Difference between revisions of "STEMI-2017/C3/EMRI-to-AB-Hospital/English"

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Line 12: Line 12:
 
|-  
 
|-  
 
| ''VISUAL CUE''
 
| ''VISUAL CUE''
| ''NARRATION''
+
| ''NARRATION''
 
|-  
 
|-  
 
|| '''Show TITLE slide'''
 
|| '''Show TITLE slide'''
Line 21: Line 21:
  
 
|-
 
|-
| | '''Show Learning Objectives Slide'''
+
|| '''Show Learning Objectives Slide'''
 
|| In this tutorial, we will learn to -
 
|| 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 '''EMRI ambulance'''.
+
* Enter data of a new patient on the '''STEMI App''' from an '''EMRI ambulance'''.
* <div style="margin-left:1.27cm;margin-right:0cm;">Enter further data for the same patient on the '''STEMI App''' in an '''A/B Hospital.'''
+
* Enter further data for the same patient on the '''STEMI App''' in an '''A/B Hospital.'''
 
+
  
 
|-  
 
|-  
| | '''Switch to STEMI device interface'''
+
|| Switch to '''STEMI device interface'''
 
|| We are in the '''STEMI Homepage.'''
 
|| We are in the '''STEMI Homepage.'''
 
|-   
 
|-   
Line 35: Line 34:
  
  
It says '''stemiEuser - '''that means the '''EMRI ambulance paramedic '''is making these entries'''.'''
+
It says '''stemiEuser.''
 +
 
 +
That means the '''EMRI ambulance paramedic '''is making these entries.
 
|-  
 
|-  
| | Select New Patient
+
|| Select New Patient
 
|| Select''' New Patient''' tab.
 
|| Select''' New Patient''' tab.
 
|-  
 
|-  
| |  
+
||  
| | Let’s assume a patient and enter the following data.
+
|| Let’s assume a patient and enter the following data.
 
|-  
 
|-  
 
|| Type the following details
 
|| Type the following details
  
 
+
*'''Patient Name''': Venugopal
'''Patient Name''': Venugopal
+
*'''Age''':48
 
+
*'''Gender''': Male
'''Age''':48
+
*'''Phone''' : 9988776655
 
+
*'''Address''': X villa, X road, Coimbatore – 000 000, Tamil Nadu
'''Gender''': Male
+
 
+
'''Phone''' : 9988776655
+
 
+
'''Address''': X villa, X road, Coimbatore – 000 000, Tamil Nadu
+
 
|| Under '''Basic Details, '''let us enter the patient's  
 
|| Under '''Basic Details, '''let us enter the patient's  
  
 
+
* '''Name:'''
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Name:'''
+
* '''Age:'''
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Age:'''
+
* '''Gender: '''
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Gender: '''
+
* '''Phone: ''' and
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Phone: '''
+
* '''Address: '''
* <div style="margin-left:1.27cm;margin-right:0cm;">and '''Address: '''
+
 
+
  
 
|-  
 
|-  
|| Select the '''Save & Continue''' button at the bottom of the page.
+
|| Select the '''Save & Continue''' button.
 
|| Select the '''Save & Continue''' button at the bottom of the page.
 
|| Select the '''Save & Continue''' button at the bottom of the page.
 
|-  
 
|-  
Line 72: Line 66:
 
|| The '''App''' now takes us to the next page, '''Fibrinolytic Checklist. '''
 
|| The '''App''' now takes us to the next page, '''Fibrinolytic Checklist. '''
 
|-  
 
|-  
|| On '''Fibrinolytic Checklist '''page, put text on screen.
+
|| Put text on screen.
 
|| Under '''Fibrinolytic Checklist, '''there are 12 items, if the patient is '''Male'''.  
 
|| Under '''Fibrinolytic Checklist, '''there are 12 items, if the patient is '''Male'''.  
  
Line 82: Line 76:
 
|-  
 
|-  
 
|| Check all of the following as '''NO'''
 
|| Check all of the following as '''NO'''
 
 
 
 
|| I’ll will be checking all the 12 points as “'''No'''” for now.
 
|| I’ll will be checking all the 12 points as “'''No'''” for now.
 
|-  
 
|-  
|| Select the '''Save & Continue''' button at the bottom of the page.
+
|| Select the '''Save & Continue''' button.
 
|| Then select the '''Save & Continue '''button to save the current page.
 
|| Then select the '''Save & Continue '''button to save the current page.
 
|-  
 
|-  
Line 94: Line 85:
  
 
|-  
 
|-  
| |  
+
|| '''History And Co-Morbid Conditions.'''
 
|| Here''' '''we will fill the details of '''History And Co-Morbid Conditions.'''
 
|| Here''' '''we will fill the details of '''History And Co-Morbid Conditions.'''
 
|-  
 
|-  
Line 100: Line 91:
  
 
Under '''Co – Morbid Conditions'''
 
Under '''Co – Morbid Conditions'''
 
+
*'''Diabetes Mellitus''': Yes
 
+
*'''Hypertension''': Yes
'''Diabetes Mellitus''': Yes
+
*'''Dyslipidemia''': Yes
 
+
'''Hypertension''': Yes
+
 
+
'''Dyslipidemia''': Yes
+
 
||  
 
||  
 
 
 
  
  
 
I’ll check a few as''' ‘Yes’'''
 
I’ll check a few as''' ‘Yes’'''
 
|-  
 
|-  
| | '''Diagnosis'''
+
|| '''Diagnosis'''
 
|| Then comes the '''Diagnosis '''section.
 
|| Then comes the '''Diagnosis '''section.
 
|-  
 
|-  
|| '''Chest Discomfort''': '''Pain''' selected
+
|| '''Chest Discomfort''' >> '''Pain''' selected
  
'''Location of Pain''': '''Retrosternal '''selected
+
'''Location of Pain''' >> '''Retrosternal '''selected
  
'''Pain Severity ''': '''8'''
+
'''Pain Severity ''' >> '''8'''
 
|| '''Chest Discomfort: '''I’ll select '''Pain'''
 
|| '''Chest Discomfort: '''I’ll select '''Pain'''
  
Line 128: Line 112:
  
 
'''Pain Severity''': I’ll choose '''8'''
 
'''Pain Severity''': I’ll choose '''8'''
 
 
  
 
|-  
 
|-  
Line 141: Line 123:
  
 
'''Dizziness''': Yes
 
'''Dizziness''': Yes
 +
||
  
 +
After this, I'll select '''YES '''for some of the remaining items.
  
 
|| After this, I'll select '''YES '''for some of the remaining items.
 
 
|-  
 
|-  
 
|| Select the '''Save & Continue''' button  
 
|| Select the '''Save & Continue''' button  
Line 154: Line 136:
 
|-  
 
|-  
 
|| Under '''Transportation Details-'''
 
|| Under '''Transportation Details-'''
 
 
 
  
 
'''Symptom Onset '''
 
'''Symptom Onset '''
  
 
'''Date''': 21/1/2016 '''Time''': 9:00 am
 
'''Date''': 21/1/2016 '''Time''': 9:00 am
 +
  
 
'''Ambulance Call'''
 
'''Ambulance Call'''
  
 
'''Date''': 21/1/2016 '''Time''': 9:10 am
 
'''Date''': 21/1/2016 '''Time''': 9:10 am
 +
  
 
'''Ambulance Arriva'''l
 
'''Ambulance Arriva'''l
  
 
'''Date''': 21/1/2016 '''Time: '''9:30 am
 
'''Date''': 21/1/2016 '''Time: '''9:30 am
 +
  
 
'''Ambulance Departure'''
 
'''Ambulance Departure'''
Line 177: Line 159:
  
 
So, I'll make the entries for -
 
So, I'll make the entries for -
 
+
* '''Symptom Onset Date: '''and '''Time:'''
 
+
* '''Ambulance Call Date: '''and '''Time:'''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Symptom Onset Date: '''and '''Time:'''
+
* '''Ambulance Arrival Date: '''and '''Time:'''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Ambulance Call Date: '''and '''Time:'''
+
* '''Ambulance Departure Date: '''and '''Time:'''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Ambulance Arrival Date: '''and '''Time:'''
+
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Ambulance Departure Date: '''and '''Time:'''
+
 
+
 
+
 
|-  
 
|-  
 
|| '''Transport to STEMI Cluster'''
 
|| '''Transport to STEMI Cluster'''
  
'''Yes''': '''No''':
+
'''Yes No''':
  
  
 +
If''' Yes '''is selected
 +
*'''Google maps'''
 +
*'''Contacts'''
  
  
if''' Yes '''is selected
+
'''Medications during Transport'''
  
 +
'''Oxygen: '''if '''Yes'''
 +
*'''Oxygen Amount: 5L/ 10L''' >> select''' 5L'''
  
'''Google maps'''
 
 
'''Contacts'''
 
 
 
'''Medications during Transport'''* <div style="margin-left:1.27cm;margin-right:0cm;">'''Oxygen: '''if '''Yes'''
 
 
 
 
'''Oxygen Amount: 5L/ 10L'''
 
 
select''' 5L'''
 
  
 
'''Aspirin 325mg : '''if''' Yes'''
 
'''Aspirin 325mg : '''if''' Yes'''
Line 246: Line 217:
  
  
if''' Yes '''is selected, it further opens into
+
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
+
* '''Google maps- '''to locate and select the '''Hospital''' on the '''Google Maps''' for directions
* <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
+
* '''Contacts - '''to call or get contact details of the '''Hospital '''to which the patient is being shifted
  
  
Line 259: Line 230:
  
 
|-  
 
|-  
|| Select the <span style="background-color:#ffffff;color:#000000;">'''Finish''' button
+
|| Select the '''Finish''' button
|| And select the <span style="background-color:#ffffff;color:#000000;">'''Finish '''button at the bottom of the page.
+
|| And select the '''Finish '''button at the bottom of the page.
 
|-  
 
|-  
 
|| Go back to '''Transport to STEMI Cluster''' field
 
|| Go back to '''Transport to STEMI Cluster''' field
Line 267: Line 238:
 
Select '''No'''
 
Select '''No'''
 
|| If ‘'''No'''’ is selected under '''Transportation to STEMI cluster''' then  
 
|| 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  
+
* '''Save and Continue''' button appears below the field  
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">and data entry for the particular page ends here.
+
* and data entry for the particular page ends here.
 
+
  
 
|-  
 
|-  
| |  
+
||  
| | This will save the current page.
+
|| This will save the current page.
 
|-  
 
|-  
 
|| On '''Discharge Summary '''page
 
|| On '''Discharge Summary '''page
Line 282: Line 252:
  
 
'''Death: c'''heck as “'''No'''”  
 
'''Death: c'''heck as “'''No'''”  
 
 
  
  
Line 310: Line 278:
 
|| It further opens into-
 
|| It further opens into-
  
 
+
* '''Remarks: '''if any
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Remarks: '''if any
+
* '''Transfer to Hospital Name: '''
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Transfer to Hospital Name: '''
+
* '''Transfer to Hospital Address: '''
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Transfer to Hospital Address: '''
+
  
  
Line 319: Line 286:
  
  
This is because this hospital is already part of the '''STEMI''' programme.
+
This is because this hospital is already part of the '''STEMI programme'''.
 
|-  
 
|-  
| |  
+
||  
 
|| If this hospital was not part of the STEMI programme, then we would have to manually enter -
 
|| If this hospital was not part of the STEMI programme, then we would have to manually enter -
* <div style="margin-left:1.27cm;margin-right:0cm;">the hospital name
+
* the hospital name
* <div style="margin-left:1.27cm;margin-right:0cm;">and hospital address.
+
* and hospital address.
 
+
  
 
|-  
 
|-  
Line 331: Line 297:
 
|| After this data is entered, select the '''Finish''' button at the bottom of the page.  
 
|| After this data is entered, select the '''Finish''' button at the bottom of the page.  
 
|-  
 
|-  
| |  
+
||  
| | This will save the current page.
+
|| This will save the current page.
 
|-  
 
|-  
| |  
+
||  
 
|| Now the data entry for a new patient from the '''EMRI Ambulance''' is completed.
 
|| Now the data entry for a new patient from the '''EMRI Ambulance''' is completed.
  
 
|-  
 
|-  
| |  
+
||  
 
|| The patient is once again transferred via '''EMRI ambulance '''to an '''A/B Hospital.'''
 
|| The patient is once again transferred via '''EMRI ambulance '''to an '''A/B Hospital.'''
 
|-  
 
|-  
| | Slide
+
|| Slide
 
|| The patient has now arrived at an '''A/B Hospital'''.
 
|| The patient has now arrived at an '''A/B Hospital'''.
 
|-  
 
|-  
| | Slide
+
|| Slide
 
|| This is the synopsis of the procedure to be followed at the '''A/B Hospital.'''
 
|| This is the synopsis of the procedure to be followed at the '''A/B Hospital.'''
 
|-  
 
|-  
| |  
+
||  
 
|| Let's now learn how to enter further data on the '''STEMI App''' in the '''A/B Hospital'''.
 
|| Let's now learn how to enter further data on the '''STEMI App''' in the '''A/B Hospital'''.
 
|-  
 
|-  
Line 359: Line 325:
 
|| Type the '''Id''' or name of the patient and select the '''Search''' button at the bottom of the page.
 
|| Type the '''Id''' or name of the patient and select the '''Search''' button at the bottom of the page.
 
|-  
 
|-  
| |  
+
||  
 
|| Select the particular patient from the displayed list.
 
|| Select the particular patient from the displayed list.
  
Line 394: Line 360:
 
|| And then fill the '''Date '''and '''Time.'''
 
|| And then fill the '''Date '''and '''Time.'''
 
|-  
 
|-  
||  
+
|| Select the '''Save and Continue '''button
 
|| Select the '''Save and Continue '''button at the bottom.
 
|| Select the '''Save and Continue '''button at the bottom.
  
Line 410: Line 376:
 
|| Then under '''Clinical Examination '''section''', '''enter the details for that particular patient.
 
|| Then under '''Clinical Examination '''section''', '''enter the details for that particular patient.
 
|-  
 
|-  
||  
+
|| Select the '''Save and Continue '''button
 
|| Then select the '''Save and Continue '''button at the bottom.
 
|| Then select the '''Save and Continue '''button at the bottom.
  
Line 422: Line 388:
 
Please make the relevant entries for that patient.
 
Please make the relevant entries for that patient.
 
|-  
 
|-  
||  
+
|| Select the '''Save and Continue '''button
 
|| Then select the '''Save and Continue '''button at the bottom.
 
|| Then select the '''Save and Continue '''button at the bottom.
  
Line 441: Line 407:
 
|| On doing so, we will prompted to upload a copy of the '''Aadhar card.'''
 
|| On doing so, we will prompted to upload a copy of the '''Aadhar card.'''
 
|-  
 
|-  
||  
+
|| Select the '''Save and Continue '''button
 
|| Select the '''Save and Continue '''button at the bottom.
 
|| Select the '''Save and Continue '''button at the bottom.
  
Line 451: Line 417:
 
|| Here, enter the details of the medications administered to the patient prior to '''Thrombolysis'''.
 
|| Here, enter the details of the medications administered to the patient prior to '''Thrombolysis'''.
 
|-  
 
|-  
||  
+
|| Select the '''Save and Continue '''button
 
|| Select the '''Save and Continue '''button at the bottom.
 
|| Select the '''Save and Continue '''button at the bottom.
  
Line 473: Line 439:
 
|| '''Successful Lysis Yes/No.'''
 
|| '''Successful Lysis Yes/No.'''
 
|-  
 
|-  
||  
+
|| Select the '''Save and Continue '''button
 
|| Select the '''Save and Continue '''button at the bottom.
 
|| Select the '''Save and Continue '''button at the bottom.
  
Line 486: Line 452:
 
|| Enter the details of the drug administered to the patient before '''PCI, '''with '''Date '''and '''Time '''details.
 
|| Enter the details of the drug administered to the patient before '''PCI, '''with '''Date '''and '''Time '''details.
 
|-  
 
|-  
||  
+
|| Select the '''Save and Continue '''button
 
|| Select the '''Save and Continue '''button at the bottom.
 
|| Select the '''Save and Continue '''button at the bottom.
  
Line 494: Line 460:
 
|-  
 
|-  
 
|| '''Cath Lab Activation '''and '''Cath Lab Arrival '''
 
|| '''Cath Lab Activation '''and '''Cath Lab Arrival '''
|| The details in this page have to be enter only by the '''Cath Lab technicians '''or a '''cardiologist.''' Under '''Cath Lab''' details we have
+
|| The details in this page have to be enter only by the '''Cath Lab technicians '''or a '''cardiologist.'''  
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Cath Lab Activation '''and
+
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Cath Lab Arrival '''
+
  
 +
 +
Under '''Cath Lab''' details we have
 +
* '''Cath Lab Activation '''and
 +
* '''Cath Lab Arrival '''
  
 
|-  
 
|-  
Line 507: Line 475:
 
|| '''CART, Start & End Date and Time'''
 
|| '''CART, Start & End Date and Time'''
 
|| Then fill the '''CART '''details such as  
 
|| Then fill the '''CART '''details such as  
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Start Date and Time'''
+
* '''Start Date and Time'''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''End Date and Time'''
+
* '''End Date and Time'''
 
+
  
 
|-  
 
|-  
Line 515: Line 482:
 
|| After this, we have to specify any one '''Culprit Vessel '''from the options provided.
 
|| After this, we have to specify any one '''Culprit Vessel '''from the options provided.
 
|-  
 
|-  
||  
+
|| Data entry demo
 
|| Then enter all the details relevant to that '''Culprit Vessel'''.
 
|| Then enter all the details relevant to that '''Culprit Vessel'''.
 
|-  
 
|-  
Line 527: Line 494:
 
|| When the option '''Intervention''' is selected, we get some more details below.
 
|| When the option '''Intervention''' is selected, we get some more details below.
 
|-  
 
|-  
| |  
+
||  
 
|| Fill out the ones that are relevant for that particular patient.
 
|| Fill out the ones that are relevant for that particular patient.
 
|-  
 
|-  
||  
+
||Select the '''Save and Continue '''button
 
|| Select the '''Save and Continue '''button at the bottom.
 
|| Select the '''Save and Continue '''button at the bottom.
  
Line 538: Line 505:
 
|  
 
|  
 
|-  
 
|-  
|| '''Blue box'''
+
|| Blue box with text
  
 
Enter the details of the medications administered to the patient in the '''Cath Lab'''.
 
Enter the details of the medications administered to the patient in the '''Cath Lab'''.
Line 546: Line 513:
 
|| I’ll check '''Unfractionated Heparin as Yes, '''then enter '''Dosage, Date '''and '''Time'''.
 
|| I’ll check '''Unfractionated Heparin as Yes, '''then enter '''Dosage, Date '''and '''Time'''.
 
|-  
 
|-  
||  
+
|| Select the '''Save and Continue '''button
 
|| Select the '''Save and Continue '''button at the bottom.
 
|| Select the '''Save and Continue '''button at the bottom.
 
|-  
 
|-  
||  
+
|| '''In-Hospital Summary'''
 
|| Once again, the '''App''' skips the pages related to '''In-Hospital Summary'''.
 
|| Once again, the '''App''' skips the pages related to '''In-Hospital Summary'''.
 
|-  
 
|-  
Line 556: Line 523:
  
  
Here we have the '''tab Death'''.
+
Here we have the tab '''Death'''.
 
|-  
 
|-  
 
|| Select '''No'''.
 
|| Select '''No'''.
 
|| Select the option '''No'''.
 
|| Select the option '''No'''.
 
|-  
 
|-  
||  
+
|| Select the '''Save and Continue '''button
 
|| Then select the '''Save and Continue '''button at the bottom.
 
|| Then select the '''Save and Continue '''button at the bottom.
  
Line 571: Line 538:
 
|| Once again, enter the relevant ones from the options displayed on this page.
 
|| Once again, enter the relevant ones from the options displayed on this page.
 
|-  
 
|-  
||  
+
|| Select the '''Save and Continue '''button
 
|| Select the '''Save and Continue '''button at the bottom.
 
|| Select the '''Save and Continue '''button at the bottom.
 
|-  
 
|-  
Line 584: Line 551:
  
 
|-  
 
|-  
| |  
+
||  
| | Let us summarize.  
+
|| Let us summarize.  
 
|-  
 
|-  
| | Show Summary Slide
+
|| Show Summary Slide
 
|| In this tutorial, we have learnt to -
 
|| 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 '''EMRI ambulance.'''
+
* Enter data of a new patient on the '''STEMI App''' from an '''EMRI ambulance.'''
* <div style="margin-left:1.27cm;margin-right:0cm;">Enter further data for the same patient on the '''STEMI App''' in an '''A/B Hospital'''
+
* Enter further data for the same patient on the '''STEMI App''' in an '''A/B Hospital'''
 
+
  
 
|-  
 
|-  
| | Show STEMI INDIA slide
+
|| Show STEMI INDIA slide
 
|| STEMI INDIA
 
|| STEMI INDIA
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">was set up as a ‘not for profit’ organisation
+
* was set up as a ‘not for profit’ organisation
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">primarily to reduce delays in accessing appropriate care for heart attack patients  
+
* primarily to reduce delays in accessing appropriate care for heart attack patients  
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">and reducing deaths due to heart attacks.
+
* and reducing deaths due to heart attacks.
 
+
  
 
|-  
 
|-  
| | Show Spoken Tutorial Project Slide
+
|| Show Spoken Tutorial Project Slide
 
|| Spoken Tutorial Project, IIT Bombay is funded by NMEICT, MHRD, Govt. of India.
 
|| Spoken Tutorial Project, IIT Bombay is funded by NMEICT, MHRD, Govt. of India.
  
Line 608: Line 573:
 
For more details, please visit http://spoken-tutorial.org
 
For more details, please visit http://spoken-tutorial.org
 
|-  
 
|-  
| | Show THANK YOU slide
+
|| Show THANK YOU slide
 
|| This tutorial has been contributed by
 
|| This tutorial has been contributed by
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">STEMI INDIA
+
* STEMI INDIA
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">and the Spoken Tutorial Project, IIT Bombay.
+
* 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.
 
|-
 
|-
 
|}
 
|}

Revision as of 17:16, 15 July 2020

Topic: EMRI Ambulance to AB Hospital data entry
Contributor Name: Jerry David, STEMI Team, Coimbatore
Reviewed by: Nancy Varkey, Spoken Tutorial Project, IIT Bombay

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


VISUAL CUE NARRATION
Show TITLE slide


EMRI or Ambulance data Entry

Hello and welcome to this tutorial on transfer of patient from EMRI ambulance to AB Hospital.
Show Learning Objectives Slide In this tutorial, we will learn to -
  • Enter data of a new patient on the STEMI App from an EMRI ambulance.
  • Enter further data for the same patient on the STEMI App in an A/B Hospital.
Switch to STEMI device interface We are in the STEMI Homepage.
stemiEuser Notice here.


It says 'stemiEuser.

That means the EMRI ambulance paramedic is making these entries.

Select New Patient Select New Patient tab.
Let’s assume a patient and enter the following data.
Type the following details
  • Patient Name: Venugopal
  • Age:48
  • Gender: Male
  • Phone : 9988776655
  • Address: X villa, X road, Coimbatore – 000 000, Tamil Nadu
Under Basic Details, let us enter the patient's
  • Name:
  • Age:
  • Gender:
  • Phone: and
  • Address:
Select the Save & Continue button. Select the Save & Continue button at the bottom of the page.
On Fibrinolytic Checklist page The App now takes us to the next page, Fibrinolytic Checklist.
Put text on screen. Under Fibrinolytic Checklist, there are 12 items, if the patient is Male.


There would be 13 items displayed, if the patient was Female.


The extra item is Pregnant Female? Yes / No, which we have to fill according to the gender of the patient.

Check all of the following as NO I’ll will be checking all the 12 points as “No” for now.
Select the Save & Continue button. Then select the Save & Continue button to save the current page.
On Co-Morbid Conditions page We are moved to the next page which is Co-Morbid Conditions.
History And Co-Morbid Conditions. Here we will fill the details of History And Co-Morbid Conditions.
Check the following

Under Co – Morbid Conditions

  • Diabetes Mellitus: Yes
  • Hypertension: Yes
  • Dyslipidemia: Yes


I’ll check a few as ‘Yes’

Diagnosis Then comes the Diagnosis section.
Chest Discomfort >> Pain selected

Location of Pain >> Retrosternal selected

Pain Severity >> 8

Chest Discomfort: I’ll select Pain

Location of Pain: I’ll select Retrosternal

Pain Severity: I’ll choose 8

Palpitation: Yes

Diaphoresis: Yes

Shortness of breath: Yes

Nausea/ Vomiting: Yes

Dizziness: Yes

After this, I'll select YES for some of the remaining items.

Select the Save & Continue button Then select the Save & Continue button to save the current page.
On Co morbid Conditions page We are in the next page – Transportation 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 Arrival

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


Ambulance Departure

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

Under Transportation Details, all the fields are mandatory.


So, I'll make the entries for -

  • Symptom Onset Date: and Time:
  • Ambulance Call Date: and Time:
  • Ambulance Arrival Date: and Time:
  • Ambulance Departure Date: and Time:
Transport to STEMI Cluster

Yes No:


If Yes is selected

  • Google maps
  • Contacts


Medications during Transport

Oxygen: if Yes
  • 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

Next is Transport to STEMI Cluster Yes/No.


If Yes is selected, it further opens into

  • Google maps- to locate and select the Hospital on the Google Maps for directions
  • Contacts - to call or get contact details of the Hospital to which the patient is being shifted



Under Medications during Transportation:, we have to enter the details of the medications administered to the patient in the EMRI ambulance.


Select the Finish button And select the Finish button at the bottom of the page.
Go back to Transport to STEMI Cluster field


Select No

If ‘No’ is selected under Transportation to STEMI cluster then
  • Save and Continue button appears below the field
  • and data entry for the particular page ends here.
This will save the current page.
On Discharge Summary page And we are moved to the next page – Discharge Summary.
Under Discharge Summary

Death: check as “No


Discharge from EMRI

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

Under Discharge Summary, ' Death' is a mandatory field .

Check this as “No”.

Next we have to enter Discharge from EMRI Date: and Time:

Transport To:

Select Stemi Cluster Hospital

In Transport To: field, I’ll select Stemi Cluster Hospital.
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

It further opens into-
  • Remarks: if any
  • Transfer to Hospital Name:
  • Transfer to Hospital Address:


When we select the hospital name, the hospital address gets auto-populated.


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

If this hospital was not part of the STEMI programme, then we would have to manually enter -
  • the hospital name
  • and hospital address.
Select the Finish button After this data is entered, select the Finish button at the bottom of the page.
This will save the current page.
Now the data entry for a new patient from the EMRI Ambulance is completed.
The patient is once again transferred via EMRI ambulance to an A/B Hospital.
Slide The patient has now arrived at an A/B Hospital.
Slide This is the synopsis of the procedure to be followed at the A/B Hospital.
Let's now learn how to enter further data on the STEMI App in the A/B Hospital.
stemiAuser We are in the STEMI Homepage as an A/B Hospital user.
Select Search tab Select the Search tab.
Type Venugopal >> select Search Type the Id or name of the patient and select the Search button at the bottom of the page.
Select the particular patient from the displayed list.
Basic Details We are now moved to the next page – Basic Details.
Here, all the details filled in the EMRI Ambulance are displayed.
A/B Hospital Arrival Date and Time. In the A/B Hospital, we will have to fill the A/B Hospital Arrival Date and Time.
Manual ECG Taken Yes/No.

Select Yes.

After that, is Manual ECG Taken Yes/No.


I'll select this as Yes.

ECG Date and Time And fill the Date and Time of the ECG.
STEMI Confirmed Yes/No.

Select Yes.

Next is STEMI Confirmed Yes/No.


I'll select Yes here.

STEMI Confirmed Date and Time. And then fill the Date and Time.
Select the Save and Continue button Select the Save and Continue button at the bottom.
Fibrinolytic Checklist We will skip the Fibrinolytic Checklist page.
Blue box on And move to the Cardiac History page.
First we will enter the relevant details related to the patient's history.
Clinical Examination Then under Clinical Examination section, enter the details for that particular patient.
Select the Save and Continue button Then select the Save and Continue button at the bottom.
Co-Morbid Conditions We are moved to the Co-Morbid Conditions page.
Here we are prompted to enter the medicines that the patient is on, as per his medical conditions.

Please make the relevant entries for that patient.

Select the Save and Continue button Then select the Save and Continue button at the bottom.
Contact Details We are moved to the Contact Details page.
Name, Relation Type, Address, City and Mobile no. Here we have to enter the Name, Relation Type, Address, City and Mobile no. of the patient's relative here.
Occupation Then enter the Occupation.
Aadhar Card No. After, this comes the Aadhar Card No.
Upload Aadhar card. On doing so, we will prompted to upload a copy of the Aadhar card.
Select the Save and Continue button Select the Save and Continue button at the bottom.
Medications prior to Thrombolysis We are moved to the Medications prior to Thrombolysis page.
Blue text box on screen Here, enter the details of the medications administered to the patient prior to Thrombolysis.
Select the Save and Continue button Select the Save and Continue button at the bottom.
Thrombolysis We are moved to the Thrombolysis page.
Select any one Thrombolytic agent


Select Streptokinase.

Here, select any one Thrombolytic agent. I'll select Streptokinase.
Dosage, Date and Time. Then enter the Dosage, Date and Time.
90 min ECG, Date and Time. 90 min ECG, Date and Time.
Successful Lysis Yes/No. Successful Lysis Yes/No.
Select the Save and Continue button Select the Save and Continue button at the bottom.
PCI We have moved directly to the PCI page.
Drugs before PCI Here we have Drugs before PCI tab.
Make entries in PCI Enter the details of the drug administered to the patient before PCI, with Date and Time details.
Select the Save and Continue button Select the Save and Continue button at the bottom.
On PCI page The next page is PCI.
Cath Lab Activation and Cath Lab Arrival The details in this page have to be enter only by the Cath Lab technicians or a cardiologist.


Under Cath Lab details we have

  • Cath Lab Activation and
  • Cath Lab Arrival
Vascular access

Catheter access.

Next is Vascular access followed by Catheter access.
CART, Start & End Date and Time Then fill the CART details such as
  • Start Date and Time
  • End Date and Time
Culprit Vessel After this, we have to specify any one Culprit Vessel from the options provided.
Data entry demo Then enter all the details relevant to that Culprit Vessel.
Management Now, make the entries under Management for that patient.
Intervention Lastly on this page, we have Intervention.
Select Intervention When the option Intervention is selected, we get some more details below.
Fill out the ones that are relevant for that particular patient.
Select the Save and Continue button Select the Save and Continue button at the bottom.
Medications in Cath Lab We are now in the Medications in Cath Lab tab.
Blue box with text

Enter the details of the medications administered to the patient in the Cath Lab.

Here I will fill in the details related to 2b3a Inhibitors.
I’ll check Unfractionated Heparin as Yes, then enter Dosage, Date and Time.
Select the Save and Continue button Select the Save and Continue button at the bottom.
In-Hospital Summary Once again, the App skips the pages related to In-Hospital Summary.
Discharge Summary >> Death We are moved to the next page that is Discharge Summary.


Here we have the tab Death.

Select No. Select the option No.
Select the Save and Continue button Then select the Save and Continue button at the bottom.
Discharge Medications. Next comes Discharge Medications.
Once again, enter the relevant ones from the options displayed on this page.
Select the Save and Continue button Select the Save and Continue button at the bottom.
Discharge/Transfer Now we are in the Discharge or Transfer page.
Discharge from the A/B Hospital Here, we need to enter the details related to the discharge from the A/B Hospital.
Select Finish Lastly, select the Finish button.
Let us summarize.
Show Summary Slide In this tutorial, we have learnt to -
  • Enter data of a new patient on the STEMI App from an EMRI ambulance.
  • Enter further data for the same patient on the STEMI App in an A/B Hospital
Show STEMI INDIA slide 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.
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
  • STEMI INDIA
  • and the Spoken Tutorial Project, IIT Bombay.

This is Nancy Varkey signing off. Thanks for joining.

Contributors and Content Editors

Nancyvarkey, PoojaMoolya