Difference between revisions of "STEMI-2017/C2/Importance-of-Fibrinolytic-Checklist/English"
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| '''Show Learning Objectives Slide''' | | '''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'''. |
| − | + | ||
| − | + | ||
|- | |- | ||
| '''Show System Requirements Slide''' | | '''Show System Requirements Slide''' | ||
| To practise this tutorial, you will need - | | To practise this tutorial, you will need - | ||
| − | # | + | # An '''Android tablet''' with '''STEMI App''' installed on it and |
| − | # | + | # A working '''Internet''' connection. |
| − | + | ||
|- | |- | ||
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If not, please refer to the '''STEMI''' tutorial series on this website. | If not, please refer to the '''STEMI''' tutorial series on this website. | ||
| + | |||
|- | |- | ||
| '''Switch to STEMI device homepage''' | | '''Switch to STEMI device homepage''' | ||
| This is our '''STEMI Homepage.''' | | This is our '''STEMI Homepage.''' | ||
| + | |||
|- | |- | ||
| '''Select''' New Patient tab. | | '''Select''' New Patient tab. | ||
| Let’s select '''New Patient''' tab. | | Let’s select '''New Patient''' tab. | ||
| + | |||
|- | |- | ||
| '''Under New Patient Tab''' Patient Details appear | | '''Under New Patient Tab''' Patient Details appear | ||
| Under '''New Patient '''tab''', Patient Details''' appears. | | Under '''New Patient '''tab''', Patient Details''' appears. | ||
| + | |||
|- | |- | ||
| Select '''Fibrinolytic Checklist.''' | | Select '''Fibrinolytic Checklist.''' | ||
| − | |||
| − | |||
| Select '''Fibrinolytic Checklist.''' | | Select '''Fibrinolytic Checklist.''' | ||
| − | * | + | * The '''Fibrinolytic checklist '''comes under the main '''Patient Details '''tab after '''Basic Details'''. |
| − | * | + | * Under '''Fibrinolytic checklist -''' |
| − | + | ** If the patient was female 13 items would be displayed. | |
| − | ** | + | ** If the patient was male 12 items would be displayed. |
| − | ** | + | |
It is a relative or absolute contraindication for '''thrombolysis'''. | It is a relative or absolute contraindication for '''thrombolysis'''. | ||
| − | * | + | * When '''Hub/ Spoke''' hospitals are close together, then |
| − | ** | + | ** if any of these 13 points are marked as '''‘Yes’''' |
| − | ** | + | ** it would be preferable to shift the patient to a '''Hub''' hospital. |
| − | + | ||
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'''13.''' '''Does the patient have severe heart failure or cardiogenic shock such that PCI is preferable?''' | '''13.''' '''Does the patient have severe heart failure or cardiogenic shock such that PCI is preferable?''' | ||
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|- | |- | ||
| | | | ||
|Let us summarize. | |Let us summarize. | ||
| + | |||
|- | |- | ||
|| Show Summary Slide | || Show Summary Slide | ||
|| In this tutorial, we have learnt about - | || In this tutorial, we have learnt about - | ||
| − | # | + | # The importance of '''Fibrinolytic checklist''' |
| − | # | + | # The various criteria listed in '''Fibrinolytic Checklist''' |
| − | + | ||
|- | |- | ||
|| Show STEMI INDIA slide | || Show STEMI INDIA slide | ||
|| STEMI INDIA | || STEMI INDIA | ||
| − | * | + | * was set up as a ‘not for profit’ organisation |
| − | * | + | * primarily to reduce delays in accessing appropriate care for heart attack patients |
| − | * | + | * and reducing deaths due to heart attacks. |
|- | |- | ||
| Line 158: | Line 154: | ||
|| Show THANK YOU slide | || Show THANK YOU slide | ||
|| This tutorial has been contributed by | || This tutorial has been contributed by | ||
| − | * | + | * STEMI INDIA |
| − | * | + | * and the Spoken Tutorial Project, IIT Bombay. |
This is Nancy Varkey signing off. Thanks for joining. | This is Nancy Varkey signing off. Thanks for joining. | ||
|- | |- | ||
|} | |} | ||
Latest revision as of 16:11, 2 July 2020
Keywords: STEMI, STEMI App, Data entry in STEMI App, New Patient Tab, Fibrinolytic Checklist, Systolic & Diastolic B.P, CPR, Cardiogenic Shock, PCI.
| 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 the various criteria listed in Fibrinolytic Checklist. |
| Show System Requirements Slide | To practise this tutorial, you will need -
|
| Pre-requisite slide | You will also need to have working knowledge of the STEMI device and the STEMI App.
|
| 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.
|
| Let’s take a look at the following
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:
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
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
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 -
|
| Show STEMI INDIA slide | STEMI INDIA
|
| Show Spoken Tutorial Project Slide | Spoken Tutorial Project, IIT Bombay is funded by NMEICT, MHRD, Govt. of India.
|
| Show THANK YOU slide | This tutorial has been contributed by
This is Nancy Varkey signing off. Thanks for joining. |
