A method for managing alarms in a physiological monitoring apparatus, a physiological monitoring apparatus, and a computer program product for a physiological monitoring apparatus are disclosed. A plurality of averages of a physiological parameter are derived, wherein the parameter is derived from at least one physiological signal acquired from a subject and wherein the averages represent a corresponding plurality of averaging periods. Respective alarm limits are assigned to the plurality of averages and at least one alarm indicator is defined, each alarm indicator being defined based on respective average and alarm limit. An alarm is detected based on the at least one alarm indicator.