A medical monitoring system includes one or more processors (23) configured to receive (84) monitored physiological measures (16) and corresponding one or more alarm occurrences for a patient (10) and an adjustable alarm setting (56). The one or more processors are further configured to configure (86) a display (28) of at least one monitored physiological measure (76) and a retrospective graphical illustration of the physiological measure (30) including illustrations of the one or more occurrences of alarms (32) corresponding to the adjustable alarm setting (56).