Philips HeartStart MRx

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2 Getting Acquainted Basic Orientation

Top Panel

The top of the HeartStart MRx has a handle and basic operating instructions. If optional external

paddles are present, they reside on the top panel as shown.

Figure 3 Basic Orientation (Top - with Optional Paddles)

Main Page

Introduction15
- Overview15
- Intended Use16
- Indications for Use17
- Safety Considerations19
- Documentation and Training19
Getting Acquainted21
- Basic Orientation22
- M3538A Lithium Ion Battery26
  - Battery Capacity26
  - Battery Life26
- Operating Modes26
  - Password Security27
- Display Views27
- Controls32
- Audio Recording36
  - Reviewing Recorded Audio36
- Alarms37
  - Responding to Alarms37
- Entering Patient Information39
- Continued Use39
- Printing Waveforms40
- Return to Owner41
Setting Up43
- Attaching the Carrying Case and Accessory Pouches43
- Storing Accessories45
- Connecting the ECG Cable47
- Connecting the SpO2 Cable48
- Connecting the NBP Interconnect Tubing49
- Connecting the Invasive Pressures Cable50
- Connecting the Temperature Cable51
- Connecting the CO2 FilterLine52
- Connecting the Therapy or Pads/CPR cables53
- Installing Paper54
  - 50mm Printer54
  - 75mm Printer (optional)55
- Installing Batteries56
  - Charging Batteries56
  - Battery Safety56
- Installing the AC Power Module57
- Installing the Data Card58
ECG and Arrhythmia Monitoring59
- Overview59
- Monitoring View60
- Preparing to Monitor ECG61
- Electrode Placement63
- Lead Selection65
  - Lead Choices65
  - Selecting the Lead66
- Arrhythmia Monitoring66
  - Aberrantly-Conducted Beats67
  - Intermittent Bundle Branch Block67
- Heart Rate and Arrhythmia Alarms68
  - Arrhythmia Alarm Latching68
  - INOP Messages70
- Setting Alarms71
  - Changing Heart Rate or VTACH Alarm Limits71
  - Enabling/Disabling Heart Rate and Arrhythmia Alarms71
- Responding to HR and Arrhythmia Alarms71
- Displaying an Annotated ECG72
- Arrhythmia Learning/Relearning73
- Troubleshooting73
Semi-Automated External Defibrillation75
- Precautions for AED Therapy75
- AED View76
- Preparation77
- Using AED Mode79
- Troubleshooting82
Manual Defibrillation and Cardioversion83
- Overview83
  - Precautions for Manual Defibrillation Therapy84
  - Synchronized Cardioversion Therapy84
- Code View85
- Preparing for Defibrillation86
- Defibrillating (asynchronously)89
- Performing Synchronized Cardioversion91
- Troubleshooting93
Noninvasive Pacing95
- Overview95
- Alarms96
- Pacing View97
- Demand Mode Versus Fixed Mode98
- Preparing for Pacing99
- Demand Mode Pacing100
- Fixed Mode Pacing101
- Defibrillating During Pacing103
- Troubleshooting103
Pulse Oximetry105
- Overview105
- Understanding Pulse Oximetry106
- Selecting a Sensor107
- Applying the Sensor109
- Monitoring SpO2110
  - Pleth Wave111
- SpO2 Alarms112
- Pulse Rate Alarms113
  - Enabling/Disabling the Pulse Rate Alarms114
  - Changing the Pulse Rate Alarm Limits114
- Disabling the SpO2 Monitoring Function114
- Caring for Sensors115
- Troubleshooting115
Noninvasive Blood Pressure117
- Overview117
- Preparing to Measure NBP118
- Measuring NBP120
  - Changing the NBP Schedule120
- Alarms121
  - Changing NBP Alarms121
  - Enabling/Disabling NBP Alarms122
- Troubleshooting122
Monitoring Carbon Dioxide123
- Overview123
- Preparing to Measure EtCO2124
  - Selecting the Accessories124
- Setting Up Microstream EtCO2 Measurements125
  - Using the Nasal FilterLine125
  - Using the FilterLine and Airway Adapter125
- Measuring EtCO2126
- EtCO2 and AwRR Alarms126
- Disabling the EtCO2 Monitoring Function128
- Troubleshooting128
Invasive Pressures129
- Overview129
- Setting up for a Pressure Measurement129
- Selecting a Pressure to Monitor131
- Pressure Waves132
- Zeroing the Pressure Transducer133
  - Zeroing Using the Menu Select Button133
  - Zeroing Using a Soft Key in Monitor Mode133
- Calibration135
- Alarms139
- Pulse142
- Caring For Your Transducers and Probes144
- Troubleshooting144
Temperature145
- Overview145
- Selecting a Temperature Label145
- Monitoring Temperature146
- Alarms146
- Changing Degree Units147
  - Disabling the Temperature Function148
- Caring For Your Temperature Cables and Probes148
- Troubleshooting148
12-Lead ECG149
- Overview149
- Preview Screen150
- Preparation150
- Acquiring the 12-Lead ECG152
- 12-Lead Report153
  - Accessing Stored Reports153
- Improving Signal Quality155
  - Adjusting Wave Size155
- 12-Lead Filters156
- Troubleshooting156
12-Lead ECG Transmission157
- Overview157
- Setting Up for Bluetooth Transmission159
- Transmitting to a Configured Site using Bluetooth161
- Setting Up for RS 232 Transmission162
- Transmitting to a Configured Site Using RS 232164
- Transmitting to a Manually Entered Fax Number165
- Transmission Status166
- Transmitting Stored 12-Lead Reports167
- Cancelling Transmission167
- Troubleshooting167
Vital Signs Trending169
- Overview169
- Reviewing Trending Data169
- Troubleshooting173
Q-CPR and Data Capture175
- Overview175
- Preparing to Use Q-CPR177
- Using Q-CPR in Manual Defib Mode182
- Using Q-CPR in AED Mode186
- CPR Feedback188
  - Adjusting CPR Feedback Volume188
  - Feedback Prompts189
- Q-CPR Data Capture191
- Troubleshooting192
Configuration193
- Overview193
- Accessing the Configuration Menu193
- Setting the Date and Time194
- Modifying Settings194
- Saving Configuration Settings to a Data Card195
- Loading Configuration Settings from a Data Card195
- Restoring the Default Settings195
- Printing Configuration Settings195
- Configurable Parameters196
Data Management215
- Overview215
- Copying from Internal Memory216
- Viewing and Erasing the Data Card216
- Printing the Event Summary217
- Printing the Vital Signs Trending Report218
- Printing the 12-Lead ECG Report218
- Events Recorded219
- Marking Events224
- Printing Events225
Maintenance227
- Overview227
- Automated Tests228
  - Automated Test Summary229
- Ready For Use Indicator230
- Shift Checklist231
  - Weekly Shock Test231
- Operational Check234
- Battery Maintenance247
- Cleaning Instructions251
- Disposing the HeartStart MRx254
  - Disposing Empty Calibration Gas Cylinders254
- Supplies and Accessories255
  - HeartStart MRx Shift Checklist232
Troubleshooting261
- Symptoms262
- Audio Tones and Alarm Indications281
- Calling for Service283
Specifications and Safety285
- Specifications285
- Units and Abbreviations304
- Clinical Performance Summary - Defibrillation305
- Clinical Performance Summary - Cardioversion306
- Clinical Performance Summary - Internal Defibrillation308
- Safety Considerations309
- Electromagnetic Compatibility313
Index321

Philips HeartStart MRx - Top Panel

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