ZOLL R Series User Manual

R Series® Configuration Manual

9650-0902-01 Rev. K

The issue date for the R Series Configuration Guide (REF 9650-0902-01 Rev. K) is May, 2012.

If more than 3 years have elapsed since the issue date, contact ZOLL Medical Corporation to determine if additional product information updates are available.

© 2012 ZOLL Medical Corporation. All rights reserved. R Series, pedi-padz, Real CPR Help, Code-Ready, and OneStep are trademarks or registered trademarks of ZOLL Medical Corporation in the United States and/or other countries.

Masimo is a registered trademark of Masimo Corporation in the United States and/or other countries. All other trademarks are the property of their respective owners.

ZOLL Medical Corporation

269 Mill Road Chelmsford, MA USA 01824-4105

ZOLL International Holding B.V.

Newtonweg 18

6662 PV ELST

The Netherlands

0123

	Table of Contents
Chapter 1	Introduction
Entering System Configuration Mode ....................................................................................		2
Printing Configuration Settings and Activity Logs ..................................................................		3
Uploading Data from a Compact Flash Card .........................................................................		6
Saving Configuration to a Compact Flash Card.....................................................................		8
Restoring Default Values .......................................................................................................		9
Accessing and Changing Configuration Settings.................................................................		10
Leaving Configuration Mode.................................................................................................		11
Chapter 2	Configuration Settings
General Settings ..................................................................................................................		14
Device Identifier ...........................................................................................................		14
Configuration Mode Passcode .....................................................................................		16
Code Markers ..............................................................................................................		17
ECG Settings	.......................................................................................................................	19
Notch Filter ..................................................................................................................		19
Display Lead ..........................................................................................on Power-Up		19
Frequency ...................................................................................................Response		19
Gain on Power .......................................................................................................Up		20
Enable Leads .........................................................................................................Off		20
Enable Pacer ...............................................................................................Detection		20
Audio Settings......................................................................................................................		21
QRS Volume ..........................................................................................on Power-Up		21
Low Battery .........................................................................................................Tone		21
Enable Corrective ................................................................................Voice Prompts		21
Basic Defibrillation .................................................................................................Settings		22
Defib Default ...................................................................................................to Pads		22
Basic Auto ......................................................................................Energy Escalation		22
Retain Sync ...............................................................................................After Defib		22
Defib Ready ................................................................................................Hold Time		23
Enable Remote ...................................................................................................Sync		23

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Advisory Defib......................................................................................................................	24
Energy Level: Shock 1 .................................................................................................	24
Energy Level: Shock 2 .................................................................................................	25
Energy Level: Shock 3 .................................................................................................	25
Ped Energy Level Shock 1 ..........................................................................................	25
Ped Energy Level Shock 2 ..........................................................................................	26
Ped Energy Level Shock 3 ..........................................................................................	26
Auto Analyze ................................................................................................................	26
Enable Check Pulse Prompt ........................................................................................	27
Check Patient Prompt ..................................................................................................	27
Auto Charge in Advisory Mode ....................................................................................	27
Enable Voice in Advisory Mode ...................................................................................	28
Display DO CPR Message ..........................................................................................	28
CPR Message After No Shock Advised .......................................................................	29
CPR Message After Shock ..........................................................................................	29
Stacked Shocks ...........................................................................................................	30
Restart Analysis After CPR ..........................................................................................	30
CPR Interval ................................................................................................................	30
CPR Settings .......................................................................................................................	31
Enable CPR Voice Prompts .........................................................................................	31
Enable CPR Display ....................................................................................................	31
Enable CPR Metronome ..............................................................................................	31
Target CPR Depth .......................................................................................................	31
Display Fully Release Prompt ......................................................................................	32
Pace Settings.......................................................................................................................	33
Pace Rate Setting on Power-Up ..................................................................................	33
Async Softkey in Pace Mode .......................................................................................	33
Alarms Settings....................................................................................................................	34
Alarm Limits at Power Up ............................................................................................	35
Alarms Active at Power Up ..........................................................................................	39
Display Settings ...................................................................................................................	40
Display Time ................................................................................................................	40
Select Trace 2 At Power Up ........................................................................................	40
Select Trace 3 At Power Up ........................................................................................	41
ECG Color ...................................................................................................................	41
SpO2 Color ..................................................................................................................	41
CPR Color ....................................................................................................................	41
EtCO2 Color .................................................................................................................	42
NIBP Color ...................................................................................................................	42
SPO2 at Power Up .......................................................................................................	42

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NIBP Settings (Optional)......................................................................................................	43
Blood Pressure Units ...................................................................................................	43
Trigger NIBP Meas on BP Alarm .................................................................................	43
Trigger NIBP Meas on HR Alarm .................................................................................	43
NIBP Auto Interval Default ...........................................................................................	44
Adult Initial Cuff Inflation ..............................................................................................	44
Pediatric Initial Cuff Inflation ........................................................................................	44
Neonatal Initial Cuff Inflation ........................................................................................	44
NIBP Patient Mode at Power Up .................................................................................	45
NIBP Button Press & Hold ...........................................................................................	45
Enable Motion Tolerance .............................................................................................	45
EtCO2 Settings (Optional)....................................................................................................	46
Default EtCO2 Units .....................................................................................................	46
Displayed Zoom Level .................................................................................................	46
Default EtCO2 Comp Setting .......................................................................................	46
Power Save Mode at Power Up ...................................................................................	47
EtCO2 Average On Power Up .....................................................................................	47
Printer & Report Settings .....................................................................................................	48
Set Report Restart Delays ...........................................................................................	48
Auto Generate Strips ...................................................................................................	48
Print 3 Leads When Leads Sel. ................................................................................... 48
Readiness Test Settings ......................................................................................................	49
Automatic Readiness Test ...........................................................................................	49
Readiness Test Time ...................................................................................................	49
Print Readiness Test Results ......................................................................................	49
Enable Readiness Test Audible Alert (Future Use) .....................................................	50
One Step Padz Installed ..............................................................................................	50
AED Mode ...........................................................................................................................	51
Display ECG in AED Mode ..........................................................................................	51
Display HR in AED Mode .............................................................................................	51
Manual Confirm Enable ...............................................................................................	51
Extra CPR Interval Before 1st Analysis .......................................................................	52
Duration of Extra CPR Interval ....................................................................................	52
Display Remaining CPR Timer ....................................................................................	52

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Wi-Fi Settings (Optional)......................................................................................................	53
Full Disclosure Transfer Mode .....................................................................................	53
Defib History Transfer Mode ........................................................................................	53
Infrastructure Mode Options ........................................................................................	53
DHCP/Static IP ............................................................................................................	53
Local IP Address ..........................................................................................................	54
Gateway IP Address ....................................................................................................	55
Subnet Mask ................................................................................................................	56
Use DNS ......................................................................................................................	57
Primary/Secondary DNS IP Address ...........................................................................	57
SSID Names (up to 2 entries) ......................................................................................	58
Server Name (Full Disclosure) .....................................................................................	59
Server IP (Full Disclosure) ...........................................................................................	60
Server Port (Full Disclosure) ........................................................................................	61
Server Name (Defib History) ........................................................................................	62
Server IP (Defib History) ..............................................................................................	63
Server Port (Defib History) ...........................................................................................	65
Passphrase/Keys (up to 2 entries) ...............................................................................	66
Enable Report ID .........................................................................................................	67
Wi-Fi Region ................................................................................................................	67
Wi-Fi Radio ..................................................................................................................	67

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Chapter 1

Introduction

The R Series® is designed with several user selectable features that allow operators to configure the device according to their protocols and local requirements. This manual describes the configuration settings (options and defaults) and how to change them for ALS, Plus, and BLS models. References to AED settings are for Plus and BLS models only.

Note: Your unit may not contain all features listed. For BLS/Plus units, some features are available in manual mode operation only.

For more information, see the following sections:

•“Entering System Configuration Mode” on page 2

•“Printing Configuration Settings and Activity Logs” on page 3

•“Uploading Data from a Compact Flash Card” on page 6

•“Saving Configuration to a Compact Flash Card” on page 8

•“Restoring Default Values” on page 9

•“Accessing and Changing Configuration Settings” on page 10

•“Leaving Configuration Mode” on page 11

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Chapter 1 Introduction

Entering System Configuration Mode

In order to make any changes to unit configuration, you must first power on the unit in System Configuration mode.

Procedure

Follow these steps to power on the unit in System Configuration mode:

Step Action

1.Turn the selector switch to OFF, and wait 10 seconds.

	Simultaneously press and hold the right-most and		System Configuration
	left-most softkeys (below the monitor) while turning		Set Configuration Passcode
	the selector switch to MONITOR (for ALS models)			or Power Off to Exit
	or ON (for Plus and BLS models), and hold the	0		0 0 0	? ?	?	?
	softkeys for approximately 4 seconds.
	The unit powers on in System Configuration mode.		0	1	2	3	Delete
2.	Enter the passcode using the appropriate softkeys.
	Note: When you enter System Configuration for

	the first time, enter the default pass code of		System Configuration
	00000000.	Enter Configuration Passcode
	To change a digit, use the Delete softkey to		or Power Off to Exit
	highlight the entry and re-enter the digit.	0		0 0 ?		? ?	? ?
	When all 8 digits have been entered, the unit		0	1		2	3	Delete
	automatically advances to the Select Language
	screen.
3.	Use the Prev Value and Next Value softkeys to
	toggle the highlighted area between the language		System Configuration
	options.
				Select Language
					ENGLISH
					FRANCAIS
					Prev	Next		Exit
					Value	Value	Enter	Config

4.Press the Enter softkey to select the highlighted

language.

All subsequent configuration menus will be in the System Configuration selected language.

The unit automatically advances to the Main Configuration menu.

Read

Restore From Change Exit

Print Defaults Card Config Config

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Printing Configuration Settings and Activity Logs

Printing Configuration Settings and Activity Logs

To print the current configuration or activity log of your unit while the unit is in the System Configuration mode, press the Print softkey from the Main System Configuration menu. For instructions on putting the unit in System Configuration mode, refer to the previous section, “Entering System Configuration Mode.”

Printing Configuration Settings

In System Configuration mode, press the Print softkey, then the Print Config softkey to print a stripchart of all the unit’s configuration settings. See a copy of a sample Configuration Report below.

Note: In normal operation, you can print the configuration by pressing the following softkeys: Options, More, then Print Config.

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Chapter 1 Introduction

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Printing Configuration Settings and Activity Logs

Printing the Activity Log

In System Configuration mode, press the Print softkey, then the Print Activity Log softkey to print a stripchart of the unit’s activity log. The log consists of the last 1,024 user entries or system prompts. See a copy of a sample Activity Log report below.

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Chapter 1 Introduction

Uploading Data from a Compact Flash Card

You can upload data from a compact flash card to perform the following tasks:

•Copy the configuration of one unit to any number of units

•Install new software to the unit

•Copy a second language to the unit

Procedure

Follow these steps to load a configuration, another language, or software from a compact flash card:

Step Action

1.Install the compact flash card in the R Series unit,

and power on the unit in System Configuration mode

as described in “Entering System Configuration System Configuration Mode” on page 2.

	Read
Restore	From	Change	Exit
Print Defaults	Card	Config	Config

2.	Press the Read From Card softkey to display the
	Read Card screen.	System Configuration
	Use the Prev Value and Next Value softkeys to
		Read Which Type of Card?
	toggle the highlighted area between the following
	options:
			LANGUAGE
		CONFIGURATION
	• LANGUAGE - allows you to upload a second
			PROGRAM
	language to the unit. English is always on the
	unit as default, and one other language can be		Prev	Next
	added.		Value	Value Enter

•CONFIGURATION -allows you to read the configuration data from a card, thereby configuring this unit.

•PROGRAM - allows you to install new software in either the PD processor or the ECG processor.

Note: Do not install an older version of software over a newer version because it will cause software problems.

3.	Press the Enter softkey to initiate reading and
	storing the information from the installed compact	System Configuration
	flash card.
	Once the card has been read and loaded, the unit		Card Read
	displays the CARD READ message (for a language	Press Change Config to View
	card) or the CARD READ and PRESS CHANGE
	CONFIG TO VIEW messages (for a configuration
	card).		Restore	From	Change	Exit
				Read
		Print	Defaults	Card	Config	Config

If you want to review configuration settings, press the Change Config softkey. See “Accessing and Changing Configuration Settings” on page 10 for more information. If you want to leave

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Uploading Data from a Compact Flash Card

System Configuration mode, press the Exit Config softkey. See “Leaving Configuration Mode” on page 11 for more information.

If the unit encounters an error reading the memory card, one of the following error messages is displayed:

Error Message	Description
CARD READ FAILED	No response is detected from the card reader.
BAD CARD	The unit cannot read the card.
NO CARD INSERTED	The card is not installed in the data card slot.

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Chapter 1 Introduction

Saving Configuration to a Compact Flash Card

Whenever you exit configuration mode, you can optionally save the configuration to a compact flash card. This allows you to copy the configuration from one unit to any number of units.

Procedure

Follow these steps to save configuration data to a compact flash card:

Step Action

1.Power on the unit in System Configuration mode as

described in “Entering System Configuration Mode”

on page 2. System Configuration

	Read
Restore	From	Change	Exit
Print Defaults	Card	Config	Config

2.Press the Exit Config softkey to display the Exit

Configuration screen, and then install the flash card	System Configuration
in the R Series unit.
	Save Changes and Exit
	Discard Changes and Exit
	Return to Main Menu
	Prev	Next
	Item	Item Enter

3.Press the Enter softkey to save the configuration changes and exit.

	The unit displays the SAVING CONFIGURATION	System Configuration
		Save Changes to Card?
	and DO NOT POWER OFF messages and then the
	Save Changes To Card screen appears.
				NO
				YES
		Prev		Next
		Item		Item Enter
4.	Press the Next Item softkey to highlight YES, then
	press the Enter softkey.
	The unit displays the SAVING TO CARD message
	and then the POWER OFF TO EXIT
	CONFIGURATION message.

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Restoring Default Values

Restoring Default Values

You can restore all configuration settings to their factory default settings. Only the display language, if different from the default, does not change.

Procedure

Follow these steps to restore all configuration settings to default values:

Step Action

1.Power on the unit in System Configuration mode as

described in “Entering System Configuration Mode”

on page 2.	System Configuration

	Read
Restore	From	Change	Exit
Print Defaults	Card	Config	Config

2.	Press the Restore Defaults softkey to reconfigure
	settings to their default settings.	System Configuration
	Once default settings are restored, the unit displays		Defaults Restored
	the DEFAULTS RESTORED and PRESS CHANGE	Press Change Config to View
	CONFIG TO VIEW messages.
				Read
			Restore	From	Change	Exit
		Print	Defaults	Card	Config	Config

If you want to review configuration settings, press the Change Config softkey. See “Accessing and Changing Configuration Settings” on page 10 for more information. If you want to leave System Configuration mode, press the Exit Config softkey. See “Leaving Configuration Mode” on page 11 for more information.

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Chapter 1 Introduction

Accessing and Changing Configuration Settings

You can change the current value for any configuration setting. You access most of the settings in the same way as described below. Additional steps are required to access and modify several settings. For those settings, the additional steps are provided with the setting description in the next chapter.

Procedure

Follow these steps to access the settings.

Step Action

1.Press the Change Config softkey from the Main System Configuration screen.

	The unit advances to the Select Configuration	System Configuration
		Select Configuration Category
	Category screen.
				CPR
		General
		ECG		PaceS t/Review
		Audio		Alarms
		Basic Defib		Display
		Advisory Defib		Printer & Report
			Page 1 of 2
				Main
				Enter Menu

System Configuration

Select Configuration Category

Readiness Test

AED Mode

NIBP

EtCO2

Wi-Fi

Page 2 of 2

Main

Enter Menu

2.Use the softkeys on the screen to move through the list and select a category, or to exit as follows:

• — moves the highlight up, down, left, and right through the list of categories.

•Enter — provides you access to the options of the highlighted category. Press this softkey once you have highlighted the appropriate category.

•Main Menu — returns you to the Main System Configuration screen.

3.Once you select and access the options for a category, you can highlight the specific setting you want to change, then press the Change Value softkey until the appropriate value is displayed.

Note: Some options require and evoke an additional screen to set the value (for example, setting the Device Identifier). Specific instructions for those options are provided in the next chapter.

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Leaving Configuration Mode

Step Action

4.When you are finished, you can either press the Category List softkey to return to the Category screen, or press the Prev Item or Next Item softkey to move to another option whose settings you want to modify.

Leaving Configuration Mode

Procedure

Follow the step below to leave System Configuration mode:

Step Action

1.Press the Exit Config softkey from the Main System

	Configuration screen to display the Exit	System Configuration
	Configuration screen.
	Use the Prev Item and Next Item softkeys to toggle
	the highlighted area between the following options:	Save Changes and Exit
	• SAVE CHANGES AND EXIT - saves all	Discard Changes and Exit
		Return to Main Menu
	configuration changes you made and prompts
	you to Save to Card. If you specify Yes, the	Prev	Next
	configuration information is saved to the installed	Item	Item Enter

Compact Flash card. Lastly, the message

POWER OFF TO EXIT CONFIG is displayed.

Power off the unit.

•DISCARD CHANGES AND EXIT-disregards the changes you made and displays the message

POWER OFF TO EXIT CONFIG. Power off the unit.

•RETURN TO MAIN MENUreturns you to the Main System Configuration screen, where you can make more changes by selecting the Change Config softkey. You do not have to reenter the passcode.

Note: No changes are made if you turn the unit off without saving the configuration.

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Chapter 1 Introduction

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Chapter 2

Configuration Settings

This chapter describes all of the configuration settings on the R Series and includes the following sections.

•“General Settings” on page 14

•“ECG Settings” on page 19

•

•“Basic Defibrillation Settings” on page 22

•“Advisory Defib” on page 24

•“CPR Settings” on page 31

•“Pace Settings” on page 33

•“Alarms Settings” on page 34

•“Display Settings” on page 40

•“NIBP Settings (Optional)” on page 43

•“EtCO2 Settings (Optional)” on page 46

•“Printer & Report Settings” on page 48

•“Readiness Test Settings” on page 49

•“AED Mode” on page 51

•“Wi-Fi Settings (Optional)” on page 53

Note: The instructions in this chapter assume that you powered on the unit in System Configuration mode as described in “Entering System Configuration Mode” on page 2, and are familiar with how to access the settings, see “Accessing and Changing Configuration Settings” on page 10.

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Chapter 2 Configuration Settings

General Settings

General settings are attributes that affect the unit’s basic operation and accessibility and include:

•Device Identifier

•Configuration Mode Passcode

•Code Markers

Device Identifier

The Device Identifier feature allows you to set an 11-digit device identifier code. This code is divided into two sub codes: the site ID (consisting of eight alphanumeric characters) and the device ID (consisting of three alphanumeric characters). The device identifier is printed on the summary report and fax printouts.

Values are as follows:

Possible Values:	0 through 9, A through Z, blank and underscore inclusive for each digit.
Default:	00000000 000

Procedure

Follow these steps to set up a device identifier.

Step	Action
1.	From the Select Configuration Categories screen,
	select General, then press the Enter softkey.
	The General Settings screen appears.	System Configuration
			General Settings
	DEVICE IDENTIFIER			ABCDEFGH 777
	CONFIGURATION			Set/Review
				00000000
	MODE PASSCODE
	CODE MARKERS			Config/Review
			Page 1 of 1
	Change	Prev	Next	Category	Main	Exit
	Value	Item	Item	List	Menu	Config

2.Select DEVICE IDENTIFIER and press the

Change Value softkey.

The Device Identifier screen appears.	System Configuration
					Set Site ID
				0	0	0	0	0	0	0	0
					Set Device ID
						0	0		0
		A	B	C	D	E	F		G	H	I	Cancel
		J	K	L	M N		O		P	Q	R	Del
		S T U V W X Y, Z 0 < >
		1	2	3	4	5	6		7	8	9	_
												Enter
												Char Return

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General Settings

Step Action

3.In the character selection table:

• lets you move to the next or previous characters.

Use the softkeys as follows:

• — moves the highlight up, down, left, and right through the character selection table.

•Enter Char — enters the highlighted character for 8 digits of the Site ID and the 3 digits of the Device ID.

•Return — returns you to the General Settings screen. Press the Return softkey when you are finished entering the IDs. Note that selecting Enter also returns you to the General Settings screen.

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Chapter 2 Configuration Settings

Configuration Mode Passcode

This feature allows you to set an 8-digit system configuration passcode. Once set, only those people who know the passcode can access the configuration mode and modify settings.

Values are as follows:

Possible Values: 0 through 3 inclusive for each digit

Default: 00000000

Procedure

Follow these steps to set up a configuration mode passcode:

Step	Action
1.	From the Select Configuration Categories
	screen, select General, then press the Enter		System Configuration
	softkey.
	The General Settings screen appears.			General Settings
	DEVICE IDENTIFIER				ABCDEFGH 777
					Set/Review
	CONFIGURATION				00000000
	MODE PASSCODE
	CODE MARKERS				Config/Review
				Page 1 of 1
	Change		Prev	Next	Category	Main	Exit
	Value		Item	Item	List	Menu	Config

2.Select CONFIGURATION MODE PASSCODE and press the Change Value softkey.

	The Set Configuration Passcode screen appears.	System Configuration
		Set Configuration Passcode
		0	0	0	0	0	0	0	0
		Prev		Inc		Dec		Next
		Digit		Digit		Digit		Digit Enter
3.	Use the softkeys as follows:
	• Prev Digit — moves the highlight left to the
	previous digit.
	• Inc Digit or Dec Digit — increments or
	decrements the value of the selected digit.
	• Next Digit — moves the highlight right to the
	next digit to be entered.
	• Enter — saves the values that you entered
	and returns the unit to the General
	Configuration menu.

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General Settings

Code Markers

This setting allows you to review and change the preconfigured list of Code Markers for use in DEFIB, MONITOR, and PACE modes. Code Marker settings are language dependent. You can specify up to three groups (MONITOR, DEFIB, and PACE) of 20 entries each.

Procedure

Follow these steps to review, change, or reset code marker settings:

Step	Action
1.	From the Select Configuration Categories
	screen, select General, then press the Enter		System Configuration
	softkey.
	The General Settings screen appears.			General Settings
	DEVICE IDENTIFIER				ABCDEFGH 777
					Set/Review
	CONFIGURATION				00000000
	MODE PASSCODE
	CODE MARKERS				Config/Review
				Page 1 of 1
	Change		Prev	Next	Category	Main	Exit
	Value		Item	Item	List	Menu	Config

2.	Select CODE MARKERS and press the Change
	Value softkey.

	The Select Code markers screen appears.				System Configuration
					General Settings
					DEFIB			Config/Review
			CODE MARKERS					Set/Review
					MONITOR			Config/Review
			CODE MARKERS
					PACE			Config/Review
			CODE MARKERS
						Page 1 of 1
		Change			Prev	Next		Enter
		Value			Item	Item			Return
3.	Select either DEFIB CODE MARKERS,
	MONITOR CODE MARKERS, or PACE CODE
	MARKERS, then press the Change Value				System Configuration
	softkey to toggle between Change/Review or Set		Defib Markers					Markers List
	to Defaults.
								CPR
			Item 1: CPR
	• If you select Set to Defaults, press the Enter		Item 4: LIDO					DOPA
			Item 2: Intubate					EPI
	softkey to set the chosen code markers to		Item 3: EPI					Atrop
			Item 6: B-block					Bicarb
	their default values.		Item 5: Narcan					PHEN
			Item 8: Mag Sulf					Oxygen
			Item 7: Atrovent					Aspirin
	• If you select Change/Review, press the Enter	Change			Prev	Next		Delete	Return
	softkey to access the screen that allows you	Value			Item	Item		to End
	to change the marker, as shown.
	Note: This example shows the screen that
	allows you to change DEFIB CODE
	MARKERS.
	Only 8 items are displayed on the
	screen at one time. When you get to the
	last item on the screen and press the
	Next Item softkey, you see the next 8
	items. When you get to the last item on
	that screen and press the Next Item
	softkey, you see the remaining 4 items.

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