Abstract: A medical device includes an audible medium giving user instructions in a first language and a visual medium giving user instructions in a second language. In an embodiment of the invention, the medical device is an external defibrillator with user instructions in an audible medium in a first language and instructions in a visible medium in the second language. In one embodiment, an external defibrillator includes an audio speaker that delivers instructions to the operator in a first language and a visual medium that presents instructions to the operator in a second language. The visual medium may present text instructions in the second language. It may also present pictorial representations of the text instructions in proximity to the text instructions. Alternatively, the visual medium may be a display screen on the external defibrillator.