Difference between revisions of "STEMI-2017/C2/EMRI-or-Ambulance-data-entry/English"

EMRI or Ambulance data Entry

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

Patient Name: Ramesh

Age:53

Gender: Male

Phone : 9988776655

Address: X villa, X road, Coimbatore – 000 000, Tamil Nadu

• Patient Name: Ramesh
• Age:53
• Gender: Male
• Phone : 9988776655
• Address: X villa, X road, Coimbatore, Tamil Nadu

And “Saved Successfully” pop-up message appears at the bottom of the page.

If the patient is Female, there would be 13 items displayed.

The extra item is Pregnant Female ? Yes / No, which we have to fill accordingly.

1. Systolic BP Greater than 180 mmHg - No
2. Diastolic BP Greater than 110 mmHg - No
3. Right Vs Left arm Systolic BP greater than 15 mmHg – No
4. Significant closed head/facial trauma within the previous 3 months – No
5. Recent (within 6 weeks) major trauma, surgery (including laser eye surgery),GI/GU Bleed – No
6. Bleeding or clotting problem or on blood thinners – No
7. CPR greater than 10 min -No
8. Serious systemic disease (e.g., advanced/terminal cancer, severe liver or kidney disease) –No
9. History of structural central nervous system disease -No
10. Pulmonary edema (rales greater than halfway up - No
11. Systemic hypoperfusion (cool, clammy) - No
12. Does the patient have severe heart failure or cardiogenic shock such that PCI is preferable such that PCI is preferable? - No

1. Systolic BP Greater than 180 mmHg - No
2. Diastolic BP Greater than 110 mmHg - No
3. Right Vs Left arm Systolic BP greater than 15 mmHg – No
4. Significant closed head/facial trauma within the previous 3 months - No
5. Recent (within 6 weeks) major trauma, surgery (including laser eye surgery), GI / GU Bleed – No
6. Bleeding or clotting problem or on blood thinners –No
7. CPR greater than 10 min - No
8. Serious systemic disease (e.g., advanced/terminal cancer, severe liver or kidney disease) –No
9. History of structural central nervous system disease - No
10. Pulmonary edema (rales greater than halfway up - No
11. Systemic hypoperfusion (cool, clammy) – No
12. Does the patient have severe heart failure or cardiogenic shock such that PCI is preferable? - No

The options are-

• To a D hospital
  • if it is the closest and the Hub hospital is beyond 30 minutes of travelling distance and if Thrombolysis is not contraindicated

OR

• To a A/B Hospital (Hub)
  • if it is within 30 minutes of travelling distance and if Thrombolysis is contraindicated.

It helps the paramedic in the ambulance determine whether to shift the patient.

• To a D hospital
  • if it is the closest and the Hub hospital is beyond 30 minutes of travelling distance
  • and if Thrombolysis is not contraindicated

OR

• To a A/B Hospital (that is Hub)
  • if it is within 30 minutes of travelling distance
  • and if Thrombolysis is contraindicated.

Please wait if buffering sign is seen.

Under Co – Morbid Conditions >> History and Co - Morbid Conditions

Smoker: Yes

Previous IHD: Yes

Diabetes Mellitus: Yes

Hypertension: Yes

Dyslipidemia: Yes

Stroke: Yes

Bronchial Asthma: Yes

Allergies: Yes

Smoker: Yes

Previous IHD: Yes

Diabetes Mellitus: Yes

Hypertension: Yes

Dyslipidemia: Yes

Stroke: Yes

Bronchial Asthma: Yes

Allergies: Yes

Chest Discomfort: options Pain, Pressure, Aches;

Aches selected

Chest Discomfort: options are Pain, Pressure, Aches

I’ll select Aches

Location of Pain: options Retrosternal, Jaw, L arm, R arm, Back; L arm selected

I’ll select L arm

Pain Severity ( a mandatory field) – type from 1 -10 : 8

I’ll choose 8

Palpitation: Yes

Pallor: Yes

Diaphoresis: Yes

Shortness of breath: Yes

Nausea/ Vomiting: Yes

Dizziness: Yes

Syncope: Yes

Pallor: Yes

Diaphoresis: Yes

Shortness of breath: Yes

Nausea/Vomiting: Yes

Dizziness: Yes

Syncope: Yes

Please wait if buffering sign is seen.

Date: 21/1/2016 Time: 9:00 am

Symptom Onset

Date: and Time:

Date: 21/1/2016 Time: 9:10 am

Date: and Time:

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

Date: and Time:

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

Date: and Time:

Yes: No:

Yes No

• Google maps -
• Contacts -

• 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

Oxygen: if Yes

Oxygen Amount: 5L/ 10L

select 5L

Oxygen: if Yes, Oxygen Amount: 5L/ 10L

I’ll select 5L

Date: 21/1/2016 Time: 9:50 am

Date: and Time:

Date: 21/1/2016 Time: 9:52 am

Date: and Time:

Date: 21/1/2016 Time: 9:54 am

Date: and Time:

Date: 21/1/2016 Time: 9:56 am

Date: and Time:

Route: IV

Dosage:bolus 60U/kg

Date: 21/1/2016 Time:9:58 am

Route: IV

Dosage: bolus 60Units/kg

Date: andTime:

N Saline: 2 pint

Nitroglycerine: 5mcg /min

Morphine: 1mg /ml

Atropine: 1ml amp

• N Saline: 2 pint
• Nitroglycerine: 5mcg /min
• Morphine: 1mg /ml
• Atropine: 1ml amp

• select the Save & Continue button at the bottom of the page,
• to save the page and move on to the next.

Select No

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

Please wait if buffering sign is seen.

If checked “Yes”, it further opens into

Cause of death: choose between Cardiac / Non Cardiac; >> choose Cardiac

Death

Date: and Time: 10:10 am Remarks: if any

If checked “Yes”, it further opens into -

• Cause of death: choose between Cardiac / Non Cardiac;
  • I’ll choose Cardiac
• Death

  Date: and Time:

• Remarks: if any

And the data entry ends here.

If checked “No” it further opens into Discharge from EMRI

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

Date: and Time:

Select from Stemi Cluster Hospital, Non Stemi Cluster Hospital, Home

Select Stemi Cluster Hospital

Select from Stemi Cluster Hospital, Non-Stemi Cluster Hospital or Home.

I’ll select Stemi Cluster Hospital.

Remarks: blank

Transfer to Hospital Name: Kovai Medical Center and Hospital

Transfer to Hospital Address: 3209, Sitra, Avinashi Road, Coimbatore, Tamil Nadu - 641 014

Highlight in blue box

Hospital name and address have to be entered manually for Non STEMI cluster Hospital

• Remarks: if any
• Transfer to Hospital Name: Kovai Medical Center and Hospital
• Transfer to Hospital Address: 3209, Avinashi Road, Sitra, Coimbatore, Tamil Nadu - 641 014

When we select the hospital name, the hospital address auto-populates.

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

Please wait if buffering sign is seen.

• 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.