the waveforms.

To change the display time

1. Right-click the waveforms ruler.

2. On the shortcut menu that appears, click one of the following time

formats:

• Elapsed Time

• Clock Time

The display time changes according to your selection.

Changing the time scale

Use the time scale slider on the bottom left side of the Waveforms 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 Waveforms 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:

• To increase the scale, drag the slider to the right.

• To decrease the scale, drag the slider to the left.

The adjusted scale appears in mm/sec., and the waveform display

adjusts accordingly.

6 - Working with ECGs Event Review Pro User Guide

102

To change the time scale using the mouse wheel, use one of the

following methods. Point to the waveform, hold the SHIFT key, and click

the mouse wheel to complete one of the following actions:

• To increase the scale, , hold the SHIFT key and roll the mouse wheel

forward.

• To decrease the scale, , hold the SHIFT key and 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 waveform

Use the waveform scroll bar at the bottom of the Waveforms 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.129.

To scroll through the waveform, drag the waveform scroll bar to the

desired location on the waveform.

Customizing waveforms

Event Review Pro provides a waveform properties tool for each

waveform. This tool displays information about the waveform and

provides features to modify the waveform display. You can choose to

show 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 waveform properties area is closed, it looks like this:

6 - Working with ECGs Event Review Pro User Guide

103

When the area is open, it might look like this:

The waveform properties tool displays the following information about

the current waveform:

• The waveform type or source

• The sample rate in Hz

• The current vertical offset and scale

• The scale in millivolts per millimeter (for ECG waveforms)

You can control the vertical offset and you can scale the waveforms. You

can also control the color of the waveforms.

If the ECGhas multiple waveforms, you can change the display order.

• To show the waveform properties tool, click Expand . To hide the

tool, click Collapse .

• To move a waveform up on the Waveforms pane, click Move Up

• To move a waveform down on the Waveforms pane, click Move

Down .

6 - Working with ECGs Event Review Pro User Guide

104

To change the color of a waveform

1. Click the color selector to the right of the waveform IDstrip.

2. In the 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 waveform when you expand the

Waveforms 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 waveform. The

waveform appears with the offset determined by the average of the

waveform values in the segment currently displayed in the waveform.

The following table provides numbers and feature names corresponding

to the images that follow.

1 Waveforms area

2 Arrow

3 Baseline field

4 Center button

5 Waveform

The following illustration shows the general arrangement of the

Waveforms area before it is expanded. The general arrangement is the

same in all languages.

6 - Working with ECGs Event Review Pro User Guide

105

The following illustration shows the general arrangement of the

expanded Waveforms area, with a waveform display before centering.

The general arrangement is the same in all languages.

The following illustration shows the general arrangement of the

waveform display after centering. The general arrangement is the same

in all languages.

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 do one of the following:

• To increase the vertical offset, while holding the left mouse button,

move the mouse so that the cursor moves upward on the screen.

• To decrease the vertical offset, while holding the left mouse button,

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 Waveforms

area accordingly.

6 - Working with ECGs Event Review Pro User Guide

106

To specify the waveform vertical offset, double-click the Baseline field

and type the offset value. The waveform in the Waveforms area appears

with the specified offset.

To restore the default waveform offset (the offset from the device),

hold down CTRL , and click in the Baseline field.

Changing the waveform scale

The Range field, available in the ECGwaveform when you expand the

Properties area with the arrow, controls the scale of the waveform.

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 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 do one

of the following:

• 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 Waveform s pane accordingly.

To specify the waveform scale, double-click the Range field and type

the scale value in mV. The waveform appears in the Waveform s pane

according to the specified scale.

To restore the default waveform scale, hold down CTRL , and click in the

Range field.

Reviewing waveform information

Use the controls on the Transport pane (shown below) to navigate

through events on an ECG waveform, play the waveform, and play an

associated audio clip, if present, while reviewing the waveform.

6 - Working with ECGs Event Review Pro User Guide

107

You can also review information about the current sweep bar and

pointer locations in the Transport pane at the bottom of the ECG view.

Navigating ECGevents on the waveform

• If you click 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.

• If you click Previous , the sweep bar moves to the location of

the previous event on the ECG waveform and displays the event time

on the information pane.

• If you click Play , the waveform moves at the speed of real

time.

Playing the ECG audio

If an audio clip was recorded with the ECG, you can play the audio and

move along (traverse) the waveform on the Waveforms 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 Waveforms pane is currently in use. For more

information, see Using key command and mouse shortcuts on page.129.

• To play the ECG audio, click Play . The audio clip plays, and the

sweep bar moves through the waveform on the Waveforms 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."

• To pause the ECG audio, click Pause . The audio pauses, and the

sweep bar stops at the current location on the ECG waveform.

• To change the volume of the ECG audio, drag the Volume 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.

• To reset the ECG audio volume to the default level, hold down CTRL

and click the Volume slider.

6 - Working with ECGs Event Review Pro User Guide

108

Viewing ECG information

The date of the ECG, and the Clock 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, to

place the sweep bar, then move the cursor to the left or right of the

sweep bar.

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, move the cursor over 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

• mmHg for blood pressure and CO2

• mm for compression

• mOhms for ventilation

Defining and viewing 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selections from the File

menu or the application toolbar. For more information, see Generating

reports on page.151 and Working with ECG reports on page.155.

Shortcut menu commands on the Waveforms pane assist in these tasks.

6 - Working with ECGs Event Review Pro User Guide

109

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:

• To create 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. An

overlay highlights the selection.

• If you 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 in seconds before you

create the selection.

• If you want to set a template to create a selection automatically

every time a certain event occurs (like an alarm, a shock event, or a

ventilation), see Using selection templates on page.112.

To automatically create ECG selections

1. In the Auto-selection (secs) text box, type the ECG automatic

selection length in seconds.

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 Waveforms

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.

6 - Working with ECGs Event Review Pro User Guide

110

2. On the ECG or shortcut menu, click Selections, and then click Set

Selection Start.

3. Move the sweep bar by clicking the point in the waveform where you

want the selection to end.

4. On the ECG or shortcut menu, click Selections, and then click Set

Selection End.

To change the color of the ECG selection

1. Click the selection on the waveform.

2. On the ECG waveform, right-click, and then, from the menu, click

Selections and then click Selection Color.

3. In the Color window, click a color and click OK.

4. 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. Click the selection on the waveform.

2. On the ECG menu, or the shortcut menu, click Selections, and then

click Convert to Q-CPR Exclusion.

The selection is now a Q-CPR exclusion. For more information on Q-

CPRreports, see Working with Q-CPR Report Card reports on

page.158. For more information on Q-CPR exclusions from reports,

see Removing CPR exclusions on page.126.

To clear an ECG selection

1. Click the selection on the waveform that you want to remove.

2. Use one of the following methods:

• On the ECG menu, or the shortcut menu, click Selections.

• Right-click the selection to display the shortcut menu and click

Selections.

3. From the list of selection commands, click Remove Selection.

The selection disappears.

To clear all ECG selections

1. Use one of the following methods:

• On the ECG menu, or the shortcut menu, click Selections.

6 - Working with ECGs Event Review Pro User Guide

111

• Right-click the selection to display the shortcut menu and click

Selections.

2. 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 Waveforms pane.

To name ECG selections

1. Click the Selections tab.

All selections appear, sorted according to time of creation.

2. Click the name field for a selection to highlight the number assigned

at creation.

3. Type a name or unique ID for the selection.

4. Repeat steps 2 and 3 for each selection.

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

selection.

2. Click Search .

The waveform selection matching the search text is now highlighted

in the Waveforms pane.

6 - Working with ECGs Event Review Pro User Guide

112

To change the sort order

1. Click the Selections tab.

All selections appear, sorted according to time of creation.

2. Click the heading of the field you want to sort by.

The selections sort themselves by the field that you chose.

3. Click the field heading again to toggle between ascending or

descending order.

While viewing ECG in the overview or Waveforms pane you can quickly

move 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.

Selection templates are saved and are available to be run every time

you import a case.

To create a selection template

1. Click the Selection Templates tab.

The headings for a selection templates table appear.

2. Click New.

A new row appears in the selection templates table.

3. From the Event Category drop-down list, click an event category.

4. Click in the Event Type field for the new selection template.

5. From the Event Type drop-down list, click an event type.

6. In the Pre-seconds field, type the number of seconds you want to

precede the event in the selection.

7. In the Post-seconds field, type the number of seconds you want to

follow the event in the selection.

8. In the Color field, click the color you want to highlight the selection.

9. Click Create.

ECG selections appear according to your criteria.

6 - Working with ECGs Event Review Pro User Guide

113

To delete a selection template

1. Click the Selection Templates tab.

The headings for a selection templates table appear.

2. 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. Right-click the strip in the Overview or Waveforms pane.

2. On the menu that appears, click Copy to Clipboard.

3. Paste the contents of the clipboard into a document.

To copy an ECG selection to the Clipboard

1. Left-click the selection you want to copy, to highlight it, and then

right-click to open the menu.

2. On the menu, click Selections.

3. Click Copy Selection to Clipboard.

4. Paste the contents of the clipboard into a document.

Exporting waveform data

To export a case in the Waveform Database format (.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 Importing case files automatically on page.65.

To export only ECG data

1. Open a case. For more information, see Displaying case details on

6 - Working with ECGs Event Review Pro User Guide

114

page.61.

2. Click the ECG tab.

3. Click the ECG View tab.

4. On the ECG menu, click Export to WFDB.

The Save As window opens.

5. In the Save in box, navigate to the location where you want to save

the exported ECG data.

6. In the File Name box, type a name for the data files.

7. 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 ECG waveform or on the

timeline tab.

To add a note

1. Click the waveform where you want the note to appear.

The sweep bar moves to the pointer location.

2. Use one of the following methods:

• On the ECG menu, click Add Note.

• On the Events pane toolbar, click Add Note .

• Right-click the waveform to display the shortcut menu, and click

Add Note.

The Note window opens.

3. Click the Event Name field.

4. On the 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, see Documenting events on page.85.

5. Complete the fields, as appropriate.

6. Click OK.

The note now appears on the waveform, the event list, and the

Timeline tab.

6 - Working with ECGs Event Review Pro User Guide

115

NOTE: See the notes at the end of this topic, which explain fixed

versus relative times and waveform notes.

To modify a note

1. On the event list, click the note that you want to modify.

2. Use one of the following methods:

• On the Events pane toolbar, click Edit Note .

• Right-click the annotation on the waveform to display the

shortcut menu, and click Edit Note.

3. In the Note window, make your modifications to the note.

4. Click OK.

To add a quick note

1. Click the waveform where you want the note to appear.

The sweep bar moves to the pointer location.

2. Right-click the waveform to display the shortcut menu, and click

Add a quick note. (You can use the keyboard shortcut CTRL + N to

do the same thing.)

The Note field opens on the waveform.

3. Type your note in the field, and press ENTER.

The note appears on the waveform.

The most recent 100 entries are saved and become available to

auto-complete a quick note. The selections appear as you type the

note.

To delete a note

1. Click the note that you want to delete.

2. Use one of the following methods:

• On the Events pane toolbar, click Delete Note .

• Right-click the annotation on the waveform to display the

shortcut menu, and click Delete Note.

The note disappears from the waveform.

6 - Working with ECGs Event Review Pro User Guide

116

If you want to add a note with a "fixed" wall-clock time to the

ECGwaveform—that is, its time and date do not change when the

device on-time is adjusted—add the note from the Timeline tab. The

date and time field remains manually editable for notes created on

the Timeline tab.

If you want to add a note with a time relative to the device on-time,

add the note on the ECG tab. The note's time will adjust when the

device on-time is adjusted, or when the note is dragged to a new

location on the waveform. The notes added on the ECG tab also

appear in the list on the Timeline tab; however, they appear

grayed, and are not editable there.

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.

2. Use one of the following methods:

• On the Case Editor, use the Zoom control to zoom in or out on a

waveform. For help locating the Zoom control, see "The Case

Editor Waveforms view" in Understanding the Case Editor on

page.88.

• Right-click the waveform to display the shortcut menu, and click

Zoom In or Zoom Out.

• On the numeric keypad, press PLUS (+) to zoom in or MINUS (-) to

zoom out.

To zoom in or zoom out fully

1. Click the waveform.

2. Press SHIFT and, on the numeric keypad, press PLUS (+) to zoom in

fully or MINUS (-) to zoom out fully.

6 - Working with ECGs Event Review Pro User Guide

117

Customizing the ECG display

You can configure the display of the 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 waveforms.

To remove ECG information from the display

1. Click the Waveforms pane.

2. Use one of the following methods:

• Click the ECG menu.

• Right-click the ECG.

3. Click Display Items.

The display items menu opens.

4. Click the item that you want removed from display.

The item disappears from the ECG. For additional information, see

Reviewing case events on page.133.

To restore ECG information to the display

1. Click the Waveforms pane.

2. Use one of the following methods:

• Click the ECG menu.

• Right-click the ECG.

3. Click Display Items.

The display items menu opens.

4. Click the item that you want restored.

The item reappears in the ECG.

Reviewing vital trends data

On monitor/defibrillators like the HeartStart 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.

The following illustration shows the general arrangement of the Table

view. The general arrangement is the same in all languages.

6 - Working with ECGs Event Review Pro User Guide

118

In Table view, you can select the time interval for the vital trends

information.

On the Vital Trends toolbar, click the Interval: drop-down menu and

click 5, 10, 15, 30, or 60 minutes from the list that appears.

The following illustration shows the general arrangement of the Chart

view. The general arrangement is the same in all languages.

In Chart view, you can select the duration of the vital trends data.

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.

2. On the configuration pane to the left of the vital trends chart, click

the style button to the right of the trend you want changed.

The following illustration shows the general arrangement of the Point

Style area. The general arrangement is the same in all languages.

3. On the shortcut menu that appears, click Point Style.

6 - Working with ECGs Event Review Pro User Guide

119

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. On the configuration pane to the left of the vital trends chart, click

the style button to the right of the trend you want changed.

3. On the shortcut menu that appears, click Color.

4. In the Color dialog box, click a color from the Basic Colorslist.

5. Click OK.

The following illustration shows the general arrangement of the Chart

view. The general arrangement is the same in all languages.

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).

Working with 12-lead ECGs

The 12-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 Bluetooth transmission.

The 12-lead ECG and associated data appear on the 12 Lead tab, located

on the ECG tab in the Case Editor. See the 12 Lead tab location in the

illustration that follows.

Only cases with a 12-lead ECGs attached display 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.

6 - Working with ECGs Event Review Pro User Guide

120

The Case Editor 12 Lead tab

The following illustration shows the general arrangement of the Case

Editor 12 Lead tab. The general arrangement is the same in all

languages. Refer the table after the illustration for definitions.

Key to illustration numbers for the previous illustration:

1 The Case Editor

2 The 12 Lead tab

3 The 12-lead details, from the device recording

4 The 12-lead 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:

• Patient demographic information

• Global measurements (Rate, PR, QRSd, QT, QTc)

• Axes (P, QRS, T)

• ECG summary interpretations

6 - Working with ECGs Event Review Pro User Guide

121

• You can use the configuration section at the bottom of the 12 Lead

tab to control the display of the 12-lead ECG and display additional

12-lead ECGs attached to the case.

You can do the following tasks on the 12 Lead tab:

• Configuring the 12-lead view on page.121

• Reviewing the 12-lead ECG on page.122

You can print 12-lead reports from the File menu or application toolbar.

For more information, see Generating reports on page.151and Working

with 12-lead reports on page.156.

Configuring the 12-lead view

Use the configuration section of the 12-Lead view to control the display

of the 12-lead ECG. For information on opening the 12-Lead view, see

Working with 12-lead ECGs on page.119.

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.

To change the time format

1. Click the Timing drop-down list to change the time format.

The following time formats appear:

• Simultaneous (European standard)

• Time Sequential (United States standard)

2. Click the time format 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 information, see Magnifying

12-lead ECGs on page.122.

• Complete one of the following procedures:

• To increase the scale of the 12-lead ECG displayed, drag the

Scale control to the right.

6 - Working with ECGs Event Review Pro User Guide

122

• 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 hold down 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.

The location key indicates when you have reached the limit of the

12-lead ECG in any direction by dimming the corresponding arrow.

3. Release the mouse button.

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 key and click the area on the waveform that you

want to magnify.

A magnified view of the waveform appears.

2. Release the SHIFT key and while continuing to hold the mouse button,

move the pointer to another location on the waveform for closer

inspection.

3. Release the mouse button.

6 - Working with ECGs Event Review Pro User Guide

123

Working with CPR data

CPR data aquired during use of a defibrillator is automatically attached

to the case. The type of CPR data saved varies depending on the model

of defibrillator and the accessories used during the rescue.

Q-CPR data is generated by HeartStart MRxor Heartstart FR3

defibrillators used with a HeartStart CPRmeter.

zCPR data (impedance-derived CPR data) is generted by Event Review

Pro for cases recorded on HeartStart HS1 and Heartstart FRx

defibrillators, as well as for Heartstart FR3 defibrillators for cases

where a Heartstart CPR meter was not used. zCPR data does not include

compression depth or compression release information.

When a case containing CPR data is opened in Event Review Pro, the

menu at the top of the software window incudes the CPR sub-menu, to

the right of the ECG sub-menu.

You can customize and report on both Q-CPR data and zCPR data.

For detailed information, see these topics:

• Customizing CPR episodes on page.123.

• Creating CPRexclusions on page.125.

• Removing CPR exclusions on page.126.

• Adding CPR annotations on page.127.

• Adding CPR responder annotations on page.128.

Customizing CPR episodes

You can customize the Q-CPR or zCPR reports that you create. For

example, you can use commands on the shortcut menu or the CPR menu

to define an episode for CPR reporting and to mark sections of the

waveform to exclude from Q-CPR or zCPR reports.

Q-CPR or zCPR events appear on the Compression waveform.

6 - Working with ECGs Event Review Pro User Guide

124

For information on excluding sections of the waveform from

CPRreports, see Creating CPRexclusions on page.125.

To customize the 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:

• On the CPR menu, click Set Episode Start.

• Right-click the waveform to display the shortcut menu, click

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:

• On the CPR menu, click Set Episode End.

• Right-click the waveform to display the shortcut menu, click

CPR, and click Set Episode End.

A vertical bar marks the end of the episode.

By default, the Q-CPR episode starts 1 second before the first

compression, and ends 1 second after the last compression.

By default, the zCPR episode starts at the first pads on event and

ends at the last pads off event.

For information on generating and printing Q-CPR reports, see these

topics:

• Working with Q-CPR Report Card reports on page.158.

• Working with Q-CPR Details reports on page.167.

• Working with Q-CPR Response Time reports on page.173.

For information on generating and printing zCPR Report Card reports,

see Working with zCPR Report Card reports on page.179.

6 - Working with ECGs Event Review Pro User Guide

125

Creating CPRexclusions

A CPR exclusion identifies the areas of the waveform that you do not

want to analyze. Any data inside the exclusion area is excluded from the

analysis. Use the CPR menu, the shortcut menu on the ECG tab, or

shortcut keys to create CPR exclusions.

You can also convert an ECG selection to a CPR exclusion.

To create a CPR exclusion from the CPR menu or shortcut

1. If necessary, click the ECG tab and display the ECG view.

2. Click the waveform at the point where you want the exclusion to

begin.

3. Use one of the following methods:

• On the CPR menu, click Set Exclusion Start.

• Right-click the waveform to display the shortcut menu, click

CPR, and click Set Exclusion Start.

4. Click the waveform at the point where you want the exclusion to

end.

5. Use one of the following methods:

• On the CPR menu, click Set Exclusion End.

• Right-click the waveform to display the shortcut menu, click

CPR, and click Set Exclusion End.

A red overlay highlights the exclusion.

To create a CPR exclusion using shortcut keys

1. If necessary, click the ECG tab and display the ECG view.

2. Click the waveform where you want the exclusion to begin.

3. Hold down ALT and press the mouse button.

4. Drag the mouse to where you want the exclusion to end.

5. Release the key and mouse.

To create a CPR exclusion from an ECG selection, see Managing ECG

selections on page.109.

For information on generating and printing Q-CPR reports, see these

topics:

• Working with Q-CPR Report Card reports on page.158.

6 - Working with ECGs Event Review Pro User Guide

126

• Working with Q-CPR Details reports on page.167.

• Working with Q-CPR Response Time reports on page.173.

For information on generating and printing zCPR Report Card reports,

see Working with zCPR Report Card reports on page.179.

Removing CPR exclusions

You can remove a single exclusion or all exclusions.

The Remove Exclusion option

To remove a CPR exclusion

1. If necessary, click the ECG tab and display the ECG view.

2. Click the exclusion to highlight it.

3. Use one of the following methods:

• On the CPR menu, click Remove Exclusion.

• Right-click the waveform to display the shortcut menu, click

CPR, and click Remove Exclusion.

The highlighted exclusion disappears.

To remove all CPR exclusions

1. If necessary, click the ECG tab and display the ECG view.

2. Click the waveform.

3. Use one of the following methods:

• On the CPR menu, click Remove All Exclusions.

• Right-click the waveform to display the shortcut menu, click

CPR, and click Remove Exclusions.

All CPR exclusions disappear.

The Discard Changes option

The CPR menu also has a Discard Changes option.

Applying this option will reset the episode to the default values and

remove all exclusions.

In the case of zCPR, it will also reset the compression annotations to the

default state.

6 - Working with ECGs Event Review Pro User Guide

127

For information on generating and printing Q-CPR reports, see these

topics:

• Working with Q-CPR Report Card reports on page.158.

• Working with Q-CPR Details reports on page.167.

• Working with Q-CPR Response Time reports on page.173.

For information on generating and printing zCPR Report Card reports,

see Working with zCPR Report Card reports on page.179.

Adding CPR annotations

The following notes affect the calculations that appear in the Q-CPR

Report Card report.

To add CPR notes to a waveform

1. If necessary, click the ECG tab and display the ECG view.

2. Right-click the mouse to display the shortcut menu.

3. Click CPR, and then Annotations.

4. Click one of the following options to add a note, both of which appear

at the sweep-bar location:

• Ventilation (ventilation waveform only)

• PR (Perfusing Rhythm)

• VF

• VT

• PEA

• Asystole

• Compression annotation (zCPR only)

VF, VT, PEA and Asystole are for non-perfusing rhythms

To add notes using keyboard shortcuts

1. If necessary, click the ECG tab and display the ECG view.

2. On the Waveforms pane, expand the ventilation waveform.

3. Click the ventilation waveform at the point that you want to add the

note.

4. Press the following key combination:

6 - Working with ECGs Event Review Pro User Guide

128

• Press ALT+V to add a Ventilation note.(ventilation waveform

only)

• Press ALT+R to add a PR (perfusing rhythm) note.

• Press ALT+C to add a compressaion annotation (zCPR only).

To move a note to another location on the waveform, click the note on

the waveform and drag it to another location using the mouse.

For information on generating and printing Q-CPR reports, see these

topics:

• Working with Q-CPR Report Card reports on page.158.

• Working with Q-CPR Details reports on page.167.

• Working with Q-CPR Response Time reports on page.173.

For information on generating and printing zCPR Report Card reports,

see Working with zCPR Report Card reports on page.179.

Adding CPR responder annotations

In order to support filtering of data by CPR responder in Q-CPR reports,

you can add annotations to the compression waveform, noting

responders by type and name.

The reports that allow filtering by CPR responder information:

• Q-CPR Report Card report,see Working with Q-CPR Report Card

reports on page.158.

• zCPR Report Card report,see Working with zCPR Report Card

reports on page.179.

In the Q-CPR Report Card report or the zCPR Report Card report,

you can filter by named responder by selecting the named

responder the Responder field of the report customization menu.

• Q-CPR Details report, seeWorking with Q-CPR Details reports on

page.167.

In the Q-CPR Details report, when Split by responder is selected,

the Q-CPR details will appear split by named responder, in timeline

sequence.

6 - Working with ECGs Event Review Pro User Guide

129

To add annotations for CPR responders

1. If necessary, click the ECG tab and display the ECG view.

2. On the Waveforms pane, expand the Compression waveform.

3. Click the Compression waveform at the point where the a CPR

responder began delivering CPR.

4. Right-click, and then click Add Note. The Note window opens.

5. In the Note window, click once in Event Name to activate the field,

then click again to open the selection menu.

6. In the selection menu, under Response, click BLSEMSCPR or

ALSEMSCPR. The selection appears in the Event Name field.

7. In the Name field, type a name for the responder.

8. Save the case.

9. For each additional responder, advance the timeline on the

Compression waveform to the point where the next CPR responder

began delivering CPR, and repeat the above process.

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

6 - Working with ECGs Event Review Pro User Guide

130

Event list

Expand selected event list nodes

SHIFT + PLUS SIGN

Collapse selected event list nodes

SHIFT + MINUS SIGN

Q-CPR

Annotate ventilation waveform with ventilation event

ALT + V

Annotate ventilation waveform with Perfusing Rhythm

ALT + R

Annotate zComp waveform with compression annotations

ALT + C

Selections

Create an automatic selection centered on the pointer location

CTRL and click waveform

Sweep bar

Move sweep bar one minute backward

PAGE UP

Move sweep bar one minute forward

PAGE DOWN

Move sweep 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

6 - Working with ECGs Event Review Pro User Guide

131

Move sweep bar to previous selection

UP ARROW

Move sweep bar to next selection

DOWN ARROW

Make a notation at the sweep bar, using quick note

CTRL + N

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.

6 - Working with ECGs Event Review Pro User Guide

132

Time scale

Expand time scale

Press the SHIFT key and move the mouse wheel backward.

Compress time scale

Press the SHIFT key and move the mouse wheel forward.

Vertical offset

Increase vertical offset

Click the BASELINE field and move the mouse cursor up.

Decrease vertical offset

Click the BASELINE field and move the mouse cursor down.

Waveform scale

Increase vertical waveform scale

Click the RANGE field and move the mouse cursor up.

Decrease vertical waveform scale

Click the RANGE field and move the mouse cursor down.

6 - Working with ECGs Event Review Pro User Guide

Reviewing case

details

The following topics present information about reviewing cases.

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:

• View details for an event.

• Sort and group the defibrillator events and notes that a responder or

reviewer added to the case.

• Filter events and notes to display only those that fit your selection

criteria.

• Print the events for the open case. See Printing table entries on

page.39.

To display the event log

1. On the case selection table, click a case to open it. For more

information, see Displaying case details on page.61.

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.

133

134

The sweep bar identifies the event. For more information, see Working

with waveforms on page.97.

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. Open a case. For more information, see Displaying case details on

page.61.

2. To display a list of options, use the View menu or, on the Event Log

tab, right-click a row in the table.

3. 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 -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 +to the left of the event.

• To display all event details, on theView 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.35, Grouping

and sorting entries on page.35, Filtering entries on page.37, and

Removing filters on page.39.

Printing case events

You can print the events for any case saved in the database.

7 - Reviewing case details Event Review Pro User Guide

135

To print a list of events for a case saved in the database

1. Click the Reports navigation button.

2. On the Reports navigation pane, click the Case Events report from

the list of reports in the Cases group. For more information, see

Working with case reports on page.155 and Working with ECG

reports on page.155.

Attaching files to a case

Use the Attachments tab to attach files 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. Open a case. For more information, see Displaying case details on

page.61.

The Case Editor opens, to the ECGtab.

2. On the Case Editor, click the Attachments tab.

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.

7 - Reviewing case details Event Review Pro User Guide

136

To attach a file

1. On the Attachments menu, click Attach.

2. In the 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. On the Attachments tab, click the file description in the

Attachments table.

2. On the Attachments menu, click Detach.

Viewing file contents

To display the contents of an attached file

Use one of the following methods:

• On the Attachments menu or toolbar, click Open.

• 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. On the File menu or toolbar, click Print.

2. On the Print menu, click Table.

3. In the Print window, click the printer, page range, and number of

copies.

7 - Reviewing case details Event Review Pro User Guide

137

4. Click Print or OK.

Completing a final case review

After the case is reviewed, you can add reviewer notes under the Final

Review tab. However, at any time during the case, you can update this

information, or add more.

This screen can contain up to two pages' worth of information. You can

also copy and paste information from other applications and retain the

character formatting (such as bold or italic).

To perform a final review

1. Click the Final Review tab.

2. Place the cursor in the Reviewer Notes pane.

3. Do any of the following:

• Type your information.

• Copy from another application such as a Microsoft Word

document and paste the information into the Review pane.

4. In the Reviewer Name field, type your name.

5. In the Review Date field, type the date.

6. Check the Case Reviewed box.

7. Do either of the following:

• On the toolbar, click Save.

• Exit the Review Notes pane. When the application asks if you

want to save the information, click OK.

For cases with the Case Reviewed box selected, the Reviewed

column in the Patient Cases table displays a Yes. Sorting the Patient

Cases table by the Reviewed column is a method to quickly see

which cases have been reviewed. For information about sorting

cases, see Sorting and grouping cases on page.62.

7 - Reviewing case details Event Review Pro User Guide

Using the Import

Service

Use the Import Service on the Administration navigation pane to import

cases into the Event Review Pro database automatically. The case data

can come from several sources:

• Case files exported by other users of Event Review/Event Review

Pro or Data Messenger

• Cases exported by third-party ePCR software

• From the MRx via batch LANdata transfer (BLDT)

• Via HTTP, using Data Messenger

See Configuring the Import Service on page.141 for information on your

configuration options.

When the Import Service detects that there is a case file with the

correct extension, it automatically 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

selection table. The Import Service moves the file to the archive folder

in the inbox folder.

To make any changes to the Import Service, you must run Event

Review Pro as an administrator.

To manage inbox folders, see Managing Import Service inboxes on

page.139.

To manage the working folder for HTTPtransfer, see Using the

HTTPImport Service on page.143.

To filter the device data, so that the only data imported is of certain

case types, see Managing Import Service inboxes on page.139.

To specify how long to keep the content in archive folders before it is

purged, see Managing Import Service inboxes on page.139.

138

139

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.73.

For information on how to monitor system usage, see Working with the

System Log on page.145.

If you want to configure and run an Import Service on another

machine that does not have Event Review Pro installed on it, see

the Server Pack documentation in the Implementation guide.

Case files that are password-protected cannot be imported with the

Import Service.

Managing Import Service inboxes

Use the Import Service workspace to add (up to 100), view, 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 5.0 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.

To make any changes to the Import Service, you must run Event

Review Pro as an administrator.

You can also filter the device data that is imported so that it includes

only certain case types (the default is to import all data).

By default, the content in archive folders is retained for 7 days.

However, you can decide how long to keep this data and purge the

folders after a designated number of days. For more information, see

Managing Import Service archives on page.142.

To view the Import Service inboxes

1. On the navigation pane, click the Administration navigation button.

2. On the Administration navigation pane, click Import Service.

To add an inbox

1. Display the Import Service workspace.

8 - Using the Import Service Event Review Pro User Guide

140

2. In the area below the Inbox folder box, click Add.

The Browse for Folder window opens.

3. Use one of the following methods:

• Navigate to an existing folder.

Note: Not all networked folders can be found by browsing. In

this case, type in the full path name of the folder.

• 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 Inbox folder area now appears.

5. Click Save.

The action is complete.

HeartStart MRx monitors that use batch LAN data transfer use the

directory that is configured by the FTPservice. This directory must

be designated as an inbox folder for it to import automatically to

Event Review Pro.

To remove inbox folders

1. Display the Import Service workspace.

2. In the list of inbox folders, click the one you want to remove and

click Remove.

The folder no longer appears in the list.

To filter the device data that is imported

1. Display the Import Service workspace.

2. In the Import Service Filters area, click the Import Device Data

that Includes Any of the Following button, and then check as

many of the boxes below as you want.

Device data that does not include any of the checked items will be

excluded from import.

8 - Using the Import Service Event Review Pro User Guide

141

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. Complete the typical Event Review Pro installation.

2. Navigate to the Windows Control Panel.

3. Click Administrative Tools.

4. Double-click Services.

5. Scroll to the Event Review Pro 5.0 Import Service and double-

click it to open it.

The Event Review Pro 5.0 Import Service Properties window

appears.

6. If you want the Import Service to run automatically when the

computer starts, under the General tab, change the notation in the

Startup Type column to Automatic and click Apply.

7. If you are using HTTP:Click the Log On tab and, under Log On As,

click This Account. Type a named administrator and password in

the appropriate boxes, and click Apply.

8. Click the General tab, click Start, and click OK.

To start the Import Service manually

1. Navigate to the Windows Control Panel.

2. Click Administrative Tools.

3. Double-click Services.

4. Right-click Event Review Pro 5.0 Import Service.

5. Click Start.

The System Log lists any Import Service activity. For more

information, see Working with the System Log on page.145.

If the Import Service can't connect, it will write the error(s) to the

Event Viewer (under Windows Logs / Applications).

8 - Using the Import Service Event Review Pro User Guide

142

The Import Service pauses for three minutes at the time of startup.

After processing all inboxes, the Import Service then pauses for one

minute before checking for new files. Processed files are moved to

archive files, which are stored in one of four possible directories:

• Cases successfully imported: Archive/YYYYMMDD/Imported

• Cases partially transmitted: Archive/YYYYMMDD/Incomplete

Transmission

• Cases not imported because of filters: Archive/YYYYMMDD/Not

Imported

• Cases not supported, or corrupted:Archive/YYYYMMDD/Error

All four types are deleted when the purge days have been exceeded (if

the purge limit is set).

Managing Import Service archives

After a file is imported successfully to the database, Import Service

moves the file to archive files, which are stored in one of four possible

directories:

• Case types successfully imported: Archive/YYYYMMDD/Imported

• Case types partially transmitted: Archive/YYYYMMDD/Incomplete

Transmission

• Case types not imported because of filters: Archive/YYYYMMDD/Not

Imported

• Case types not supported, or corrupted:Archive/YYYYMMDD/Error

To make any changes to the Import Service, you must run Event

Review Pro as an administrator.

You can purge these folders automatically after a designated number of

days—between 1 and 31 days. All four types are deleted when the purge

days have been exceeded (if the purge limit is set).

To purge archive folders

1. Display the Import Service workspace.

2. Below the Inbox Folders area, check the Purge Archive Folders

After box and type the number of days in the box following. You can

choose any number between 1 and 31.

8 - Using the Import Service Event Review Pro User Guide

143

All archive folders will be purged that number of days after the

contents are created.

Using the HTTPImport Service

The Import Service, working in conjunction with HeartStart Data

Messenger, supports the import of case data using HTTP. After you set

up HTTP, you can transfer case data from Data Messenger.

For more information, see the HeartStart Data Management

implementation guide.

To make any changes to the Import Service, you must run Event

Review Pro as an administrator.

When you use HTTP, you must set a special type of inbox folder, called a

working folder; you can have only one working folder. Use the Import

Service workspace to set, change, or clear the working folder.

For the Import Service to work properly with HTTP, you must run it

under a named administrator (not the default local service). See

Configuring the Import Service on page.141.

If you are importing from Data Messenger, you must open a TCP

port in the Windows firewall on the computer that is running Import

Service, and this port must correspond to the port used by Data

Messenger. By default, this is port 7080.

To enable the HTTPimport service and set the working folder

1. Display the Import Service workspace. For more information, see

Managing Import Service inboxes on page.139.

2. In the HTTP Import Working Folder area, click Set.

The Browse for Folder window opens. In the Browse for Folder

window, navigate to a folder. Make sure that the Import Service has

read/write permission for this folder.

3. Click OK.

The path to the folder in the HTTP Import Service area appears.

4. Click Save.

The action is complete.

8 - Using the Import Service Event Review Pro User Guide

144

To change the working folder

1. Display the Import Service workspace. For more information, see

Managing Import Service inboxes on page.139.

2. In the HTTP Import Working Folder area, click Set.

3. Use one of the following methods to change the working folder:

• Navigate to a different existing working folder.

• 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.

5. ClickSave.

The action is complete.

If you change the working folder while files are still waiting in the

previous working folder to be imported, those files will not be

imported.

To disable the HTTP Import Service and clear the working

folder

1. Display the Import Service workspace. For more information, see

Managing Import Service inboxes on page.139.

2. In the HTTP Import Working Folder area, click Clear.

The path to the folder in the HTTP Import Service area disappears.

3. Click Save.

The action is complete.

If you disable the import service while files are still in the working

folder waiting to be imported, those files will not be imported.

8 - Using the Import Service Event Review Pro User Guide

Working with the

System Log

You can view the System 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.41.

To display the system log

1. On the navigation pane, click the Administration navigation button.

2. On the 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:

• The type of activity, for example, Information or Error

• A description of the action

• The date and time when the action occurred

• The user logon name

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.

The software retains the last 10,000 system log entries.

For information about working with the log entries, see:

• Working with columns on page.35

• Grouping and sorting entries on page.35

• Filtering entries on page.37

145

146

• Removing filters on page.39

• Printing table entries on page.39

9 - Working with the System Log Event Review Pro User Guide

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.

Event Review Pro generates reports from case information.

If you import a redacted case, in any report that includes that case,

the redacted case appears with a series of asterisks in the patient

name fields, and the patient ID is replaced by a series of letters and

numbers, unique to each patient ID. If the redacted age of the

patient is greater than 90, the Date of Birth field is blank and the

Age field displays 90.

Report type availability is based on your installation. The following

categories of report types are available (though not all cases include

data for all reports):

Report category Based on

Case Information that appear on various tabs in the

Case Editor

See Working with case reports on page.155.

ECG ECG and other waveforms that appear on the

ECG tab in the Case Editor

See Working with ECG reports on page.155.

12-lead 12-lead waveforms that appear on the

12Lead tab in the Case Editor

See Working with 12-lead reports on

page.156.

CPR Quality of CPR information

See Working with Q-CPR Details reports on

147

148

Report category Based on

page.167.

See Working with Q-CPR Report Card reports

on page.158.

See Working with Q-CPR Response Time

reports on page.173.

See Working with zCPR Report Card reports on

page.179.

Selecting CPR Guidelines for reporting on

page.150.

Vital Trends Vital trends information that appears on the

ECGtab in the Case Editor

See Working with Vital Trends reports on

page.183.

(EMS Edition only) Response

times

Emergency response times

See Working with Response Times reports on

page.183.

(EMSEdition only)Utstein Utstein guidelines for reporting on aggregated

out-of-hospital cardiac arrests

See Working with Utstein reports on

page.186.

Self-Test Device self-test history

See Working with Device Self-test History

reports on page.187.

Selecting cases for reports

The Reports workspace provides a list of available report types, and the

Select Cases area, where you can filter the cases you want to report on

by date and by content.

The Select Cases area appears when you select a report type. The

logical options for the chosen report type are preselected. For example,

if the 12-Lead report type is chosen, then, in Select Case, the ECG and

12-Lead options are preselected.

10 - Working with reports Event Review Pro User Guide

149

Filter your case selection by defining the date range for the reports you

want to include. Date selections are at the top of Select Cases.

Date refers to the case date, usually the device-on date, not the

date a case was imported.

Two methods are available for specifying dates:

• From the last (1-365) days

This date is calculated from today's date, and saved across sessions,

for the specific report type.

• From (dd/mm/yyy) To (dd/mm/yyy)

Enter the earlier date in the From field.

This date range is saved for the current session, for the specific

report type.

More filtering options are grouped under With and And Have. Use

them to further define the list of cases to include in your report.

Use the selection menus, text fields, or check boxes adjacent to each

item to select the filters you want to add.

Some of the Device Data properties are preselected based on the report

type selected from the Reports navigation pane. For example, if 12-Lead

is selected in the Reports navigation pane, the checkbox "12-Lead" is

preselected, and cannot be edited.

To start the search and display matching cases

1. When the selection criteria are set, click Select to retrieve the

cases.

Cases matching the selection criteria appear in the table at the

bottom of the work area.

Note: You can print the table by right-clicking in the table and

clicking Print Table.

You can also export the table with all columns by right-clicking the

table and then clicking Export to Excel. This creates a Microsoft

Excel file in XLSX format.

For information about generating reports once the cases are selected,

see Generating a report using the Reports workspace on page.152.

10 - Working with reports Event Review Pro User Guide

150

Selecting CPR Guidelines for reporting

By default, the CPR guidelines used for reporting are the CPR guidelines

that were used by the defibrillator during an incident.

The Q-CPR and zCPR reports include a selection menu for Guidelines.

The menu default is Device Guidelines. You may select different

guidelines. The guidelines you select will be used to calculate the results

displayed in the report.

Guideline options include:

• Device Guidelines

• AHA 2005

• AHA 2010

• AHA 2015

• ERC 2005

• ERC 2010

• ERC 2015

There are options available for custom guidelines. If custom guidelines

are configured, they appear at the bottom of the Guidelines menu.

Custom CPR Guidelines

You can use the Administration workspace to create custom CPR

guidelines and save them for selection from the Guidelines menu of the

Q-CPR or zCPR reports.

In order to create custom CPR guidelines, you must be a member of

the Administrators group, or, when starting Event Review Pro,

right-click Run as administrator.

Configure custom CPR Guidelines in the Administration workspace. See

Using the Administration workspace on page.25.

To configure a custom CPR Guideline

1. From the Navigation pane, click Administration to open the

Administration workspace.

10 - Working with reports Event Review Pro User Guide

151

2. In the Administration workspace menu, under User CPR Guidelines,

click Create New Guidelines.

A CPR Guidelines setup space opens on the right.

3. In the Title field, enter a name for your custom CPR Guideline.

4. In the Description field, enter your description.

5. Under Depth, adjust the slider to set an upper and lower limit for

CPR depth.

6. Under Rate, adjust the slider to set an upper and lower limit for CPR

rate.

7. Click Save to save your custom CPR Guideline.

Your guideline is saved by name at the bottom of the User CPR

Guidelines list on the Administration workspace menu.

To delete a custom CPR Guideline

1. From the Navigation pane, click Administration to open the

Administration workspace.

2. In the Administration workspace menu, under User CPR Guidelines,

right-click the name of the custom CPR Guideline you want to delete.

3. Click Delete from the pop-up menu.

The custom CPR Guideline is deleted.

Generating reports

There are two approaches to generating a report; selecting a case and

then choosing a report type, or selecting a report type and then choosing

a case. The procedure is different for each approach.

• To select a case and then choose a report type, see Generating a

report for an open case on page.151.

• To select a report type and then choose a case, see Generating a

report using the Reports workspace on page.152.

Generating a report for an open case

You can generate a report for an open case.

10 - Working with reports Event Review Pro User Guide

152

To generate a report for an open case

1. Open a case. For more information, see Displaying case details on

page.61.

2. On the File menu or toolbar, click Print, and then click Report, and

select a report type.

The report opens in the Report Preview window.

Use the tools in Report Preview to customize the report settings, and to

view, print, or export the report. See Working in Report Preview on

page.153.

Generating a report using the Reports

workspace

Use the Reports workspace to choose a report type, search the database

for available cases, and then generate a report.

To open the Reports workspace, click the Reports navigation button.

Aselection list of the available report types appears on the Reports

navigation pane.

To generate a report from the database

1. From the Reports navigation pane, select a report type.

Follow the instructions for selecting a case or cases in Selecting

cases for reports on page.148.

2. After setting up your case selection search in the Select Cases area,

click Select.

The application locates the required case or cases.

• For single-case report types, a list of matching cases in the database

opens at the bottom of the Reports workspace.

When this happens, double-click the case row to open the report in

the Report Preview window.

• For aggregate report types, when you click Select, the report opens

in the Report Preview window.

Use the tools in Report Preview to customize the report settings, and to

view, print, or export the report. See Working in Report Preview on

page.153.

10 - Working with reports Event Review Pro User Guide

153

Working in Report Preview

The Report Preview window opens when a report is generated.

User-configurable settings, specific to each report type, are located on

the customization tab of the Report Preview window. For reports with

user-configurable options, in the customization tab area, choose the

parameters to customize the report. The report regenerates with the

settings.

Customized settings persist for a report type. For example, when you

open an ECG pre- and post-shock report, you can choose to display a

grid, or hide it. Your custom settings are re-applied the next time you

open an ECG pre- and post-shock report. At that time, you can keep the

settings, or change them.

All the tools for viewing, printing or exporting a report are available on

the toolbar of the Report Preview window.

To view a report that has multiple pages, click the

first/previous/next/last page icons in the Navigation section.

To find specific text in the report, click Find, type a string to search for,

specify any search options, and click Find Next.

Click one of the print options to print the report being previewed:

• Click Print to select a printer, number of copies, and other printing

options. When you have made these specifications, click Print.

• Click Quick Print to send the report directly to the default printer

without making changes.

Click Export to to export a report to a file. A window appears allowing

you to specify details.

The following table explains the function of each toolbar icon:

Button Description

Click Print or press CTRL+P to select a printer, number of copies,

or other printing options before printing.

Click Quick Print to send the document directly to the default

printer without making changes.

Click First Page or press CTRL+HOME to navigate to the first page

of the document.

10 - Working with reports Event Review Pro User Guide

154

Button Description

ClickPrevious Page or pressPAGEUP to navigate to the previous

page of the document.

Click Next Page or press PAGEDOWN to navigate to the next page

of the document.

Click Last Page or press CTRL+END to navigate to the last page of

the document.

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 at a 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 PDF format, and save it

to a file on a disk. A window to specify parameter settings for the

export file appears.

Printing reports

Use Print or Quick Print on the Report Preview toolbar to print a report.

See Working in Report Preview on page.153.

Exporting reports

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.

On the Report Preview toolbar, use Export to PDF to export a report to

a file.

See Working in Report Preview on page.153.

10 - Working with reports Event Review Pro User Guide

155

Working with case reports

Case reports include detailed case information based on the information

collected on the tabs in the Case Editor.

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.151.

The Case report

The Case report, also called the Case details report, shows information

from tabs in the Case Editor. You can choose to append all the available

report types for that case into one report, rather than printing each one

separately. To do so, in Report Preview, on the Case Customization tab,

check all the report types that you want to include. Then, on the tab for

each of these report types, select the parameter settings you want to

include in the Case report.

The Case events report

The Case events report lists events from the Event log in the Case

Editor. In Report Preview, on the Case Customization tab, you can

choose to hide or show event parameters.

For more information, see the following topics:

• Working in Report Preview on page.153

• Printing reports on page.154

• Exporting reports on page.154

Working with ECG reports

ECG reports are based on the ECG strip on the ECG tab in Cases.

For information on how to generate a report, see Working with reports

on page.147.

You can choose which waveforms are visible. The Rhythm strip is

shown with a red grid. Other waveforms are shown with a blue grid.

ECGFull Disclosure

The ECG Full Disclosure report includes the entire ECG.

10 - Working with reports Event Review Pro User Guide

156

The report uses the following parameter settings:

• Change the scale of the waveform

• Display grid

• Events

• Notes

• Beat labels

• Selected waveforms

• Overlay waveforms

• Scale

• Elapsed time/Clock time

• Orientation (Portrait or Landscape)

Dashes 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.

The report uses the following parameter settings:

• Change the scale of the waveform

• Grid

• Events

• Notes

• Beat labels

• Selected waveforms

• Presenting seconds

• Closing seconds

• Preshock seconds

• Postshock seconds

Working with 12-lead reports

12-lead reports are based on 12-lead ECG recordings in a case, if

present.

10 - Working with reports Event Review Pro User Guide

157

View 12-leads on the 12 Lead tab in the Case Editor. For information on

viewing 12-leads, see Working with 12-lead ECGs on page.119.

You can print 12-lead reports from the File menu or application toolbar.

For more information, see Generating reports on page.151. When the

print preview of the report is open, the parameter settings appear at the

top of the preview.

In the 12-lead report you can choose from the following parameter

settings:

Demographics

Select one of the following:

• Original The default selection, the report shows the patient

information recorded by the device.

• Override report with case information Patient information

entered on the Overview tab in the Case Editor is shown in the

report, in place of patient information recorded by the device. This

setting could be helpful in correcting a patient name, for example.

The change appears only in the report. The information recorded by

the device is not altered.

• Redact patient information Patient information recorded by the

device is not shown in the report. Reference ID, if entered, is not

redacted. The change appears only in the report. The information

recorded by the device is not altered.

Timing

Select one of the following ECG display methods:

• Simultaneous The defualt selection

• Time Sequential

Display Grid

Check this box to add a grid behind the ECG waveforms. The grid is

visible in the on-screen preview and when printed.

10 - Working with reports Event Review Pro User Guide

158

Working with Q-CPR Report Card

reports

The Q-CPR Report Card report is based on the quality of the CPR that a

patient received during the episode.

Customizing the Q-CPR Report Card report

Once selected, the following settings, except Responder, persist when

the application is reopened.

• GuidelinesIn the Guidelinesmenu you can select the CPR

Guidelines used to generate the report. The default is Device

Guidelines, the CPR guidelines that were used by the defibrillator

during the incident.

Other available guideline options are AHA 2005, 2010, or 2015, ERC

2005, 2010, or 2015, or Custom (if configured). Up to 15 custom

guidelines can be saved. Custom CPR Guidelines are set in the

Administration workspace. For details, see Selecting CPR Guidelines

for reporting on page.150.

• DepthYou can select the compression depth units, inches or

millimeters. You can toggle between inches and millimeters. The

default setting is inches.

• ResponderYou can filter results by responder (limit the results to

CPR performed by a specific responder) by selecting a CPR

responder from this menu. The default is All, and the report displays

statistics for the entire episode, including all responders. You can

filter by responder if responders are annotated.

In order to filter by responder, you need to annotate the

compression waveform with responder type, and enter the

responder name in the name field. For details, see Adding CPR

responder annotations on page.128.

• Ignore episode markersCheck this option if you want to ignore

the episode markers and report on the entire recording from device

on to device off.

When this option is unchecked, the episode start and end times are

set to one second prior to the first compression event, and one

second after the last compression event. The user can manually

adjust the episode start and end times from the ECG viewer.

10 - Working with reports Event Review Pro User Guide

159

By default, this option is unchecked (do not ignore).

• Split by intubationYou can choose whether to split the intervals

by intubation events. By default this is checked (split).

• Display/Hide report sectionsYou can choose whether to show

parts of the report.

• Toggle to show or hide Q-CPR tabular details.

By default this is checked (show).

• Toggle to show or hide ventilation data.

By default this is checked (show).

• Toggle to show or hide compression strips.

By default this is checked (show).

Information in the report

The report contains information about the quality (rate and depth) of

CPR in the episode.

The report information is presented in these pages:

• Information in the Q-CPR Report Card chart on page.159.

• Information in the Q-CPR Report Card details on page.163.

• Information in the Q-CPR Report Card compression strips on

page.166

Information in the Q-CPR Report Card chart

The following illustration shows the general arrangement of the Q-CPR

Report Card chart page. The general arrangement is the same in all

languages. Refer to the table after the illustration for definitions.

10 - Working with reports Event Review Pro User Guide

160

Key to illustration numbers for the previous illustration:

1 CPR guideline parameters This field shows the CPR guideline

depth and rate targets used to calculate the CPR quality shown in the

report. When no upper target is specified, only the lower target is

shown.

Note that when Guidelines other than Device are selected,

this field appears highlighted in yellow.

2 30-Second IntervalStatistics All the statistics in this box are

calculated based on 30-second intervals.

3 Compression Quality The charts in this box show the overall

compression quality for all intervals in the episode. For the overall

compression quality chart, the compression depth quality chart, and

the compression rate quality chart, the labels in each slice show the

percentage of intervals in each category. The color legend below the

charts shows the actual number of intervals in each category.

10 - Working with reports Event Review Pro User Guide

161

4 Compression Depth Qualitygauge This gauge shows the average

compression depth over the entire episode. The segment colors

correspond to the colors of the chart below. The marker beneath the

gauge is green if the average depth is in the target zone, red if below

the target zone, and yellow if above the target zone. The label shows

the actual average depth value, as well as the lower and upper (if

applicable) targets.

5 Compression Depth Quality chart This chart shows the

compression depth quality for all intervals in the episode. Intervals

with an average compression depth greater than or equal to the lower

target and less than or equal to the upper target (if applicable) are

depicted in the green slice. Intervals with an average compression

depth less than the lower target are depicted in the red slice. Intervals

with an average compression depth greater than the upper target (if

applicable) are depicted in the yellow slice.

6 Compression Rate Quality gauge This gauge shows the average

compression rate over the entire episode. The segment colors

correspond to the colors of the chart below. The marker beneath the

gauge is green if the average rate is within the target zone, red if below

the target zone, and yellow if above the target zone. The label shows

the actual average rate value, as well as the lower and upper (if

applicable) targets.

7 Compression Rate Quality chart This chart shows the

compression rate quality for all intervals in the episode. Intervals with

a compression rate greater than or equal to the lower target and less

than or equal to the upper target (if applicable) are depicted in the

green slice. Intervals with a compression rate less than the lower

target are depicted in the red slice. Intervals with a compression rate

greater than the upper target (if applicable) are depicted in the yellow

slice.

8 Compression Release Quality chart This chart shows the

percentage of compressions with complete release versus incomplete

release (leaning) for the episode. The legend shows the actual number

of compressions with complete and incomplete releases.

9 Hands-On/Hands-Off Time chart This chart shows the amount

of hands-on versus hands-off time for the episode. Green represents

hands-on time , and red represents hands-off time. The slice labels

show hands-on and hands-off time as percentages of the entire

episode time. The legend shows the actual amount of hands-on and

hands-off time in hours, minutes and seconds.

10 Q-CPR Episode Summary This section contains a summary of the

episode. This information is duplicated on the details page.

10 - Working with reports Event Review Pro User Guide

162

11 Responder This field shows the CPR responder by name. The

selection is made in the Responder menu on the Q-CPR Customization

area in the report. When All is selected in the Responder menu (the

default selection), an empty string appears in this field.

10 - Working with reports Event Review Pro User Guide

163

Information in the Q-CPR Report Card details

The following illustration shows the general arrangement of the Q-CPR

Report Card details page. The general arrangement is the same in all

languages. Refer to the table after the illustration for definitions.

Key to illustration numbers for the previous illustration:

1 Q-CPR Episode Summary

• Episode start time: The episode start time defaults to 1 second

prior to the first compression event. The user can adjust the episode

start time from the ECG tab in the Event Review Pro Case Editor.

• Total length of episode: Total time from episode start to episode

end. The episode end time defaults to 1 second after the last

compression event. The user can adjust the end time from the ECG

tab in the Event Review Pro Case Editor. In addition, the user can

ignore the episode markers and make the episode correspond to the

entire recording from device on to device off.

• Episode shocks/total shocks: Shows both the total number of

shocks that lie between episode start and episode end and the total

number of shocks in the recording.

• Time device on: Device-on time as recorded by the device.

• Time device off: Device-off time as recorded by the device.

• Total time excluded from statistical calculations: Total time

of all exclusion periods. The user can add and adjust exclusion periods

using the ECG tab in the the Event Review Pro Case Editor.

10 - Working with reports Event Review Pro User Guide

164

2 Compression Data

• Total number of compressions: Total number of compressions

in the entire episode.

• Total compressions with in-target depth: Total number of

compressions in the entire episode, where the depth was greater

than or equal to the lower target and less than or equal to the upper

target.

• Total compressions with insufficient depth: Total number of

compressions in the entire episode, where the depth was less than

the lower target.

• Total compressions with incomplete release: Total number of

compressions in the entire episode, where there was an incomplete

release (leaning).

• Compressions with complete release [percentage]:

Percentage of compressions with complete release in the entire

episode.

• Average compression rate [/min] [xx-yy]: Average

compression rate of the entire episode, where xx is the lower rate

target and yy is the upper rate target.

• Average depth [xx u to yy u] or [at least xx u]: Average

compression depth over the entire episode, where xx is the lower

target, u is the units (inches or mm), and yy is the upper target.

• In-target depth [percentage]: Percentage of compressions

over the entire episode, where the depth was greater than or equal to

the lower target and less than or equal to the upper target.

• Average compression counts [/min]: Average number of

compression events per minute over the entire episode.

10 - Working with reports Event Review Pro User Guide

165

3 Flow/Hands On Time

• Flow time [percentage]: Flow time as percentage of the entire

episode. Flow time represents blood-flow time which includes the

hands-on time, and the perfusion time during hands-off time as

annotated by the user.

NOTE: Flow time is calculated from the time a PR annotation is made

to the time any non-perfusion annotation is made.

• Hands-on time [percentage]: Hands-on time as percentage of

the entire episode. Hands on time is the time with active chess

compression.

• Average no-flow time before shock[s]: Average no-flow time

before each shock in the episode.

• Average no-flow time after shock[s]: Average no-flow time

after each shock in the episode.

• No-flow time: No-flow time in hours, minutes, and seconds over

the entire episode. No-flow time is time between compressions where

no perfusion is recorded. The user can identify perfusion by

annotating the ECG with PR (perfusing rhythm) annotations.

• Hands-off time: Hands-off time in hours, minutes, and seconds

over the entire episode.

4 Ventilation Data

• Total number of ventilations: Total number of ventilations in

the entire episode.

• Total time before intubation: Total time in hours, minutes,

seconds before intubation.

• Total time after intubation: Total time in hours, minutes,

seconds after intubation.

• Average ventilation rate before intubation [/min]: Average

ventilations per minute before intubation.

• Average ventilation rate after intubation [/min]: Average

ventilations per minute after intubation.

10 - Working with reports Event Review Pro User Guide

166

5 Defibrillation data

• Time from power-on to first shock: Time in hours, minutes,

and seconds from device power-on to the first shock.

• Total analysis and shock-delivery time: Total time in hours,

minutes, and seconds, where the device is either in analysis mode or

delivering a shock (AED devicesonly).

• Average analysis and shock delivery time: Average analysis

and shock delivery time in hours, minutes, and seconds for all episode

shocks (AED devicesonly).

Information in the Q-CPR Report Card

compression strips

The following illustration shows the general arrangement of the Q-CPR

Report Card Compression strips page. The general arrangement is the

same in all languages. Refer to the table after the illustration for

definitions.

Key to illustration numbers for the previous illustration:

10 - Working with reports Event Review Pro User Guide

167

1 Rate Quality BandThis band contains rate markers that show the

average rate for each 30 second segment. The target rate is shown

with a shaded strip: green = in-target, red = below target, yellow =

above target. The band range is between 30 and 150cpm so that the

target range can be distinguished. Rates below 30cpm are not visible

(but will be shaded red).

2 CPR Quality Band The CPR quality band shows the overall quality for

each 30 second segment. The segments are color coded: red = depth

and rate out of target, green = depth and rate in target, yellow = rate

in target, depth out of target, orange = depth in target, rate out of

target.

3 Depth Quality Band This band contains the compression waveform.

The target depth is shown with a shaded strip: green = in-target, red =

below target, yellow = above target.

4 Rate Bar The height of each line connected to the marker represents

the rate. Ideally the end of the line should be within the shaded area.

5 30 Second Interval The bands are comprised of 30 second intervals.

Each interval is marked with a white vertical line.

6 Incomplete Release Marker Compressions with incomplete release

are marked by a red down-arrow with a bar across the top.

7 Responder Switch Annotation Each responder CPR annotation is

marked with an icon with the name of the responder.

8 Key to symbols and color codes

Working with Q-CPR Details reports

You can see details about Q-CPR data for a single episode in the Q-CPR

Details report. To see what data is included in this report, see Q-CPR

Details report data on page.169.

If you want to export the Q-CPR Details report data to a spreadsheet,

select the Q-CPR Details Tabular Export report. You can compile

details for multiple cases and display them with the results.

In Report Preview, use the settings at the top of the preview to

customize the way the data is presented in the report. See Working in

Report Preview on page.153.

Customizing the Q-CPR Details report

Once selected, the following settings persist when the application is

reopened.

10 - Working with reports Event Review Pro User Guide

168

• GuidelinesIn the Guidelinesmenu you can select the CPR

Guidelines used to generate the report. By default, the report uses

the CPR guidelines that were used by the defibrillator during the

incident, Device Guidelines.

The available options are AHA 2005, 2010, or 2015, ERC 2005, 2010,

or 2015, or Custom (if configured). Up to 15 custom guidelines can

be saved. Custom CPR Guidelines are set in the Administration

workspace. For details, see Selecting CPR Guidelines for reporting

on page.150.

• DepthYou can select the compression depth units, inches or

millimeters. The default setting is inches. You can toggle from inches

to millimeters.

• Split by responderBy default, the option is unchecked: the report

will display statistics on the entire episode for all CPR responders in

a single block. You can choose to split the results by reponder.

Before you can split by responder, you need to annotate the

compression waveform (right-click the waveform and then click

Add Note), and add a name in the responder name field. For

details, see Adding CPR responder annotations on page.128.

• Ignore episode markersBy default, this is unchecked. Check this

option if you want to ignore the episode markers and report on the

entire recording from device on to device off (default is unchecked).

The episode start and end times default to one second prior to the

first compression event and one second after the last compression

event respectively. The user can manually adjust the episode start

and end times from the ECG viewer.

• Split by intubationYou can choose whether to split the intervals

by intubation events. By default this is checked.

• IntervalsYou can select the interval used to calculate statistics.

Click either No intervals, 30 second intervals, or 60-second

intervals.

Information in the report

The report contains detailed information about CPR in tabular form.

See Q-CPR Details report data on page.169.

10 - Working with reports Event Review Pro User Guide

169

Q-CPR Details report data

This section provides a description of the Q-CPR data that appear in the

Q-CPR Details report.

You can create a Q-CPR Details Tabular Export report that includes data

from multiple cases, with the results separated by case. This data can

be exported to a Microsoft® Excel spreadsheet.

Q-CPR statistics section

Statistic

label Description

Type The time period for the data: Episode, Period, or Interval.

Start The start time of the statistics coverage, in milliseconds from

the start of the first compression event.

Length The length of the statistics covered time (up to one second

after the last compression event), in milliseconds.

NFT The no-flow time (NFT), in milliseconds.

NFT% The no-flow time ratio. NFT divided by length, expressed in

percent.

FT The flow time (FT), in milliseconds. It is defined as the length

of the statistic minus the NFT, in milliseconds.

FT% The flow time ratio. Flow time divided by the length,

expressed in percent.

Compression section

Statistic label Description

Comp The total number of compressions.

Correct The total number of compressions that are in-target and

are not leaning.

Deep 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.

10 - Working with reports Event Review Pro User Guide

170

Statistic label Description

Leaning 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.

In Target % The ratio of adequate count to total count.

Ventilation section

Statistic

label Description

Vent 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 pre-intubation and post-intubation

period. If not, the ventilation rate is for the entire episode.

dt The average inflation time, in milliseconds.

dz The average inflation level, in mOhms.

Too Fast The total number of ventilations that are too fast (too short in

duration).

No Sign of Circulation (NSC) section

Statistic

label Description

NSC The total No Sign of Circulation (NSC) time, in milliseconds.

Comp The average compression rate during the NSC time.

NFT/NSC The ratio of No Flow Time (NFT) to No Sign of Circulation

(NSC).

Summary section

Statistic

label Description

Shock count The total number of shocks in the episode.

Shocks

included

Number of shocks included in this shock summary statistics.

10 - Working with reports Event Review Pro User Guide

171

Statistic

label Description

Power on to

1st shock

Time from power‐on to first shock, in milliseconds.

Analysis +

Delivery time

total

Total analysis and shock delivery time, in milliseconds.

Analysis +

Delivery time

avg

Average time from start of analysis to shock delivery, in

milliseconds.

Avg pre HOT Average hands off time before shock delivery, in milliseconds.

Avg post HOT Average hands off time after shock delivery, in milliseconds.

Total count Total number of analyses in the episode.

Total included Number of analyses included in this analysis summar

statistics.

Auto total Number of auto‐initiated analysis included in this analysis

summary statistics.

Manual total Number of manually initiated analysis included in this analysis

summary statistics.

Result

incomplete

Number of analyses indicated no shock decision was made.

Result shock

ind

Number of analyses indicated shock was advised.

Result no

shock ind

Number of analyses indicated no shock was advised.

Total time Total analysis time, in ms (does not include those with

incomplete results)

Avg time Average time for the analyses to make the shock or no shock

decision, in ms (does not include those with incomplete

results).

Pre HOT total Total pre shock hands on time in milliseconds.

Pre HOT avg Total hands off time before start of analysis, in milliseconds.

Post HOT total Total hands off time after start of analysis, in milliseconds.

Post HOT avg Average hands off time after the start of analysis, in

milliseconds.

10 - Working with reports Event Review Pro User Guide

172

Shock statistics section

Statistic

label Description

Index Shock index within the whole incident case.

Start Shock start time in milliseconds.

Analysis time Time from the start of analysis event to the shock delivery

event, in milliseconds.

Pre HOT Hands off time (HOT) before the shock delivery, in

milliseconds.

Post HOT Hands off time (HOT) after the shock delivery, in milliseconds.

Analysis statistics section

Statistic

label Description

Start Time the analysis started, in milliseconds, from the start time.

Analysis time Length of time, in milliseconds, of the analysis.

Type Analysis initiated manually, or automatically (in AED mode.)

Result The analysis result.

Pre HOT Hands off time (HOT) before the analysis started, in

milliseconds.

This is defined as the shortest time of:

• Time from last compression to start of analysis.

• Time from start of the period to start of the analysis.

• Time from last shock to the start of analysis.

• Time from the ending of last analysis to the start of this

analysis.

• Time from the start of last analysis to the start of this

analysis.

10 - Working with reports Event Review Pro User Guide

173

Statistic

label Description

Post HOT Hands off time (HOT) before the analysis started, in

milliseconds. The time is measured from when the analysis

started, not from when the analysis was completed.

This is defined as the shortest time of:

• Time from start of analysis to next compression.

• Time from start of analysis to end of the period.

• Time from start of analysis to next shock.

• Time from start of analysis to start of next analysis, in this

case, the analysis time is used instead.

Working with Q-CPR Response Time

reports

The Q-CPR Response Times report shows overall CPR performance for

all cases in a given time range (up to a maximum of 24 months) as well

as trends over the same period.

Depending on the number of cases included in the time range, this

report may take hours to generate.

Customizing the Q-CPR Response Times report

Once selected, the following settings persist when the application is

reopened.

• Start Date You can specify the start date for the time range. The

report includes cases from this date. The default setting is today's

date minus two years.

• End Date You can specify the end date for the time range. The

report includes cases up to and including this date. The default

setting is today's date.

• Compression Count Threshold You can select the compression

count threshold. The report will include only cases that have more

than this number of compressions. The default setting is 1

compression.

10 - Working with reports Event Review Pro User Guide

174

• Depth You can select the compression depth units, inches or

millimeters. The default setting is inches. You can toggle from inches

to millimeters.

• Institution Only cases that match this Institution value will be

included in the report. This information comes from the Institution

field, on the Overview tab.

• Reference ID Only cases that match this Reference ID value will

be included in the report. This information comes from the

Reference ID field, on the Overview tab.

Graphical information in the Q-CPR Response Times report

The report contains an overview page and a details page, each

presenting information in a graphical format.

• Information in the Q-CPR Response Times overview on page.174

• Information in the Q-CPR Response Times details on page.178.

Information in the Q-CPR Response Times

overview

The following illustration shows the general arrangement of the

overview. The general arrangement is the same in all languages. Refer

to the table after the illustration for definitions.

10 - Working with reports Event Review Pro User Guide

175

Key to illustration numbers for the previous illustration:

1 Start date: The start of the date range. The report includes cases with

a case date greater than or equal to this date.

2 End date: The end of the date range. The report includes cases with a

case date less than or equal to this date.

3 Total cases: The total number of cases included in the report results.

4 Cases with 12-leads: The total number of cases with 12-leads in

the report results.

5 Average shocks per case: Average shock events per case for the

cases included in the report results.

6 Cases with shocks:The total number of cases included in the report

results which include shocks.

7 Cases with Q-CPR: The total number of cases included in the report

results which include Q-CPR data.

10 - Working with reports Event Review Pro User Guide

176

8 Compression threshold/cases excluded:This field shows 2

values.

The first shows a compression event count threshold. Cases with a

total number of compressions below this threshold are excluded from

Q-CPR calculations, but are not excluded from the other statistics

included in the report.

The second value shows the total number of cases that were excluded

from Q-CPR calculations.

9 Overall CPR quality chart: This chart shows the overall

compression quality for all intervals in the date range.

Intervals with both compression depth and rate in target are depicted

in green.

Intervals with both compression depth and rate out of target are

depicted in red.

Intervals with compression depth in target and rate out of target are

depicted in orange.

Intervals with compression rate in target and depth out of target are

depicted in yellow.

10 Compression depth quality chart: This chart shows the

compression depth quality for all intervals in the date range.

Intervals with an average compression depth greater than or equal to

the lower target and less than or equal to the upper target (if

applicable) are depicted in the green slice.

Intervals with an average compression depth less than the lower

target are depicted in the red slice.

Intervals with an average compression depth greater than the upper

target (if applicable) are depicted in the yellow slice.

The average compression depth is shown above the pie chart.

Note that, unlike in the Q-CPR report card, the depth targets are not

shown. This is because the data may contain input from multiple

devices using different CPR guidelines.

11 Hands on/off time chart: This chart shows the amount of hands

on/off time for the date range. Green represents hands-on time and

red represents hands-off time.

10 - Working with reports Event Review Pro User Guide

177

12 Compression rate quality chart: This chart shows the compression

rate quality for all intervals in the date range.

Intervals with a compression rate greater than or equal to the lower

target and less than or equal to the upper target (if applicable) are

depicted in the green slice.

Intervals with a compression rate less than the lower target are

depicted in the red slice.

Intervals with a compression rate greater than the upper target (if

applicable) are depicted in the yellow slice.

The average compression rate is shown above the pie chart.

Note that, unlike in the Q-CPR report card, the rate targets are not

shown. This is because the data may contain input from multiple

devices using different CPR guidelines.

13 Average time to first 12-lead: Average time to first 12-lead for

each month, for cases with 12-lead data. No point is drawn if there are

no cases with 12-leads in a given month.

14 Average time to first shock: Average time to first shock for each

month, for cases which include shock events. No point is drawn if there

are no cases with shock events in a given month.

10 - Working with reports Event Review Pro User Guide

178

Information in the Q-CPR Response Times

details

The following illustration shows the general arrangement of the CPR

Details. The general arrangement is the same in all languages. Refer to

the table after the illustration for definitions.

Key to illustration numbers for the previous illustration:

1 Below target: (Red) This chart section shows the percentage of cases

in the period with average CPR depth and rate below target.

2 Rate in target: (Yellow) This chart section shows the percentage of

cases in the period with average CPR rate but not depth in target.

3 Depth in target: (Orange) This chart section shows the percentage of

cases in the period with average CPR depth but not rate in target.

4 In target: (Green) This chart section shows the percentage of cases

in the period with average CPR depth and rate in target.

10 - Working with reports Event Review Pro User Guide

179

5 Total cases: This line graph shows the total number of cases with CPR

for each month. The right vertical axis represents total cases.

6 Average compression depth: This line graph shows the average

compression depth over all cases with CPR data for each reported

month.

7 Average compression rate: This line graph shows the average

compression rate over all cases with CPR data for each reported

month.

Working with zCPR Report Card

reports

The zCPR Report Card report is based on the impedance data recorded

by the defibrillator during the episode. It is used to view CPR rate data

and hands-on/hands-off time for cases where the HeartStart Q-CPR

meter was not used.

zCPR should not be used for determining chest compression depth

or chest compression release.

Customizing the zCPR Report Card report

Once selected, the following settings persist when the application is

reopened.

• Guidelines In the Guidelinesmenu you can select the CPR

Guidelines used to generate the report. The default setting is

AHA2010, and only the CPR rate guidelines apply, because

impedance data does not capture CPR depth information.

Other available guideline options are AHA 2005 or 2015, ERC 2005,

2010, or 2015, or Custom (if configured). Custom CPR Guidelines are

set in the Administration workspace. For details, see Selecting CPR

Guidelines for reporting on page.150.

• ResponderYou can filter results by responder (limit the results to

CPR performed by a specific responder) by selecting a CPR

responder from this menu. The default is All, and the report displays

statistics for the entire episode, including all responders. You can

filter by responder if responders are annotated.

10 - Working with reports Event Review Pro User Guide

180

In order to filter by responder, you need to annotate the

compression waveform with responder type, and enter the

responder name in the name field. For details, see Adding CPR

responder annotations on page.128.

• Interval In seconds. Choose 10, 15 or 30 (default).

• Ignore episode markersCheck this option if you want to ignore

the episode markers and report on the entire recording from device

on to device off. When this option is unchecked, the episode start

and end times are set to one second prior to the first compression

event, and one second after the last compression event. The user

can manually adjust the episode start and end times from the ECG

viewer. By default, this option is unchecked (do not ignore).

• Display compression stripsYou can choose whether to show or

hide compression strips in the report. By default this is checked

(show).

Information in the report

The report contains information about the rate of CPR in the episode.

• Information in the zCPR Report Card chart on page.180.

• Information in the zCPR Report Card compression strips on

page.182.

Information in the zCPR Report Card chart

The following illustration shows the general arrangement of the zCPR

Report Card chart page. The general arrangement is the same in all

languages. Refer to the table after the illustration for definitions.

10 - Working with reports Event Review Pro User Guide

181

Key to illustration numbers for the previous illustration:

1 CPR guideline parametersThis field shows the CPR guideline rate

targets used to calculate the CPR quality shown in the report. When no

upper target is specified, only the lower target is shown.

2 Compression Rate Quality gauge This gauge shows the average

compression rate over the entire episode. The segment colors

correspond to the colors of the chart below. The marker beneath the

gauge is green if the average rate is within the target zone, red if below

the target zone, and yellow if above the target zone. The label shows

the actual average rate value, as well as the lower and upper (if

applicable) targets.

3 Compression Rate Quality chartThis chart shows the compression

rate quality for all intervals in the episode. Intervals with a

compression rate greater than or equal to the lower target and less

than or equal to the upper target (if applicable) are depicted in the

green slice. Intervals with a compression rate less than the lower

target are depicted in the red slice. Intervals with a compression rate

greater than the upper target (if applicable) are depicted in the yellow

slice.

4 Hands-On/Hands-Off Time chartThis chart shows the amount of

hands-on versus hands-off time for the episode. Green represents

hands-on time , and red represents hands-off time. The slice labels

show hands-on and hands-off time as percentages of the entire

episode time. The legend shows the actual amount of hands-on and

hands-off time in hours, minutes and seconds.

10 - Working with reports Event Review Pro User Guide

182

5 CPR Episode SummaryThis section contains a summary of the CPR

episode.

6 Compression DataThis section contains a summary of the

compression events.

7 Responder This field shows the CPR responder by name. The

selection is made in the Responder menu on the Q-CPR Customization

area in the report. When All is selected in the Responder menu (the

default selection), an empty string appears in this field. his

8 Hands-On/Hands-Off Time table This section contains a summary

of the hands on time periods.

9 Defibrillation Data This section contains a summary of the episode

shocks.

Information in the zCPR Report Card

compression strips

The following illustration shows the general arrangement of the zCPR

Report Card compression strips page. The general arrangement is the

same in all languages. Refer to the table after the illustration for

definitions.

Key to illustration numbers for the previous illustration:

10 - Working with reports Event Review Pro User Guide

183

1 Rate Quality Band This band contains rate markers that show the

average rate for each interval of 10, 15, or 30 seconds in length. The

target rate is shown with a shaded strip: green = in-target, red =

below target, yellow = above target. The band range is between 30

and 150 cpm so that the target range can be distinguished. Rates

below 30 cpm are not visible (but will be shaded red).

2 zComp This band contains the compression waveform.

3 Rate Bar The height of each line connected to the marker represents

the rate. Ideally the end of the line should be within the shaded area.

4 Interval The bands are comprised of intervals of 10, 15, or 30

seconds in length. Each interval is marked with a white vertical line.

5 Key to symbols and color codes

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:

• Case ID, device, and patient information

• 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.

You can generate Response Times reports to assess 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.151.

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.

10 - Working with reports Event Review Pro User Guide

184

The following fields are used and incorporated in Response Times

reports:

• Call Receipt

• Bystander CPR

• Dispatcher Began AED or CPR Instruction

• BLS Unit Notified

• BLS Vehicle Mobile

• BLS Arrival at Scene

• BLS EMS CPR

• ALS Unit Notified

• ALS Vehicle Mobile

• ALS Arrival at Scene

• ALS arrival at Patient

• ALS EMS CPR

Certain database fields must contain data in order to generate the

Response Time reports. Ensure that you have entered the following

Timeline events for each case you want to report on:

• Call Receipt

• ALS/BLS Unit notified

• ALS/BLS Vehicle mobile

• ALS/BLS Arrival at scene

• ALS/BLS Arrival at patient

• ALS/BLS EMS CPR

Time to first shock is calculated from the device data.

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:

• Start date

• End date

• Site of collapse

10 - Working with reports Event Review Pro User Guide

185

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:

• Start date

• End date

• Site of collapse

• Percentile (required, median is 50%)

Average Response Times

This report summarizes, for a specific unit, the average response times

for key milestones in your 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:

• Start date

• End date

• Site of collapse

• 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:

• Start date

• End date

• Site of collapse

• Unit

• Percentile (required, median is 50%.)

10 - Working with reports Event Review Pro User Guide

186

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.151.

Event Review Pro saves the parameter settings and displays them the

next time you select the report.

Certain database fields must contain data in order to generate the

Utstein reports. Ensure that you have entered the following Scene

details for each case you want to report on:

• Resuscitation attempted

• Initial rhythm

• Witnessed by

• Cardiac etiology

• Confirmed cardiac arrest

• Bystander CPR

Ensure that you have entered the following Outcome details for each

case you want to report on:

• Any ROSC

• Admitted to ICU/ward

• Discharged

• Alive at one year

• Patient death

Unwitnessed with Bystander CPR

The Unwitnessed with Bystander CPR report summarizes the

unwitnessed cardiac arrests that are in your system.

The report uses the following parameter settings:

• Start date

10 - Working with reports Event Review Pro User Guide

187

• End date

• Location

• 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:

• Start date

• End date

• Location

• 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:

• Start date

• End date

• Location

• Population served by EMS system

Working with Device Self-test History

reports

Event Review Pro generates a Device Self-test History report for self-

test data imported from a specific AED device. For information about

importing device self-test data, see Importing device self-test data

using the Device Self-test Wizard on page.209.

Device self-test data can be imported from HeartStart AED devices.

However, the importation of device self-test data from HeartStart

monitor/defibrillators, such as the HeartStart MRx, is not

supported.

10 - Working with reports Event Review Pro User Guide

188

To generate a Device Self-test History report from the Reports

navigation area

1. From the Reports navigation area, click Device Self-Test History.

The All Devices table opens, showing a list of devices with imported

self-test data.

2. Select the table row for the device you want to report on.

3. From the File menu or the toolbar, click Print and then click

Report.

Report Preview opens, displaying the Device Self-test History

report. See Working in Report Preview on page.153.

To generate a Device Self-test History report from the Devices

navigation area

1. From the Devices navigation area, click All Devices to open the All

Devices table, showing a list of devices with imported self-test data.

2. Select the table row for the device you want to report on.

3. From the File menu or the toolbar, click Print and then click

Report.

Report Preview opens, displaying the Device Self-test History

report. See Working in Report Preview on page.153.

The Device Self-test History report includes the following columns of

self-test information:

• Sequence Number

• Date

• Time

• Relative Time

• Description

• Status

10 - Working with reports Event Review Pro User Guide

Customer support

Philips 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/DataManagementSupport

For telephone assistance outside the United States, please call your

sales representative or local response center. You can also navigate to

technical support telephone numbers for data management products at

this address:

http://www.healthcare.philips.com/main/services/response_center

For telephone support in English only, you can call the following

numbers:

• 800-722-9377 (option 3), inside the United States

• +1 770-510-1130

See the following table for contact information:

Region Address Telephone number

United States Philips Healthcare 3000

Minuteman Road

Andover, Massachusetts

01810-1099

800-722-9377 (option

+1 770-510-1130

189

190

Region Address Telephone number

Canada Philips Healthcare, a Division

of Philips Electronics Ltd.

281 Hillmount Road

Markham, Ontario, Canada

L6C 2S3

+1(800) 291-6743

Authorized EU

Representative

Europe, Middle East,

and Africa

Philips Medizin Systeme

Boeblingen GmbH Cardiac and

Monitoring Systems

Hewlett-Packard Strasse 2

71034 Boeblingen, Germany

(+49) 7031 463-2254

Latin America Philips Medical Systems Ltda.

Av. Dr. Marcos Penteado

Ulhôa Rodrigues, 401

Parte 16 – 06460-040 –

Barueri/SP, Brazil

0800 7017789

Asia Pacific Philips Electronics Hong Kong

Ltd. 6/F, Core Building 1

1 Science Park East Avenue

Hong Kong Science Park

Shatin. New Territories, Hong

Kong

+852 2821 5888

Comments or suggestions?

Please send your feedback and suggestions to:

eventreview.support@philips.com

Supported help

Customer support technicians provide help for the following:

• Explaining the proper use of application features and answering your

questions about how the application works

• Explaining the proper installation and maintenance of the application

• Assisting you in selecting and configuring card readers

Unsupported help

Customer support technicians do not provide help for the following:

11 - Customer support Event Review Pro User Guide

191

• 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

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. Call from a phone near your computer.

2. Start Event Review Pro.

3. Have the following information:

• Windows version.

• The application version number. This is available from the Help

menu. Click the About option.

• A written copy of the error message text.

• The activity and task you did when the error occurred.

11 - Customer support Event Review Pro User Guide

Working with

defibrillators

A wide variety of HeartStart defibrillators can transfer data to Event

Review Pro, and data transfer methods vary by model.

Prepare for transferring data from your defibrillator to Event Review Pro

by reviewing the following information, and ensuring that you have

everything you need to perform the task before you need to do so.

Supported defibrillators

Familiarize yourself with the methods for transferring data from your

defibrillator by reading the instructions that came with the device.

You can download product owners' manuals for supported defibrillators

from the Philips support Web site.

Event Review Pro documentation uses the HS1 or HS1 family of

defibrillators to refer to HeartStart Home, HeartStart OnSite, and

HeartStart HS1 Defibrillators.

To download products and services materials

1. Navigate to this site: http://www.philips.com/productdocs

2. Click Resuscitation/Defibrillators products.

3. Click the defibrillator to display a page that lists the product user and

service materials.

The defibrillators and the data transfer methods available for them are

shown in the following table:

Data source

Method used to read data

Instructions

HeartStart FR3 Secure digital (SD) card or

Bluetooth connection

Reading FR3 series cards on page.195

192

193

Data source

Method used to read data

Instructions

Attaching an ECG using an FR3 Bluetooth

transmission on page.56

HeartStart FR2 Compact Flash data card Reading FR2 series cards on page.200

HeartStart FRx Infrared (IrDA) connection Downloadingan ECG from an infrared

connection on page.58

HeartStart HS1 Infrared (IrDA) connection Downloadingan ECG from an infrared

connection on page.58

HeartStart MRx Card reader or

Bluetooth connection

Reading HeartStart MRx cards on

page.196

Downloadingan ECG using a HeartStart

MRx Bluetooth transmission on page.57

HeartStart XL ATA flash data card Reading HeartStart XL cards on page.201

HeartStart XL+ USB data drive Transferring HeartStart XL+ data on

page.201

Efficia DFM100

defibrillator/monitor

(where available)

USB data drive Transferring Efficia DFM100 data on

page.202

Selecting accessories for data

transfer

If your HeartStart defibrillator model uses a data card or a data drive to

transfer defibrillator data, refer to the following quick reference to

ensure that you have the necessary accessories.

Quick reference to data cards and drives

The following table shows the defibrillators with their associated data

cards. If your computer did not come installed with the appropriate

software or adapter for the transfer method, you can use an adapter or

reader.

Not all defibrillator models use data cards or drives. Only

defibrillators that use data cards or drives are included in the

following table.

12 - Working with defibrillators Event Review Pro User Guide

194

HeartStart FR3 FR3 defibrillators use Philips

secure digital SDdata cards, with

the SD data-card reader.

HeartStart FR2 FR2 defibrillators use the Compact

Flash cards with the Compact

Flash card reader.

HeartStart MRx HeartStart MRx

monitor/defibrillators use Compact

Flash cards with the Compact

Flash card reader.

HeartStart XL XL defibrillators use ATAflash

cards.

HeartStart XL+ XL+ defibrillators use Philips

USBdata drives.

Efficia DFM100

(Where available)

Efficia DFM100

monitor/defibrillators use Philips

USBdata drives.

12 - Working with defibrillators Event Review Pro User Guide

195

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 File 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 File 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 a HeartStart FR3 to the computer through

Bluetooth transmission. All data contained on the HeartStart FR3 is

transferred during the transmission, and it also remains on the device.

Preparing for Bluetooth transfer

Ensure that you have the option for Bluetooth wireless transfer for your

HeartStart FR3. Confirm that you have a Bluetooth card installed in the

defibrillator. For more information, see the most current release of the

HeartStart FR3 Instructions for Administrators.

Pairing the Bluetooth option for the FR3 occurs automatically. When data

matching the device type, serial number, date, and time appears in the

Attach ECG window, that is your confirmation that Bluetooth wireless

transfer has occurred.

You must have a supported adapter for Bluetooth transmission.

Most Microsoft®-compatible Bluetooth adapters are suitable. You

can order an adapter from your Philips representative.

12 - Working with defibrillators Event Review Pro User Guide

196

To transfer data from the HeartStart FR3

1. From an open case, click Attach ECG file.

The Attach ECG window opens, and the Case Wizard begins scanning

for any device in Bluetooth communication range.

Data transfer begins as soon as the FR3 is ready for data transfer.

2. For assistance in preparing your FR3 for data transfer, click the

Bluetooth icon, and then click the image of the HeartStart FR3, to

start the Bluetooth Wizard.

Follow the instructions in the wizard as it guides you through the

steps necessary to prepare the FR3 for data transfer.

Note: The Bluetooth Wizard, launched by clicking the Bluetooth icon

in the Attach ECG window, does not initiate Bluetooth

communication; it is simply a tutorial.

3. Watch the Attach ECG window.

When data transfer occurs, all the data on the FR3 appears in the

Attach ECG window, with columns for device type, serial number,

and date and time, for use in identifying the data.

If no data is on the FR3, a message appears indicating that there is

no patient data.

4. Click the data to attach to your case, and then click Open.

The data is added to the case.

5. Remember to save the case.

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

Instructions 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

Philips sales representative or local distributor.

12 - Working with defibrillators Event Review Pro User Guide

197

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 File 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. If the card does not appear in Windows File Explorer, remove the

card from the card reader, and then insert it into the card reader

again.

Setting up Bluetooth transmissions

for the HeartStart MRx

You can transmit HeartStart MRx data to Event Review Pro through

Bluetooth® wireless transmission.

You must have a supported adapter for Bluetooth transmission.

Most Microsoft®-compatible Bluetooth adapters 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.

If your computer is not equipped with Bluetooth capability, it will require

a Bluetooth dongle with a USB connector. The dongle connects the

computer and the defibrillator.

Event summaries and HeartStart MRx 12-lead reports might contain

information 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.

12 - Working with defibrillators Event Review Pro User Guide

198

Bluetooth option prerequisites for the

HeartStart MRx

The prerequisites for Bluetooth use are slightly different for the MRx and

FR3 defibrillators.

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 implementation information, see "Support for MRx Bluetooth FTP

using the Microsoft Bluetooth stack" in HeartStart Data Management

Solutions Implementation Guide.

For detailed information on setting up the HeartStart MRx for Bluetooth

transmission, see the most current release of the following

documentation:

• HeartStart MRx Instructions for Use Addendum

• HeartStart MRx Instructions for Use

• HeartStart MRx Data Transmission Implementation Guide

Pairing and testing the HeartStart MRx

Bluetooth option with the computer

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 visible 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.

If your computer is not listed after the search, your computer

Bluetooth is not enabled or set up correctly. Refer to the Bluetooth

documentation to troubleshoot the setup.

3. Click the name of your computer and then press Enter.

4. Type a passkey for the Bluetooth option, using the number menu.

12 - Working with defibrillators Event Review Pro User Guide

199

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 HeartStart MRx on

page.198.

5. At the top of the number menu, click Done.

6. On your computer, immediately watch for a pop-up message.

7. Click the pop-up message.

8. 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.

9. Click Next and then Finish.

10. On the main menu of the HeartStart MRx, click File Transfer and

then Enter.

HeartStart MRx displays the "transmission test passed" message.

11. Click Acknowledge.

12. Scroll to Exit and click Enter.

13. On the main menu of the HeartStart MRx, click Other, Data

Management, and then Acknowledge.

14. After changing into Data Management mode, the HeartStart MRx

displays a list of summary case data with the most recent incident at

the top. Select the incident that you want to transmit.

15. Click Send and then All Event Data.

16. On your computer, in the Attach ECG dialog box, watch for a display

that includes the HeartStart MRx folder, and open it to see the data

that has been transferred.

Sending the HeartStart MRx Bluetooth

transmission

You can download a case from HeartStart MRx to the computer through

a Bluetooth transmission.

Before downloading, make sure that the HeartStart MRx has been paired

with your computer. See Pairing and testing the HeartStart MRx

Bluetooth option with the computer on page.198 for information on

pairing and testing the connection.

12 - Working with defibrillators Event Review Pro User Guide

200

To make a Bluetooth transmission

1. On the HeartStart MRx, place the defibrillator in the Data

Management mode. If necessary, use the HeartStart MRxdocuments

listed in Bluetooth option prerequisites for the HeartStart MRx on

page.198.

2. Use Next Item or Prev Item to navigate to the incident of your

choice.

3. Press Menu, and then navigate to Send.

4. Press Send.

5. Navigate to the information you want to transmit to Event Review

Pro and press Enter.

6. The first time you 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.

7. 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 a HeartStart MRx

Bluetooth transmission on page.57.

Reading FR2 series cards

The FR2 series defibrillators store information on a Compact Flash card.

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 perforations. Plug this end

firmly into the card reader.

2. Check in Windows File 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 File Explorer, remove the

card from the reader, and then insert it into the card reader again.

12 - Working with defibrillators Event Review Pro User Guide

201

Reading HeartStart XL cards

The HeartStart 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 File 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 File Explorer, remove the

card from the card reader, and then insert it into the card reader

again.

Transferring HeartStart XL+ data

The HeartStart XL+ defibrillator uses a USBdata drive to transfer event

summary data. The USBdata drive connects to a USBport on the

computer running Event Review Pro.

You can export data from the HeartStart XL+ defibrillator to the

USBdata drive using a menu selection in the Data Management mode.

Once the data is exported, you can transfer it to the computer running

Event Review Pro. See Attachingan ECG from a USB port on page.56.

To export event-summary data from the HeartStart XL+

defibrillator to the USB data drive

1. Locate the USB data port on top of the HeartStart XL+ defibrillator

and insert the USB data drive. For more information, see the

HeartStart XL+instructions for use.

12 - Working with defibrillators Event Review Pro User Guide

202

2. Confirm that you are in Data Management mode.

3. Press the Menu Select button.

The Internal Memory menu appears.

4. Use the navigation buttons to select the Export All option.

5. Press the Menu Select button to start the task.

The data is exported to the USB data drive.

Transferring Efficia DFM100 data

The Efficia DFM100 defibrillator/monitor (where available) uses a

USBdata drive to transfer event summary data. The USBdata drive

connects to a USBport on the computer running Event Review Pro.

You can export data from the Efficia DFM100 defibrillator/monitor to the

USBdata drive using a menu selection in the Data Management mode.

Once the data is exported, you can transfer it to the computer running

Event Review Pro. See Attachingan ECG from a USB port on page.56.

To export event-summary data from the Efficia DFM100

defibrilator/monitor to the USB data drive

1. Locate the USB data port on the Efficia DFM100 defibrillator/monitor

and insert the USB data drive. For more information, see the Efficia

DFM100 Defibrillator/Monitor Instructions for Use.

2. Confirm that you are in Data Management Mode. When first entering

Data Management Mode, the Internal Memory Screen is displayed.

3. From the Internal Memory Screen, press the Smart Select knob to

enter the Internal Memory Menu.

4. Use the knob to navigate to the Export All menu option.

5. Press the Smart Select knob again to start the task.

The data is exported to the USB data drive.

Determining the HS1 and FRx case

date and time

Event Review Pro documentation uses the HS1 or HS1 family of

defibrillators to refer to HeartStart Home, HeartStart OnSite, and

HeartStart HS1 Defibrillators.

12 - Working with defibrillators Event Review Pro User Guide

203

The HS1 family of defibrillators and FRx defibrillators do not have a

real-time clock that keeps the defibrillator date and time. Instead, the

defibrillator 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.

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

Event Review Pro documentation uses the HS1 or HS1 family of

defibrillators to refer to HeartStart Home, HeartStart OnSite, and

HeartStart HS1 Defibrillators.

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.202.

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 with the defibrillator, you can

add an infrared adapter.

Use an infrared adapter that connects to a USB port, if you require an

adapter.

12 - Working with defibrillators Event Review Pro User Guide

204

Setting up an infrared adapter

The Event Review Pro software was tested with ACTiSYS adapters. 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.

2. 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 HS1 family of

defibrillators and the FRx defibrillator. However, there are enough

differences to warrant separate sections.

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 a case 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.

12 - Working with defibrillators Event Review Pro User Guide

205

2. Remove the pads connector.

3. 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.

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 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

Event Review Pro documentation uses the HS1 or HS1 family of

defibrillators to refer to HeartStart Home, HeartStart OnSite, and

HeartStart HS1 Defibrillators.

If the HS1 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 a case 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.

12 - Working with defibrillators Event Review Pro User Guide

206

2. Remove the pads cartridge. Locate the latch at the top, and then

slide the latch to the right to release the pads cartridge.

3. If you haven't done so already, insert the battery into the

defibrillator.

4. 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. On the defibrillator, 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.

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 designed the defibrillators to ensure that they are always ready

for use in an emergency.

Event Review Pro documentation uses the HS1 or HS1 family of

defibrillators to refer to HeartStart Home, HeartStart OnSite, and

HeartStart HS1 Defibrillators.

12 - Working with defibrillators Event Review Pro User Guide

207

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 defibrillator 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.

Emailing device history data

If you ask for assistance from Philips Customer Support, you may be

asked to retrieve the device history data (self-test data) from a specific

defibrillator. Use the following steps (or do as directed by Customer

Support) to retrieve and email this data.

Email a device self-test file to customer support only when

instructed to do so by a Philips support technician.

To email device self-test data to Customer Support

1. From the Help menu, click Email with Device Self-Test File.

The Device Self-Test Wizard appears .

2. Set up the device that you are sending data from. For details on how

to set up your device to transmit data, see Set up an AED device to

transfer self-test data on page.208.

12 - Working with defibrillators Event Review Pro User Guide

208

3. From the list of devices, click the one that you want to send data for

and click Next.

An email message box appears, with the device history data

appearing as an attachment.

4. Type any comments you want to add to the message.

5. Click Next.

The message is sent and a status message appears.

Set up an AED device to transfer self-test data

The process for setting up an AED device to transmit data varies by

model. See the following for information by model.

HS1 and FRx devices

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

Setting up the infrared connection on page.204.

FR2 devices

If you are sending data from an FR2 device using a data card, the data

card must be installed, and the Battery Insertion Test (BIT) must be run

before the self-test data is available to transfer. See the instructions

that came with the FR2 device for further information about running BIT.

When the device history data file is on the card, insert the card into a

card reader attached to your computer.

FR3 devices

When sending self-test data from an FR3 device by any method, before

the self-test data is available to transfer, the data card must be installed

in the device, and the User-Initiated Test (UIT) must be run. (See the

instructions that came with the FR3 device for further information about

running UIT.)

Transfer FR3 self-test data using the data card

Remove the data card from the FR3 and insert the card into a card

reader attached to your computer.

Transfer FR3 self-test data using the Bluetooth connection

Turn on the FR3 device, wait for the voice prompts, put the device

into Administration mode, press the option button, and select

Wireless Data Transfer. (See the instructions that came with the

FR3 device for further information about putting the device into

Wireless Data Transfer mode.)

12 - Working with defibrillators Event Review Pro User Guide

209

Importing device self-test data using

the Device Self-test Wizard

The Devices workspace provides tools for transferring self-test data

from Philips HeartStart AEDs to the Event Review Pro database, and

tables where you can view and manage the self-test data.

Device self-test data can be imported from HeartStart AED devices.

However, the importation of device self-test data from HeartStart

monitor/defibrillators, such as the HeartStart MRx, is not

supported.

The Device Self-test Wizard

Use the Device Self-test Wizard to transfer self-test data from the

HeartStart FR3, FR2 series, FRx, or HS1 AEDs.

Event Review Pro documentation uses the HS1 or HS1 family of

defibrillators to refer to HeartStart Home, HeartStart OnSite, and

HeartStart HS1 Defibrillators.

Opening the Device Self-test Wizard

1. In the navigation pane, click Devices.

The Devices pane opens.

2. On the Devices pane, click Device Self-Test Wizard.

The Device Self-test Wizard opens.

3. Follow the steps in the wizard, clicking Next to move to the next

section.

Preparing the AED to transfer data

You can use the Device Self-test Wizard to transfer data wirelessly from

the FR3 device using Bluetooth wireless data transfer.

When sending self-test data from an FR3 device by any method, before

the self-test data is available to transfer, the data card must be installed

in the device, and the User-Initiated Test (UIT) must be run. (See the

instructions that came with the FR3 device for further information about

running UIT.)

12 - Working with defibrillators Event Review Pro User Guide

210

Turn on the FR3 device, wait for the voice prompts, put the device into

Administration mode, press the option button, and select Wireless

Data Transfer. (See the instructions that came with the FR3 device for

further information about putting the device into Wireless Data Transfer

mode.)

Click the icon only if you want setup instructions; clicking an icon

does not start data transfer.

To use the Wizard to transfer self-test data

1. In the wizard, navigate to the Device Selection page, and then

prepare your defibrillator for data transmission.

When the user selects a transfer method (for example, Bluetooth, or

IrDA), and clicks Next, the wizard then begins data acquisition.

2. Allow the transmission to complete before moving the device.

When the self-test data is transferred, a message appears in the

wizard: "All tasks have been successfully completed", and the All

Devices table opens.

3. Return the defibrillator to ready-to-use state.

The All Devices table

When the Device Self-test Wizard competes data transfer, devices

whose self-test data has been acquired through the Device wizard

appear in the All Devices table. In each row, the table shows a device

icon, device serial number, device manufacture date, and the date that

the last self test data was acquired, to assist you in locating the correct

self-test data.

To open the All Devices table directly

• On the Devices pane, click All Devices to open the All Devices

table directly.

To view device self-test data

1. In the All Devices table, double-click a row to view the self-test

data for that device.

The Self-test Results table opens, with self-test data for the selected

device. At the top of the table, the device model and serial number

appear.

2. To print the data, click Print on the toolbar or in the File menu.

12 - Working with defibrillators Event Review Pro User Guide

211

The Self-test Results table

The Self-test Results table includes the following columns of self-test

information:

• Sequence Number

• Date

• Time

• Relative Time

• Description

• Status

For information about sending self-test data to Philips Customer

Support, see Emailing device history data on page.207.

12 - Working with defibrillators Event Review Pro User Guide

Managing the

database

Event Review Pro stores the application database in Microsoft SQL

Server 2014 SP1 Express Edition. This is a free version that Philips

installs by default. It limits the database size to 10GB. The number of

cases that can be stored in a 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 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.

Microsoft has procedures and tools for managing SQL Server.

For information on migrating data from an older version of the

application, see Migrating cases from previous versions on page.214.

212

213

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

database.

You must install the same version of Event Review Pro on each client

machine connected to a shared database.

Philips 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:

• 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 user to save the

case.

• Event Review Pro installed on a client machine cannot run when

the shared database is unavailable, such as when the database

server is down, or the network is disconnected (if the shared

database resides on another computer).

Using Microsoft SQL

You can purchase the SQL Server software to set up a shared database

environment for Event Review Pro.

For information about installing and setting up a shared database, refer

to the HeartStart Data Management Solutions Implementation Guide,

available from Philips customer support.

The following information is intended for users who have already set up

their databases.

Changing the database server

You can change the Event Review Pro database server in the following

ways:

13 - Managing the database Event Review Pro User Guide

214

To change the database server from the Tools menu

1. From the Programs menu, right-click Event Review Pro and click

Run as Administrator.

2. On the Tools menu, click Database Server.

The Configure SQLServer for Event Review Pro 5.0 window opens,

showing the current database name.

3. In the SQLServer name box, use the down arrow to display a list

of all available SQL Servers on the network.

4. Click the SQL server name that you want.

5. To verify 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

SQL Server documentation or your local database administrator for

instructions.

6. If you see a success message, click the database you wish to use,

then click OK.

This database must use the Event Review Pro 5.0 schema. You

cannot use an older database that uses a different schema.

A message appears stating that you must restart Event Review

Proto use the new database server.

To verify the database server on the About box of Event

Review Pro

1. Start Event Review Pro.

2. On the Help menu, click About Event Review Pro.

3. On the Server line, confirm that Event Review Pro is connected to

the correct server database.

Migrating cases from previous

versions

You can migrate cases from HeartStart Event Review 3.5, 4.2 , or 4.3,

and from Event Review Pro 3.5, 4.0, 4.1, 4.2, or 4.3 to the Event Review

Pro 5.0 database.

13 - Managing the database Event Review Pro User Guide

215

HeartStart Event Review 4.3 and HeartStart Event Review Pro 4.3 had

limited geographical distribution.

If the source database is on another machine, see your

ITprofessional for assistance.

Steps for migrating the data

1. 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 5.0 database (the destination database).

Cases that are not already in the destination database are marked

for migration.

3. Migrate the marked cases.

Use the following procedures to complete the migration.

To select and identify the source database

1. In the main workspace, click the Administration button.

2. In the Administration navigation pane, click one of the following

options:

• Migrate Records from Event Review 3.5

• Migrate Records from Event Review 4.2

• Migrate Records from Event Review 4.3

• Migrate Records from Event Review Pro 3.5

• Migrate Records from Event Review Pro 4.0

• Migrate Records from Event Review Pro 4.1

• Migrate Records from Event Review Pro 4.2

• Migrate Records from Event Review Pro 4.3

A database selection dialog box appears, displaying only those

computers with the expected, well-known instance and database

names, as shown in this table:

Event Review Pro

version

SQLServer instance

name Database name

3.5 HeartStart ERPro35

4.0 Philips ER40

13 - Managing the database Event Review Pro User Guide

216

Event Review Pro

version

SQLServer instance

name Database name

4.1 Philips ER41

4.2 PHILIPS42 ER42

4.3 PHILIPS42 ER43

3. Click the appropriate source database.

4. (Recommended) To test the accessibility of the source database,

click Test.

Amessage appears reporting the success or failure of the test.

5. 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 this database and displays a list of all the cases. The

ones to be migrated have the + sign.

2. 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.

2. 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.

The migration status of each case is logged in the System Log,

including any errors.

The successfully migrated cases are now in the database, and

appear in the case selection table.

13 - Managing the database Event Review Pro User Guide

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 information 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

Score Description

1 Good cerebral performance: Conscious. Alert, able to work and

lead a normal life. May have minor psychological or neurological

deficits (mild dysphasia, nonincapacitating hemiparesis, or minor

cranial nerve abnormalities).

2 Moderate cerebral disability: Conscious. Sufficient cerebral

function for part-time work in sheltered environment or independent

activities of daily life (dressing, traveling by public transportation, and

preparing food). May have hemiplegia, seizures, ataxia, dysarthria,

dysphasia, or permanent memory or mental changes.

3 Severe cerebral disability: Conscious. Dependent on others for

daily support because of impaired brain function (in an institution or

at home with exceptional family effort). At least limited cognition;

includes a wide range of cerebral abnormalities from ambulatory with

severe memory disturbance or dementia precluding independent

existence to paralytic and able to communicate only with eyes, as in

locked-in syndrome.

4 Coma, vegetative state: Not conscious. Unaware of surroundings,

no cognition. No verbal or psychological interactions with

environment.

5 Death: Certified brain dead by traditional criteria.

217

218

Overall performance categories table

Score Description

1 Good overall performance: Healthy, alert, capable of normal life.

Good cerebral performance (CPC1) plus no or only mild functional

disability from noncerebral organ system abnormalities.

2 Moderate overall disability: Conscious. Moderate cerebral disability

alone (CPC2) or moderate disability from noncerebral system

dysfunction alone or both. Performs independent activities of daily life

(dressing, traveling, and food preparation). May be able to work part-

time in sheltered environment but disabled for competitive work.

3 Severe overall disability: Conscious. Severe cerebral disability alone

(CPC3) or severe disability from noncerebral organ system

dysfunction alone or both. Dependent on others for daily support.

4 Coma, vegetative state: Not conscious. Unaware of surroundings, no

cognition. No verbal or psychological interactions with environment.

5 Death: Certified brain dead by traditional criteria.

14 - CPC and OPC Event Review Pro User Guide

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)

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.”

Eye opening Verbal output

Motor (movement)

responses

Score Finding Score Finding Score Finding

6 Obeys commands

Spontaneous or

purposeful

Patient follows

commands

5 Oriented

Coos or babbles

5 Purposeful

Withdrawal from

219

220

Eye opening Verbal output

Motor (movement)

responses

Normal, fluent,

appropriate speech

touch

Patient locates pain

on own body

4 Spontaneous

Eyes open without

stimulation

4 Confused

Irritable and

continually crying

Confused but fluent

speech

4 Withdraws from pain

Patient pulls away

from pain

3 To voice

Eye opening to loud

noise

3 Inappropriate

Cries to pain

Mumbling, occasional

word recognizable

3 Flexion to pain

Abnormal flexion to

pain

Patient flexor

postures

2 To pain

Eye opening to pain

only

2 Incomprehensible

Moans to pain

Vocalizations but not

verbalizations (no

words)

2 Extension to pain

Patient extensor

postures

1 None

No eye opening

1 None

No vocalization or

verbalization

1 None

No motor response

15 - Glasgow Coma score Event Review Pro User Guide

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 likelihood 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.

Impedance

Commonly denoted as Z. Electrical resistance.

License Manager

The License Manager allows you to type in your registration key to

activate HeartStart software.

PEA

Pulseless Electrical Activity.

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.

Q-CPR

Q-CPR is a Laerdal registered trade mark. The name was derived from

Quality of Cardiopulmonary Resuscitation

URL

URL stands for Uniform Resource Locator, an address for a resource on

the Internet. URLs are used by Web browsers to locate Internet

resources.

221

222

XML

Stands for eXtensible Markup Language. This file format has a set of

rules for encoding documents in machine-readable form.

zCPR

Impedance-derived cardiopulmonary resuscitation quality. zCPR derives

compression rate, hands on time and hands off time from the

impedance recorded across the AED therapeutic pads. Unlike Q-CPR,

zCPR does not provide compression depth or compression release

calculations.

16 - Glossary Event Review Pro User Guide

.cod file 43

.hic file 43, 65

.mic file 43

.wfdb file format 113

12-lead information 60, 119, 121

attaching 52

magnifying 122

reviewing 122

12-lead reports 156

activating the product 14

Internet 15

within 60 days 17

Administration workspace tasks 25

annotations

CPR responder 128

ventilation 127

ATA flash card reader 201

attachments 34, 53

Bluetooth 53

ECGs 48, 51, 54-58, 60, 201

printing 136

Attachments table 34

audio, playing on ECGs 107

Average Response Times—Total System

report 184

Average Response Times report 185

Bluetooth 119, 195, 197, 199

attaching ECGs 53, 56-57

automatic synchronization 67

erasing data source 67

exchange folders 58

pairing and testing 198

prerequisites 198

card readers 193

Case Details report 155

Index

223

Case Editor tabs 28, 88

Case Editor, default view 28, 89

Case Editor, viewing 12-leads 120

case ID 70

case selection table 26, 33

Case Summary 48

Case Wizard 47, 51

cases 43, 48, 62

adding details 78

adding patient information 87

attaching files 135

creating 43, 47, 50

defined 19, 43

deleting 72

duplicate ECGs 73

emailing 71

exporting 69

hiding and displaying 63

identifying 79

importing automatically 65

importing manually 64

merging automatically 76

merging manually 74

migration from earlier versions 214

opening 50

printing 69

reviewing events 133

saving 66

sorting and grouping 62

CDR file, sending to Customer Support 207

Cerebral Performance Categories (CPC) 217

color

ECG selections 110

vital trends display 119

CompactFlash card reader 196

compatibility 18

confirmation messages, restoring 42

CPR

adding notes to ventilation channel 127

creating exclusions 125

customizing episodes 123

removing exclusions 126

report data 169

response times 173

CPR guidelines 150

cumulative device records, sending to

Customer Support 207

cursor delta time 108

customer support 189

emailing System Log to 145

data card for attaching ECGs 55, 193

data migration from older versions 18

data source, erasing 67

data, migration from earlier verions 214

database 212

remote server 213

verifying location 213

date and time

adjusting defibrillator 66

events, changing 87

defibrillators

adjusting date and time 66

supported 192

transferring self-test data 209

voice and system messages 206

detaching ECGs 61

device tests 207

Do Not Show This Message Again 42

document conventions 21

downloading ECGs 51

Duplicate ECGs table 139

ECG Pre- and Post-shock report 156

ECG selections 108

color 110

creating 109

managing 109

naming and sorting 111

Index Event Review Pro User Guide

224

Q-CPR 110

templates 112

ECGs 88

12-Lead view 121-122

adding 51, 54-58, 60

attaching 48, 51, 54-58, 60, 201

changing time scale 101

Channels pane 32, 92

copying to clipboard 113

customizing display 117

detaching 61

duplicates 73, 139

Events pane 31, 92

navigating on waveform 107

Overview pane 31, 92

playing audio 107

printing reports 108

removing 61

reports 155

shortcuts 129

tab 88

Transport pane 32, 93

viewing information 108

vital trends 117

Efficia DFM100 56

Efficia DFM100 defibrillator/monitor 54

cases 71

reports 50

EMS edition 9

erasing data source 67

events 34

adding 85

changing date and time 87

documenting 85

editing 85-86

expanding and collapsing nodes 94

expanding list 93

filtering 134

filtering entries 37

finding and viewing 94

grouping 36, 134

hiding and displaying 95, 134

icons 93

managing notes 96

printing 134

removing 85

searching for 95

sorting 36, 86

Events pane 31, 92

Excel

exporting Q-CPR Details Report data 169

exporting table data 40

exclusions for Q-CPR

creating 125

removing 126

exporting files 49

password protection 49

F1, using for Help 20

fields, completing 40

files, adding to case 135

files, attaching ECGs from 60, 135

filtering events 134

filtering imported device data 140

filters

removing 39

Final Review tab

Case Reviewed box 137

Getting Started options 23

Glasgow Coma Score (GCS) 219

grouping events 134

guidelines 150

Index Event Review Pro User Guide

225

HeartStart FR2 defibrillators 56

attaching ECGs 54

data cards 200

HeartStart FR3 defibrillators 53-54, 56

Bluetooth 195

data cards 195

synchronizing clock via data erasure 69

HeartStart FRx defibrillators 55, 58

Admin mode 204

case date and time 203

HeartStart Home defibrillators 55

HeartStart HS1 defibrillators 55, 58

Admin mode 205

case date and time 203

HeartStart MRx monitor/defibrillators 48,

53-54, 57, 79, 119

Bluetooth 198-199

data cards 196

HeartStart OnSite defibrillators 55

HeartStart XL defibrillators

attaching ECGs 54

data cards 201

HeartStart XL+ defibrillators 56, 69, 201

attaching ECGs 54

data cards 201

help 20, 22, 189

hiding and displaying cases 63

Hospital edition 9

HTTP, using for Import Service 143

icons for events 93

Import Service 65, 138, 143

configuring 141

filtering data 140

managing inboxes 139

purging archive folders 142

importing files 138

automatically 65

manually 64

infrared connections 53, 58, 203-204

installation 8

IrDA connections 53, 58, 203

key command shortcuts 129

license types 9

merging related cases manually 74

migration of older data 8, 214

mouse 129

navigation pane 24, 26

minimizing 24

new features, version 5.0 19

notes, managing 96

Index Event Review Pro User Guide

226

offset, waveform 104

online help 21

Overall Performance Categories (OPC) 217

Overview pane 31, 92

password protection 49, 65, 69, 139

patient identity, removing 49

patient information, adding 87

PC card reader 201

PCMCIA card reader 201

pediatric option for FR2 56, 60

Percentile Response Times—Total System

report 185

Percentile Response Times report 185

pinning and unpinning 99

point style, vital trends view 118

printing

case information 69

reports 49

product support 189

purging archive folders for imported device

data 142

Q-CPR data 123

Q-CPR Report Card report 158

queries, creating 46

queries, deleting 47

quick note 115

redaction 70-71, 79, 147

removing ECGs 61

removing the application 17

reports 147

12-lead 156

case details 155

ECGs 155

emailing 50

exporting 154

generating for open case 151

generating from database 152

printing 50

Q-CPR 158

Response Times 183

Select Cases 148

toolbar icons 153

Vital Trends 183

Reports

12 lead 156

resetting ECG display layout 99

resizing panes and workspaces 41

Response Times report 183

Reviewed column in Patient Cases table 137

reviewer notes, adding to a case 137

saving cases 42, 66

scale, waveform 106

search for cases

queries 44, 46

Quick Selections 44

search criteria 44

selections templates, ECGs 112

Index Event Review Pro User Guide

227

self-test

All Devices table 210

Device Self-test Wizard 209

emailing data to customer support 207

Self-test Results table 211

tranferring device data 209

shortcuts 129

starting the product 23

synchronization, defibrillator and computer

date and time 69

System Log 34, 145

emailing to Customer Support 145

filtering entries 37

grouping and sorting entries 36

printing entries 39

removing filters 39

system requirements 9

tables

duplicate ECGs 73

printing 69

Tablet Mode 41

Tablet PC 41

telephone support 189

time

changing on waveform 100

changing scale 101

Timeline tab 85

tooltips 20

transferring self-test data from a device 209

Transport pane 32, 93

uninstalling

current version software 17

Unwitnessed with Bystander CPR

report 186

updates, checking for 13

upgrade 8

USB data drive, attaching ECGs from 56,

201

using Select Cases for reports 148

Utstein guidelines 186, 217

Utstein reports 186

ventilation channel, adding notes to 127

vertical offset, changing 104

vital trends 117

color 119

point style 118

Vital Trends report 183

waveforms 97

audio 101

changing color 104

changing display time 100

changing scale 106

displaying and hiding 99

displaying in channel 103

ECG information 108

exporting data 113

magnifying 100

magnifying waveforms 100

measuring value 108

navigating ECG events 107

notes 114

offsets 104

selecting 98

viewing 97

viewing ECG information 108

zooming in and out 116

Index Event Review Pro User Guide

228

Waveforms pane 32, 92, 101-102

What would you like to do today? 23

Witnessed with Bystander CPR report 187

Witnessed without Bystander CPR

report 187

wizards 20, 59, 209

zCPR data 123

zCPR, customizing episodes 123

Index Event Review Pro User Guide

229