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|- | |- | ||
| ''VISUAL CUE'' | | ''VISUAL CUE'' | ||
− | | | + | | ''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 - | ||
− | * | + | * 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.''' | || We are in the '''STEMI Homepage.''' | ||
|- | |- | ||
Line 34: | Line 33: | ||
|| Notice here. | || Notice here. | ||
+ | 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:''' | |
− | * | + | * '''Age:''' |
− | * | + | * '''Gender: ''' |
− | * | + | * '''Phone: ''' and |
− | * | + | * '''Address: ''' |
− | * | + | |
− | + | ||
|- | |- | ||
− | || Select the '''Save & Continue''' button | + | || 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. | ||
|- | |- | ||
|| On '''Fibrinolytic Checklist '''page | || On '''Fibrinolytic Checklist '''page | ||
− | || The '''App''' now takes us to the next page, '''Fibrinolytic Checklist. ''' | + | || The '''App''' now takes us to the next page, that is '''Fibrinolytic Checklist. ''' |
|- | |- | ||
− | || | + | || 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 75: | ||
|- | |- | ||
|| 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 | + | || 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. | ||
|- | |- | ||
|| On '''Co-Morbid Conditions '''page | || On '''Co-Morbid Conditions '''page | ||
− | || We are moved to the next page | + | || We are moved to the next page - '''Co-Morbid Conditions.''' |
|- | |- | ||
− | | | | + | || '''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 90: | ||
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''' | + | || '''Chest Discomfort''' >> '''Pain''' selected |
− | '''Location of Pain''' | + | '''Location of Pain''' >> '''Retrosternal '''selected |
− | '''Pain Severity ''' | + | '''Pain Severity ''' >> '''8''' |
− | || '''Chest Discomfort: '''I’ll select ''' | + | || '''Chest Discomfort: '''I’ll select '''Pain''' |
'''Location of Pain: '''I’ll select '''Retrosternal''' | '''Location of Pain: '''I’ll select '''Retrosternal''' | ||
'''Pain Severity''': I’ll choose '''8''' | '''Pain Severity''': I’ll choose '''8''' | ||
− | |||
− | |||
|- | |- | ||
Line 141: | Line 122: | ||
'''Dizziness''': Yes | '''Dizziness''': Yes | ||
+ | || | ||
+ | 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 135: | ||
|- | |- | ||
|| 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''' | ||
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So, I'll make the entries for - | 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''' | || '''Transport to STEMI Cluster''' | ||
− | '''Yes | + | '''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''' | '''Aspirin 325mg : '''if''' Yes''' | ||
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− | + | 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 |
Line 254: | Line 224: | ||
− | Under '''Medications during Transportation:''', we have to enter the details | + | Under '''Medications during Transportation:''', we have to enter the relevant details as shown here. |
+ | |||
+ | |||
+ | |||
+ | |||
|- | |- | ||
− | || Select the | + | || Select the '''Finish''' button |
− | || | + | || Lastly, 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 241: | ||
Select '''No''' | Select '''No''' | ||
|| If ‘'''No'''’ is selected under '''Transportation to STEMI cluster''' then | || 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. |
+ | |- | ||
+ | || Select '''Save and continue''' button | ||
+ | || Select '''Save and continue''' button. | ||
− | + | This will save the current page. | |
− | + | ||
− | + | ||
− | + | ||
− | + | ||
− | + | ||
|- | |- | ||
|| On '''Discharge Summary '''page | || On '''Discharge Summary '''page | ||
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'''Death: c'''heck as “'''No'''” | '''Death: c'''heck as “'''No'''” | ||
− | |||
− | |||
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'''Date:''' 21/1/2016''' Time: '''10:10 am | '''Date:''' 21/1/2016''' Time: '''10:10 am | ||
− | || Under '''Discharge Summary, ''' | + | || Under '''Discharge Summary, Death''' is a mandatory field. |
Check this as “'''No'''”. | Check this as “'''No'''”. | ||
− | + | Next we have to enter '''Discharge from EMRI''' '''Date: '''and '''Time:''' | |
|- | |- | ||
|| '''Transport To: ''' | || '''Transport To: ''' | ||
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|| It further opens into- | || It further opens into- | ||
− | + | * '''Remarks: '''if any | |
− | * | + | * '''Transfer to Hospital Name: ''' |
− | * | + | * '''Transfer to Hospital Address: ''' |
− | * | + | |
− | + | ||
− | + | ||
− | + | ||
Line 326: | Line 292: | ||
− | This is because this hospital is already part of the '''STEMI''' | + | This is because this hospital is already part of the '''STEMI programme'''. |
|- | |- | ||
− | | | | + | || Blue box with text |
|| 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 - | ||
− | * | + | * the hospital name |
− | * | + | * and hospital address. |
− | + | ||
|- | |- | ||
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|| 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. |
|- | |- | ||
− | | | | + | || Image |
|| 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. | ||
|- | |- | ||
− | | | | + | || Image |
|| 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'''. | ||
|- | |- | ||
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|| 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 |
|| Select the particular patient from the displayed list. | || Select the particular patient from the displayed list. | ||
|- | |- | ||
|| '''Basic Details''' | || '''Basic Details''' | ||
− | || We are now moved to the | + | || We are now moved to the page – '''Basic Details.''' |
|- | |- | ||
− | | | | + | || |
|| Here, all the details filled in the '''EMRI Ambulance''' are displayed. | || Here, all the details filled in the '''EMRI Ambulance''' are displayed. | ||
|- | |- | ||
Line 401: | Line 366: | ||
|| 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. | ||
|- | |- | ||
|| '''Fibrinolytic Checklist''' | || '''Fibrinolytic Checklist''' | ||
− | || | + | || We will skip the '''Fibrinolytic Checklist '''page. |
|- | |- | ||
|| '''Blue box '''on | || '''Blue box '''on | ||
− | || And | + | || And move to the '''Cardiac History '''page. |
|- | |- | ||
− | | | | + | || |
− | || | + | || First we will enter the relevant details related to the patient's history. |
|- | |- | ||
|| '''Clinical Examination''' | || '''Clinical Examination''' | ||
− | || | + | || Then under '''Clinical Examination '''section''', '''enter the details for that particular patient. |
|- | |- | ||
− | || | + | || Select the '''Save and Continue '''button |
− | || | + | || Select the '''Save and Continue '''button at the bottom. |
|- | |- | ||
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|| We are moved to the '''Co-Morbid Conditions '''page. | || We are moved to the '''Co-Morbid Conditions '''page. | ||
|- | |- | ||
− | | | | + | || Blue box with text |
− | || Here we | + | || 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. | || Then select the '''Save and Continue '''button at the bottom. | ||
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|- | |- | ||
|| '''Name, Relation Type, Address, City '''and '''Mobile no.''' | || '''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. |
|- | |- | ||
|| '''Occupation''' | || '''Occupation''' | ||
Line 449: | Line 413: | ||
|| 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. |
|- | |- | ||
Line 456: | Line 420: | ||
|| We are moved to the '''Medications prior to Thrombolysis '''page. | || 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'''. | || 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 470: | Line 434: | ||
Select '''Streptokinase.''' | Select '''Streptokinase.''' | ||
− | || Here, select any one '''Thrombolytic agent'''. I'll select '''Streptokinase'''. | + | || Here, select any one '''Thrombolytic agent'''. |
+ | |||
+ | I'll select '''Streptokinase'''. | ||
|- | |- | ||
|| '''Dosage, Date''' and '''Time'''. | || '''Dosage, Date''' and '''Time'''. | ||
Line 481: | Line 447: | ||
|| '''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 491: | Line 457: | ||
|| Here we have '''Drugs before PCI tab.''' | || Here we have '''Drugs before PCI tab.''' | ||
|- | |- | ||
− | | | Make entries in PCI | + | || Make entries in PCI |
|| 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 502: | Line 468: | ||
|- | |- | ||
|| '''Cath Lab Activation '''and '''Cath Lab Arrival ''' | || '''Cath Lab Activation '''and '''Cath Lab Arrival ''' | ||
− | || The '''Cath Lab | + | || 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''' | || '''Vascular access''' | ||
Line 517: | Line 483: | ||
|| '''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 | ||
− | * | + | * '''Start Date and Time''' |
− | * | + | * '''End Date and Time''' |
− | + | ||
|- | |- | ||
Line 525: | Line 490: | ||
|| 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'''. | ||
|- | |- | ||
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|| 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 548: | Line 513: | ||
| | | | ||
|- | |- | ||
− | || | + | || 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'''. | ||
|| Here I will fill in the details related to '''2b3a Inhibitors'''. | || Here I will fill in the details related to '''2b3a Inhibitors'''. | ||
|- | |- | ||
− | | | | + | || Check '''Unfractionated Heparin''' as '''Yes, ''' |
− | || 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, we can skip the pages related to '''In-Hospital Summary'''. | |
|- | |- | ||
|| '''Discharge Summary >> Death''' | || '''Discharge Summary >> Death''' | ||
− | || We are | + | || We are in the next page that is '''Discharge Summary'''. |
− | Here we have the ''' | + | 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 578: | Line 543: | ||
|| Next comes '''Discharge Medications'''. | || Next comes '''Discharge Medications'''. | ||
|- | |- | ||
− | || | + | || Blue box with text |
|| 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 594: | Line 559: | ||
|- | |- | ||
− | | | | + | || |
− | | | 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 - | ||
− | * | + | * Enter data of a new patient on the '''STEMI App''' from the '''EMRI ambulance.''' |
− | * | + | * 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 | ||
− | * | + | * 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 | + | || 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 618: | Line 581: | ||
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 | ||
− | * | + | * 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 18:46, 15 July 2020
Keywords: STEMI, STEMI App, Data entry in STEMI App, Data entry of mandatory fields in Main ECG tab
VISUAL CUE | NARRATION | |
Show TITLE slide
|
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 -
| |
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
|
Under Basic Details, let us enter the patient's
| |
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, that is Fibrinolytic Checklist. | |
Put text on screen. | Under Fibrinolytic Checklist, there are 12 items, if the patient is Male.
| |
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 - 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
|
| |
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
Date: 21/1/2016 Time: 9:10 am
Date: 21/1/2016 Time: 9:30 am
Date: 21/1/2016 Time: 9:45 am |
Under Transportation Details, all the fields are mandatory.
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Transport to STEMI Cluster
Yes No:
Oxygen: if Yes
Date: 21/1/2016 Time: 9:50 am
Date: 21/1/2016 Time: 9:52 am
Date: 21/1/2016 Time: 9:54 am
Date: 21/1/2016 Time: 9:56 am
Date: 21/1/2016 Time:9:58 am
N Saline: 2 pint Nitroglycerine: 5mcg /min Morphine: 1mg /ml Atropine: 1ml amp |
Next is Transport to STEMI Cluster Yes/No.
Under Medications during Transportation:, we have to enter the relevant details as shown here.
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Select the Finish button | Lastly, select the Finish button at the bottom of the page. | |
Go back to Transport to STEMI Cluster field
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If ‘No’ is selected under Transportation to STEMI cluster then
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Select Save and continue button | Select Save and continue button.
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”
Date: 21/1/2016 Time: 10:10 am |
Under Discharge Summary, Death is a mandatory field.
Check this as “No”.
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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
Coimbatore, Tamil Nadu - 641 014 |
It further opens into-
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Blue box with text | If this hospital was not part of the STEMI programme, then we would have to manually enter -
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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. | ||
Image | Now the data entry for a new patient from the EMRI Ambulance is completed. | |
Image | 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 | Select the particular patient from the displayed list. | |
Basic Details | We are now moved to the 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.
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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.
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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 | Select the Save and Continue button at the bottom. | |
Co-Morbid Conditions | We are moved to the Co-Morbid Conditions page. | |
Blue box with text | 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. | |
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
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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.
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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
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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. | |
Check Unfractionated Heparin as Yes, | 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, we can skip the pages related to In-Hospital Summary. | |
Discharge Summary >> Death | We are in the next page that is Discharge Summary.
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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. | |
Blue box with text | 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 -
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Show STEMI INDIA slide | STEMI INDIA
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Show Spoken Tutorial Project Slide | Spoken Tutorial Project, IIT Bombay is funded by NMEICT, MHRD, Govt. of India.
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Show THANK YOU slide | This tutorial has been contributed by
This is Nancy Varkey signing off. Thanks for joining. |