The philips heart start xl defibrillator monitor, at just under 14 pounds, is easily transported throughout the hospital to the site where cardiac care is needed. A combination manual device with automated external defibrillator capabilities, heartstart xl enables the first caregiver on the scene, whether an als or bls clinician, to deliver lifesaving defibrillation therapy. In aed mode, voice prompts and text messages guide bls users through the defibrillation process, while heartstart xl continuously monitors and displays the patients ecg. Upon the arrival of als personnel, heartstart xl is easily switched from aed to manual mode, allowing operators to access the units advanced therapeutic features such as selectable energy (from 2200 joules), non-invasive pacing (optional), spo2 (optional) and synchronized cardio version.