Nancyvarkey at 16:37, 2 July 2020

2020-07-02T16:37:43Z

PoojaMoolya: Created page with "
Topic: EMRI or Ambulance data entry

Contributor Name: Jerry Davi..."

2020-06-24T06:12:21Z

Created page with "<div style="margin-left:-0.035cm;margin-right:0cm;">Topic: EMRI or Ambulance data entry</div> <div style="margin-left:-0.035cm;margin-right:0cm;">Contributor Name: Jerry Davi..."

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<div style="margin-left:-0.035cm;margin-right:0cm;">Topic: EMRI or Ambulance data entry</div>

<div style="margin-left:-0.035cm;margin-right:0cm;">Contributor Name: Jerry David, STEMI Team, Coimbatore</div>

<div style="margin-left:-0.035cm;margin-right:0cm;">Reviewed by: Nancy Varkey, Spoken Tutorial Project, IIT Bombay</div>

Keywords: STEMI, STEMI App, Data entry in STEMI App, Data entry of mandatory fields in Main ECG tab

{|border=1
|-
|| ''VISUAL CUE''
|| ''NARRATION''
|-
|| '''Show TITLE slide'''

'''EMRI or Ambulance data Entry'''
|| Hello and welcome to this tutorial on '''EMRI''' or Ambulance data entry.
|-
|| '''Show Learning Objectives Slide'''
|| In this tutorial, we will learn to -
* <div style="margin-left:1.27cm;margin-right:0cm;">Enter data of a new patient on the '''STEMI App''' from an ambulance.</div>

|-
|| '''Show System Requirement Slide'''
|| To practise this tutorial, you will need -
# <div style="margin-left:0.847cm;margin-right:0cm;">An '''Android tablet '''with '''STEMI App '''installed on it and</div>
# <div style="margin-left:0.847cm;margin-right:0cm;">A working '''Internet '''connection.</div>

|-
||
|| Earlier in this series, we learnt -
* <div style="margin-left:1.27cm;margin-right:0cm;">how to login to the '''STEMI App'''</div>
* <div style="margin-left:1.27cm;margin-right:0cm;">and about mandatory data entry fields.</div>

|-
|| '''Switch to STEMI device interface'''
|| After logging in, we are in the '''STEMI Homepage.'''
|-
|| Select New Patient
|| Select''' New Patient''' tab.
|-
||
|| Let’s assume a patient and enter the following data.
|-
|| Type the following details

'''Patient Name''': Ramesh

'''Age''':53

'''Gender''': Male

'''Phone''' : 9988776655

'''Address''': X villa, X road, Coimbatore – 000 000, Tamil Nadu
|| Under '''Basic Details, '''let us enter-

* <div style="margin-left:1.27cm;margin-right:0cm;">'''Patient Name: '''Ramesh</div>
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Age:'''53</div>
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Gender: '''Male</div>
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Phone : '''9988776655</div>
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Address: '''X villa, X road, Coimbatore, Tamil Nadu</div>

|-
|| Select the '''Save & Continue''' button at the bottom of the page.
|| Select the '''Save & Continue''' button at the bottom of the page.
|-
|| Pop-up message
|| Immediately, the page gets saved.

Please wait if buffering sign is seen

And “'''Saved Successfully'''” pop-up message appears at the bottom of the page.
|-
|| On '''Fibrinolytic Checklist '''page
|| The '''App''' now takes us to the next page, '''Fibrinolytic Checklist.'''
|-
|| On '''Fibrinolytic Checklist '''page
|| Under '''Fibrinolytic Checklist, '''there are 12 items, if the patient is '''Male'''.

If the patient is '''Female,''' there would be 13 items displayed.

The extra item is '''Pregnant Female ? Yes / No, '''which we have to fill accordingly'''.'''
|-
|| Check the following

# <div style="margin-left:1.27cm;margin-right:0cm;">'''Systolic BP Greater than 180 mmHg - '''No</div>
# <div style="margin-left:1.27cm;margin-right:0cm;">'''Diastolic BP Greater than 110 mmHg - '''No</div>
# <div style="margin-left:1.27cm;margin-right:0cm;">'''Right Vs Left arm Systolic BP greater than 15 mmHg''' – No</div>
# <div style="margin-left:1.27cm;margin-right:0cm;">'''Significant closed head/facial trauma within the''' '''previous 3 months''' – No</div>
# <div style="margin-left:1.27cm;margin-right:0cm;">'''Recent (within 6 weeks) major trauma, surgery (including laser eye surgery),GI/GU Bleed '''– No</div>
# <div style="margin-left:1.27cm;margin-right:0cm;">'''Bleeding or clotting problem or on blood thinners '''– No</div>
# <div style="margin-left:1.27cm;margin-right:0cm;">'''CPR greater than 10 min -'''No</div>
# <div style="margin-left:1.27cm;margin-right:0cm;">'''Serious systemic disease (e.g., advanced/terminal cancer, severe liver or kidney disease)''' –No</div>
# <div style="margin-left:1.27cm;margin-right:0cm;">'''History of structural central nervous system disease -'''No</div>
# <div style="margin-left:1.27cm;margin-right:0cm;">'''Pulmonary edema (rales greater than halfway up - '''No</div>
# <div style="margin-left:1.27cm;margin-right:0cm;">'''Systemic hypoperfusion (cool, clammy) - '''No</div>
# <div style="margin-left:1.27cm;margin-right:0cm;">'''Does the patient have severe heart failure or cardiogenic shock such that PCI is preferable such that PCI is preferable? - '''No</div>

|| I’ll will be checking all the 12 points as “'''No'''” for now.

# <div style="margin-left:1.905cm;margin-right:0cm;">'''Systolic BP Greater than 180 mmHg - '''No</div>
# <div style="margin-left:1.905cm;margin-right:0cm;">'''Diastolic BP Greater than 110 mmHg - '''No</div>
# <div style="margin-left:1.905cm;margin-right:0cm;">'''Right Vs Left arm Systolic BP greater than 15 mmHg''' – No</div>
# <div style="margin-left:1.905cm;margin-right:0cm;">'''Significant closed head/facial trauma within the''' '''previous 3 months''' - No</div>
# <div style="margin-left:1.905cm;margin-right:0cm;">'''Recent (within 6 weeks) major trauma, surgery (including laser eye surgery), GI / GU Bleed '''– No </div>
# <div style="margin-left:1.905cm;margin-right:0cm;">'''Bleeding or clotting problem or on blood thinners '''–No</div>
# <div style="margin-left:1.905cm;margin-right:0cm;">'''CPR greater than 10 min - '''No</div>
# <div style="margin-left:1.905cm;margin-right:0cm;">'''Serious systemic disease (e.g., advanced/terminal cancer, severe liver or kidney disease)''' –No</div>
# <div style="margin-left:1.905cm;margin-right:0cm;">'''History of structural central nervous system disease - '''No</div>
# <div style="margin-left:1.905cm;margin-right:0cm;">'''Pulmonary edema (rales greater than halfway up - '''No</div>
# <div style="margin-left:1.905cm;margin-right:0cm;">'''Systemic hypoperfusion (cool, clammy) – '''No</div>
# <div style="margin-left:1.905cm;margin-right:0cm;">'''Does the patient have severe heart failure or cardiogenic shock such that PCI is preferable? - '''No</div>

|-
|| Show Slide

The options are-
* <div style="margin-left:1.27cm;margin-right:0cm;">To a '''D hospital '''</div>
** <div style="margin-left:2.54cm;margin-right:0cm;">if it is the closest and the '''Hub hospital''' is beyond 30 minutes of travelling distance and if '''Thrombolysis '''is not contraindicated </div>

OR
* <div style="margin-left:1.27cm;margin-right:0cm;">To a '''A/B Hospital (Hub)''' </div>
** <div style="margin-left:2.54cm;margin-right:0cm;">if it is within 30 minutes of travelling distance and if '''Thrombolysis '''is contraindicated.</div>

|| The '''Fibrinolytic Checklist''' is a relative or absolute '''contraindication '''for '''thrombolysis'''.

It helps the paramedic in the ambulance determine whether to shift the patient.

* <div style="margin-left:1.27cm;margin-right:0cm;">To a '''D hospital '''</div>
** <div style="margin-left:2.54cm;margin-right:0cm;">if it is the closest and the '''Hub hospital''' is beyond 30 minutes of travelling distance </div>
** <div style="margin-left:2.54cm;margin-right:0cm;">and if '''Thrombolysis '''is not '''contraindicated''' </div>

OR
* <div style="margin-left:1.27cm;margin-right:0cm;">To a '''A/B Hospital (that is Hub)''' </div>
** <div style="margin-left:2.54cm;margin-right:0cm;">if it is within 30 minutes of travelling distance </div>
** <div style="margin-left:2.54cm;margin-right:0cm;">and if '''Thrombolysis '''is '''contraindicated'''.</div>

|-
|| Select the '''Save & Continue''' button at the bottom of the page.
|| Once the '''Fibrinolytic Checklist '''is completed, select the '''Save & Continue '''button at the bottom.
|-
||
|| This will save the current page.

Please wait if '''buffering sign '''is seen.
|-
|| Pop -up message
|| “'''Saved Successfully'''” pop - up message appears at the bottom of the page
|-
|| On '''Co morbid Conditions '''page
|| And we are moved to the next page – '''Co-Morbid Conditions.'''

|-
|| '''Co - Morbid Conditions''' page
|| Under '''Co-Morbid Conditions, '''we will fill the details of '''History '''and''' Co-Morbid Conditions.'''
|-
|| Check the following

Under '''Co – Morbid Conditions'''

'''History and Co - Morbid '''

'''Conditions'''

'''Smoker:''' Yes

'''Previous IHD''': Yes

'''Diabetes Mellitus''': Yes

'''Hypertension''': Yes

'''Dyslipidemia''': Yes

'''Stroke''': Yes

'''Bronchial Asthma''': Yes

'''Allergies''': Yes
|| I’ll check all as''' ‘Yes’'''

'''Smoker: '''Yes

'''Previous IHD:''' Yes

'''Diabetes Mellitus: '''Yes

'''Hypertension: '''Yes

'''Dyslipidemia: '''Yes

'''Stroke: '''Yes

'''Bronchial Asthma:''' Yes

'''Allergies: '''Yes
|-
|| '''Diagnosis'''

'''Chest Discomfort''': options '''Pain, Pressure, Aches; Aches''' selected

'''Location of Pain''': options '''Retrosternal, Jaw, L arm, R arm, Back; L arm '''selected

'''Pain Severity '''( a mandatory field) – type from 1 -10 : '''8'''

'''Palpitation''': Yes

'''Pallor''': Yes

'''Diaphoresis''': Yes

'''Shortness of breath''': Yes

'''Nausea/ Vomiting''': Yes

'''Dizziness''': Yes

'''Syncope''': Yes
|| '''Diagnosis'''

'''Chest Discomfort: '''options are''' Pain, Pressure, Aches '''

I’ll select '''Aches'''

'''Location of Pain: '''options are '''Retrosternal, Jaw, L arm (i.e. left arm), R arm (i.e. right arm), Back'''

I’ll select '''L arm'''

'''Pain Severity''' (a mandatory field)''':''' on a scale of 1 - 10, 1 being least and 10 being extreme pain,

I’ll choose '''8'''

'''Palpitation: '''Yes

'''Pallor: '''Yes

'''Diaphoresis: '''Yes

'''Shortness of breath: '''Yes

'''Nausea/Vomiting: '''Yes

'''Dizziness: '''Yes

'''Syncope: '''Yes
|-
|| Select the '''Save & Continue''' button at the bottom of the page.
|| Once the data is entered, select the '''Save & Continue '''button at the bottom of the page.
|-
||
|| This will save the current page.

Please wait if '''buffering sign '''is seen.
|-
|| Pop - up message
|| “'''Saved Successfully'''” pop-up message appears at the bottom of the page.
|-
|| On '''Co morbid Conditions '''page
|| And we are moved to the next page – '''Transport Details.'''

|-
|| Under '''Transportation Details-'''

'''Symptom Onset '''

'''Date''': 21/1/2016 '''Time''': 9:00 am

'''Ambulance Call'''

'''Date''': 21/1/2016 '''Time''': 9:10 am

'''Ambulance Arriva'''l

'''Date''': 21/1/2016 '''Time: '''9:30 am

'''Ambulance Departure'''

'''Date: '''21/1/2016 '''Time''': 9:45 am

'''Transport to STEMI Cluster'''

'''Yes''': '''No''':

if''' Yes '''is selected it further opens into
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Google maps - '''</div>
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Contacts - Medications during Transport'''</div>

* <div style="margin-left:1.27cm;margin-right:0cm;">'''Oxygen: '''if '''Yes'''</div>

'''Oxygen Amount: 5L/ 10L'''

select''' 5L'''

'''Aspirin 325mg : '''if''' Yes'''

'''Date: '''21/1/2016''' Time: '''9:50 am

'''Clopidogrel 600 mg: '''if '''Yes'''

'''Date: '''21/1/2016''' Time: '''9:52 am

'''Prasugrel 60 mg:''' if''' Yes'''

'''Date: '''21/1/2016''' Time:''' 9:54 am

'''Ticagrelor 180 mg: '''if '''Yes'''

'''Date: '''21/1/2016''' Time: '''9:56 am

'''Unfractionated Heparin: '''if''' Yes Route: IV Dosage:'''bolus 60U/kg

'''Date: '''21/1/2016 '''Time:'''9:58 am

'''LMW Heparin'''

'''N Saline:''' 2 pint

'''Nitroglycerine: '''5mcg /min

'''Morphine: '''1mg /ml

'''Atropine: '''1ml amp
|| Under '''Transportation Details, '''all the 5 fields are mandatory.

'''Symptom Onset '''

'''Date: '''21/1/2016 '''Time: '''9:00 am

'''Ambulance Call'''

'''Date: '''21/1/2016 '''Time: '''9:10 am

'''Ambulance Arrival'''

'''Date: '''21/1/2016 '''Time:''' 9:30 am

'''Ambulance Departure'''

'''Date: '''21/1/2016''' Time: '''9:45 am

'''Transport to STEMI Cluster'''

'''Yes No'''

if''' Yes '''is selected, it further opens into
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Google maps - '''to locate and select the Hospital on the '''Google Maps''' for directions</div>
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Contacts - '''to call or get contact details of the hospital to which the patient is being shifted</div>
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Medications during Transport:'''</div>

* <div style="margin-left:1.27cm;margin-right:0cm;">'''Oxygen: '''if '''Yes'''</div>

'''Oxygen Amount: 5L/ 10L'''

I’ll select''' 5L'''* <div style="margin-left:1.27cm;margin-right:0cm;">'''Aspirin 325mg : '''if''' Yes'''</div>

'''Date: '''21/1/2016''' Time: '''9:50 am* <div style="margin-left:1.27cm;margin-right:0cm;">'''Clopidogrel 600 mg :'''if '''Yes'''</div>

'''Date: '''21/1/2016''' Time: '''9:52 am* <div style="margin-left:1.27cm;margin-right:0cm;">'''Prasugrel 60 mg:''' if''' Yes'''</div>

'''Date: '''21/1/2016''' Time:''' 9:54 am* <div style="margin-left:1.27cm;margin-right:0cm;">'''Ticagrelor 180 mg: '''if '''Yes'''</div>

'''Date: '''21/1/2016''' Time: '''9:56 am* <div style="margin-left:1.27cm;margin-right:0cm;">'''Unfractionated Heparin: '''if''' Yes'''</div>

'''Route: IV '''

'''Dosage:'''bolus 60Units/kg

'''Date: '''21/1/2016 '''Time:'''9:58 am* <div style="margin-left:1.27cm;margin-right:0cm;">Similarly, for '''LMW Heparin'''</div>

I’ll be checking '''LMW Heparin '''as''' ‘No’'''

* <div style="margin-left:1.27cm;margin-right:0cm;">'''N Saline:''' 2 pint</div>
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Nitroglycerine: '''5mcg /min</div>
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Morphine: '''1mg /ml</div>
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Atropine: '''1ml amp</div>

|-
|| Select the '''Save & Continue''' button at the bottom of the page.
|| Once data is entered,
* <div style="margin-left:1.27cm;margin-right:0cm;">select the <span style="background-color:#ffffff;">'''Save & Continue</span> '''button''' '''at the bottom of the page, </div>
* <div style="margin-left:1.27cm;margin-right:0cm;">to save the page and move on to the next.</div>

|-
|| Go back to '''Transport to STEMI Cluster''' field

Select '''No'''
|| If ‘'''No'''’ is selected under '''Transportation to STEMI cluster''' then
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Save and Continue''' button appears below the field </div>
* <div style="margin-left:1.27cm;margin-right:0cm;">and data entry for the particular page ends here.</div>

|-
|| Select '''Save and Continue'''
|| Select '''Save and Continue''' button.
|-
||
|| This will save the current page.

Please wait if '''buffering sign '''is seen.
|-
|| Pop - up message
|| “'''Saved Successfully'''” pop-up message appears at the bottom of the page
|-
|| On '''Discharge Summary '''page
|| And we are moved to the next page – '''Discharge Summary.'''

|-
|| Under Discharge Summary

If checked “'''Yes'''”, it further opens into

'''Cause of death: '''choose between '''Cardiac / Non Cardiac; '''I’ll choose''' Cardiac'''

'''Death '''

'''Date: '''21/1/2016''' Time: '''10:10 am '''Remarks: '''if any

And the data entry ends here.

If checked “'''No'''” it further opens into '''Discharge from EMRI'''

'''Date:''' 21/1/2016''' Time: '''10:10 am

'''Transport To: '''

Select from''' Stemi Cluster Hospital, Non Stemi Cluster Hospital, Home '''

Select''' Stemi Cluster Hospital'''

If “'''STEMI Cluster Hospital or Non STEMI Cluster Hospital” '''it further opens into

'''Remarks: '''if any '''Transfer to Hospital Name: '''Kovai Medical Center and Hospital

'''Transfer to Hospital Address: '''3209,Sitra, Avinashi Road

Coimbatore, Tamil Nadu - 641 014

Highlight in blue box

Hospital name and address have to be entered manually for Non STEMI cluster Hospital
|| Under '''Discharge Summary, Death''' is a mandatory field.

If checked “'''Yes'''”, it further opens into -
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Cause of death: '''choose between '''Cardiac / Non Cardiac; '''</div>
** <div style="margin-left:2.54cm;margin-right:0cm;">I’ll choose''' Cardiac'''</div>
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Death '''</div>

'''Date: '''21/1/2016''' Time: '''10:10 am
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Remarks: '''if any</div>

And the data entry ends here.

If '''Death''' is checked “'''No'''”, it further opens into -

* <div style="margin-left:1.27cm;margin-right:0cm;">'''Discharge from EMRI''' </div>

'''Date:''' 21/1/2016''' Time: '''10:10 am
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Transport To: '''</div>

Select from''' Stemi Cluster Hospital, Non-Stemi Cluster Hospital or Home '''

I’ll select''' Stemi Cluster Hospital.'''

If “'''STEMI Cluster Hospital or Non STEMI Cluster Hospital” '''is selected, it further opens into-

* <div style="margin-left:1.27cm;margin-right:0cm;">'''Remarks: '''if any</div>
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Transfer to Hospital Name: '''Kovai Medical Center and Hospital</div>
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Transfer to Hospital Address: '''3209, Avinashi Road, Sitra, </div>

Coimbatore, Tamil Nadu - 641 014

When we select the hospital name, the hospital address auto-populates.

This is because this hospital is a part of the STEMI programme.

|-
|| Select the '''Finish''' button at the bottom of the page.
|| After this data is entered, select the '''Finish''' Tab at the bottom of the page.

|-
||
|| This will save the current page.

Please wait if '''buffering sign '''is seen.
|-
||
|| Now the page is saved and data entry is completed.
|-
|| Pop - up message
|| “'''Saved Successfully'''” pop-up message appears at the bottom of the page.
|-
||
|| Let us summarize.
|-
|| Show Summary Slide
|| In this tutorial, we have learnt to -
* <div style="margin-left:1.27cm;margin-right:0cm;">Enter data of a new patient on the '''STEMI App''' from an ambulance.</div>

|-
|| Show STEMI INDIA slide
|| STEMI INDIA
* <div style="margin-left:1.058cm;margin-right:0cm;">was set up as a ‘not for profit’ organisation</div>
* <div style="margin-left:1.058cm;margin-right:0cm;">primarily to reduce delays in accessing appropriate care for heart attack patients </div>
* <div style="margin-left:1.058cm;margin-right:0cm;">and reducing deaths due to heart attacks.</div>

|-
|| Show Spoken Tutorial Project Slide
|| Spoken Tutorial Project, IIT Bombay is funded by NMEICT, MHRD, Govt. of India.

For more details, please visit http://spoken-tutorial.org
|-
|| Show THANK YOU slide
|| This tutorial has been contributed by
* <div style="margin-left:1.27cm;margin-right:0cm;">STEMI INDIA</div>
* <div style="margin-left:1.27cm;margin-right:0cm;">and the Spoken Tutorial Project, IIT Bombay.</div>

This is Nancy Varkey signing off. Thanks for joining.
|-
|}

STEMI-2017/C2/EMRI-or-Ambulance-data-entry/English - Revision history

Nancyvarkey at 16:37, 2 July 2020

PoojaMoolya: Created page with "Topic: EMRI or Ambulance data entry Contributor Name: Jerry Davi..."

PoojaMoolya: Created page with "
Topic: EMRI or Ambulance data entry

Contributor Name: Jerry Davi..."