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

EMRI ambulance to D Hospital and A/B Hospital

• 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 a D Hospital
  • and later in an A/B Hospital

It says stemiEuser.

That means the EMRI ambulance paramedic is making these entries.

• Patient Name: Venugopal
• Age:48
• Gender: Male
• Phone : 9988776655
• Address: X villa, X road, Coimbatore – 000 000, Tamil Nadu

• Name:
• Age:
• Gender:
• Phone: and
• Address:

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.

Location of Pain >> Retrosternal selected

Pain Severity >> 8 selected

Location of Pain: I’ll select Retrosternal

Pain Severity: I’ll choose 8

Diaphoresis: Yes

Shortness of breath: Yes

Nausea/ Vomiting: Yes

Dizziness: Yes

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

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:

Yes: No:

If Yes is selected

• Blue box on Google maps
• Blue box on Contacts

Blue box on 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

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

• Then under Medications during Transportation:, we have to enter the relevant details, as shown here.

Select No

• Save and Continue button appears below the field
• and data entry for the particular page ends here.

-I’ll check Death as “No”

I’ll check this as “No” for now.

Transport To:

Select from Stemi Cluster Hospital

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

Transfer to Hospital Name: Kovai Medical Center and Hospital

Transfer to Hospital Address: 3209,Sitra, Avinashi Road

Coimbatore, Tamil Nadu - 641 014

• 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.

To edit the particular page, select the Edit button at the top right corner of the page.

Select Yes.

I'll select this as Yes.

Select Yes.

I'll select Yes here.

Pls make the relevant entries for that patient.

This page has the details of medication administered to the patient while transfer to D hospital.

Blue Text box:

Please note that selection of medication and doses are meant for demo purposes only.

Administer drugs as per patient condition and treatment modalities.

Select Streptokinase.

highlight edit button

Select the Edit button at the top right corner of the page to edit the particular page.

Here we have the tab Death.

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

• Fibrinolytic Checklist page
• Cardiac History page
• Co-Morbid Conditions page
• Contact Details page
• Medications prior to Thrombolysis page and
• Thrombolysis page

No narration - Blue text box

Please note the selection of medications and doses are meant for demo purposes only . Administer drugs as per patient condition and treatment modalities.

First we will enter Cath Lab details such as

• Cath Lab Activation and
• Cath Lab Arrival

Blue box on Catheter access.

• Start Date and Time
• End Date and Time

Please note that selection of medications and the doses are meant for demo purposes.. Administer drugs as per patient condition and treatment modalities.

Select the Edit button at the top right corner of the page to edit the particular page.

Here we have the tab Death.

• 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
  • first in a D Hospital
  • and then in an A/B 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

• STEMI INDIA
• and the Spoken Tutorial Project, IIT Bombay.

This is Nancy Varkey signing off. Thanks for joining.