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M3860A/M3861A HEARTSTART FR2+ Philips Medical Systems 6 Setup and Advanced Mode Features Setup Overview The “setup” of the HeartStart FR2+ Defibrillator is made up of several programmable aspects, or parameters, of FR2+ operation. Some setup parameters govern specific features that are not related to the patient care protocol, some are used to define the automatic patient care protocol used by the FR2+, and some provide options for manual override of the protocol during use. The FR2+ comes with a factory default setup designed to meet the needs of most users. If desired, your Medical Director can revise the setup. Even if no changes are made, however, it is a good idea to understand the setup of your FR2+ and how the different parameter settings affect the way the device works. Non-protocol parameters The parameters listed in the following table enable features of FR2+ operation that are not related to the patient treatment protocol. The table describes each of these non-protocol parameters, lists the settings available for it, and identifies the default setting. parameter settings default description speaker volume 1, 2, 3, 4, 5, 6, 7, 8 8 Sets volume of the FR2+’s speaker. 1 is lowest; 8 highest. The speaker is used for voice prompts and the charge-done tone. record voice YES, NO NO Enables or disables the audio recording during incident. Voice recording requires use of a data card. ECG display (M3860A only) ON, OFF ON Enables (ON) or disables (OFF) ECG display on the screen. FR2+ rhythm analysis does not require ECG display to be on. (ECG display cannot be changed from default OFF for M3861A.) autosend PST ON, OFF OFF Enables (ON) or disables (OFF) transmission of the results of the FR2+’s periodic selftests (PST) from its infrared communications port. 6 6-1 Philips Medical Systems Automatic protocol parameters The HeartStart FR2+ is designed to follow an automatic protocol that guides you through patient treatment with the defibrillator. The default settings for programmable parameters used in the automatic protocol can be altered by your Medical Director if desired. The setup parameters in the following table are used to define the automatic patient care protocol used by the FR2+. Many of these parameters interact with each other, so it is very important to understand how each parameter affects the protocol. The description of each parameter identifies any interacting parameters in boldface type. parameter settings default description shock series 1, 2, 3, 4 3 Sets the number of shocks that must be delivered to activate an automatic CPR pause. The length of the CPR pause after completion of a Shock Series is defined by the CPR Timer setting. A new Shock Series begins when a shock is delivered: • after the FR2+ is turned on • after the automatic CPR pause, or • after the Pause Key (if enabled) has been pressed, or • if the time since the previous shock exceeds the Protocol Timeout setting. protocol 0.5, 1.0, 1.5, 2.0, 1.0 Sets the time interval used to determine if a delivered timeout 2.5, 3.0, 3.5, shock should be counted as part of the current Shock (minutes) . (infinite) Series. CPR timer 0.5, 1.0, 1.5, 1.0 Sets the length of the CPR pause period* that (minutes) 2.0, 2.5, 3.0 automatically starts when: • a Shock Series is completed; or • the Pause Key (if enabled) is pressed; or • a No Shock Advised (NSA) decision is made, the NSA CPR pause is enabled, and the conditions for using the CPR Timer setting for the NSA CPR pause period are met (see NSA Action). After the CPR pause, the FR2+ returns to automatic rhythm analysis. * The CPR pause period is lengthened by 10 seconds to allow time for initial voice prompting. M3860A/M3861A HEARTSTART FR2+ Philips Medical Systems 6-3 parameter settings default description NSA action MONITOR, MONITOR Sets how the FR2+ behaves following a NO SHOCK (minutes) 0.5, 1.0, 1.5, ADVISED (NSA) decision: 2.0, 2.5, 3.0 MONITOR — directs the FR2+ to monitor the patient’s ECG following an NSA decision and to prompt the user periodically to provide CPR. The interval for CPR prompting is set by the Monitor Prompt Interval. TIME SETTING — directs the FR2+ to provide a CPR pause period following an NSA decision (NSA CPR Pause). • If no shocks have been delivered in the current Shock Series (e.g., the patient’s initial monitored rhythm is non-shockable), the length of the CPR pause is defined by the NSA Action time setting. • If shocks have been delivered in the current Shock Series (e.g., the NSA decision follows a shock), the length of the CPR pause is instead defined by the CPR Timer setting. CPR prompt LONG, SHORT LONG Sets the level of detail provided in the CPR reminder voice prompts provided at the completion of a Shock Series. LONG — provides detailed coaching to check airway, breathing, and pulse before beginning CPR. SHORT — simply directs user to begin CPR if needed. monitor prompt 1.0, 1.5, 2.0, 1.0 Sets the interval for patient care prompts provided during interval 2....
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