STEMI-2017/C2/Importance-of-Fibrinolytic-Checklist/English - Revision history

Nancyvarkey at 10:41, 2 July 2020

2020-07-02T10:41:39Z

PoojaMoolya at 09:51, 30 June 2020

2020-06-30T09:51:53Z

PoojaMoolya: Created page with "
Topic: Importance of Fibrinolytic Checklist

Contributor Name: Je..."

2020-06-24T06:24:10Z

Created page with "<div style="margin-left:-0.035cm;margin-right:0cm;">Topic: Importance of Fibrinolytic Checklist</div> <div style="margin-left:-0.035cm;margin-right:0cm;">Contributor Name: Je..."

New page

<div style="margin-left:-0.035cm;margin-right:0cm;">Topic: Importance of Fibrinolytic Checklist</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, New Patient Tab, Fibrinolytic Checklist, Systolic & Diastolic B.P, CPR, Cardiogenic Shock, PCI.

{| border=1
|-
| Visual Cue
| Narration

|-
| '''Show Title'''

'''Importance of Fibrinolytic checklist'''
| Hello and welcome to this tutorial on the '''Importance of Fibrinolytic Checklist.'''
|-
| '''Show Learning Objectives Slide'''
| In this tutorial, we will learn about
# <div style="margin-left:1.058cm;margin-right:0cm;">The various criteria listed in '''Fibrinolytic Checklist'''</div>

|-
| '''Show System Requirements Slide'''
| To practise this tutorial, you will need -
# <div style="margin-left:1.058cm;margin-right:0cm;">An '''Android tablet''' with '''STEMI App''' installed on it and </div>
# <div style="margin-left:1.058cm;margin-right:0cm;">A working '''Internet''' connection.</div>

|-
| '''Pre-requisite slide'''
| You will also need to have working knowledge of the '''STEMI device''' and the '''STEMI App'''.

If not, please refer to the '''STEMI''' tutorial series on this website.
|-
| '''Switch to STEMI device homepage'''
| This is our '''STEMI Homepage.'''
|-
| '''Select''' New Patient tab.
| Let’s select '''New Patient''' tab.
|-
| '''Under New Patient Tab''' Patient Details appear
| Under '''New Patient '''tab''', Patient Details''' appears.
|-
| Select '''Fibrinolytic Checklist.'''

* <div style="margin-left:1.27cm;margin-right:0cm;">Fibrinolytic checklist page</div>

| Select '''Fibrinolytic Checklist.'''
* <div style="margin-left:1.27cm;margin-right:0cm;">The '''Fibrinolytic checklist '''comes under the main '''Patient Details '''tab after '''Basic Details'''.</div>
* <div style="margin-left:1.27cm;margin-right:0cm;">13 points - “Pregnant female” </div>
* <div style="margin-left:1.27cm;margin-right:0cm;">Under '''Fibrinolytic checklist -'''</div>
** <div style="margin-left:2.54cm;margin-right:0cm;">If the patient was female 13 items would be displayed</div>
** <div style="margin-left:2.54cm;margin-right:0cm;">If the patient was male 12 items would be displayed.</div>

It is a relative or absolute contraindication for '''thrombolysis'''.
* <div style="margin-left:1.27cm;margin-right:0cm;">When '''Hub/ Spoke''' hospitals are close together, then </div>
** <div style="margin-left:2.54cm;margin-right:0cm;">if any of these 13 points are marked as '''‘Yes’''' </div>
** <div style="margin-left:2.54cm;margin-right:0cm;">it would be preferable to shift the patient to a '''Hub''' hospital.</div>

|-
| Let’s take a look at the following

'''1. Systolic BP greater than 180 mmHg:'''

'''2. Diastolic BP greater than 110 mmHg:'''

'''3. Right Vs Left arm Systolic BP greater than 15 mmHg:'''

'''4. Significant closed head/facial trauma within previous 3 months'''

'''5. Recent (within 6 weeks) major trauma, surgery (including eye surgery), GI/GU bleed''':

'''6. Bleeding or Clotting problem or on blood thinners:'''

'''7. CPR greater than 10 min:'''

'''8. Pregnant Female:'''

'''9. Serious systemic disease (e.g., advanced/ terminal cancer, severe liver or kidney disease:'''

'''10. History of structural central nervous system disease:'''

The next three points

'''11. Pulmonary edema (rales greater than halfway up)'''

'''12. Systemic Hypoperfusion (cool, clammy)'''

'''13. Does the patient have severe heart failure or cardiogenic shock such that PCI is preferable?'''
| Let’s take a look at these 13 points

'''1.Systolic BP greater than 180 mmHg''': check BP

'''2.Diastolic BP greater than 110 mmHg''': Similarly check BP

'''3.Right Vs Left arm Systolic BP greater than 15 mmHg:''' this won’t be possible in an ambulance, but in a hospital check BP

'''4.Significant closed head/facial trauma''' '''within previous 3 months: '''ask the patient or his/her relatives

'''5.Recent (within 6 weeks) major trauma, surgery (including eye surgery), GI/GU bleed''': ask the patient or his/her relatives

'''6.Bleeding or Clotting problem or on blood thinners''': again ask the patient or his/her relatives

'''7.CPR greater than 10 min''': in case of a cardiac arrest the patient requires resuscitation more than 10 minutes

'''8.Pregnant Female''': in case of Female patients below the age of 50, check for pregnancy

'''9.Serious systemic disease (e.g., advanced/ terminal cancer, severe liver or kidney disease''': ask the patient or his/her relatives

'''10.''' '''History of structural central nervous system disease''': again, ask the patient or his/her relatives

The next three points are for doctors and if a doctor is available, ask to check for these:

'''11.''' '''Pulmonary edema (rales greater than halfway up)'''

'''12.''' '''Systemic Hypoperfusion (cool, clammy)'''

'''13.''' '''Does the patient have severe heart failure or cardiogenic shock such that PCI is preferable?'''

|-
|
|Let us summarize.
|-
|| Show Summary Slide
|| In this tutorial, we have learnt about -
# <div style="margin-left:1.27cm;margin-right:0cm;">The importance of '''Fibrinolytic checklist'''</div>
# <div style="margin-left:1.27cm;margin-right:0cm;">The various criteria listed in '''Fibrinolytic Checklist'''</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:0.847cm;margin-right:0cm;">STEMI INDIA</div>
* <div style="margin-left:0.847cm;margin-right:0cm;">and the Spoken Tutorial Project, IIT Bombay.</div>

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

@@ Line 20: / Line 20: @@
 |-
 | '''Show Learning Objectives Slide'''
-|  In this tutorial, we will learn about
+|  In this tutorial, we will learn about the various criteria listed in '''Fibrinolytic Checklist'''.
-# <div style="margin-left:1.058cm;margin-right:0cm;">The various criteria listed in '''Fibrinolytic Checklist'''</div>
-−
 |-
 | '''Show System Requirements Slide'''
 |  To practise this tutorial, you will need -
-# <div style="margin-left:1.058cm;margin-right:0cm;">An '''Android tablet''' with '''STEMI App''' installed on it and </div>
+# An '''Android tablet''' with '''STEMI App''' installed on it and
-# <div style="margin-left:1.058cm;margin-right:0cm;">A working '''Internet''' connection.</div>
+# A working '''Internet''' connection.
-−
 |-
@@ Line 37: / Line 34: @@
 If not, please refer to the '''STEMI''' tutorial series on this website.
 |-
 | '''Switch to STEMI device homepage'''
 |  This is our '''STEMI Homepage.'''
 |-
 |  '''Select''' New Patient tab.
 | Let’s select '''New Patient''' tab.
 |-
 |  '''Under New Patient Tab''' Patient Details appear
 | Under '''New Patient '''tab''', Patient Details''' appears.
 |-
 |  Select '''Fibrinolytic Checklist.'''
 | Select '''Fibrinolytic Checklist.'''
-* <div style="margin-left:1.27cm;margin-right:0cm;">The '''Fibrinolytic checklist '''comes under the main '''Patient Details '''tab after '''Basic Details'''.</div>
+* The '''Fibrinolytic checklist '''comes under the main '''Patient Details '''tab after '''Basic Details'''.
 * Under '''Fibrinolytic checklist -'''
-* <div style="margin-left:1.27cm;margin-right:0cm;">Under '''Fibrinolytic checklist -'''</div>
+** If the patient was female 13 items would be displayed.
-** <div style="margin-left:2.54cm;margin-right:0cm;">If the patient was female 13 items would be displayed</div>
+** If the patient was male 12 items would be displayed.
-** <div style="margin-left:2.54cm;margin-right:0cm;">If the patient was male 12 items would be displayed.</div>
 It is a relative or absolute contraindication for '''thrombolysis'''.
-* <div style="margin-left:1.27cm;margin-right:0cm;">When '''Hub/ Spoke''' hospitals are close together, then </div>
+* When '''Hub/ Spoke''' hospitals are close together, then
-** <div style="margin-left:2.54cm;margin-right:0cm;">if any of these 13 points are marked as '''‘Yes’''' </div>
+** if any of these 13 points are marked as '''‘Yes’'''
-** <div style="margin-left:2.54cm;margin-right:0cm;">it would be preferable to shift the patient to a '''Hub''' hospital.</div>
+** it would be preferable to shift the patient to a '''Hub''' hospital.
-−
 |-
@@ Line 130: / Line 127: @@
 '''13.''' '''Does the patient have severe heart failure or cardiogenic shock such that PCI is preferable?'''
 |-
+|
 |Let us summarize.
 |-
 || Show Summary Slide
 || In this tutorial, we have learnt about -
-# <div style="margin-left:1.27cm;margin-right:0cm;">The importance of '''Fibrinolytic checklist'''</div>
+# The importance of '''Fibrinolytic checklist'''
-# <div style="margin-left:1.27cm;margin-right:0cm;">The various criteria listed in '''Fibrinolytic Checklist'''</div>
+# The various criteria listed in '''Fibrinolytic Checklist'''
-−
 |-
 || 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>
+* was set up as a ‘not for profit’ organisation
-* <div style="margin-left:1.058cm;margin-right:0cm;">primarily to reduce delays in accessing appropriate care for heart attack patients </div>
+* primarily to reduce delays in accessing appropriate care for heart attack patients
-* <div style="margin-left:1.058cm;margin-right:0cm;">and reducing deaths due to heart attacks.</div>
+* and reducing deaths due to heart attacks.
 |-
@@ Line 158: / Line 154: @@
 || Show THANK YOU slide
 || This tutorial has been contributed by
-* <div style="margin-left:0.847cm;margin-right:0cm;">STEMI INDIA</div>
+* STEMI INDIA
-* <div style="margin-left:0.847cm;margin-right:0cm;">and the Spoken Tutorial Project, IIT Bombay.</div>
+* and the Spoken Tutorial Project, IIT Bombay.
 This is Nancy Varkey signing off. Thanks for joining.
 |-
 |}

STEMI-2017/C2/Importance-of-Fibrinolytic-Checklist/English - Revision history

Nancyvarkey at 10:41, 2 July 2020

PoojaMoolya at 09:51, 30 June 2020

PoojaMoolya: Created page with "Topic: Importance of Fibrinolytic Checklist Contributor Name: Je..."

PoojaMoolya: Created page with "
Topic: Importance of Fibrinolytic Checklist

Contributor Name: Je..."