Difference between revisions of "STEMI-2017/C2/Introduction-to-Kallows-Device/English"

Kallows STEMI Kit.

1. Position ECG leads, B.P. cuff & SpO2
2. Take an ECG and
3. Check Blood Pressure and SpO2

Hardware Requirements

• An Android Tab in a metal casing
• Mobmon Device 12.0
• Bluetooth B.P. monitor
• ECG electrodes
• SpO2 probe
• Wi-Fi Printer
• Power Strip

1. Oximetry probe/cable
2. Sensor

1. an arterial catheter,
2. blood pressure cuff
3. or intravascular infusion line.

• For adults/ pediatrics: Finger, toe and pinna (top) or lobe of the ear.
• For infants: Foot or palm of the hand and the big toe or thumb.

• Reusable sensors may be used on the same site for a maximum period of 4 hrs, Make sure that the site is inspected routinely to ensure skin integrity.
• Do not use wet or damaged sensors. They may cause burns during the electro surgery or when applying other electrical device.
• Tissue damage/ burn can be caused by incorrect application or use of SpO2 sensor.
• Do not twist unnecessarily or use excessive force when using, connecting, disconnecting or storing the sensor.
• Loss of pulse signal can occur
  • if the sensor is too tight or
  • if there is excessive illumination from light sources such as surgical lamp, a bilirubin lamp or sunlight

1. Measure the patient's limb and select the proper cuff size.
2. As a general rule, cuff width should span approximately two - thirds of the distance between patient, elbow, shoulder.
3. Wrap the NIBP cuff, preferably onto the left hand (on the brachial artery) of the patient as shown in the figure.
4. The NIBP cuff must be wrapped tightly on the patient's limb for proper management.

Inaccurate measurements may be caused by incorrect application or use such as-

• Placing the cuff too loosely on the patient
• Using incorrect cuff size
• Not placing the cuff at the same level of the heart
• Leaky cuff or tube
• Excessive patient motion.

This is to avoid nuisance alarms.

Show images as per narration one by one

1. Clean electrode site and shave surface hair from chest
2. Gently rub the skin with spirit to remove outer epidermal layer and skin becomes lightly red.
3. Allow the electrode site to dry.
4. Remove dry gel from electrode surface, if any.
5. Place the electrodes on the flat non-muscular & non-hairy areas
6. Use good quality (highly conductive) fresh gel.
7. Apply sufficient quantity of gel on the electrode surface to establish good contact.

Ensure that conductive portions of the

1. electrodes, leads and cables do not come into contact with any other conductive parts.
2. Do not use damaged electrode leads.
3. Ensure that electrodes are not loosely applied.
4. This will cause artifacts and will sound heart rate alarms, causing endless inconvenience.

In this tutorial, we have learnt -

• how to position ECG leads, BP cuff and SpO2 probe.
• Take an ECG
• Check blood pressure and SPO2

• 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 https://spoken-tutorial.org

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

This is Nancy Varkey signing off. Thanks for joining.