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PHILIPS MEDICAL SYSTEMS
CPR First NO,
AUTO1,
AUTO2,
USER
NO Enables a Medical Director to configure the FR2+ to provide the
opportunity for an interval of uninterrupted CPR prior to
defibrillation.
This parameter has been developed in response to research findings
that some SCA patients — especially those presenting in fine VF
(typical of long down time) — are not likely to experience a return to
spontaneous circulation following an immediate shock. The SMART
CPR AUTO1 and AUTO2 settings automate the decision of whether
to provide CPR first or deliver a shock first, based on characteristics of
the presenting arrhythmia.
NOTE: Refer to Appendix E for detailed guidance on choosing a setting.
NO (default) — CPR First option is disabled; FR2+ will not provide an
initial CPR interval.
SMART CPR AUTO1 — Provides immediate defibrillation for more
than 90% of shockable patients who are likely to achieve ROSC (less
than 10% receive CPR first). Of those shockable patients who are
unlikely to achieve ROSC, more than 50% will receive CPR first.
SMART CPR AUTO2 — Provides immediate defibrillation for more
than 80% of shockable patients who are likely to achieve ROSC (less
than 20% receive CPR first). Of those shockable patients who are
unlikely to achieve ROSC, more than 60% will receive CPR first.
USER (User-initiated CPR Interval) — This setting provides a protocol
under which responders decide whether to perform CPR first. If so,
the responder presses the CPR Pause key to initiate a CPR interval.
The FR2+ will continue with rhythm analysis unless the CPR Pause
key is pressed.
The duration of the CPR First interval for AUTO1 and AUTO2 and
USER is determined by the CPR Timer parameter.
CPR prompt LONG,
SHORT
SHORT Sets the level of detail provided in the CPR reminder voice prompts
provided at the start of a CPR interval or CPR First interval (User
setting).
LONG — prompts the user to assess the patient before beginning
CPR.
SHORT — simply directs user to begin CPR.
monitor
prompt
interval
(minutes)
1.0, 1.5, 2.0,
2.5, 3.0, ∞
(infinite)
1.0 Sets the interval for patient care prompts provided during FR2+
monitoring of the patient’s ECG following an NSA decision. Selection
of ∞ (infinite) means that no repeat prompting will be provided during
ECG monitoring. This parameter only applies when the NSA action
is set to monitor.
parameter settings default description
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