Monitoring ECG
2000966-386D Dash™ 3000/4000/5000 8-5
After assessing the information extracted from each of the physiologic signals, the
IntelliRate algorithm applies rule-based logic to determine which heart rate source
has the highest likelihood of being accurate. By reporting the most accurate rate, the
trended heart rate is more accurate, and occurrences of false heart rate limit violation
alarms are greatly reduced.
The IntelliRate value replaces the standard heart rate value in the ECG parameter
window. It also indicates the source of the heart rate (SPO
2
or ART) when the heart
rate source is not ECG.
To determine if IntelliRate is enabled on this monitor, select MORE MENUS >
MONITOR SETUP > SOFTWARE CONFIGURATION. If it is enabled, ECG
INTELLIRATE is listed under the ENABLED SOFTWARE OPTIONS list.
Combo and Rover Combo Monitoring Guidelines
The following are guidelines to remember when monitoring in COMBO or ROVER
COMBO monitoring modes.
When monitoring ECG from telemetry:
ECG limits and arrhythmia alarm levels are not your monitor defaults, but
are the telemetry defaults from the central station. You can adjust these
settings at the monitor.
The alarm pause feature (if available on your transmitter) is honored at the
monitor.
You should not turn off the monitor until you have discharged the patient
from the monitor.
Second V lead data is not sent to the monitor from the telemetry transmitter.
If you wish to see telemetry second V lead data, you must view the telemetry
patient.
When switching ECG monitoring from the monitor to telemetry:
Arrhythmia alarm histories from the monitor are merged in the telemetry
system. CD Telemetry-LAN software version 5 or later is required.
If you discharge the monitor, the telemetry arrhythmia alarm levels will be
the same as the arrhythmia alarm levels supported by the monitor.
Therefore, when the monitor uses the BASIC software package, only lethal
arrhythmia alarm levels will be detected from telemetry. If the monitor has
the CARDIAC software package, full arrhythmia alarm levels will be
detected from telemetry.
When switching ECG monitoring from telemetry to the monitor:
Telemetry is automatically discharged and the most recent 36 alarm histories
are transferred to the monitor.
The ECG limits, arrhythmia alarm levels and display defaults are recalled
from the monitor defaults.
NOTE
It is not likely that the COMBO or ROVER COMBO monitoring modes are used
when the patient-monitor type is OPERATING ROOM.