Difference between revisions of "STEMI-2017/C3/EMRI-to-D-to-AB-Hospital/English"
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||'''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 a '''D Hospital''' |
− | * | + | ** and later in an '''A/B Hospital''' |
− | + | ||
|- | |- | ||
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|- | |- | ||
− | || | + | || Blue box on '''stemiEuser''' |
|| Notice here. | || Notice here. | ||
It says '''stemiEuser. ''' | It says '''stemiEuser. ''' | ||
− | That means the '''EMRI ambulance paramedic '''is making these entries | + | That means the '''EMRI ambulance paramedic '''is making these entries. |
|- | |- | ||
||Select New Patient | ||Select New Patient | ||
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|| 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. | ||
|- | |- | ||
Line 75: | Line 67: | ||
|| The '''App''' now takes us to the next page, that is''' 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 90: | Line 82: | ||
|| I will be checking all the 12 points as “'''No'''” for now. | || I 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. | ||
|- | |- | ||
Line 98: | Line 90: | ||
|- | |- | ||
| | | | ||
− | || Here | + | || Here we have '''History And Co-Morbid Conditions.''' |
|- | |- | ||
| | | | ||
Line 106: | Line 98: | ||
|| 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''' selected |
|| '''Chest Discomfort: '''I’ll select '''Pain''' | || '''Chest Discomfort: '''I’ll select '''Pain''' | ||
Line 128: | Line 120: | ||
'''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. | ||
|- | |- | ||
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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:''' |
− | * | + | |
− | * | + | |
− | + | ||
|- | |- | ||
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+ | 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''' | |
− | + | ||
− | + | ||
− | + | ||
− | + | ||
− | + | ||
− | + | ||
− | + | ||
− | + | ||
− | + | ||
− | + | ||
− | '''Oxygen Amount: 5L/ 10L''' | + | |
− | |||
'''Aspirin 325mg : '''if''' Yes''' | '''Aspirin 325mg : '''if''' Yes''' | ||
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'''Atropine: '''1ml amp | '''Atropine: '''1ml amp | ||
|| Next is '''Transport to STEMI Cluster Yes/No.''' | || Next is '''Transport to STEMI Cluster Yes/No.''' | ||
+ | |||
If''' Yes '''is selected, it further opens into | 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. | ||
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Select '''No''' | Select '''No''' | ||
|| If ‘'''No'''’ is selected under '''Transport to STEMI cluster''' then | || If ‘'''No'''’ is selected under '''Transport to STEMI cluster''' then | ||
− | * | + | * '''Save and Continue''' button appears below the field |
− | * | + | * and data entry for the particular page ends here. |
− | + | ||
|- | |- | ||
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− | * | + | * '''Remarks: '''if any |
− | * | + | * '''Transfer to Hospital Name: ''' |
− | * | + | * '''Transfer to Hospital Address: ''' |
− | + | ||
− | + | ||
− | + | ||
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− | This is because this hospital is already part of the '''STEMI''' | + | This is because this hospital is already part of the '''STEMI programme'''. |
− | If this hospital was not part of the '''STEMI ''' | + | 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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|| This is the synopsis of the procedure to be followed at the '''D Hospital. ''' | || This is the synopsis of the procedure to be followed at the '''D Hospital. ''' | ||
|- | |- | ||
− | || | + | || Blue box on '''stemiAuser''' |
|| We are in the '''STEMI Homepage '''as a '''D Hospital user'''. | || We are in the '''STEMI Homepage '''as a '''D Hospital user'''. | ||
|- | |- | ||
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|- | |- | ||
− | || | + | || Blue box on '''Basic Details''' |
|| We are now moved to the page – '''Basic Details.''' | || We are now moved to the page – '''Basic Details.''' | ||
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|| Here, all the details filled in the '''EMRI Ambulance''' are displayed. | || Here, all the details filled in the '''EMRI Ambulance''' are displayed. | ||
|- | |- | ||
− | || | + | || Blue box on '''A/B Hospital Arrival Date and Time.''' |
|| In the '''D Hospital''', we will have to fill the '''D Hospital Arrival Date '''and''' Time.''' | || In the '''D Hospital''', we will have to fill the '''D Hospital Arrival Date '''and''' Time.''' | ||
|- | |- | ||
− | || | + | || Blue box on '''Manual ECG Taken Yes/No.''' |
Select '''Yes.''' | Select '''Yes.''' | ||
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I'll select this as '''Yes'''. | I'll select this as '''Yes'''. | ||
|- | |- | ||
− | || | + | || Blue box on '''ECG Date '''and '''Time''' |
|| Then fill the '''Date '''and '''Time '''of the '''ECG.''' | || Then fill the '''Date '''and '''Time '''of the '''ECG.''' | ||
|- | |- | ||
− | || | + | || Blue box on '''STEMI Confirmed Yes/No.''' |
Select '''Yes.''' | Select '''Yes.''' | ||
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I'll select '''Yes '''here. | I'll select '''Yes '''here. | ||
|- | |- | ||
− | || | + | || Blue box on '''STEMI Confirmed Date and Time.''' |
|| And then fill the '''Date '''and '''Time.''' | || And then fill the '''Date '''and '''Time.''' | ||
|- | |- | ||
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|- | |- | ||
− | || | + | || Blue box on '''Fibrinolytic Checklist''' |
|| We will skip the '''Fibrinolytic Checklist '''page and move to the'''Cardiac History '''page. | || We will skip the '''Fibrinolytic Checklist '''page and move to the'''Cardiac History '''page. | ||
|- | |- | ||
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|| First, we will enter the relevant details related to the patient's history. | || First, we will enter the relevant details related to the patient's history. | ||
|- | |- | ||
− | || | + | || Blue box on '''Clinical Examination''' |
|| Then under '''Clinical Examination, '''enter the details for that particular patient. | || Then under '''Clinical Examination, '''enter the details for that particular patient. | ||
|- | |- | ||
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|- | |- | ||
− | || | + | || Blue box on '''Co-Morbid Conditions''' |
|| We are moved to the '''Co-Morbid Conditions '''page. | || We are moved to the '''Co-Morbid Conditions '''page. | ||
|- | |- | ||
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|- | |- | ||
− | || | + | || Blue box on '''Contact Details''' |
|| We are moved to the '''Contact Details '''page. | || We are moved to the '''Contact Details '''page. | ||
|- | |- | ||
− | || | + | || Blue box on '''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, we have to enter the '''Name, Relation Type, Address, City '''and '''Mobile no.''' of the patient's relative. | ||
|- | |- | ||
− | || | + | || Blue box on '''Occupation''' |
|| Then enter the '''Occupation'''. | || Then enter the '''Occupation'''. | ||
|- | |- | ||
− | || | + | || Blue box on '''Aadhar Card No.''' |
|| After, this comes the '''Aadhar Card No.''' | || After, this comes the '''Aadhar Card No.''' | ||
|- | |- | ||
− | || | + | || Blue box on '''Upload Aadhar card.''' |
|| 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.''' | ||
|- | |- | ||
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This page has the details of medication administered to the patient while transfer to '''D hospital'''. | This page has the details of medication administered to the patient while transfer to '''D hospital'''. | ||
|- | |- | ||
− | || | + | || Blue box on '''Medications prior to Thrombolysis''' |
|| We will now move on to the '''Medications prior to Thrombolysis '''page. | || We will now move on to the '''Medications prior to Thrombolysis '''page. | ||
|- | |- | ||
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|| 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'''. | ||
|- | |- | ||
− | || | + | || Blue box on '''Asprin''' |
|| I'll enter '''Asprin '''as '''Yes, '''then enter the '''Dosage, Date '''and '''Time'''. | || I'll enter '''Asprin '''as '''Yes, '''then enter the '''Dosage, Date '''and '''Time'''. | ||
|- | |- | ||
− | || | + | || Blue box on '''Clopidogrel''' |
'''Blue Text box:''' | '''Blue Text box:''' | ||
Please note that selection of medication and doses are meant for demo purposes only. | Please note that selection of medication and doses are meant for demo purposes only. | ||
+ | |||
Administer drugs as per patient condition and treatment modalities. | Administer drugs as per patient condition and treatment modalities. | ||
|| Then I'll enter '''Clopidogrel '''as '''Yes, '''and enter the '''Dosage, Date '''and '''Time'''. | || Then I'll enter '''Clopidogrel '''as '''Yes, '''and enter the '''Dosage, Date '''and '''Time'''. | ||
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|- | |- | ||
− | || | + | || Blue box on '''Thrombolysis''' |
|| We are moved to the '''Thrombolysis '''page. | || We are moved to the '''Thrombolysis '''page. | ||
|- | |- | ||
− | || | + | || Blue box on '''Select any one Thrombolytic agent''' |
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|| Here, select any one '''Thrombolytic agent'''. I'll select '''Streptokinase'''. | || Here, select any one '''Thrombolytic agent'''. I'll select '''Streptokinase'''. | ||
|- | |- | ||
− | || | + | || Blue box on '''Dosage, Date''' and '''Time'''. |
|| Then enter the '''Dosage, Date''' and '''Time'''. | || Then enter the '''Dosage, Date''' and '''Time'''. | ||
|- | |- | ||
− | || | + | || Blue box on '''90 min ECG, Date '''and '''Time'''. |
|| '''90 min ECG, Date '''and '''Time'''. | || '''90 min ECG, Date '''and '''Time'''. | ||
|- | |- | ||
− | || | + | || Blue box on '''Successful Lysis Yes/No.''' |
|| '''Successful Lysis Yes/No.''' | || '''Successful Lysis Yes/No.''' | ||
|- | |- | ||
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|- | |- | ||
− | | | + | || |
|| We will skip the '''In-Hospital Summary '''page. | || We will skip the '''In-Hospital Summary '''page. | ||
|- | |- | ||
− | || | + | || Blue box on '''Discharge Summary >> Death''' |
'''highlight edit button''' | '''highlight edit button''' | ||
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|- | |- | ||
− | || | + | || Blue box on '''Discharge Medications'''. |
|| Next comes '''Discharge Medications'''. | || Next comes '''Discharge Medications'''. | ||
|- | |- | ||
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|| Select the '''Save and Continue '''button at the bottom. | || Select the '''Save and Continue '''button at the bottom. | ||
|- | |- | ||
− | || | + | || Blue box on '''Discharge/Transfer''' |
|| Now we are in the '''Discharge '''or '''Transfer''' page. | || Now we are in the '''Discharge '''or '''Transfer''' page. | ||
|- | |- | ||
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|| Select '''Add Transfer Details '''button. | || Select '''Add Transfer Details '''button. | ||
|- | |- | ||
− | || | + | || Blue box on '''Discharge from the A/B Hospital''' |
|| Here we need to enter the details related to the discharge from the '''D Hospital.''' | || Here we need to enter the details related to the discharge from the '''D Hospital.''' | ||
|- | |- | ||
− | | | + | || |
|| I‘ll select '''STEMI Cluster Hospital'''. | || I‘ll select '''STEMI Cluster Hospital'''. | ||
|- | |- | ||
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|| It further opens into '''Remarks''', if any. | || It further opens into '''Remarks''', if any. | ||
|- | |- | ||
− | | | + | || |
|| '''Transfer to Hospital Name'''. | || '''Transfer to Hospital Name'''. | ||
|- | |- | ||
− | | | + | || |
|| When we select the hospital name, the hospital address gets autopopulated. | || When we select the hospital name, the hospital address gets autopopulated. | ||
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This is because this hospital is already part of the '''STEMI '''programme. | This is because this hospital is already part of the '''STEMI '''programme. | ||
|- | |- | ||
− | | | + | || |
|| In '''Transport Vehicle''' field, choose '''GVK EMRI Ambulance.''' | || In '''Transport Vehicle''' field, choose '''GVK EMRI Ambulance.''' | ||
|- | |- | ||
− | | | + | || |
|| Next comes '''Ambulance Call Date''' and '''Time.''' | || Next comes '''Ambulance Call Date''' and '''Time.''' | ||
|- | |- | ||
− | | | + | || |
|| '''Ambulance Arrival Date''' and '''Time.''' | || '''Ambulance Arrival Date''' and '''Time.''' | ||
|- | |- | ||
− | | | + | || |
|| '''Ambulance Departure Date''' and '''Time.''' | || '''Ambulance Departure Date''' and '''Time.''' | ||
|- | |- | ||
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|- | |- | ||
− | | Slide | + | || Slide |
|| 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.''' | ||
|- | |- | ||
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|| 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'''. | ||
|- | |- | ||
− | || | + | || Blue box on '''stemiAuser''' |
|| We are in the '''STEMI Homepage '''as an '''A/B Hospital user'''. | || We are in the '''STEMI Homepage '''as an '''A/B Hospital user'''. | ||
|- | |- | ||
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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 from the displayed list. | || Select the particular patient from the displayed list. | ||
|- | |- | ||
− | || | + | || Blue box on '''Basic Details''' |
|| We are now moved to the next page – '''Basic Details.''' | || We are now moved to the next page – '''Basic Details.''' | ||
|- | |- | ||
− | | | + | || |
− | | Once the patient file is opened select the Edit button at the top right corner to open the Edit Mode. Do likewise to edit the remaining pages. | + | || Once the patient file is opened select the Edit button at the top right corner to open the Edit Mode. Do likewise to edit the remaining pages. |
|- | |- | ||
− | | | + | || |
|| Here, all the details filled in the '''EMRI Ambulance''' and the '''D Hospital '''are displayed. | || Here, all the details filled in the '''EMRI Ambulance''' and the '''D Hospital '''are displayed. | ||
|- | |- | ||
− | || | + | || Blue box on '''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.''' | || In the '''A/B Hospital''', we will have to fill the '''A/B Hospital Arrival Date and Time.''' | ||
|- | |- | ||
|| Select '''Save and Continue''' | || Select '''Save and Continue''' | ||
|| Select the '''Save and Continue '''button at the bottom. | || Select the '''Save and Continue '''button at the bottom. | ||
− | |||
|- | |- | ||
− | || | + | || Blue box on '''Fibrinolytic Checklist''' |
|| We can skip the following pages- | || We can skip the following pages- | ||
− | * | + | * '''Fibrinolytic Checklist '''page |
− | * | + | * '''Cardiac History '''page |
− | * | + | * '''Co-Morbid Conditions '''page |
− | * | + | * '''Contact Details''' page |
− | * | + | * '''Medications prior to Thrombolysis '''page and |
− | * | + | * '''Thrombolysis '''page |
− | + | ||
|- | |- | ||
− | || | + | || Blue box on '''PCI ''' |
|| We have moved directly to the '''PCI '''page. | || We have moved directly to the '''PCI '''page. | ||
|- | |- | ||
− | || | + | || Blue box on '''Drugs before PCI ''' |
|| Here we have '''Drugs before PCI tab.''' | || Here we have '''Drugs before PCI tab.''' | ||
|- | |- | ||
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|- | |- | ||
|| '''Remove blue box around Cath Lab Activation '''and '''Cath Lab Arrival ''' | || '''Remove blue box around Cath Lab Activation '''and '''Cath Lab Arrival ''' | ||
− | || Details under '''PCI''' are to be filled either by a Cardiologist or a Cath Lab Technician. | + | || Details under '''PCI''' are to be filled either by a '''Cardiologist''' or a '''Cath Lab Technician.''' |
First we will enter '''Cath Lab details '''such as | First we will enter '''Cath Lab details '''such as | ||
− | * | + | * '''Cath Lab Activation '''and |
− | * | + | * '''Cath Lab Arrival ''' |
− | + | ||
|- | |- | ||
− | || | + | || Blue box on '''Vascular access''' |
− | + | Blue box on '''Catheter access.''' | |
|| Next is '''Vascular access '''followed by '''Catheter access.''' | || Next is '''Vascular access '''followed by '''Catheter access.''' | ||
|- | |- | ||
− | || | + | || Blue box on '''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''' |
− | + | ||
|- | |- | ||
− | || | + | || Blue box on '''Culprit Vessel''' |
|| 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. | ||
|- | |- | ||
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|| Then enter all the details relevant to that '''Culprit Vessel'''. | || Then enter all the details relevant to that '''Culprit Vessel'''. | ||
|- | |- | ||
− | || | + | || Blue box on '''Management''' |
|| Now, make the entries under '''Management''' for that patient. | || Now, make the entries under '''Management''' for that patient. | ||
|- | |- | ||
− | || | + | || Blue box on '''Intervention''' |
|| Lastly on this page, we have '''Intervention'''. | || Lastly on this page, we have '''Intervention'''. | ||
|- | |- | ||
Line 663: | Line 635: | ||
|| 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. | ||
|- | |- | ||
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|- | |- | ||
− | || | + | || Blue box on '''Medications in Cath Lab''' |
|| We are now in the '''Medications in Cath Lab tab'''. | || We are now in the '''Medications in Cath Lab tab'''. | ||
|- | |- | ||
− | | | + | || |
|| Here I will fill in the details related to '''2b3a Inhibitors'''. | || Here I will fill in the details related to '''2b3a Inhibitors'''. | ||
|- | |- | ||
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|| I'll check '''Unfractionated Heparin '''as '''Yes'''. | || I'll check '''Unfractionated Heparin '''as '''Yes'''. | ||
|- | |- | ||
− | | | + | || |
|| Then enter the '''Dosage, Date '''and '''Time'''. | || Then enter the '''Dosage, Date '''and '''Time'''. | ||
|- | |- | ||
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|- | |- | ||
− | | | + | || |
|| Once again, we can skip the pages related to '''In-Hospital Summary'''. | || Once again, we can skip the pages related to '''In-Hospital Summary'''. | ||
|- | |- | ||
− | || | + | || Blue box on '''Discharge Summary >> Death''' |
|| We are in the next page that is '''Discharge Summary'''. | || We are in the next page that is '''Discharge Summary'''. | ||
Line 708: | Line 680: | ||
|- | |- | ||
− | || | + | || Blue box on '''Discharge Medications'''. |
|| Next comes '''Discharge Medications'''. | || Next comes '''Discharge Medications'''. | ||
|- | |- | ||
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|| Select the '''Save and Continue '''button at the bottom. | || Select the '''Save and Continue '''button at the bottom. | ||
|- | |- | ||
− | || | + | || Blue box on '''Discharge/Transfer''' |
|| Now we are in the '''Discharge '''or '''Transfer''' page. | || Now we are in the '''Discharge '''or '''Transfer''' page. | ||
|- | |- | ||
− | || | + | || Blue box on '''Discharge from the A/B Hospital''' |
|| Here we need to enter the details related to the discharge from the '''A/B Hospital'''. | || Here we need to enter the details related to the discharge from the '''A/B Hospital'''. | ||
|- | |- | ||
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|- | |- | ||
− | | | + | || |
− | | 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 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.''' |
− | + | |- | |
− | |- | + | || 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. | ||
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. | ||
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Latest revision as of 15:32, 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
EMRI ambulance to D Hospital and A/B Hospital |
Hello and welcome to this tutorial on transfer from EMRI ambulance to D Hospital and A/B Hospital. |
Show Learning Objectives Slide | In this tutorial, we will learn to -
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Switch to STEMI device interface | We are in the STEMI Homepage. |
Blue box on 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
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Under Basic Details, let us enter the patient's -
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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.
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Check all of the following as NO | I 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. |
Here we have History And Co-Morbid Conditions. | |
I’ll mark some of these as Yes. | |
Diagnosis | Then comes the Diagnosis section. |
Chest Discomfort >>Pain selected
Location of Pain >> Retrosternal selected Pain Severity >> 8 selected |
Chest Discomfort: I’ll select Pain
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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.
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Transport to STEMI Cluster
Yes: No:
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.
If Yes is selected, it further opens into
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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 Transport to STEMI cluster then
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Select Save and Continue | 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
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Under Discharge Summary, Death is a mandatory field.
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Date: 21/1/2016 Time: 10:10 am
Select from Stemi Cluster Hospital |
Next we have to enter Discharge from EMRI Date: and Time:
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Remarks: if any
Coimbatore, Tamil Nadu - 641 014 |
It further opens into-
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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. | |
Now the data entry for a new patient from the EMRI Ambulance is completed. | |
Slide | The patient has now arrived at a D Hospital. |
Slide | This is the synopsis of the procedure to be followed at the D Hospital. |
Blue box on stemiAuser | We are in the STEMI Homepage as a D 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. | |
Blue box on Basic Details | We are now moved to the page – Basic Details.
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Here, all the details filled in the EMRI Ambulance are displayed. | |
Blue box on A/B Hospital Arrival Date and Time. | In the D Hospital, we will have to fill the D Hospital Arrival Date and Time. |
Blue box on Manual ECG Taken Yes/No.
Select Yes. |
After that, is Manual ECG Taken Yes/No.
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Blue box on ECG Date and Time | Then fill the Date and Time of the ECG. |
Blue box on STEMI Confirmed Yes/No.
Select Yes. |
Next is STEMI Confirmed Yes/No.
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Blue box on STEMI Confirmed Date and Time. | And then fill the Date and Time. |
Select Save and Continue | Select the Save and Continue button at the bottom. |
Blue box on Fibrinolytic Checklist | We will skip the Fibrinolytic Checklist page and move to theCardiac History page. |
First, we will enter the relevant details related to the patient's history. | |
Blue box on Clinical Examination | Then under Clinical Examination, enter the details for that particular patient. |
Select Save and Continue | Select the Save and Continue button at the bottom. |
Blue box on 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 condition.
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Select Save and Continue | Then select the Save and Continue button at the bottom. |
Blue box on Contact Details | We are moved to the Contact Details page. |
Blue box on 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. |
Blue box on Occupation | Then enter the Occupation. |
Blue box on Aadhar Card No. | After, this comes the Aadhar Card No. |
Blue box on Upload Aadhar card. | On doing so, we will prompted to upload a copy of the Aadhar card. |
Select Save and Continue | Select the Save and Continue button at the bottom. |
Next we will skip the Transportation Medications page.
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Blue box on Medications prior to Thrombolysis | We will now move on to the Medications prior to Thrombolysis page. |
Select the Edit button at the top right corner of the page to edit the particular page. | |
Here, enter the details of the medications administered to the patient prior to Thrombolysis. | |
Blue box on Asprin | I'll enter Asprin as Yes, then enter the Dosage, Date and Time. |
Blue box on Clopidogrel
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. |
Then I'll enter Clopidogrel as Yes, and enter the Dosage, Date and Time. |
Select Save and Continue | Select the Save and Continue button at the bottom. |
Blue box on Thrombolysis | We are moved to the Thrombolysis page. |
Blue box on Select any one Thrombolytic agent
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Here, select any one Thrombolytic agent. I'll select Streptokinase. |
Blue box on Dosage, Date and Time. | Then enter the Dosage, Date and Time. |
Blue box on 90 min ECG, Date and Time. | 90 min ECG, Date and Time. |
Blue box on Successful Lysis Yes/No. | Successful Lysis Yes/No. |
Select Save and Continue | Select the Save and Continue button at the bottom. |
We will skip the In-Hospital Summary page. | |
Blue box on Discharge Summary >> Death
highlight edit button |
We are now in the next page that is Discharge Summary.
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Select No. | I’ll select the option No. |
Select Save and Continue | Then select the Save and Continue button at the bottom. |
Blue box on Discharge Medications. | Next comes Discharge Medications. |
Once again, select those medications advised to the patient at the time of discharge | |
Select Save and Continue | Select the Save and Continue button at the bottom. |
Blue box on Discharge/Transfer | Now we are in the Discharge or Transfer page. |
Select Add Transfer Details | Select Add Transfer Details button. |
Blue box on Discharge from the A/B Hospital | Here we need to enter the details related to the discharge from the D Hospital. |
I‘ll select STEMI Cluster Hospital. | |
It further opens into Remarks, if any. | |
Transfer to Hospital Name. | |
When we select the hospital name, the hospital address gets autopopulated.
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In Transport Vehicle field, choose GVK EMRI Ambulance. | |
Next comes Ambulance Call Date and Time. | |
Ambulance Arrival Date and Time. | |
Ambulance Departure Date and Time. | |
Select Finish | Now select the Finish button. |
Slide | 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. | |
Blue box on 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. | |
Blue box on Basic Details | We are now moved to the next page – Basic Details. |
Once the patient file is opened select the Edit button at the top right corner to open the Edit Mode. Do likewise to edit the remaining pages. | |
Here, all the details filled in the EMRI Ambulance and the D Hospital are displayed. | |
Blue box on 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. |
Select Save and Continue | Select the Save and Continue button at the bottom. |
Blue box on Fibrinolytic Checklist | We can skip the following pages-
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Blue box on PCI | We have moved directly to the PCI page. |
Blue box on Drugs before PCI | Here we have Drugs before PCI tab. |
Make entries in PCI
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. |
Enter the details of the drugs administered to the patient before PCI, with Date and Time details. |
Select Save and Continue | Select the Save and Continue button at the bottom. |
On PCI page | The next page is PCI. |
Remove blue box around Cath Lab Activation and Cath Lab Arrival | Details under PCI are to be filled either by a Cardiologist or a Cath Lab Technician.
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Blue box on Vascular access
Blue box on Catheter access. |
Next is Vascular access followed by Catheter access. |
Blue box on CART, Start & End Date and Time | Then fill the CART details such as
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Blue box on Culprit Vessel | After this, we have to specify any one Culprit Vessel from the options provided. |
Then enter all the details relevant to that Culprit Vessel. | |
Blue box on Management | Now, make the entries under Management for that patient. |
Blue box on 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 Save and Continue | Select the Save and Continue button at the bottom. |
Blue box on Medications in Cath Lab | We are now in the Medications in Cath Lab tab. |
Here I will fill in the details related to 2b3a Inhibitors. | |
I'll check Unfractionated Heparin as Yes. | |
Then enter the Dosage, Date and Time. | |
No narration - Blue text box
Please note that selection of medications and the doses are meant for demo purposes.. Administer drugs as per patient condition and treatment modalities. |
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Select Save and Continue | Select the Save and Continue button at the bottom. |
Once again, we can skip the pages related to In-Hospital Summary. | |
Blue box on Discharge Summary >> Death | We are in the next page that is Discharge Summary.
Select the Edit button at the top right corner of the page to edit the particular page. Here we have the tab Death. |
I’ll Select No. | Select the option No. |
Select Save and Continue | Then select the Save and Continue button at the bottom. |
Blue box on Discharge Medications. | Next comes Discharge Medications. |
Select those medications advised to the patient at the time of discharge. | |
Select Save and Continue | Select the Save and Continue button at the bottom. |
Blue box on Discharge/Transfer | Now we are in the Discharge or Transfer page. |
Blue box on Discharge from the A/B Hospital | Here we need to enter the details related to the discharge from the A/B Hospital. |
Select Home | I’ll select Home. |
Point to Remarks | Next we have to enter Remarks, if any. |
Transport Vehicle>> select Private vehicle. | In Transport Vehicle field, I’ll select Private vehicle. |
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
|
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
This is Nancy Varkey signing off. Thanks for joining. |