Release notes for HeartCode ACLS v2009

Summary of changes:

Tecnical:
*	the cognitive content is now served from a central server on your institution’s Intranet, 
	meaning that it is no longer necessary to install HeartCode ACLS locally on each PC.

Course Versions Specific to Role/Job:
*   In the new course, there is only one version; there are no longer separate profiles
according to provider role (example: Physician, Nurse, etc.).
*   The reasoning for removing the role-specific courses is that all Healthcare providers
who take an ACLS course should demonstrate knowledge and understanding
of ACLS algorithms, whether or not they would perform some of the actions in their
current roles. For example, a healthcare provider who may not normally establish IV
access as part of their current duties should be able to identify the need for IV access
to be established to administer ACLS core drugs. You will still be asked to specify your
profession when claiming CME points after completing the program.

Overall Look/Feel/Function:
Menu:
*   Tabs have been added to the menu screen for easier navigation of patient treatment options.
Graphics:
*   Completely changed the graphical user interface to avoid floating windows which
could cover up other actions
Stop Watch:
*   Addition of a “stop watch” clock function that allows the student to time specific actions
(Example: 2 minutes of CPR).
Introductions/Student tutorials:
*   Improved the detailed instruction in the introductions, indicating how to navigate the
course, what to expect, etc.
AHA Texts:
*   No more use of Adobe Reader to read AHA texts. The full textbook(s) are still embedded
in the course content.

Cases:
In some cases algorithms have been consolidated and in other cases there have been
additions. The course still contains 10 patient cases that cover all ACLS algorithms.
*   The previous Cardiac Arrest patient case (Brad Stephens) has been made more
specific for the review of the BLS algorithm only
*   Addition of a second Stroke case, that is not eligible for fibrinolytics
*   Addition of 3 new patients:
*   2 that result in megacode scenarios
	-- Bradycardia -> VF -> Asystole
	-- Tachycardia -> VF -> PEA -> Sinus
*   1 Respiratory Arrest

Drugs:
*   Reduced existing drugs list from approximately 100 to the 17 core ACLS
drug inventory
*   Added “conscious sedation” as a generic drug
*   Added Heparin
*   Added Fibrinolytics

Actions:
*   Changed CT scanner from a transfer option to a feature that takes place during the
simulation with proper response
*   Added IO administration route
*   Added five-point auscultation feature
*   Added NIH score check for stroke case progression
*   Added fibrinolytic check list as a separate feature
*   Removed ability to click on objects for treatment such as the AED

CPR:
*   Reduced pauses in CPR significantly
*   Added rescuers changing positions after every rhythm check
*   “Call for help” has been assigned a more prominent place in the interface.
*   Failed IV insertion feedback has been changed to make it more clear that the user
should try in another location
Debriefing:
*   Changed to two details levels of debriefing compared to four previously

Medical record:
*   Completely redesigned for greater realism and navigation
*   Added better logging of actions and tests including all obtained 12-lead ECGs

HeartCode ACLS Part 2 Updates:
*   Improved manikin connection stability
*   The debriefing will give additional feedback on performance


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Known issues

* 	Adobe Flash crashes if ACLS is viewed in fullscreen over a remote desktop connection
* 	If installing on a Vista machine while an automatic update is pending, then 
	HeartCode ACLS might not work until after a reboot.
*	In some cases when uninstalling BLS Part 1 and ACLS 2009 the Apache installer
	doesn't get uninstalled properly. This causes new installation of ACLS to not work
	Correctly. The workaround is to uninstall ACLS and reinstall again.
*	Issues have been observed where patients stopped loading or Internet Explorer froze up.
	These issues have gone away after:
		- Uninstalling Yahoo and Google toolbars 
		- Removing old versions and reinstalling latest version of Adobe Flash Player
		- Rebooting