Difference between revisions of "STEMI-2017/C2/D-Hospital-data-entry/English"

D Hospital Data Entry

• Complete the data entry of a new patient on the STEMI App at the time of direct admission to a D Hospital.

1. An Android tablet with STEMI App installed on it and
2. A working Internet connection

• 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.

Contact Details

In – Thrombolysis

Based on Medications administered check the following

• Asprin 325mg

• Clopidogrel

• Unfractionated Heparin

• LMW Heparin

Ticagrelor

Based on the medications administered to the patient in the hosptital, check Yes for the following-

• Asprin 325mg If Yes, Dosage: 325mg Date and Time
• Clopidogrel If Yes, Dosage, Date and Time
• Unfractionated Heparin If Yes, Dosage, Date and Time
• LMW Heparin If Yes, Dosage, Date and Time
• Ticagrelor If Yes, Dosage, Date and Time

Buffering sign is seen

Please wait if buffering sign is seen

We have a mandatory field

• Select any one type of thrombolytic Agent

• Streptokinase

• Tenecteplase

• Reteplase

Once we select

• Dosage

• Start Date/ Time

• End Date/ Time

After which we have the 90 MINS ECG DATE / TIME

and Successful Lysis Yes/ No.

* Select any one type of Thrombolytic Agent

• Streptokinase
• Tenecteplase
• Reteplase

I'll select Streptokinase.

Once we select one of the Thrombolytic Agent, we have drop-downs

• Dosage:
• Start Date/ Time:
• End Date/ Time:

After Thrombolysis, we have the

• 90 MINS ECG DATE / TIME and
• Successful Lysis Yes/ No

I will mark as YES.

This is based on the 90 mins ECG.

Make appropriate entries in these fields on your device.

Buffering sign is seen

Please wait if buffering sign is seen.

• Nitroglycerine
• Dopamine
• Dobutamine
• Adrenaline
• Nor – Adrenaline
• Other Drugs

Check few as Yes

• Nitroglycerine If YES, ROUTE:Oral Dosage:2.5mg Date and Time
• Dopamine If YES ROUTE IV Dosage 5ml in 45ml of 0.9% ns Date and Time
• Dobutamine If YES ROUTE IV Dosage 5ml in 45ml of 0.9% ns Date and Time
• Adrenaline If YES ROUTE IV Dosage 4ml in 46ml of 0.9% ns Date and Time
• Nor – Adrenaline If YES ROUTE IV Dosage 2ml in 48ml of 0.9% ns Date and Time
• Other Drugs If YES, Name for example Vasopressin ROUTE IV Dosage 1ml in 19ml of 0.9% ns Date and Time

Administer the drugs as per the patients's conditions and treatment modalities.

Buffering sign is seen

Please wait if buffering sign is seen.

On choosing Yes in each field, we will have to enter some additional information.

So, let’s start.

• Re - infarction if Yes
• Location of Re-infarction: Inferior, Posterior, RV, Anterior, Lateral

  Date: Time:

• Repeat PCI: Choose Yes and enter Date : Time:

• CABG: Choose Yes and enter Date : Time:

• Stroke Choose Yes and enter Date : Time:

• Cardiogenic Shock Choose Yes and enter Date : Time:

• Access Site Hemorrhage Choose Yes and enter Date : Time:

• Major Bleed If Yes then enter Date : Time:

• Minor Bleed If Yes then enter Date: Time:

• Re-infarction: If Yes, then we have to enter the following-
• Location of Re-infarction:

• The options are Inferior, Posterior, RV, Anterior, Lateral

• I will chooses Inferior and then enter the Date: Time:

• Repeat PCI: If Yes then enter Date : and Time:

• CABG: If Yes then enter Date : and Time:

• Stroke IF Yes then enter Date : and Time:

• Cardiogenic Shock If Yes then enter Date : and Time:

• Access Site Hemorrhage If Yes and enter Date : and Time:

• Major Bleed If Yes then enter Date : and Time:

• Minor Bleed If Yes then enter Date: and Time:

For now I will select all as 'NO.

Buffering sign is seen

Please wait if buffering sign is seen.

Mark as Yes

In the dropdown, select any one Reason for death

Cardiac, Non Cardiac, Others

If the patient dies, this is marked as Yes and we get a dropdown Reason for death. and Others.

Under reasons of death we have options- Cardiac, Non Cardiac.

If we choose either, we will get a drop down Death date and time.

Then enter the Death date and time.

Once we choose any one options there ends the data entry.

I will select Death as No for now.

Discharge Medications

• Aspirin: Yes
• Clopidogrel: Yes
• Prasugrel
• Ticagrelor
• ACEI
• ARB
• Beta Blocker: Yes
• Nitrate
• Statin: Yes
• Others

• Aspirin:
• Clopidogrel:
• Prasugrel
• Ticagrelor
• ACEI
• ARB
• Beta Blocker:
• Nitrate
• Statin: and
• Others

So, I’m going to mark a few of them as ‘Yes’.

Discharge and transfer

In Discharge To field select one options

• STEMI Cluster hospital
• Non STEMI Cluster Hospital
• Home

In Discharge To field select one options

• STEMI Cluster Hospital
• Non STEMI Cluster Hospital
• Home

• Remarks
• Transfer to Hospital Name
• Transfer to Hospital Address

This is because details of Non STEMI hospitals are not available in the database.

• Remarks : If any
• Transfer to Hospital name : Select Kovai Medical Centre and Hospital
• Transfer to Hospital Address: 3209, Avinashi road, Sitra, Coimbatore, Tamil Nadu 641014

If STEMI Cluster Hospital is selected, it further opens into Remarks field where we can add our remarks, if any.

Transfer to Hospital name : I will select Kovai Medical Centre and Hospital.

Transfer to Hospital Address: I will Select 3209, Avinashi road, Sitra, Coimbatore, Tamil Nadu 641014.

I'm going to choose Private Vehicle.

Buffering sign is seen.

Please wait if buffering sign is seen.

Follow up

Duration of Follow up visit

1mnth,6 mnths,1yr,2yr,3yr,4yr,5yr

Select 1 mnth

Duration of Follow up visit

1mnth,6 mnths,1yr,2yr,3yr,4yr,5yr

Based on the types of follow up, select from these options. I’ll select 1 mnth

We have to select from this options based on the mode of follow up.

Type of Follow-up Hospital appears

STEMI, Non STEMI, No follow up

• If STEMI is selected

  Name of Cluster &

  Name of Follow-up Hospital

shows up

• If Non-STEMI is selected

  Name of Follow-up Hospital &

  Follow–up Hospital address

shows up

Under Type of Follow up Hospital we get STEMI, Non STEMI, No follow up.

• If No Follow up is done, then go to the next page by selecting the Save & Continue button at the bottom.

• If Non-STEMI is selected, we have to enter the following details manually

  Name of Follow-up Hospital and

  Follow–up Hospital address

This is because this hospital is not part of the STEMI programme.

I am going to select STEMI.

• If STEMI is selected we get drop downs.

• Name of Cluster : I will choose KMCH

• Name of Follow-up Hospital  : I will select Coimbatore medical college hospital

• Follow up Hospital address: Trichy Road, Gopalapuram, Coimbatore, Tamil Nadu 641018, India

Notice that this address get auto populated. This is because this hospital is part of STEMI programme.

Buffering sign is seen.

Please wait if buffering sign is seen

• Aspirin
• Clopidogrel
• Prasugrel
• Nitrate
• Beta blocker
• ACEI
• AFB
• Statins
• OHA
• Insulin

Select few medications

In this page we have options:

• Aspirin
• Clopidogrel
• Prasugrel
• Nitrate
• Beta blocker
• ACEI
• AFB
• Statins
• OHA
• Insulin

Select YES for those medications that the patient is on, at the time of follow up.

I will select a few as Yes.

Recurrence of Angina Yes/No

• TMT +ve / -ve
• Echo LVEF
• Re CART Yes/No

  If Yes, Re CART Date

• Re stenosis Yes/No

  If Yes, Re – stenosis Date

• Re – MI Yes/No

  If Yes, Re- MI Date

• Re – Intervention Yes/ No

• TLR PCI Yes/No

  If Yes, Date

• TVR PCI Yes/No

  If Yes, Date

• Non TVR PCI Yes/No

  If Yes, Date

• CABG Yes/No

  If Yes, Date

• Death, Yes/No

  If Yes, Death Date and

Reason of Death – Cardiac or Non - Cardiac

This page provides details of Events occurred till the time of follow-up.

• Recurrence of Angina: we have to check this if Yes
• TMT whether: +ve/ -ve;depending on whether TMT was done
• Echo LVEF: enter the details.
• Re CART if ‘Yes’, enter theDate:

• Restenosis if ‘Yes’, enter the Date:

• Re - MI if ‘Yes’, enter theDate:

• Re- Intervention if ‘Yes’

  TLR PCI : Yes/ No

  TVR PCI : Yes/ No

  Non TVR PCI : Yes/ No

• CABG if ‘Yes’, enter the Date:

• Death if ‘Yes’, Death Date:

Reason of Death: Cardiac/ Non Cardiac

Select ‘Yes’ to which of these events took place till the date of follow up.

I’ll check all as ‘No’ for now.

Please wait if the buffering sign is seen.

This completes the data entry at a D Hospital.

• Complete the data entry of a new patient on the STEMI App at the time of direct admission to a D Hospital.

• 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.

For more details, please visit http://spoken-tutorial.org

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