SmartMan Code User Manual – 5.0 Results Table of Contents
Contents
1. 71s to defib analysis 56 health score j Defibrillation Analysis 130 compliant of 154 compressions 178 Defib2 6 compliant of 10 ventilations 107s to defib analysis 15 health score Defibrillation Analysis 24 compliant of 151 compressions Note the difference in 272 Defib3 3 compliant of 10 ventilations UAY ee 94s to defib analysis 7 health score 285 Intub Intubation Recorded Defibrillation Analysis 95 compliant of 147 compressions different stages 363 Defib4 0 compliant of 15 ventilations 91s to defib analysis 14 health score SCA response ended ove pence 14 health score SmartMan Megacode Manual 5 0 Results v1 4 3 Oct 2013 Page10 4 2 7 Compliant Compressions By Stages This provides an at a glance view of how well compressions during each stage were performed e All compressions during each stage are displayed e Only two colors are used bright green for all correct compliant or dark grey for not correct Each compression is a single bar This allows you to instantly see whether it is a mostly compliant performance or not Ina situation where there is a change of team you can instantly see if one team was much better than another Top Very good set of Stage 3 Compliant Compressions 1078 compressions What happened during this set of Compressions Stage 4 Compliant Compressions 94s Stage 5 Compliant Compressions 918 SmartMan Megacode Manual 5 0 Results v1 4 32. as set on the computer when the activity was performed To make sure this file has the correct date and time check the computer date and time settings before you begin the activity The following information is contained in this section Name This contains identifying name that was used for Login If you created a Login name it is much easier to keep track of what was done File Name This ts the file name as stored on the hard drive It will identify which activity was performed and the date it was performed according to the computer it was performed on Activity This will identify which activity was performed Date Login ID This reports the date the activity was performed and the name used for the login Health Score This is the health score of the patient when the code was stopped A good health score is close to 20 Top 4 2 4 Intervention Timeline This contains a graph from the beginning of the code until it is stopped e Each stage of the code is marked e Each time an intervention button was pressed an identifying marker and the time is put onto the graph For example the graph indicates each time the defibrillator was used to analyze the heart rhythm when an IV is established when epinephrine was given etc 4 2 5 Code Summary Stats This section gives a overall evaluation of how well skills were performed during the code Note 1 3 of code not performing Key points might indicate areas where imp
3. categories as number performed per minute The target rate of 100 120 per minute noted in green Also the percentage of compressions performed at the target rate is provided Line 3 Non releases of the chest are shown in tenths of inches As SmartMan records even minor non releases you see that a non release of up to 0 1 of an inch is acceptable and hence the compression bar is shown in green The percentage of chest compressions performed with full release of the chest is also provided SmartMan Megacode Manual 5 0 Results v1 4 3 Oct 2013 Page12 Below is an example of this section of the After Action Report Compressions Detailed analysis peri inches OD s lt i SEJ a lt 2 0 pe 0 2 kan gt 2 5 3 JE Score Comps 66 3 3 ee He o M a Me aaa ve fa oa fm ED gt 200 AE gt 150 E gt 120 gt 100 JE IE s lt 7 Score Comps 5 Releases inches 0 lt 0 05 lt 0 1 lt 0 2 lt 0 4 lt 0 6 0 6 Score Comps 118 594 12 12 2 0 1 97 7 Top 4 2 9 Analysis of Ventilations This section provides detail on the overall performance of ventilations It provides each of the following statistics Total ventilations performed Average volume of ventilation low vol Average volume of ventilation normal volume Average duration of inspiration low vol Average duration of inspiration Normal vol Also there is a statistic for the total ventilations by volume and duration of in
4. 1 kh A T A A e Oo O o te F ry o a 4 2 RESULTS IN AFTER ACTION REPORT AHA The report will be generated from the data that was stored as the code was performed It is created from the data each time you press the print report The After Action Report will open your default browser You may receive a message from your browser saying that an application is trying to make a change to your page You must allow this or the numbers the data will not be permitted to be entered into your browser page 4 2 1 Generating the After Action Report The main screen provides real time feedback as the code is being performed Once the code is finished it displays the results To generate the After Action Report you must have the Results on your screen The Print Results button is located in the middle of the screen See the picture below Since the report will be displayed in your default browser it must open your browser This may take a few seconds if it is not already open NOTE You will have to allow the program to put the data into your browser page If the page loads but there are no numbers in it then your browser has been set to prevent the program from allowing it to be changed by another program You must allow this Top SmartMan Megacode Manual 5 0 Results v1 4 3 Oct 2013 Page7 uit 2010 Guidelines for CPR and ECC Menu Help Q Information jant 2 min CPR Analysis P Results for Iridia1 Health Statu
5. Compliant Compressions Button During CPR our aim is to provide more compressions less hands off the chest time and better compressions fully meeting the guidelines This button shows you only the compressions which are fully compliant with the current 2010 AHA Guidelines They are perfect for depth rate and recoil When you press the button all of the colored compressions bars showing on the screen which are NOT bright green will disappear This only applies to the set which are currently displayed on the screen 4 1 7 Print Results Button Click this button and an html page will load It will show you a summary of the performance Active X must be turned on for you to see the numbers in this form You can then save the page print it or attach it to an email See below for more details Top 4 1 8 Advanced Analysis Button To display the advanced information relating to the performance of skills during the code go to the far left edge of the window and click on the Press To Open Close Button It will open a window and it will display the summary information of the current code Summary Button The following picture is an example of the summary information displayed SmartMan Megacode Manual 5 0 Results v1 4 3 Oct 2013 Page 4 SmartMan Results Analysis Section for Eric1 Results for Erici saved as 0001211334 CodeBP s 10 1 2013 1 smmec A summary of your performance is Total compressions performed 895 Average d
6. IVE RESULTS It is always possible to return to the results on your computer but there may be times when you want to keep a print copy of the code results and or you may want to keep a convenient copy of the after action report in a pdf Pdf s are easy to print and easy to attach to an email 4 3 1 Print After Action Report The results displayed on your screen are in html format the same format as a normal web page Simply go to print in your browser 4 3 1 Store After Action Report as pdf You must be viewing performance results to print them Results will appear as soon as you press the Stop Button Or from the Main Menu select the View Previous Results select Megacode then select the particular results you wish to view Print Results SmartMan Megacode Manual 5 0 Results v1 4 3 Oct 2013 Page 14 Click Print Results button near the middle of the screen The results will be generated in an html page Note If your browser is not yet running it may take a few seconds to load before you see the results Active X must be turned on in your browser for you to see the numbers on this page The print page will show you a summary of the performance Once it is displayed you can print the page and save it as an mht or maff file or it can be attached to an email Top SmartMan Megacode Manual 5 0 Results v1 4 3 Oct 2013 Page15
7. Oct 2013 Page11 4 2 8 Analysis of Compressions This section provides detail on the overall performance of chest compressions It provides each of the following statistics Total compressions performed Average depth of compression Average duration of compressions Average rate of compression Total time in activity Hands off time activity Also there is a statistic for the total compressions by depth rate and release There is also a percentage for fully compliant compressions See the picture below Analysis of Compressions performance of Compressions otal compressions performed 741 average depth of compression 2 24in 5 69cm average duration of compressions 0 54s verage rate of compression 11 1 min otal time in activity 403s Hands off time activity 94 65 TJTFJFJFJ M 55000000 ka S OO Compressions b ompressions Depth ompressions Durations 87 ompressions Releases ompressions Fully Compliant 58 3 432 of 741 Top Further Details on Compressions The total number of compressions and how they were performed will be grouped according to parameter and the level at which they were performed Those performed to the target level are shown in green Line 1 Depths are categorized in groups of 1 2 inch The target depth 2 0 2 5 inches are shown in green The percentage of compressions performed within this target range is also provided Line 2 Rates are
8. SmartMan Code User Manual 5 0 Results For SmartMan Code Megacode and Megacode ROC V1 1 0 current at 1 October 2013 Table of Contents SmartMan Code User Manual 5 0 Results r rrrnnreranennanennnreranennanennnrnnanennnnennnennanennanenanennanennn 1 SMARTMAN CODE SMARTMAN MEGACODE SMARTMAN MEGACODE ROC 2 DORE ULT EEE 2 STRESS ON SCREEN orane E A E E ASN 2 SNE NN 2 5 1 2 Current Progress Area Results as taceyeregcen sata oetawatnaceceeiesaentienatiaanessasatenstactanacinaauaustnaagnantanacendtantcnesseneteeriantunoctiat 2 4 1 3 Intervention and Timer Area ResultsJ rrrrrrnnrnnnrrrrnrnnnnrrnnnnnnnrnnnrnnnnrnnnrnnnerrnnrnnnennnnrnnnnennnrnnneennnrnuneennnrnuneeeee 3 4 1 4 Real Time Feedback Area Results ccnicnccacavasaccenvauatecstdoasataidoasadevabacacsddncsavsudontadiesidnaand Madede sis oataetteeainspideeuadss 3 4 1 5 Health Status Area Results sseesssssesssresessrrnsssrrrrsssrrrressreresssrtressrrrressrtrressrtrressrtrrssrtressetereserteresertrreserereeses 3 4 1 6 Compliant Compressions Button rrrrrnnnnnnrrrnnnnnnrrrnrnnnnnrrnrnnnnnrrnnnnnenernnnnnesernnnnnesrnsnnnsssennnnnesnnnnnnessennnnnssene 4 4 1 7 Print Res lts BUTTON uvussse ansees AAEE OEIS N AEE 4 4 1 8 Advanced Analysis NN 4 4 2 RESULTS IN AFTER ACTION REPORT AHA scsccssssseccsssrencussseneusuescensrencucssencusrescavsrencuaseneusrescessrencusaseneusresses 7 4 2 1 Generating the After Action Report rrrnrnnrrnnnnnrrnn
9. ays the compliant status for the cycle which is currently showing Click the Compliant Compressions button again to return to the normal display Click the next cycle button to display results for the next cycle 4 1 5 Health Status Area Results This area now shows the completed quick graph as a timeline Color The color shows the oxygen available to the patient In the above case it shows the decrease in oxygenated blood as the code continues By performing perfect CPR you can greatly slow down how quickly oxygenated blood is used up That is the better you perform the more gradual the decline Maintenance Threshold This is the Horizontal Yellow Line The following picture is an example of a Health Status Display The use of external heart massage cannot provide the SmartMan Megacode Manual 5 0 Results v1 4 3 Oct 2013 Page3 same oxygenation as present in normal breathing The Maintenance Threshold line indicates the maximum you can aim for You will notice that stopping chest compressions reduces the health status By performing better compressions in accordance with the current AHA Guidelines the health Status will improve Stages This timeline also indicates when each stage started a solid vertical line This is triggered by use of the AED Currently this Health Status Display will only show results for the first 10 minutes of the code Labels The labels indicate when key events took place Top 4 1 6
10. epth of compression 2 25 72c0m 5 6cm recommended Average duration of compression 0 53s 0 5 0 65 recommended Average rate of compression 113 min 100 120 min recommended Fully compliant compressions depth rate amp release 465 51 9 Time in activity 5515 Total Hands Off Time activity 167 55 Eee SS ld Click on one of the buttons at the bottom of the window to see more information Compressions Button The total number of compressions and how they were performed will be grouped according to each parameter and the level at which they were performed Those performed to the target level are shown in green Line 1 Depths are categorized in groups of 1 2 inch Line 2 Rates are categories as described in the headings in the table Line 3 Non release of the chest are categorized in groups of 0 1 of an inch As SmartMan records even minor non releases you may see a couple of categoriey slight non releases If these are bright green and 0 1 inch or less then these are acceptable Top SmartMan Results Analysis Section for Eric1 Summary chest compression performance Depths inches 0 Vv Compressions A LA yi re Rate min gt 200 o Ei v O Compressions A Non Releases inches O O 05 01 0 2 04 0 gt gt sf a om w s o ms Top SmartMan Megacode Manual 5 0 Results v1 4 3 Oct 2013 Page5 Ventilations Button The total number of ventilations and how they were perfo
11. low 5 1 2 Current Progress Area Results See right side of the picture below This now displays summary information related to the total number of chest compressions performed during the code It also provides the duration of the code Below this is a percentage of how well the total of compressions performed were correct for Depth and Rate The last percentage is the percentage of the total compressions performed which were totally compliant with the current AHA guidelines Top SmartMan Megacode Manual 5 0 Results v1 4 3 Oct 2013 Page2 Intubation Time 306s Compressions IV Os Time Taken Epinephrine 228s Vasopressin Os Amiodarone 303s Compressions Depth 51 4 Compressions Rate 80 6 Depth Rate Release 42 7 Print Compliant Compressions Results 4 1 3 Intervention and Timer Area Results The Intervention Buttons will disappear and here you will see which buttons you pressed and at what times See next picture 4 1 4 Real Time Feedback Area Results This area contains each cycle of CPR At the top left of the area it will tell you how many cycles of 30 you can scroll through Each cycle shows you the quality of each chest compressions and ventilation Click on the Next Button on the left edge of the display to show the next cycle When you are showing a particular cycle click on the Compliant Compressions button to display only those compressions which are fully compliant This ONLY displ
12. nnrrrnrnnnrnnnnnernnnnnrnnrnnnrnnnnnennnnnnennrnnenennnnsnnnnunsnnnnnesennnnennsnene 7 4 2 2 Overview of The Sections of the AAR cccscsanczsanaccssoincancssacnsanatounneaeaaaddvensananaseniias nsesabaranssarcessausansdeaiaedenaaanares 8 Ao PIO NNN 8 4 2 4 Intervention Timeline rrrnnrnnnrnnnnnrrnnnnnrrnrnnernnnnnernrnnnnnnnnnenennunennnnnesnnrnnennnnnnennnnnnsnnrnnenennunennnnnnsnnnnnesennunenesnnee 9 BY SE NNN 9 4 2 6 Megacode Stages rrannrnnnnnnrnnnnnrnnnnnnrnrnnnsrnnnnnsrnnnnernnnnnsrnrnnesennnnssnnnnnsrnnnnesrnnnnesnnnnnernnnnesennnnssnnnnsernnnnssennnnssnnnn 10 4 2 7 compliant Compressions Pr 11 TNT 12 2 13 EG ES EEE EEE 14 EE Aion ROI EEE 14 4 3 1 St re Alter Action Report as P scascacoagsanstsonisastenaassoatoncansinsgusartantaewsssansaocdaestemndansaneadsaeiawsiboassantaneeasateageaees 14 SmartMan Megacode Manual 5 0 Results v1 4 3 Oct 2013 Pagel SMARTMAN CODE SMARTMAN MEGACODE SMARTMAN MEGACODE ROC 5 0 RESULTS some information in this manual applies ONLY to ROC protocols That information is clearly marked ROC ROC ONLY appears in an orange shade ike this 5 1 RESULTS ON SCREEN The screen changes once the code is completed and you move to review results Once results are displayed you are able to See a quick summary on the screen 5 1 1 Information Area Results This area disappears and it becomes the area to display an advanced analysis of the skills performed See the section on Advanced Analysis be
13. rmed will be grouped according to parameter and the level at which they were performed Those performed to the target level are shown in green Line 1 Vol litres refers to the volume of the ventilations provided Line 2 Inspirations refers to the rate at which the ventilation was delivered These are put into categories with the target volumes being in green Line 3 Intervals refers to the time between ventilations Top SmartMan Results Analysis Section for Eric1 Summary of ventilations performance Vol litres Ventilations S 4 Ve Inspirations s Ventilations Ne 6 Intervals s Z Ventilations Top Report Button The report button provides information on the performance as related to the expected stages and the expected idealized time within each stage It provides the time spent in that stage and a percentage for the health score SmartMan Megacode Manual 5 0 Results v1 4 3 Oct 2013 Page 6 SmartMan Results Analysis Section for Eric1 STAGE 0 inital response completed Elapsed time first compression 8s Health score 88 STAGE 1 BVM completed Elapsed time BVM 19s Health score 82 STAGE 2 defibrillation completed Eipased time Defibrillator AED 151s Health score 14 STAGE 3 2 rescuer CPR completed Elapsed time in stage including defib analysis 275s Health score 14 STAGE 4 2 rescuer CPR completed Elapsed time in stage including defib analysis 400s Health score 1
14. rovement needs to compressione be made or in fact where it is being performed very well Total Time in Activity 362 seconds Hands Off Time in Activity 129 3 seconds Total Compressions Ne level for compliant Average Rate of Compressions 105 min compressions Overall Compressions Compliant 57 5 Total Ventiations Ventilations Compliant Top SmartMan Megacode Manual 5 0 Results v1 4 3 Oct 2013 Page9 4 2 6 Megacode Stages This section provides a table of the running time a list of the stages of the code with the critical event that occurred and details on performance during each stage It also provides detail on the total number of chest compressions were performed during that stage of the code along with how many of those were compliant with the protocol being practiced Below is an example of the report produced during this stage of the After Action Report A couple of points are highlighted below to draw your attention to the information These highlights are not a part of the report but are a part of this explanation Time from Critical Event Details Start Initial Response first compression detected 4 Stage l ae 94 health score Initial ventilation BVM arrived 17 compliant of 30 compressions Analysis of CPR from 1 22 stage p mp vrir 0 compliant of I ventilations ee EE Defibrillator used again Defibrillation Analysis 50 compliant of 68 compressions 71 Defib1 I compliant of 5 ventilations p
15. s 2 min CPR Analysis Iridial CodeROC s Area Click the Press to an analysis of you Intubation Time 276s Health Score 19 This file can be viewed later from the IV 203 260s Compressions 709 Vew Previous Results button on the main Epinephrine 207s Time Taken 417s menu Vasopressin 0s Amiodarone Os 5 Compressions Depth 76 2 Compressions Rate 90 6 Depth Rate Release 69 7 Click the Next Cycle button for more Compliant Compressio v a W Wi et O pr P O Ww Feedback and Quality med Dent of Skills area amp Correct Rate Correct Rate a Too sov fll Not Released __ Summary Area Ai Cycle 9 of 26 3 2 J XEON i Ventilations compressions Press the Print Results button to generate the After Action Report 4 2 2 Overview of The Sections of the AAR There are 7 sections to the After Action Report Each section provides specific information related to the code 1 Title Section Intervention Timeline Codes Summary Stats Megacode Stages Compliant Compressions By Stages Analysis of Compressions 7 Analysis of Ventilations Dp oN Each section is described in detail below 4 2 3 Title Section Results are recorded on the local computer under the login name It is possible to copy and delete results from the local computer SmartMan Megacode Manual 5 0 Results v1 4 3 Oct 2013 Pages The time and date information used in the files is the time and date
16. spiration There is also a total percent for fully compliant ventilations See the picture below for an example of this information Analysis of Ventilations Performance of Ventilations otal ventilations performed 67 verage volume of ventilation low vol 0 4L verage volume of ventilation normal vol 0 46L average duration of inspiration low vol 0 355 Average duration of inspiration normal vol 0 29s entilations by Sub skill entilations correct volume 37 3 entilations correct duration of inspiration 56 7 entilations Fully Compliant 23 8 16 of 67 5 Further Details on Ventilations The total number of ventilations and how they were performed will be grouped according to parameter and the level at which they were performed Those performed to the target level are shown in green SmartMan Megacode Manual 5 0 Results v1 4 3 Oct 2013 Page 13 Line 1 Volumes of air given in each breath are categorized in 100ml stages The target ventilation is provided in green The percentage of ventilations performed within the range is also provided Line 2 Inspiration refers to the rate at which the ventilation was delivered These are categorized as show in the picture below The target volumes are shown in green and the percentage of ventilations delivered within the target range is also provided entilations Detailed analysis Score 37 3 os Tete ett te te 56 7 3 4 3 ARCH
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