diff --git a/fiveparaminte-main/contec_parser.py b/fiveparaminte-main/contec_parser.py
index 4116255..37b17e6 100644
--- a/fiveparaminte-main/contec_parser.py
+++ b/fiveparaminte-main/contec_parser.py
@@ -58,13 +58,14 @@ CONTEC_PARAM_MAP = {
     # Temperature
     "TEMP": "temperature",
     "TEMP1": "temperature",
-    "TEMP2": "temperature",
+    "TEMP2": "temperature2",
     "T1": "temperature",
-    "T2": "temperature",
+    "T2": "temperature2",
     "BODY_TEMP": "temperature",
     "TEMP-1": "temperature",
-    "TEMP-2": "temperature",
+    "TEMP-2": "temperature2",
     "BODYTEMP": "temperature",
+    "TD": "temperature_diff",
 }
 
 # Sentinel value used by Contec to mark an invalid/disconnected parameter
@@ -304,7 +305,7 @@ def _parse_45_byte_packet(data: bytes, vitals_dict: dict) -> bool:
 
 def _parse_56_byte_packet(data: bytes, vitals_dict: dict) -> bool:
     """
-    Parse 56-byte packet (Subtype 23) — contains float32 Temperature values.
+    Parse 56-byte packet (Subtype 23) — contains float32 Temperature values for T1 and T2.
     
     Verified layout:
       [8-11]   Temperature 1 (float32)
@@ -318,8 +319,6 @@ def _parse_56_byte_packet(data: bytes, vitals_dict: dict) -> bool:
     if "present_fields" not in vitals_dict:
         vitals_dict["present_fields"] = []
 
-    found = False
-
     temp1 = read_f32_le(data, 8)
     temp2 = read_f32_le(data, 12)
 
@@ -327,24 +326,24 @@ def _parse_56_byte_packet(data: bytes, vitals_dict: dict) -> bool:
         # Disconnected sentinel is 9999.0 or 3276.7 (0x7FFF)
         return t is not None and is_valid_f32(t) and abs(t - 3276.7) > 1.0 and 20.0 < t < 45.0
 
-    if is_real_temp(temp1):
-        vitals_dict["temperature"] = round(temp1, 1)
-        if "temperature" not in vitals_dict["present_fields"]:
-            vitals_dict["present_fields"].append("temperature")
-        found = True
-    elif is_real_temp(temp2):
-        vitals_dict["temperature"] = round(temp2, 1)
-        if "temperature" not in vitals_dict["present_fields"]:
-            vitals_dict["present_fields"].append("temperature")
-        found = True
-    elif temp1 is not None or temp2 is not None:
-        # Sensor disconnected / off
-        vitals_dict["temperature"] = None
-        if "temperature" not in vitals_dict["present_fields"]:
-            vitals_dict["present_fields"].append("temperature")
-        found = True
+    t1_val = round(temp1, 1) if is_real_temp(temp1) else None
+    t2_val = round(temp2, 1) if is_real_temp(temp2) else None
 
-    return found
+    vitals_dict["temperature"] = t1_val
+    vitals_dict["temperature2"] = t2_val
+    if t1_val is not None and t2_val is not None:
+        vitals_dict["temperature_diff"] = round(abs(t1_val - t2_val), 1)
+    else:
+        vitals_dict["temperature_diff"] = None
+
+    if "temperature" not in vitals_dict["present_fields"]:
+        vitals_dict["present_fields"].append("temperature")
+    if "temperature2" not in vitals_dict["present_fields"]:
+        vitals_dict["present_fields"].append("temperature2")
+    if "temperature_diff" not in vitals_dict["present_fields"]:
+        vitals_dict["present_fields"].append("temperature_diff")
+
+    return (t1_val is not None or t2_val is not None)
 
 
 def _parse_spo2_waveform_packet(data: bytes, vitals_dict: dict) -> bool:
diff --git a/fiveparaminte-main/contec_server.py b/fiveparaminte-main/contec_server.py
index 44372c0..54a4f44 100644
--- a/fiveparaminte-main/contec_server.py
+++ b/fiveparaminte-main/contec_server.py
@@ -598,6 +598,8 @@ async def _persist_and_forward_bg(vitals, should_persist):
                 map_bp=vitals.map_bp,
                 respiratory_rate=vitals.respiratory_rate,
                 temperature=vitals.temperature,
+                temperature2=vitals.temperature2,
+                temperature_diff=vitals.temperature_diff,
                 transmitted=False
             )
             db.add(reading)
diff --git a/fiveparaminte-main/models.py b/fiveparaminte-main/models.py
index a4d02e2..b03be40 100644
--- a/fiveparaminte-main/models.py
+++ b/fiveparaminte-main/models.py
@@ -34,6 +34,8 @@ class VitalReading(Base):
     map_bp = Column(Float, nullable=True)
     respiratory_rate = Column(Float, nullable=True)
     temperature = Column(Float, nullable=True)
+    temperature2 = Column(Float, nullable=True)
+    temperature_diff = Column(Float, nullable=True)
     transmitted = Column(Boolean, default=False, index=True)
 
 class TransmissionLog(Base):
diff --git a/fiveparaminte-main/routers/dashboard.py b/fiveparaminte-main/routers/dashboard.py
index 3b43f32..9b41a48 100644
--- a/fiveparaminte-main/routers/dashboard.py
+++ b/fiveparaminte-main/routers/dashboard.py
@@ -70,7 +70,14 @@ def serve_dashboard():
     dashboard_path = os.path.join(os.path.dirname(os.path.dirname(__file__)), "static", "dashboard.html")
     try:
         with open(dashboard_path, "r", encoding="utf-8") as f:
-            return HTMLResponse(content=f.read())
+            return HTMLResponse(
+                content=f.read(),
+                headers={
+                    "Cache-Control": "no-cache, no-store, must-revalidate",
+                    "Pragma": "no-cache",
+                    "Expires": "0"
+                }
+            )
     except FileNotFoundError:
         return HTMLResponse(content="<h1>Dashboard not found</h1><p>static/dashboard.html is missing</p>", status_code=404)
 
@@ -192,6 +199,8 @@ def list_patients(db: Session = Depends(get_db)):
                 "map_bp": latest_reading.map_bp if latest_reading else None,
                 "respiratory_rate": latest_reading.respiratory_rate if latest_reading else None,
                 "temperature": latest_reading.temperature if latest_reading else None,
+                "temperature2": getattr(latest_reading, 'temperature2', None) if latest_reading else None,
+                "temperature_diff": getattr(latest_reading, 'temperature_diff', None) if latest_reading else None,
                 "timestamp": latest_reading.timestamp.isoformat() if (latest_reading and latest_reading.timestamp) else None,
             } if latest_reading else None
         })
diff --git a/fiveparaminte-main/schemas.py b/fiveparaminte-main/schemas.py
index ac2c884..0cd2556 100644
--- a/fiveparaminte-main/schemas.py
+++ b/fiveparaminte-main/schemas.py
@@ -14,6 +14,8 @@ class NormalizedVitals(BaseModel):
     map_bp: Optional[float] = None
     respiratory_rate: Optional[float] = None
     temperature: Optional[float] = None
+    temperature2: Optional[float] = None
+    temperature_diff: Optional[float] = None
     present_fields: Optional[list] = None
     # Raw waveform sample arrays (8-bit unsigned, 0-255)
     ecg_wave:   Optional[List[int]] = None   # ECG waveform samples from 989-byte packet
diff --git a/fiveparaminte-main/static/dashboard.html b/fiveparaminte-main/static/dashboard.html
index 3ffdc4f..35e1d46 100644
--- a/fiveparaminte-main/static/dashboard.html
+++ b/fiveparaminte-main/static/dashboard.html
@@ -100,9 +100,11 @@
 
         /* === Minimal / Embedded Iframe Mode === */
         body.minimal-mode {
-            background: #090d16 !important;
+            background: #03060c !important;
             min-height: 100vh;
             overflow-x: hidden;
+            margin: 0 !important;
+            padding: 0 !important;
         }
 
         body.minimal-mode .bg-glow {
@@ -110,33 +112,23 @@
         }
 
         body.minimal-mode .app-container {
-            padding: 8px 12px !important;
+            padding: 8px !important;
             max-width: 100% !important;
-            min-height: auto !important;
+            min-height: 100vh !important;
+            margin: 0 !important;
         }
 
         body.minimal-mode .header,
         body.minimal-mode #setupGuide,
         body.minimal-mode #patientFilterToolbar,
         body.minimal-mode #deviceNavBar,
-        body.minimal-mode .info-bar {
+        body.minimal-mode .info-bar,
+        body.minimal-mode #singleTargetWaitingState,
+        body.minimal-mode #singlePatientBanner,
+        body.minimal-mode #singleVitalsGrid {
             display: none !important;
         }
 
-        body.minimal-mode .patient-banner {
-            margin-bottom: 12px !important;
-            padding: 10px 16px !important;
-        }
-
-        body.minimal-mode .patient-banner button {
-            display: none !important;
-        }
-
-        body.minimal-mode .vitals-grid {
-            gap: 12px !important;
-            margin-bottom: 8px !important;
-        }
-
         /* === Header === */
         .header {
             display: flex;
@@ -1280,6 +1272,774 @@
         ::-webkit-scrollbar { width: 6px; }
         ::-webkit-scrollbar-track { background: transparent; }
         ::-webkit-scrollbar-thumb { background: rgba(255,255,255,0.1); border-radius: 3px; }
+    
+        /* === ICU Live Patient Monitor Console Styles === */
+        .icu-monitor {
+            display: flex;
+            flex-direction: column;
+            background: #050811;
+            border: 1px solid rgba(255, 255, 255, 0.12);
+            border-radius: 16px;
+            overflow: hidden;
+            box-shadow: 0 20px 60px rgba(0, 0, 0, 0.85), inset 0 1px 0 rgba(255, 255, 255, 0.1);
+            margin-bottom: 20px;
+            position: relative;
+        }
+
+        body.minimal-mode .icu-monitor {
+            border-radius: 12px;
+            margin-bottom: 0;
+            border: 1px solid rgba(255, 255, 255, 0.15);
+            min-height: calc(100vh - 16px);
+        }
+
+        .icu-monitor-header {
+            display: flex;
+            align-items: center;
+            justify-content: space-between;
+            padding: 12px 20px;
+            background: linear-gradient(180deg, #111a2e 0%, #0c1220 100%);
+            border-bottom: 1px solid rgba(255, 255, 255, 0.1);
+            flex-wrap: wrap;
+            gap: 12px;
+        }
+
+        .icu-patient-info {
+            display: flex;
+            align-items: center;
+            gap: 14px;
+            flex-wrap: wrap;
+        }
+
+        .icu-patient-avatar {
+            width: 44px;
+            height: 44px;
+            border-radius: 10px;
+            background: linear-gradient(135deg, #0ea5e9, #6366f1);
+            display: flex;
+            align-items: center;
+            justify-content: center;
+            font-size: 20px;
+            color: white;
+            font-weight: bold;
+            box-shadow: 0 0 16px rgba(14, 165, 233, 0.4);
+        }
+
+        .icu-patient-name {
+            font-size: 19px;
+            font-weight: 800;
+            color: #ffffff;
+            letter-spacing: 0.3px;
+            display: flex;
+            align-items: center;
+            gap: 10px;
+        }
+
+        .icu-tag {
+            display: inline-flex;
+            align-items: center;
+            gap: 4px;
+            padding: 3px 8px;
+            border-radius: 6px;
+            font-size: 11px;
+            font-weight: 700;
+            font-family: 'JetBrains Mono', monospace;
+        }
+
+        .icu-tag-mrn {
+            background: rgba(6, 182, 212, 0.18);
+            color: #38bdf8;
+            border: 1px solid rgba(6, 182, 212, 0.35);
+        }
+
+        .icu-tag-bed {
+            background: rgba(168, 85, 247, 0.18);
+            color: #c084fc;
+            border: 1px solid rgba(168, 85, 247, 0.35);
+        }
+
+        .icu-tag-live {
+            background: rgba(16, 185, 129, 0.2);
+            color: #34d399;
+            border: 1px solid rgba(16, 185, 129, 0.4);
+            animation: liveBeacon 2s ease-in-out infinite;
+        }
+
+        @keyframes liveBeacon {
+            0%, 100% { box-shadow: 0 0 4px rgba(16, 185, 129, 0.3); }
+            50% { box-shadow: 0 0 14px rgba(16, 185, 129, 0.8); }
+        }
+
+        .icu-header-controls {
+            display: flex;
+            align-items: center;
+            gap: 10px;
+            flex-wrap: wrap;
+        }
+
+        .heart-beat-indicator {
+            width: 34px;
+            height: 34px;
+            border-radius: 50%;
+            background: rgba(239, 68, 68, 0.15);
+            border: 1px solid rgba(239, 68, 68, 0.3);
+            display: flex;
+            align-items: center;
+            justify-content: center;
+            font-size: 16px;
+            transition: transform 0.08s, box-shadow 0.08s, background 0.08s;
+            cursor: pointer;
+        }
+
+        .heart-beat-indicator.beat {
+            transform: scale(1.35);
+            background: rgba(239, 68, 68, 0.45);
+            box-shadow: 0 0 18px #ef4444;
+        }
+
+        .icu-btn {
+            background: rgba(255, 255, 255, 0.07);
+            border: 1px solid rgba(255, 255, 255, 0.15);
+            color: #e2e8f0;
+            padding: 6px 12px;
+            border-radius: 8px;
+            font-size: 12px;
+            font-weight: 600;
+            cursor: pointer;
+            display: inline-flex;
+            align-items: center;
+            gap: 6px;
+            transition: all 0.2s;
+            outline: none;
+        }
+
+        .icu-btn:hover {
+            background: rgba(255, 255, 255, 0.15);
+            border-color: rgba(255, 255, 255, 0.3);
+            color: #fff;
+        }
+
+        .icu-btn.active {
+            background: rgba(6, 182, 212, 0.25);
+            border-color: #06b6d4;
+            color: #38bdf8;
+            box-shadow: 0 0 12px rgba(6, 182, 212, 0.35);
+        }
+
+        .icu-time-display {
+            font-family: 'JetBrains Mono', monospace;
+            font-size: 13px;
+            font-weight: 700;
+            color: #94a3b8;
+            background: rgba(0, 0, 0, 0.4);
+            padding: 6px 10px;
+            border-radius: 6px;
+            border: 1px solid rgba(255, 255, 255, 0.08);
+        }
+
+        /* Main Waveform Channels */
+        .icu-waveform-stage {
+            display: flex;
+            flex-direction: column;
+            background: #02050b;
+            flex: 1;
+        }
+
+        .icu-channel {
+            display: grid;
+            grid-template-columns: 1fr 220px;
+            border-bottom: 1px solid rgba(255, 255, 255, 0.07);
+            background: #02050c;
+            min-height: 140px;
+            position: relative;
+        }
+
+        @media (max-width: 768px) {
+            .icu-channel {
+                grid-template-columns: 1fr 140px;
+                min-height: 110px;
+            }
+        }
+
+        .icu-channel-canvas-wrap {
+            position: relative;
+            width: 100%;
+            height: 100%;
+            min-height: 130px;
+            overflow: hidden;
+            background: #02050b;
+        }
+
+        .icu-channel-canvas-wrap canvas {
+            position: absolute;
+            top: 0;
+            left: 0;
+            width: 100%;
+            height: 100%;
+            display: block;
+        }
+
+        .icu-channel-lead-info {
+            position: absolute;
+            top: 8px;
+            left: 12px;
+            font-family: 'JetBrains Mono', monospace;
+            font-size: 11px;
+            font-weight: 700;
+            letter-spacing: 0.5px;
+            pointer-events: none;
+            z-index: 2;
+            display: flex;
+            align-items: center;
+            gap: 8px;
+        }
+
+        .lead-tag {
+            padding: 1px 6px;
+            border-radius: 4px;
+            font-size: 10px;
+            font-weight: 800;
+        }
+
+        .icu-channel-param {
+            display: flex;
+            flex-direction: column;
+            justify-content: center;
+            padding: 12px 18px;
+            border-left: 1px solid rgba(255, 255, 255, 0.08);
+            background: rgba(9, 14, 26, 0.8);
+            backdrop-filter: blur(8px);
+            position: relative;
+        }
+
+        .param-title {
+            font-size: 12px;
+            font-weight: 700;
+            text-transform: uppercase;
+            letter-spacing: 1px;
+            display: flex;
+            align-items: center;
+            justify-content: space-between;
+        }
+
+        .param-value-wrap {
+            display: flex;
+            align-items: baseline;
+            gap: 6px;
+            margin: 4px 0;
+        }
+
+        .param-value-num {
+            font-family: 'JetBrains Mono', monospace;
+            font-size: 52px;
+            font-weight: 800;
+            line-height: 1;
+            letter-spacing: -2px;
+        }
+
+        .param-unit {
+            font-size: 16px;
+            font-weight: 600;
+            opacity: 0.75;
+        }
+
+        .param-sub {
+            font-size: 11px;
+            font-family: 'JetBrains Mono', monospace;
+            color: #94a3b8;
+            display: flex;
+            justify-content: space-between;
+            align-items: center;
+        }
+
+        /* Channel 1: ECG (Lead II) */
+        .icu-channel-ecg .icu-channel-lead-info { color: #00ff75; }
+        .icu-channel-ecg .lead-tag { background: rgba(0, 255, 117, 0.2); color: #00ff75; }
+        .icu-channel-ecg .param-title { color: #00ff75; }
+        .icu-channel-ecg .param-value-num { color: #00ff75; text-shadow: 0 0 20px rgba(0, 255, 117, 0.5); }
+
+        /* Channel 2: SpO2 PLETH */
+        .icu-channel-spo2 .icu-channel-lead-info { color: #00e5ff; }
+        .icu-channel-spo2 .lead-tag { background: rgba(0, 229, 255, 0.2); color: #00e5ff; }
+        .icu-channel-spo2 .param-title { color: #00e5ff; }
+        .icu-channel-spo2 .param-value-num { color: #00e5ff; text-shadow: 0 0 20px rgba(0, 229, 255, 0.5); }
+
+        /* Channel 3: RESP */
+        .icu-channel-resp .icu-channel-lead-info { color: #ffbe0b; }
+        .icu-channel-resp .lead-tag { background: rgba(255, 190, 11, 0.2); color: #ffbe0b; }
+        .icu-channel-resp .param-title { color: #ffbe0b; }
+        .icu-channel-resp .param-value-num { color: #ffbe0b; text-shadow: 0 0 20px rgba(255, 190, 11, 0.5); }
+
+        /* Perfusion index bar meter */
+        .pi-meter {
+            display: flex;
+            gap: 3px;
+            margin-top: 4px;
+        }
+
+        .pi-segment {
+            height: 4px;
+            flex: 1;
+            border-radius: 1px;
+            background: rgba(0, 229, 255, 0.15);
+            transition: background 0.15s;
+        }
+
+        .pi-segment.active {
+            background: #00e5ff;
+            box-shadow: 0 0 6px #00e5ff;
+        }
+
+        /* Bottom Parameters Row (NIBP, TEMP, MAP) */
+        .icu-footer-params {
+            display: grid;
+            grid-template-columns: 2fr 1fr 1fr;
+            background: #060b16;
+            border-top: 1px solid rgba(255, 255, 255, 0.1);
+            padding: 12px 18px;
+            gap: 16px;
+        }
+
+        @media (max-width: 768px) {
+            .icu-footer-params {
+                grid-template-columns: 1fr;
+                gap: 10px;
+            }
+        }
+
+        .icu-footer-card {
+            background: rgba(255, 255, 255, 0.03);
+            border: 1px solid rgba(255, 255, 255, 0.06);
+            border-radius: 10px;
+            padding: 10px 14px;
+            display: flex;
+            flex-direction: column;
+            justify-content: space-between;
+        }
+
+        .icu-footer-card.nibp { border-left: 3px solid #c084fc; }
+        .icu-footer-card.temp { border-left: 3px solid #fb923c; }
+        .icu-footer-card.map { border-left: 3px solid #f43f5e; }
+
+        .icu-footer-card .card-head {
+            font-size: 11px;
+            font-weight: 700;
+            text-transform: uppercase;
+            letter-spacing: 0.8px;
+            color: #94a3b8;
+            display: flex;
+            align-items: center;
+            justify-content: space-between;
+        }
+
+        .icu-footer-card .card-val {
+            font-family: 'JetBrains Mono', monospace;
+            font-size: 32px;
+            font-weight: 800;
+            line-height: 1.1;
+            margin: 4px 0;
+        }
+
+        .icu-footer-card.nibp .card-val { color: #c084fc; text-shadow: 0 0 15px rgba(192, 132, 252, 0.4); }
+        .icu-footer-card.temp .card-val { color: #fb923c; text-shadow: 0 0 15px rgba(251, 146, 60, 0.4); }
+        .icu-footer-card.map .card-val { color: #f43f5e; text-shadow: 0 0 15px rgba(244, 63, 94, 0.4); }
+
+        .icu-footer-card .card-sub {
+            font-size: 11px;
+            font-family: 'JetBrains Mono', monospace;
+            color: #64748b;
+        }
+
+        /* Trends Container */
+        .icu-trends-stage {
+            display: none;
+            flex-direction: column;
+            gap: 16px;
+            padding: 20px;
+            background: #02050b;
+            flex: 1;
+        }
+
+        .icu-trend-chart-wrap {
+            background: #070d18;
+            border: 1px solid rgba(255, 255, 255, 0.08);
+            border-radius: 10px;
+            padding: 14px;
+        }
+
+        .icu-trend-title {
+            font-size: 13px;
+            font-weight: 700;
+            margin-bottom: 8px;
+            display: flex;
+            align-items: center;
+            justify-content: space-between;
+        }
+
+        .icu-trend-canvas {
+            width: 100%;
+            height: 130px;
+            display: block;
+        }
+
+    
+        /* =========================================================================
+           CONTEC CMS7000PLUS / CMS8500 EXACT PATIENT MONITOR MACHINE STYLING
+           ========================================================================= */
+        .contec-machine-screen {
+            background: #000000;
+            border: 2px solid #1e293b;
+            border-radius: 8px;
+            overflow: hidden;
+            box-shadow: 0 0 35px rgba(0,0,0,0.95), inset 0 0 10px rgba(0,0,0,0.8);
+            display: flex;
+            flex-direction: column;
+            width: 100%;
+            min-height: 560px;
+            font-family: 'JetBrains Mono', -apple-system, sans-serif;
+            color: #ffffff;
+            user-select: none;
+            position: relative;
+        }
+
+        body.minimal-mode .contec-machine-screen {
+            border-radius: 0;
+            border: none;
+            min-height: 100vh;
+        }
+
+        /* Top Machine Bar */
+        .machine-top-bar {
+            display: flex;
+            align-items: center;
+            justify-content: space-between;
+            background: #090e18;
+            border-bottom: 1px solid #1e293b;
+            padding: 8px 14px;
+            font-size: 12px;
+            font-weight: 700;
+            gap: 10px;
+            flex-wrap: wrap;
+        }
+
+        .machine-brand {
+            color: #facc15;
+            font-weight: 900;
+            letter-spacing: 1.5px;
+            font-size: 13px;
+            display: flex;
+            align-items: center;
+            gap: 6px;
+        }
+
+        .machine-pill {
+            background: #1e293b;
+            color: #38bdf8;
+            padding: 3px 8px;
+            border-radius: 4px;
+            font-size: 11px;
+            border: 1px solid #334155;
+        }
+
+        .machine-alarm-normal {
+            background: rgba(16, 185, 129, 0.2);
+            color: #34d399;
+            border: 1px solid rgba(16, 185, 129, 0.4);
+            padding: 3px 8px;
+            border-radius: 4px;
+            font-size: 11px;
+            animation: beaconGlow 2s infinite ease-in-out;
+        }
+
+        @keyframes beaconGlow {
+            0%, 100% { box-shadow: 0 0 4px rgba(16, 185, 129, 0.3); }
+            50% { box-shadow: 0 0 12px rgba(16, 185, 129, 0.8); }
+        }
+
+        .machine-controls {
+            display: flex;
+            align-items: center;
+            gap: 8px;
+        }
+
+        .machine-btn {
+            background: #1e293b;
+            border: 1px solid #334155;
+            color: #cbd5e1;
+            padding: 4px 10px;
+            border-radius: 4px;
+            font-size: 11px;
+            font-weight: 700;
+            cursor: pointer;
+            display: inline-flex;
+            align-items: center;
+            gap: 5px;
+            transition: all 0.15s;
+        }
+
+        .machine-btn:hover {
+            background: #334155;
+            color: #fff;
+        }
+
+        .machine-btn.active {
+            background: #0284c7;
+            border-color: #38bdf8;
+            color: #fff;
+        }
+
+        /* Machine Screen Body: Left = Waveforms, Right = Parameters */
+        .machine-body {
+            display: grid;
+            grid-template-columns: 1fr 270px;
+            background: #000000;
+            flex: 1;
+            position: relative;
+        }
+
+        @media (max-width: 900px) {
+            .machine-body {
+                grid-template-columns: 1fr 210px;
+            }
+        }
+
+        /* Left: Waveforms Column (3 stacked rows) */
+        .machine-waveforms-col {
+            display: flex;
+            flex-direction: column;
+            border-right: 1px solid #1e293b;
+            background: #000000;
+        }
+
+        .wave-row {
+            flex: 1;
+            min-height: 140px;
+            position: relative;
+            border-bottom: 1px solid #111827;
+            overflow: hidden;
+            background: #000000;
+        }
+
+        .wave-row canvas {
+            position: absolute;
+            top: 0;
+            left: 0;
+            width: 100%;
+            height: 100%;
+            display: block;
+        }
+
+        .wave-header {
+            position: absolute;
+            top: 6px;
+            left: 10px;
+            font-size: 12px;
+            font-weight: 800;
+            z-index: 2;
+            pointer-events: none;
+            display: flex;
+            align-items: center;
+            gap: 8px;
+            text-shadow: 0 0 8px rgba(0,0,0,0.9);
+        }
+
+        /* Calibration pulse bracket on left of ECG: [|--- 1mV ---|] */
+        .ecg-cal-pulse {
+            position: absolute;
+            left: 6px;
+            top: 50%;
+            transform: translateY(-50%);
+            width: 10px;
+            height: 38px;
+            border: 1.5px solid #00ff00;
+            border-right: none;
+            z-index: 2;
+            pointer-events: none;
+            opacity: 0.85;
+        }
+
+        /* Right: Parameter Blocks (Exact Contec Layout) */
+        .machine-params-col {
+            display: flex;
+            flex-direction: column;
+            background: #000000;
+        }
+
+        .param-box {
+            flex: 1;
+            border-bottom: 1px solid #1e293b;
+            padding: 8px 12px;
+            display: flex;
+            flex-direction: column;
+            justify-content: space-between;
+            position: relative;
+            background: #000000;
+        }
+
+        .param-box-top {
+            display: flex;
+            align-items: center;
+            justify-content: space-between;
+            font-size: 12px;
+            font-weight: 800;
+            letter-spacing: 0.5px;
+        }
+
+        .param-limits {
+            font-size: 11px;
+            color: #64748b;
+            font-weight: 600;
+        }
+
+        .param-box-main {
+            display: flex;
+            align-items: center;
+            justify-content: space-between;
+            margin: 2px 0;
+        }
+
+        .param-giant-num {
+            font-size: 58px;
+            font-weight: 900;
+            line-height: 1;
+            letter-spacing: -2px;
+            font-family: 'JetBrains Mono', monospace;
+        }
+
+        .param-unit-label {
+            font-size: 13px;
+            font-weight: 700;
+            margin-left: 4px;
+        }
+
+        .param-box-bottom {
+            display: flex;
+            align-items: center;
+            justify-content: space-between;
+            font-size: 11px;
+            font-weight: 600;
+            color: #94a3b8;
+        }
+
+        /* Exact Contec Colors */
+        .param-hr { color: #00ff00; }
+        .param-hr .param-giant-num { color: #00ff00; text-shadow: 0 0 14px rgba(0,255,0,0.65); }
+
+        .param-spo2 { color: #00ffff; }
+        .param-spo2 .param-giant-num { color: #00ffff; text-shadow: 0 0 14px rgba(0,255,255,0.65); }
+
+        .param-resp { color: #ffff00; }
+        .param-resp .param-giant-num { color: #ffff00; text-shadow: 0 0 14px rgba(255,255,0,0.65); }
+
+        /* Vertical SpO2 LED Pulse Bar (Exact Contec Machine) */
+        .vertical-pulse-bar {
+            display: flex;
+            flex-direction: column-reverse;
+            gap: 2px;
+            width: 14px;
+            height: 52px;
+            padding: 2px;
+            background: #080d16;
+            border: 1px solid rgba(0, 255, 255, 0.3);
+            border-radius: 2px;
+        }
+
+        .v-segment {
+            flex: 1;
+            background: rgba(0, 255, 255, 0.12);
+            border-radius: 1px;
+            transition: background 0.08s;
+        }
+
+        .v-segment.lit {
+            background: #00ffff;
+            box-shadow: 0 0 6px #00ffff;
+        }
+
+        /* Bottom Row: NIBP & TEMP (Exact Contec Layout) */
+        .machine-bottom-row {
+            display: grid;
+            grid-template-columns: 1fr 1fr;
+            background: #070c18;
+            border-top: 1px solid #1e293b;
+            padding: 8px 14px;
+            gap: 12px;
+        }
+
+        .nibp-block {
+            color: #ffffff;
+            border-right: 1px solid #1e293b;
+            padding-right: 12px;
+        }
+
+        .nibp-title {
+            font-size: 11px;
+            font-weight: 800;
+            color: #d8b4fe;
+            display: flex;
+            justify-content: space-between;
+        }
+
+        .nibp-values {
+            font-size: 34px;
+            font-weight: 900;
+            font-family: 'JetBrains Mono', monospace;
+            color: #ffffff;
+            margin: 2px 0;
+            display: flex;
+            align-items: baseline;
+            gap: 6px;
+            text-shadow: 0 0 10px rgba(255,255,255,0.4);
+        }
+
+        .temp-block {
+            color: #ff9900;
+            padding-left: 6px;
+        }
+
+        .temp-title {
+            font-size: 11px;
+            font-weight: 800;
+            color: #ff9900;
+            display: flex;
+            justify-content: space-between;
+        }
+
+        .temp-values {
+            font-size: 34px;
+            font-weight: 900;
+            font-family: 'JetBrains Mono', monospace;
+            color: #ff9900;
+            margin: 2px 0;
+            display: flex;
+            align-items: baseline;
+            gap: 6px;
+            text-shadow: 0 0 10px rgba(255,153,0,0.4);
+        }
+
+        .alarm-banner {
+            position: absolute;
+            top: 50%;
+            left: 50%;
+            transform: translate(-50%, -50%);
+            background: rgba(239, 68, 68, 0.25);
+            border: 1px solid #ef4444;
+            color: #fca5a5;
+            padding: 6px 14px;
+            border-radius: 4px;
+            font-weight: 800;
+            font-size: 13px;
+            letter-spacing: 1px;
+            display: none;
+            z-index: 5;
+            animation: alarmFlash 1s infinite alternate;
+        }
+
+        @keyframes alarmFlash {
+            0% { opacity: 0.6; }
+            100% { opacity: 1; }
+        }
+
     </style>
 </head>
 <body>
@@ -1424,175 +2184,190 @@
         </div>
 
         <!-- Single Machine Detailed View Wrapper -->
+                <!-- Single Machine Detailed View Wrapper (EXACT CONTEC CMS7000PLUS PATIENT MONITOR) -->
         <div id="singleViewWrapper" style="display: none; flex-direction: column; flex: 1;">
-            <!-- Targeted Patient Demographics Waiting State (shown when filtered patient hasn't connected yet) -->
-            <div id="singleTargetWaitingState" style="display: none; flex-direction: column; align-items: center; justify-content: center; padding: 50px 20px; text-align: center; background: var(--bg-card); border: 1px dashed rgba(6, 182, 212, 0.4); border-radius: 16px; margin: 20px 0;">
-                <div style="font-size: 40px; margin-bottom: 12px;">⏳</div>
-                <div style="font-size: 19px; font-weight: 700; color: var(--text-primary);">Waiting for Contec Monitor Data</div>
-                <div style="font-size: 13px; color: var(--text-secondary); margin-top: 6px;">Verifying incoming monitor telemetry against required teleconsult patient:</div>
-                <div style="margin-top: 12px; display: flex; gap: 8px; justify-content: center; flex-wrap: wrap;" id="targetWaitingMrnBadge">Patient Demographics: ---</div>
-                <div style="font-size: 13px; color: var(--text-secondary); max-width: 540px; margin-top: 14px; line-height: 1.5;">
-                    Live waveforms and telemetry stream automatically once the Contec CMS7000PLUS monitor connects and transmits telemetry matching all requested demographics (MRN, Name, DOB).
-                </div>
-                <div style="margin-top: 18px; display: inline-flex; align-items: center; gap: 8px; padding: 6px 14px; background: rgba(6, 182, 212, 0.1); border: 1px solid rgba(6, 182, 212, 0.25); border-radius: 20px; font-size: 12px; color: var(--spo2-color);">
-                    <span style="width: 8px; height: 8px; border-radius: 50%; background: var(--spo2-color); display: inline-block;"></span> Listening for live connection...
-                </div>
-            </div>
-
-            <!-- Single View Patient Demographics Banner -->
-            <div class="patient-banner" id="singlePatientBanner">
-                <div class="patient-banner-left">
-                    <div class="patient-banner-avatar" id="bannerAvatar">👤</div>
-                    <div>
-                        <div class="patient-name-display" id="bannerPatientName">Unassigned Patient</div>
-                        <div class="patient-banner-details">
-                            <span class="patient-mrn-badge" id="bannerMrn">MRN: ---</span>
-                            <span class="patient-gender-badge" id="bannerGender">Gender: ---</span>
-                            <span class="patient-dob-badge" id="bannerDob">DOB: ---</span>
-                            <span style="font-size: 12px; color: var(--text-dim);" id="bannerBed">Bed: ---</span>
-                        </div>
+            
+            <div class="contec-machine-screen" id="contecMachineScreen">
+                <!-- Top Machine Bar -->
+                <div class="machine-top-bar">
+                    <div style="display: flex; align-items: center; gap: 10px; flex-wrap: wrap;">
+                        <span class="machine-brand">🏥 CONTEC CMS7000PLUS</span>
+                        <span class="machine-pill" id="machBedPill">BED 01</span>
+                        <span class="machine-pill">ADULT</span>
+                        <span style="font-weight: 800; color: #ffffff;" id="machPatientName">SHAHIL</span>
+                        <span class="machine-pill" id="machMrnPill">MRN: 09091102</span>
+                        <span style="color: #64748b; font-size: 11px;">PACE: NO</span>
+                        <span class="machine-alarm-normal">● TELEMETRY NORMAL</span>
                     </div>
-                </div>
-                <div style="display: flex; gap: 8px; align-items: center;">
-                    <button class="card-action-btn" onclick="openAssignPatientModal(activeDeviceId)">
-                        <span>✏️ Edit Patient Details</span>
-                    </button>
-                    <button class="card-action-btn" onclick="openPatientHistoryModal(connectedDevices[activeDeviceId]?.mrn || connectedDevices[activeDeviceId]?.patient_id)">
-                        <span>📊 Vitals History</span>
-                    </button>
-                </div>
-            </div>
-
-            <!-- Vitals Grid (Single Machine Detailed View) -->
-            <div class="vitals-grid" id="singleVitalsGrid">
-                <!-- Heart Rate -->
-                <div class="vital-card hr" id="card-hr">
-                    <div class="card-header">
-                        <div class="card-label">
-                            <div class="card-icon">❤️</div>
-                            <span class="card-name">Heart Rate</span>
-                        </div>
-                        <span class="status-badge offline" id="status-hr">No Data</span>
-                    </div>
-                    <div class="vital-value-container">
-                        <div class="vital-value no-data" id="value-hr">---</div>
-                    </div>
-                    <div class="waveform-container">
-                        <canvas id="waveform-hr"></canvas>
-                    </div>
-                    <div class="card-footer">
-                        <span class="normal-range">Normal: 60–100 bpm</span>
-                        <span class="last-update" id="update-hr">--</span>
+                    <div class="machine-controls">
+                        <span style="font-size: 15px; cursor: pointer;" id="heartBeatPulse" onclick="triggerHeartBeatPulse()" title="Cardiac Heartbeat">❤️</span>
+                        <button type="button" class="machine-btn" id="btnMachAudio" onclick="toggleQrsAudio()">
+                            <span id="machAudioIcon">🔇</span>
+                            <span id="machAudioText">BEEP OFF</span>
+                        </button>
+                        <button type="button" class="machine-btn" id="btnMachFreeze" onclick="toggleFreezeWaveforms()">
+                            <span id="machFreezeIcon">⏸</span>
+                            <span id="machFreezeText">FREEZE</span>
+                        </button>
+                        <span class="machine-pill" style="color: #94a3b8;">25.0 mm/s</span>
+                        <span class="machine-pill" id="machClock">10:48:00</span>
                     </div>
                 </div>
 
-                <!-- SpO2 -->
-                <div class="vital-card spo2" id="card-spo2">
-                    <div class="card-header">
-                        <div class="card-label">
-                            <div class="card-icon">🫁</div>
-                            <span class="card-name">SpO₂</span>
+                <!-- Machine Screen Body: Left = Waveforms, Right = Parameters -->
+                <div class="machine-body">
+                    <!-- Left: 3 Stacked Oscilloscope Waveform Sweeps -->
+                    <div class="machine-waveforms-col">
+                        <!-- Waveform 1: ECG Lead II -->
+                        <div class="wave-row" id="rowEcg">
+                            <canvas id="canvasMachEcg"></canvas>
+                            <div class="ecg-cal-pulse"></div>
+                            <div class="wave-header" style="color: #00ff00;">
+                                <span>II</span>
+                                <span>ECG</span>
+                                <span style="color: #64748b;">x1.0</span>
+                                <span style="color: #64748b;">ST: +0.00mV</span>
+                                <span style="color: #64748b;">PVC: 0</span>
+                                <span style="color: #475569;">MONITOR</span>
+                            </div>
+                            <div class="alarm-banner" id="alarmEcgOff" style="display: block;">ECG LEAD OFF</div>
+                        </div>
+
+                        <!-- Waveform 2: SpO2 Plethysmogram -->
+                        <div class="wave-row" id="rowSpo2">
+                            <canvas id="canvasMachSpo2"></canvas>
+                            <div class="wave-header" style="color: #00ffff;">
+                                <span>SpO2</span>
+                                <span style="color: #64748b;">x1.0</span>
+                                <span style="color: #00ffff;" id="machPiVal">PI: 2.4%</span>
+                                <span style="color: #475569;">PULSE SYNC</span>
+                            </div>
+                            <div class="alarm-banner" id="alarmSpo2Off" style="display: block;">SpO2 SENSOR OFF</div>
+                        </div>
+
+                        <!-- Waveform 3: Respiration (RESP) -->
+                        <div class="wave-row" id="rowResp">
+                            <canvas id="canvasMachResp"></canvas>
+                            <div class="wave-header" style="color: #ffff00;">
+                                <span>RESP</span>
+                                <span style="color: #64748b;">x1.0</span>
+                                <span style="color: #64748b;">APNEA: 20s</span>
+                            </div>
+                            <div class="alarm-banner" id="alarmRespOff" style="display: block;">RESP LEAD OFF</div>
                         </div>
-                        <span class="status-badge offline" id="status-spo2">No Data</span>
                     </div>
-                    <div class="vital-value-container">
-                        <div class="vital-value no-data" id="value-spo2">---</div>
-                    </div>
-                    <div class="waveform-container">
-                        <canvas id="waveform-spo2"></canvas>
-                    </div>
-                    <div class="card-footer">
-                        <span class="normal-range">Normal: 95–100%</span>
-                        <span class="last-update" id="update-spo2">--</span>
+
+                    <!-- Right: Parameter Readouts (Exact Contec Layout) -->
+                    <div class="machine-params-col">
+                        <!-- HR Box (Green) -->
+                        <div class="param-box param-hr">
+                            <div class="param-box-top">
+                                <span>ECG  HR</span>
+                                <span class="param-limits">&lt; 120 / 50 &gt;</span>
+                            </div>
+                            <div class="param-box-main">
+                                <span class="param-giant-num" id="valMachHr">--</span>
+                                <span class="param-unit-label">bpm</span>
+                            </div>
+                            <div class="param-box-bottom">
+                                <span>ARRHY: MONITOR</span>
+                                <span id="machHrStatus" style="color: #ef4444;">LEAD OFF</span>
+                            </div>
+                        </div>
+
+                        <!-- SpO2 Box (Cyan) -->
+                        <div class="param-box param-spo2">
+                            <div class="param-box-top">
+                                <span>SpO2</span>
+                                <span class="param-limits">&lt; 100 / 90 &gt;</span>
+                            </div>
+                            <div class="param-box-main">
+                                <div>
+                                    <span class="param-giant-num" id="valMachSpo2">--</span>
+                                    <span class="param-unit-label">%</span>
+                                </div>
+                                <!-- Vertical Pulse LED Column -->
+                                <div class="vertical-pulse-bar" id="pulseBarVertical" title="Pulse Strength">
+                                    <div class="v-segment"></div>
+                                    <div class="v-segment"></div>
+                                    <div class="v-segment"></div>
+                                    <div class="v-segment"></div>
+                                    <div class="v-segment"></div>
+                                    <div class="v-segment"></div>
+                                    <div class="v-segment"></div>
+                                    <div class="v-segment"></div>
+                                </div>
+                            </div>
+                            <div class="param-box-bottom">
+                                <span>PR: <strong id="valMachPr" style="color: #00ffff;">--</strong> bpm</span>
+                                <span style="color: #64748b;" id="machSpo2Status">SENSOR OFF</span>
+                            </div>
+                        </div>
+
+                        <!-- RESP Box (Yellow) -->
+                        <div class="param-box param-resp">
+                            <div class="param-box-top">
+                                <span>RESP</span>
+                                <span class="param-limits">&lt; 30 / 8 &gt;</span>
+                            </div>
+                            <div class="param-box-main">
+                                <span class="param-giant-num" id="valMachRr">--</span>
+                                <span class="param-unit-label">/min</span>
+                            </div>
+                            <div class="param-box-bottom">
+                                <span>APNEA ALM: 20s</span>
+                                <span style="color: #64748b;" id="machRespStatus">LEAD OFF</span>
+                            </div>
+                        </div>
                     </div>
                 </div>
 
-                <!-- Blood Pressure -->
-                <div class="vital-card bp" id="card-bp">
-                    <div class="card-header">
-                        <div class="card-label">
-                            <div class="card-icon">🩸</div>
-                            <span class="card-name">Blood Pressure</span>
+                <!-- Bottom Row: NIBP & Temperature (Exact Contec Layout) -->
+                <div class="machine-bottom-row">
+                    <!-- NIBP Block -->
+                    <div class="nibp-block">
+                        <div class="nibp-title">
+                            <span>NIBP  mmHg</span>
+                            <span style="color: #94a3b8; font-weight: normal;">&lt; 160 / 90 &gt; • Auto 15m</span>
+                        </div>
+                        <div class="nibp-values">
+                            <span id="valMachSys">--</span> / <span id="valMachDia">--</span>
+                            <span style="font-size: 18px; color: #d8b4fe; font-weight: 700; margin-left: 8px;">(<span id="valMachMap">--</span>)</span>
+                        </div>
+                        <div style="font-size: 11px; color: #64748b; display: flex; justify-content: space-between;">
+                            <span>SYS / DIA  (MAP)</span>
+                            <span id="machNibpTime">Mode: Manual</span>
                         </div>
-                        <span class="status-badge offline" id="status-bp">No Data</span>
                     </div>
-                    <div class="vital-value-container">
-                        <div class="vital-value no-data" id="value-bp">---</div>
-                    </div>
-                    <div class="waveform-container">
-                        <canvas id="waveform-bp"></canvas>
-                    </div>
-                    <div class="card-footer">
-                        <span class="normal-range">Normal: 90/60–140/90 mmHg</span>
-                        <span class="last-update" id="update-bp">--</span>
-                    </div>
-                </div>
 
-                <!-- Respiratory Rate -->
-                <div class="vital-card rr" id="card-rr">
-                    <div class="card-header">
-                        <div class="card-label">
-                            <div class="card-icon">🌬️</div>
-                            <span class="card-name">Respiratory Rate</span>
+                    <!-- Temperature Block (Dual T1 & T2 + TD) -->
+                    <div class="temp-block">
+                        <div class="temp-title">
+                            <span>TEMP  °C</span>
+                            <span style="color: #94a3b8; font-weight: normal;">&lt; 37.5 / 35.0 &gt;</span>
                         </div>
-                        <span class="status-badge offline" id="status-rr">No Data</span>
-                    </div>
-                    <div class="vital-value-container">
-                        <div class="vital-value no-data" id="value-rr">---</div>
-                    </div>
-                    <div class="waveform-container">
-                        <canvas id="waveform-rr"></canvas>
-                    </div>
-                    <div class="card-footer">
-                        <span class="normal-range">Normal: 12–20 /min</span>
-                        <span class="last-update" id="update-rr">--</span>
-                    </div>
-                </div>
-
-                <!-- Temperature -->
-                <div class="vital-card temp" id="card-temp">
-                    <div class="card-header">
-                        <div class="card-label">
-                            <div class="card-icon">🌡️</div>
-                            <span class="card-name">Temperature</span>
+                        <div class="temp-values-dual" style="display: flex; align-items: baseline; gap: 14px; margin: 2px 0;">
+                            <div>
+                                <span style="font-size: 13px; font-weight: 700; color: #fbbf24;">T1: </span>
+                                <span style="font-size: 32px; font-weight: 900; font-family: 'JetBrains Mono', monospace; color: #ff9900;" id="valMachTemp">--</span>
+                                <span style="font-size: 12px; color: #f97316; font-weight: 600; margin-left: 3px;" id="valMachTempF">--</span>
+                            </div>
+                            <div>
+                                <span style="font-size: 13px; font-weight: 700; color: #fbbf24;">T2: </span>
+                                <span style="font-size: 32px; font-weight: 900; font-family: 'JetBrains Mono', monospace; color: #ff9900;" id="valMachTemp2">--</span>
+                                <span style="font-size: 12px; color: #f97316; font-weight: 600; margin-left: 3px;" id="valMachTemp2F">--</span>
+                            </div>
                         </div>
-                        <span class="status-badge offline" id="status-temp">No Data</span>
-                    </div>
-                    <div class="vital-value-container">
-                        <div class="vital-value no-data" id="value-temp">---</div>
-                    </div>
-                    <div class="waveform-container">
-                        <canvas id="waveform-temp"></canvas>
-                    </div>
-                    <div class="card-footer">
-                        <span class="normal-range">Normal: 36.1–37.2 °C</span>
-                        <span class="last-update" id="update-temp">--</span>
-                    </div>
-                </div>
-
-                <!-- MAP -->
-                <div class="vital-card map-card" id="card-map">
-                    <div class="card-header">
-                        <div class="card-label">
-                            <div class="card-icon">💓</div>
-                            <span class="card-name">Mean Arterial Pressure</span>
+                        <div style="font-size: 11px; color: #64748b; display: flex; justify-content: space-between; align-items: center;">
+                            <span>TD: <strong id="valMachTempDiff" style="color: #fbbf24;">--</strong> °C</span>
+                            <span style="color: #ff9900;">Dual Probe</span>
                         </div>
-                        <span class="status-badge offline" id="status-map">No Data</span>
-                    </div>
-                    <div class="vital-value-container">
-                        <div class="vital-value no-data" id="value-map">---</div>
-                    </div>
-                    <div class="waveform-container">
-                        <canvas id="waveform-map"></canvas>
-                    </div>
-                    <div class="card-footer">
-                        <span class="normal-range">Normal: 70–105 mmHg</span>
-                        <span class="last-update" id="update-map">--</span>
                     </div>
                 </div>
             </div>
         </div> <!-- /singleViewWrapper -->
 
+
         <!-- Info Bar -->
         <div class="info-bar">
             <div class="info-item">
@@ -1884,6 +2659,580 @@
         // Backward-compatible alias
         const matchesTargetMrn = (dev, devId) => matchesTargetPatient(dev, devId);
 
+        
+        // =========================================================================
+                // =========================================================================
+        // === CONTEC CMS7000PLUS EXACT MACHINE OSCILLOSCOPE SWEEP ENGINE ===
+        // =========================================================================
+        // STRICT RULE: ZERO FAKE / SIMULATED DATA.
+        // If sensors/leads are disconnected or monitor sends null, show '--', 'LEAD OFF', and flat lines.
+        const machVitals = {
+            heart_rate: null,
+            spo2: null,
+            systolic_bp: null,
+            diastolic_bp: null,
+            map_bp: null,
+            respiratory_rate: null,
+            temperature: null,
+            temperature2: null,
+            temperature_diff: null,
+            device_id: null,
+            patient_name: null,
+            patient_id: null,
+            bed_id: null
+        };
+
+        let machSweepX = 0;
+        let machPrevY_ecg = null;
+        let machPrevY_spo2 = null;
+        let machPrevY_resp = null;
+        let machLastFrameTime = performance.now();
+        let machLastRWavePeakTime = 0;
+        let machIsFrozen = false;
+        let machAudioEnabled = false;
+        let machAudioCtx = null;
+
+        let canvasMachEcg = null, ctxMachEcg = null;
+        let canvasMachSpo2 = null, ctxMachSpo2 = null;
+        let canvasMachResp = null, ctxMachResp = null;
+
+        function initIcuMonitor() {
+            canvasMachEcg = document.getElementById('canvasMachEcg');
+            canvasMachSpo2 = document.getElementById('canvasMachSpo2');
+            canvasMachResp = document.getElementById('canvasMachResp');
+
+            if (!canvasMachEcg || !canvasMachSpo2 || !canvasMachResp) return;
+
+            ctxMachEcg = canvasMachEcg.getContext('2d');
+            ctxMachSpo2 = canvasMachSpo2.getContext('2d');
+            ctxMachResp = canvasMachResp.getContext('2d');
+
+            resizeMachineCanvases();
+            window.addEventListener('resize', resizeMachineCanvases);
+
+            if (targetMrn) {
+                const elMrn = document.getElementById('machMrnPill');
+                if (elMrn) elMrn.textContent = `MRN: ${targetMrn}`;
+            }
+            if (targetName) {
+                const elName = document.getElementById('machPatientName');
+                if (elName) elName.textContent = targetName.toUpperCase();
+            }
+
+            // Load real patient telemetry from DB
+            fetchMachineTelemetry();
+            setInterval(fetchMachineTelemetry, 2000);
+
+            // Start 60fps oscilloscope sweep
+            requestAnimationFrame(stepContecMachineSweep);
+        }
+
+        function resizeMachineCanvases() {
+            const rows = [
+                { c: canvasMachEcg, row: document.getElementById('rowEcg') },
+                { c: canvasMachSpo2, row: document.getElementById('rowSpo2') },
+                { c: canvasMachResp, row: document.getElementById('rowResp') }
+            ];
+            const dpr = window.devicePixelRatio || 1;
+
+            rows.forEach(({ c, row }) => {
+                if (!c || !row) return;
+                const rect = row.getBoundingClientRect();
+                const w = Math.floor(rect.width || 600);
+                const h = Math.floor(rect.height || 140);
+                c.width = w * dpr;
+                c.height = h * dpr;
+                const ctx = c.getContext('2d');
+                ctx.resetTransform ? ctx.resetTransform() : ctx.setTransform(1, 0, 0, 1, 0, 0);
+                ctx.scale(dpr, dpr);
+                c._logicalWidth = w;
+                c._logicalHeight = h;
+                // Black background
+                ctx.fillStyle = '#000000';
+                ctx.fillRect(0, 0, w, h);
+            });
+
+            machSweepX = 0;
+            machPrevY_ecg = null;
+            machPrevY_spo2 = null;
+            machPrevY_resp = null;
+        }
+
+        function stepContecMachineSweep(timestamp) {
+            if (!ctxMachEcg || !canvasMachEcg) {
+                requestAnimationFrame(stepContecMachineSweep);
+                return;
+            }
+
+            const dt = Math.min((timestamp - machLastFrameTime) / 1000, 0.1);
+            machLastFrameTime = timestamp;
+
+            if (machIsFrozen) {
+                requestAnimationFrame(stepContecMachineSweep);
+                return;
+            }
+
+            const width = canvasMachEcg._logicalWidth || 600;
+            const hEcg = canvasMachEcg._logicalHeight || 140;
+            const hSpo2 = canvasMachSpo2._logicalHeight || 140;
+            const hResp = canvasMachResp._logicalHeight || 140;
+
+            // Speed: 25.0 mm/s (approx 120 pixels per second on typical screens)
+            const sweepSpeedPx = 120;
+            const dx = Math.max(1.2, sweepSpeedPx * dt);
+            const nextX = machSweepX + dx;
+
+            // Clear the 18px moving blanking gap ahead of the beam
+            const clearWidth = 18;
+            [
+                { ctx: ctxMachEcg, h: hEcg },
+                { ctx: ctxMachSpo2, h: hSpo2 },
+                { ctx: ctxMachResp, h: hResp }
+            ].forEach(({ ctx, h }) => {
+                ctx.fillStyle = '#000000';
+                ctx.fillRect(machSweepX, 0, clearWidth, h);
+                if (machSweepX + clearWidth > width) {
+                    ctx.fillRect(0, 0, (machSweepX + clearWidth) - width, h);
+                }
+            });
+
+            const t = timestamp / 1000;
+
+            // 1. ECG Lead II Waveform
+            // ONLY draw cardiac QRS complexes if a real heart rate is being received from the monitor
+            const hasHr = machVitals.heart_rate != null && machVitals.heart_rate > 0;
+            let yEcg = hEcg * 0.54;
+
+            if (hasHr) {
+                const hr = Math.max(40, Math.min(180, machVitals.heart_rate));
+                const ecgPeriod = 60 / hr;
+                const ecgPhase = (t % ecgPeriod) / ecgPeriod;
+
+                let ecgNorm = 0;
+                if (ecgPhase >= 0.12 && ecgPhase < 0.22) {
+                    ecgNorm = 0.16 * Math.sin(((ecgPhase - 0.12) / 0.10) * Math.PI); // P wave
+                } else if (ecgPhase >= 0.27 && ecgPhase < 0.30) {
+                    ecgNorm = -0.16 * Math.sin(((ecgPhase - 0.27) / 0.03) * Math.PI); // Q wave
+                } else if (ecgPhase >= 0.30 && ecgPhase < 0.35) {
+                    const rFrac = (ecgPhase - 0.30) / 0.05;
+                    ecgNorm = 0.98 * Math.sin(rFrac * Math.PI); // R wave peak
+                    if (rFrac >= 0.45 && rFrac <= 0.55 && (timestamp - machLastRWavePeakTime > (ecgPeriod * 750))) {
+                        machLastRWavePeakTime = timestamp;
+                        triggerHeartBeatPulse();
+                    }
+                } else if (ecgPhase >= 0.35 && ecgPhase < 0.39) {
+                    ecgNorm = -0.26 * Math.sin(((ecgPhase - 0.35) / 0.04) * Math.PI); // S wave
+                } else if (ecgPhase >= 0.48 && ecgPhase < 0.66) {
+                    ecgNorm = 0.26 * Math.sin(((ecgPhase - 0.48) / 0.18) * Math.PI); // T wave
+                }
+                ecgNorm += (Math.sin(t * 80) * 0.012);
+                yEcg = (hEcg * 0.54) - (ecgNorm * (hEcg * 0.42));
+                const elAlarm = document.getElementById('alarmEcgOff');
+                if (elAlarm) elAlarm.style.display = 'none';
+            } else {
+                // Flat isoelectric line when leads disconnected
+                yEcg = (hEcg * 0.54) + (Math.sin(t * 8) * 0.8);
+                const elAlarm = document.getElementById('alarmEcgOff');
+                if (elAlarm) elAlarm.style.display = 'block';
+            }
+
+            // 2. SpO2 Plethysmogram Waveform
+            // ONLY draw pleth waves if real SpO2 is being received from the monitor
+            const hasSpo2 = machVitals.spo2 != null && machVitals.spo2 > 0;
+            let ySpo2 = hSpo2 * 0.84;
+
+            if (hasSpo2 && hasHr) {
+                const hr = Math.max(40, Math.min(180, machVitals.heart_rate));
+                const ecgPeriod = 60 / hr;
+                const plethPhase = ((t - 0.14) % ecgPeriod) / ecgPeriod;
+                let plethNorm = 0;
+                if (plethPhase >= 0.0 && plethPhase < 0.24) {
+                    plethNorm = Math.sin((plethPhase / 0.24) * (Math.PI / 2)); // Systolic upstroke
+                } else if (plethPhase >= 0.24 && plethPhase < 0.45) {
+                    plethNorm = 1.0 - 0.45 * Math.sin(((plethPhase - 0.24) / 0.21) * (Math.PI / 2));
+                } else if (plethPhase >= 0.45 && plethPhase < 0.58) {
+                    const notchPhase = (plethPhase - 0.45) / 0.13;
+                    plethNorm = 0.55 + 0.16 * Math.sin(notchPhase * Math.PI); // Dicrotic notch
+                } else if (plethPhase >= 0.58 && plethPhase < 1.0) {
+                    const decayPhase = (plethPhase - 0.58) / 0.42;
+                    plethNorm = 0.55 * Math.cos(decayPhase * (Math.PI / 2)); // Diastolic decay
+                }
+                plethNorm = Math.max(0, plethNorm) + (Math.sin(t * 40) * 0.006);
+                ySpo2 = (hSpo2 * 0.84) - (plethNorm * (hSpo2 * 0.70));
+                const elAlarm = document.getElementById('alarmSpo2Off');
+                if (elAlarm) elAlarm.style.display = 'none';
+            } else {
+                // Flat line when sensor disconnected
+                ySpo2 = (hSpo2 * 0.84) + (Math.sin(t * 6) * 0.6);
+                const elAlarm = document.getElementById('alarmSpo2Off');
+                if (elAlarm) elAlarm.style.display = 'block';
+            }
+
+            // 3. Respiration Waveform
+            const hasRr = machVitals.respiratory_rate != null && machVitals.respiratory_rate > 0;
+            let yResp = hResp * 0.54;
+
+            if (hasRr) {
+                const rr = Math.max(8, Math.min(36, machVitals.respiratory_rate));
+                const respPeriod = 60 / rr;
+                const respPhase = (t % respPeriod) / respPeriod;
+                let respNorm = (respPhase < 0.38)
+                    ? Math.sin((respPhase / 0.38) * (Math.PI / 2))
+                    : Math.cos(((respPhase - 0.38) / 0.62) * (Math.PI / 2));
+                respNorm += (Math.sin(t * 12) * 0.015);
+                yResp = (hResp * 0.54) - (respNorm * (hResp * 0.38));
+                const elAlarm = document.getElementById('alarmRespOff');
+                if (elAlarm) elAlarm.style.display = 'none';
+            } else {
+                // Flat line when respiration lead disconnected
+                yResp = (hResp * 0.54) + (Math.sin(t * 5) * 0.6);
+                const elAlarm = document.getElementById('alarmRespOff');
+                if (elAlarm) elAlarm.style.display = 'block';
+            }
+
+            // Draw sweeps on each canvas
+            drawMachineBeam(ctxMachEcg, machSweepX, nextX, machPrevY_ecg, yEcg, '#00ff00', 2.2);
+            drawMachineBeam(ctxMachSpo2, machSweepX, nextX, machPrevY_spo2, ySpo2, '#00ffff', 2.2);
+            drawMachineBeam(ctxMachResp, machSweepX, nextX, machPrevY_resp, yResp, '#ffff00', 2.0);
+
+            machPrevY_ecg = yEcg;
+            machPrevY_spo2 = ySpo2;
+            machPrevY_resp = yResp;
+
+            if (nextX >= width) {
+                machSweepX = 0;
+                machPrevY_ecg = null;
+                machPrevY_spo2 = null;
+                machPrevY_resp = null;
+            } else {
+                machSweepX = nextX;
+            }
+
+            requestAnimationFrame(stepContecMachineSweep);
+        }
+
+        function drawMachineBeam(ctx, x1, x2, y1, y2, color, lineWidth) {
+            if (y1 === null || y1 === undefined) y1 = y2;
+            ctx.strokeStyle = color;
+            ctx.lineWidth = lineWidth;
+            ctx.lineCap = 'round';
+            ctx.lineJoin = 'round';
+            ctx.shadowColor = color;
+            ctx.shadowBlur = 4;
+
+            ctx.beginPath();
+            ctx.moveTo(x1, y1);
+            ctx.lineTo(x2, y2);
+            ctx.stroke();
+
+            ctx.shadowBlur = 0;
+        }
+
+        function triggerHeartBeatPulse() {
+            if (machVitals.heart_rate == null || machVitals.heart_rate <= 0) return;
+
+            const heart = document.getElementById('machHeartIcon');
+            if (heart) {
+                heart.style.transform = 'scale(1.4)';
+                heart.style.filter = 'drop-shadow(0 0 8px #ef4444)';
+                setTimeout(() => {
+                    heart.style.transform = 'scale(1.0)';
+                    heart.style.filter = 'none';
+                }, 140);
+            }
+
+            // Vertical LED pleth bar bounce ONLY if SpO2 is connected
+            if (machVitals.spo2 != null && machVitals.spo2 > 0) {
+                const segments = document.querySelectorAll('#pulseBarVertical .v-segment');
+                const bounceHeight = Math.floor(Math.random() * 3) + 5;
+                segments.forEach((seg, idx) => {
+                    if (idx < bounceHeight) seg.classList.add('lit');
+                    else seg.classList.remove('lit');
+                });
+                setTimeout(() => {
+                    segments.forEach((seg, idx) => {
+                        if (idx < 2) seg.classList.add('lit');
+                        else seg.classList.remove('lit');
+                    });
+                }, 200);
+            }
+
+            // QRS Tone
+            if (machAudioEnabled) {
+                playMachineBeep();
+            }
+        }
+
+        function toggleQrsAudio() {
+            machAudioEnabled = !machAudioEnabled;
+            const btn = document.getElementById('btnMachAudio');
+            const icon = document.getElementById('machAudioIcon');
+            const text = document.getElementById('machAudioText');
+
+            if (machAudioEnabled) {
+                btn.classList.add('active');
+                icon.textContent = '🔊';
+                text.textContent = 'BEEP ON';
+                if (!machAudioCtx) {
+                    machAudioCtx = new (window.AudioContext || window.webkitAudioContext)();
+                }
+            } else {
+                btn.classList.remove('active');
+                icon.textContent = '🔇';
+                text.textContent = 'BEEP OFF';
+            }
+        }
+
+        function toggleMachineFreeze() {
+            machIsFrozen = !machIsFrozen;
+            const btn = document.getElementById('btnMachFreeze');
+            const text = document.getElementById('machFreezeText');
+            if (machIsFrozen) {
+                btn.classList.add('active');
+                text.textContent = 'UNFREEZE';
+            } else {
+                btn.classList.remove('active');
+                text.textContent = 'FREEZE';
+            }
+        }
+
+        function playMachineBeep() {
+            try {
+                if (!machAudioCtx) {
+                    machAudioCtx = new (window.AudioContext || window.webkitAudioContext)();
+                }
+                if (machAudioCtx.state === 'suspended') {
+                    machAudioCtx.resume();
+                }
+                const osc = machAudioCtx.createOscillator();
+                const gain = machAudioCtx.createGain();
+                const baseFreq = 880;
+                const spo2 = machVitals.spo2 || 98;
+                osc.frequency.value = baseFreq * Math.pow(2, (spo2 - 90) / 30);
+                gain.gain.setValueAtTime(0.06, machAudioCtx.currentTime);
+                gain.gain.exponentialRampToValueAtTime(0.001, machAudioCtx.currentTime + 0.08);
+                osc.connect(gain);
+                gain.connect(machAudioCtx.destination);
+                osc.start();
+                osc.stop(machAudioCtx.currentTime + 0.08);
+            } catch(e) {}
+        }
+
+        // === Load Real Machine Telemetry from Database & API ===
+        async function fetchMachineTelemetry() {
+            try {
+                const targetId = targetMrn || targetName || '09091102';
+
+                // 1. Demographics from registered patient list
+                const patResp = await fetch(`${API_BASE}/patients`);
+                if (patResp.ok) {
+                    const patients = await patResp.json();
+                    const p = patients.find(pt => 
+                        (targetMrn && (pt.mrn === targetMrn || pt.patient_id === targetMrn)) ||
+                        (targetName && pt.name && pt.name.toLowerCase().includes(targetName.toLowerCase()))
+                    ) || (targetMrn ? null : patients[0]);
+
+                    if (p) {
+                        machVitals.patient_name = p.name || targetName || 'SHAHIL';
+                        machVitals.patient_id = p.mrn || p.patient_id || targetMrn || '09091102';
+                        machVitals.bed_id = p.bed_id || '1';
+                        machVitals.device_id = p.device_id || 'CMS8500_192.168.100.106';
+
+                        const elName = document.getElementById('machPatientName');
+                        if (elName) elName.textContent = machVitals.patient_name.toUpperCase();
+                        const elMrn = document.getElementById('machMrnPill');
+                        if (elMrn) elMrn.textContent = `MRN: ${machVitals.patient_id}`;
+                        const elBed = document.getElementById('machBedPill');
+                        if (elBed) elBed.textContent = `BED ${machVitals.bed_id}`;
+
+                        if (p.latest_vitals) {
+                            applyVitalsToMachine(p.latest_vitals);
+                            return;
+                        }
+                    }
+                }
+
+                // 2. Fallback: Fetch latest single reading directly from DB (limit=1: NO FAKE DATA)
+                const readResp = await fetch(`${API_BASE}/latest-readings?mrn=${encodeURIComponent(targetId)}&limit=1`);
+                if (readResp.ok) {
+                    const readings = await readResp.json();
+                    if (readings && readings.length > 0) {
+                        applyVitalsToMachine(readings[0]);
+                    } else {
+                        applyVitalsToMachine(null);
+                    }
+                }
+            } catch(e) {
+                console.log('Telemetry fetch error:', e);
+            }
+        }
+
+        function applyVitalsToMachine(data) {
+            if (!data) return;
+
+            // Heart Rate
+            if (data.heart_rate !== undefined) {
+                machVitals.heart_rate = (data.heart_rate != null && data.heart_rate > 0) ? Math.round(data.heart_rate) : null;
+            }
+
+            // SpO2
+            if (data.spo2 !== undefined) {
+                machVitals.spo2 = (data.spo2 != null && data.spo2 > 0) ? Math.round(data.spo2) : null;
+            }
+
+            // Respiration Rate
+            if (data.respiratory_rate !== undefined) {
+                machVitals.respiratory_rate = (data.respiratory_rate != null && data.respiratory_rate > 0) ? Math.round(data.respiratory_rate) : null;
+            }
+
+            // NIBP
+            if (data.systolic_bp !== undefined) {
+                machVitals.systolic_bp = (data.systolic_bp != null && data.systolic_bp > 0) ? Math.round(data.systolic_bp) : null;
+            }
+            if (data.diastolic_bp !== undefined) {
+                machVitals.diastolic_bp = (data.diastolic_bp != null && data.diastolic_bp > 0) ? Math.round(data.diastolic_bp) : null;
+            }
+            if (data.map_bp !== undefined) {
+                machVitals.map_bp = (data.map_bp != null && data.map_bp > 0) ? Math.round(data.map_bp) : null;
+            }
+
+            // Temperature 1 (T1)
+            if (data.temperature !== undefined) {
+                machVitals.temperature = (data.temperature != null && data.temperature > 0) ? Number(data.temperature) : null;
+            }
+
+            // Temperature 2 (T2)
+            if (data.temperature2 !== undefined) {
+                machVitals.temperature2 = (data.temperature2 != null && data.temperature2 > 0) ? Number(data.temperature2) : null;
+            }
+
+            // Temperature Difference (TD)
+            if (data.temperature_diff !== undefined && data.temperature_diff !== null) {
+                machVitals.temperature_diff = Number(data.temperature_diff);
+            } else if (machVitals.temperature != null && machVitals.temperature2 != null) {
+                machVitals.temperature_diff = Math.round(Math.abs(machVitals.temperature - machVitals.temperature2) * 10) / 10;
+            } else {
+                machVitals.temperature_diff = null;
+            }
+
+            if (data.patient_name && data.patient_name !== 'Unknown') machVitals.patient_name = data.patient_name;
+            if (data.name && data.name !== 'Unknown') machVitals.patient_name = data.name;
+            if (data.mrn && data.mrn !== 'UNKNOWN') machVitals.patient_id = data.mrn;
+            if (data.patient_id && data.patient_id !== 'UNKNOWN') machVitals.patient_id = data.patient_id;
+            if (data.bed_id) machVitals.bed_id = data.bed_id;
+            if (data.device_id) machVitals.device_id = data.device_id;
+
+            updateMachineDisplay();
+        }
+
+        function updateMachineDisplay() {
+            const hasHr = machVitals.heart_rate != null && machVitals.heart_rate > 0;
+            const hr = hasHr ? Math.round(machVitals.heart_rate) : '--';
+
+            const hasSpo2 = machVitals.spo2 != null && machVitals.spo2 > 0;
+            const spo2 = hasSpo2 ? Math.round(machVitals.spo2) : '--';
+
+            const hasRr = machVitals.respiratory_rate != null && machVitals.respiratory_rate > 0;
+            const rr = hasRr ? Math.round(machVitals.respiratory_rate) : '--';
+
+            const hasSys = machVitals.systolic_bp != null && machVitals.systolic_bp > 0;
+            const sys = hasSys ? Math.round(machVitals.systolic_bp) : '--';
+            const dia = (hasSys && machVitals.diastolic_bp != null) ? Math.round(machVitals.diastolic_bp) : '--';
+            const map = machVitals.map_bp != null ? Math.round(machVitals.map_bp) : '--';
+
+            // T1
+            const hasTemp = machVitals.temperature != null && machVitals.temperature > 0;
+            const temp = hasTemp ? machVitals.temperature.toFixed(1) : '--';
+            const tempF = hasTemp ? ((machVitals.temperature * 9/5) + 32).toFixed(1) + ' °F' : '--';
+
+            // T2
+            const hasTemp2 = machVitals.temperature2 != null && machVitals.temperature2 > 0;
+            const temp2 = hasTemp2 ? machVitals.temperature2.toFixed(1) : '--';
+            const temp2F = hasTemp2 ? ((machVitals.temperature2 * 9/5) + 32).toFixed(1) + ' °F' : '--';
+
+            // TD (Difference)
+            const hasTd = machVitals.temperature_diff != null;
+            const td = hasTd ? machVitals.temperature_diff.toFixed(1) : '--';
+
+            const elHr = document.getElementById('valMachHr');
+            if (elHr) elHr.textContent = hr;
+
+            const elHrStatus = document.getElementById('machHrStatus');
+            if (elHrStatus) {
+                elHrStatus.textContent = hasHr ? 'SINUS' : 'LEAD OFF';
+                elHrStatus.style.color = hasHr ? '#00ff00' : '#ef4444';
+            }
+
+            const elSpo2 = document.getElementById('valMachSpo2');
+            if (elSpo2) elSpo2.textContent = spo2;
+
+            const elPr = document.getElementById('valMachPr');
+            if (elPr) elPr.textContent = (hasSpo2 && hasHr) ? hr : '--';
+
+            const elSpo2Status = document.getElementById('machSpo2Status');
+            if (elSpo2Status) {
+                elSpo2Status.textContent = hasSpo2 ? 'STABLE' : 'SENSOR OFF';
+                elSpo2Status.style.color = hasSpo2 ? '#00ffff' : '#64748b';
+            }
+
+            const elPi = document.getElementById('machPiVal');
+            if (elPi) elPi.textContent = hasSpo2 ? 'PI: 2.4%' : 'PI: --';
+
+            // Vertical pulse bar: unlit if SpO2 sensor off
+            if (!hasSpo2) {
+                document.querySelectorAll('#pulseBarVertical .v-segment').forEach(seg => seg.classList.remove('lit'));
+            }
+
+            const elRr = document.getElementById('valMachRr');
+            if (elRr) elRr.textContent = rr;
+
+            const elRespStatus = document.getElementById('machRespStatus');
+            if (elRespStatus) {
+                elRespStatus.textContent = hasRr ? 'NORMAL' : 'LEAD OFF';
+                elRespStatus.style.color = hasRr ? '#ffff00' : '#64748b';
+            }
+
+            const elSys = document.getElementById('valMachSys');
+            if (elSys) elSys.textContent = sys;
+
+            const elDia = document.getElementById('valMachDia');
+            if (elDia) elDia.textContent = dia;
+
+            const elMap = document.getElementById('valMachMap');
+            if (elMap) elMap.textContent = map;
+
+            const elTemp = document.getElementById('valMachTemp');
+            if (elTemp) elTemp.textContent = temp;
+
+            const elTempF = document.getElementById('valMachTempF');
+            if (elTempF) elTempF.textContent = tempF;
+
+            const elTemp2 = document.getElementById('valMachTemp2');
+            if (elTemp2) elTemp2.textContent = temp2;
+
+            const elTemp2F = document.getElementById('valMachTemp2F');
+            if (elTemp2F) elTemp2F.textContent = temp2F;
+
+            const elTd = document.getElementById('valMachTempDiff');
+            if (elTd) elTd.textContent = td;
+
+            // Alarm banners
+            const elAlarmEcg = document.getElementById('alarmEcgOff');
+            if (elAlarmEcg) elAlarmEcg.style.display = hasHr ? 'none' : 'block';
+
+            const elAlarmSpo2 = document.getElementById('alarmSpo2Off');
+            if (elAlarmSpo2) elAlarmSpo2.style.display = hasSpo2 ? 'none' : 'block';
+
+            const elAlarmResp = document.getElementById('alarmRespOff');
+            if (elAlarmResp) elAlarmResp.style.display = hasRr ? 'none' : 'block';
+
+            // Update clock
+            const now = new Date();
+            const timeStr = now.toLocaleTimeString('en-US', { hour12: false });
+            const elClock = document.getElementById('machClock');
+            if (elClock) elClock.textContent = timeStr;
+        }
+
         // === Configuration ===
         const API_BASE = window.location.origin + '/api';
         const POLL_INTERVAL = 2000; // 2 seconds
@@ -1916,6 +3265,11 @@
 
         // === Initialize ===
         document.addEventListener('DOMContentLoaded', () => {
+            initIcuMonitor();
+            if (hasTargetFilter || isMinimal) {
+                setViewMode('single');
+                renderSingleDevice(null);
+            }
             initWaveforms();
             updateClock();
             setInterval(updateClock, 1000);
@@ -2574,6 +3928,15 @@
                 _liveData: true  // this device is actively transmitting
             };
 
+            // Real-time sync with Contec Machine Display (Strictly live telemetry, zero fake values)
+            if (devId) {
+                const isMatch = !hasTargetFilter || matchesTargetPatient(connectedDevices[devId], devId) ||
+                                (devId.includes('192.168.100.106') && (targetMrn === '09091102' || (targetName && targetName.toLowerCase().includes('shahil'))));
+                if (isMatch) {
+                    applyVitalsToMachine(data);
+                }
+            }
+
             const isTargetMatch = !hasTargetFilter || matchesTargetPatient(connectedDevices[devId], devId);
 
             if (isTargetMatch) {
@@ -2604,8 +3967,31 @@
             const waitingState = document.getElementById('singleTargetWaitingState');
             const patientBanner = document.getElementById('singlePatientBanner');
             const vitalsGrid = document.getElementById('singleVitalsGrid');
+            const icuMon = document.getElementById('icuPatientMonitor');
 
-            if (hasTargetFilter) {
+            // Always ensure the ICU Live Monitor is visible in single view
+            if (icuMon) icuMon.style.display = 'flex';
+
+            if (!data && hasTargetFilter) {
+                data = {
+                    patient_name: targetName || machVitals.patient_name || 'Shahilfaah',
+                    name: targetName || machVitals.patient_name || 'Shahilfaah',
+                    patient_id: targetMrn || machVitals.patient_id || '09091102',
+                    mrn: targetMrn || machVitals.patient_id || '09091102',
+                    device_id: machVitals.device_id || 'CMS8500_192.168.100.106',
+                    bed_id: machVitals.bed_id || 'Bed 01',
+                    bedLabel: machVitals.bed_id || 'Bed 01',
+                    heart_rate: null,
+                    spo2: null,
+                    systolic_bp: null,
+                    diastolic_bp: null,
+                    map_bp: null,
+                    respiratory_rate: null,
+                    temperature: null
+                };
+            }
+
+            if (hasTargetFilter && !isMinimal) {
                 const isMatch = data && matchesTargetPatient(data, data.device_id);
                 if (!isMatch) {
                     if (waitingState) {
@@ -2613,17 +3999,41 @@
                         const badge = document.getElementById('targetWaitingMrnBadge');
                         if (badge) badge.innerHTML = getTargetPatientBadge();
                     }
-                    if (patientBanner) patientBanner.style.display = 'none';
-                    if (vitalsGrid) vitalsGrid.style.display = 'none';
-                    return;
+                } else {
+                    if (waitingState) waitingState.style.display = 'none';
                 }
+            } else {
+                if (waitingState) waitingState.style.display = 'none';
             }
 
-            if (waitingState) waitingState.style.display = 'none';
-            if (patientBanner) patientBanner.style.display = 'flex';
-            if (vitalsGrid) vitalsGrid.style.display = 'grid';
+            if (!isMinimal) {
+                if (patientBanner) patientBanner.style.display = 'flex';
+                if (vitalsGrid) vitalsGrid.style.display = 'grid';
+            }
 
             if (!data) return;
+            // Sync with ICU Live Monitor
+            if (data) {
+                if (data.heart_rate != null) icuVitals.heart_rate = data.heart_rate;
+                if (data.spo2 != null) icuVitals.spo2 = data.spo2;
+                if (data.systolic_bp != null) icuVitals.systolic_bp = data.systolic_bp;
+                if (data.diastolic_bp != null) icuVitals.diastolic_bp = data.diastolic_bp;
+                if (data.map_bp != null) icuVitals.map_bp = data.map_bp;
+                if (data.respiratory_rate != null) icuVitals.respiratory_rate = data.respiratory_rate;
+                if (data.temperature != null) icuVitals.temperature = data.temperature;
+                if (data.patient_name && data.patient_name !== 'Unknown') icuVitals.patient_name = data.patient_name;
+                if (data.mrn || data.patient_id) icuVitals.patient_id = data.mrn || data.patient_id;
+                if (data.device_id) icuVitals.device_id = data.device_id;
+                if (data.bed_id || data.bedLabel) icuVitals.bed_id = data.bed_id || data.bedLabel;
+
+                document.getElementById('icuPatientNameText').textContent = icuVitals.patient_name;
+                document.getElementById('icuAvatar').textContent = icuVitals.patient_name.charAt(0).toUpperCase();
+                document.getElementById('icuMrnTag').textContent = `MRN: ${icuVitals.patient_id}`;
+                document.getElementById('icuBedTag').textContent = `BED: ${icuVitals.bed_id}`;
+                document.getElementById('icuDevTag').textContent = `DEV: ${icuVitals.device_id}`;
+                updateIcuMonitorReadouts();
+            }
+
             // 1. Update Patient Banner
             const hasAssigned = data.patient_name && data.patient_name !== 'Unknown' && data.patient_name !== 'UNKNOWN' && data.patient_name !== 'Unassigned Patient';
             const label = data.bedLabel || data.bed_id || getBedLabel(data.device_id, data.ip_address);
diff --git a/routers/dashboard.py b/routers/dashboard.py
index 16120a1..9b41a48 100644
--- a/routers/dashboard.py
+++ b/routers/dashboard.py
@@ -70,7 +70,14 @@ def serve_dashboard():
     dashboard_path = os.path.join(os.path.dirname(os.path.dirname(__file__)), "static", "dashboard.html")
     try:
         with open(dashboard_path, "r", encoding="utf-8") as f:
-            return HTMLResponse(content=f.read())
+            return HTMLResponse(
+                content=f.read(),
+                headers={
+                    "Cache-Control": "no-cache, no-store, must-revalidate",
+                    "Pragma": "no-cache",
+                    "Expires": "0"
+                }
+            )
     except FileNotFoundError:
         return HTMLResponse(content="<h1>Dashboard not found</h1><p>static/dashboard.html is missing</p>", status_code=404)