Revision as of 21:39, 15 July 2020

ST-Elevation Myocardial Infarction (STEMI)

A lifesaving system of care for Heart Attack patients for low and middle income groups, conceptualised by Dr. Thomas Alexander and his team at Kovai Medical Centre and Hospital, Coimbatore, Tamil Nadu. STEMI INDIA has developed a proven, affordable and effective system to manage heart attacks in India.

With a large part of India's population living in rural areas, creating access to quality healthcare is important. This system of care will target the vulnerable and poorly served, low and middle income population. STEMI INDIA programme guides the delivery of the STEMI system of care from patient entry to discharge.

Learners: These intensive training programmes are for doctors, nurses and paramedics to address STEMI treatment and care.

Module 1: STEMI Devices

1. Introduction to Kallows Device
   • Components of the STEMI Kit
   • Connecting the various components of the STEMI Kit
   • Position the SpO2 probe
   • Selecting a sensor site
   • Position the Blood Pressure cuff
   • Checking Blood Pressure
   • Position of ECG leads
   • Good patient preparation for ECG
   • Take an ECG
   • Dos and Donts
2. Introduction to Maestros Device
   • Components of Maestros STEMI Kit
     1. Hospital Model and its components
     2. Ambulance Model and its components
   • Maestros Device
   • Connecting the Tab with Maestros Device
   • Connecting Maestros Device with Non Invasive Blood Pressure(NIBP)
   • Connecting Maestros Device with ECG
   • Connecting Maestros Device with SPO2 monitor

Module 2: General data entry in STEMI app

1. STEMI App and its mandatory fields
   • How to open the STEMI App on the tablet
   • About STEMI Homepage
   • Tabs on STEMI Homepage
     1. New Patient Tab
     2. Search tab
     3. ECG tab
   • Details under ECG tab
2. Essential data to be filled before an ECG
   • Which all essential data is to be filled in the STEMI App before an ECG
   • Take an ECG
3. Importance of Fibrinolytic Checklist
   • What is Fibrinolytic Checklist
   • Its importance
   • Criteria listed in Fibrinolytic Checklist
4. Search, select and edit a patient file
   • How to search a patient file using different search Criteria such as
     1. Patient ID
     2. Patient Name
     3. Admission From to End Date
     4. STEMI Status (STEMI Confirmed)
     5. Type of Hospital
     6. Hospital Cluster
   • Select the Patient file
   • Edit the details of an already saved patient

Module 3: Procedural details

1. EMRI or Ambulance data entry
   • Data of a new patient on the STEMI App from an ambulance
   • Fibrinolytic Checklist
   • Co-Morbid Conditions
     • History and Co-Morbid Conditions
   • Transportation Details
   • Discharge Summary
2. Initial Patient Details data entry
   • Details of new Patient on the STEMI App
   • Direct entry in a STEMI A, B, C and D Hospital
   • New Patient tab
   • Payment Options
   • Date & time of Symptom Onset
   • Mode of hospital admission
   • Transport Details
3. D Hospital data entry
   • Data entry of a new patient on the STEMI App at the time of direct admission to a D Hospital
     1. Basic Details
     2. Thrombolysis
     3. In- Hospital Summary
     4. ADVERSE REACTION
     5. Discharge Summary
     6. Discharge or Transfer
     7. Discharge Medications
     8. Follow up Details
4. C Hospital data entry
   • Data entry of a new patient on the STEMI App at the time of direct admission to a C Hospital
   • In – Hospital Summary
     1. Medication in hospital
     2. ADVERSE EVENTS
     3. Discharge Summary
     4. Discharge Medications
   • Discharge/ Transfer
     1. Stemi Cluster Hospital
     2. Non-Stemi Cluster Hospital
     3. or Home
   • Follow up Details
     • Types of Follow-Up:
       1. Medication
       2. Events
5. A/B Hospital data entry
   • Enter data of a new patient on the STEMI App in an A/B Hospital
   • Post Thrombolysis
   • Fibrinolytic Checklist
   • Cardiac History
   • Clinical Examination
   • Discharge Medication

Module 4: Scenarios

1. Non-STEMI C to STEMI AB Hospital

   Enter Data for a patient transferred from Non-STEMI C to STEMI AB Hospital

   1. Basic Details
   2. Payment Details
   3. Non STEMI C Hospital Arrival Date and Time
   4. Post Thrombolysis Details
   5. Transport Details
   6. Fibrinolytic Checklist
   7. Cardiac History
   8. Co-Morbid Conditions
   9. Contact Details
   10. Medications prior to Thrombolysis
   11. Thrombolysis
   12. PCI
   13. PCI Details
   14. Medications in Cath Lab
   15. Discharge Summary
   16. Discharge Medications
   17. Discharge or Transfer
2. Non-STEMI D to STEMI AB Hospital

   Enter Data for a patient transfered from Non-STEMI D to Stemi AB Hospital

   1. Basic Details
   2. Payment Details
   3. Non STEMI D Hospital Arrival Date and Time.
   4. Post Thrombolysis Details
   5. Transport Details
   6. Fibrinolytic Checklist
   7. Cardiac History
   8. Co-Morbid Conditions
   9. Contact Details
   10. Medications prior to Thrombolysis
       1. PCI
       2. PCI Details
   11. Medications in Cath Lab
   12. Discharge Summary
   13. Discharge Medications
   14. Discharge or Transfer
3. Non-STEMI C to STEMI D Hospital

   Enter Data for a patient transferred from Non-STEMI C to STEMI D Hospital

   1. Basic Details
   2. Payment Details
   3. Non STEMI C Hospital Arrival Date and Time.
   4. Thrombolysis Details
   5. Transport Details
   6. Fibrinolytic Checklist
   7. Cardiac History
   8. Co-Morbid Conditions
   9. Contact Details
   10. Medications prior to Thrombolysis
   11. Thrombolysis
   12. Discharge Medications
   13. Discharge or Transfer"
4. STEMI C to STEMI AB Hospital
   1. Enter data for the patient on the STEMI App In C Hospital
      1. New Patient
      2. Fibrinolytic Checklist
      3. Cardiac History
      4. Co-Morbid Conditions
      5. Contact Details
      6. In-Hospital Summary
      7. Adverse Events
      8. Discharge Summary
      9. Discharge Medications
      10. Discharge or Transfer
   2. Enter data for the patient on the STEMI App in the A/B Hospital
      1. Basic Details
      2. Medications prior to Thrombolysis
      3. Thrombolysis
      4. PCI
      5. PCI Details
      6. Medications in Cath Lab
      7. Discharge Summary
      8. Discharge Medications
      9. Discharge or Transfer
5. STEMI D to STEMI AB Hospital
   1. Enter data for the patient on the STEMI App In D Hospital
      1. New Patient
      2. Cardiac History
      3. Co-Morbid Conditions
      4. Contact Details
      5. Medications prior to Thrombolysis
      6. Thrombolysis
      7. In-Hospital Summary
      8. Discharge Medications
      9. Discharge or Transfer
   2. Enter data for the patient on the STEMI App in the A/B Hospital
      1. Basic Details
      2. PCI
      3. PCI Details
      4. Medications in Cath Lab
      5. Discharge Summary
      6. Discharge Medications
      7. Discharge or Transfer
6. GVK-EMRI-to-D
   1. Enter data of a new patient on the STEMI App from an EMRI ambulance
      1. New Patient
      2. Fibrinolytic Checklist
      3. Co-Morbid Conditions
      4. Diagnosis
      5. Transportation Details
      6. Discharge Summary
   2. Enter data for the same patient on the STEMI App In D Hospital
      1. Basic Details
      2. Cardiac History
      3. Co-Morbid Conditions
      4. Contact Details
      5. Medications prior to Thrombolysis
      6. Thrombolysis
      7. Discharge Medications
      8. Discharge or Transfer
7. EMRI-to-D-to-AB
   1. Enter data of a new patient on the STEMI App from an EMRI ambulance
      1. New Patient
      2. Fibrinolytic Checklist
      3. Co-Morbid Conditions
      4. Diagnosis
      5. Transportation Details
      6. Discharge Summary
   2. Search and the patient details
   3. Enter data for the same patient on the STEMI App
      1. In D Hospital
         1. Basic Details
         2. Cardiac History
         3. Co-Morbid Conditions
         4. Contact Details
         5. Medications prior to Thrombolysis
         6. Thrombolysis
         7. Discharge Medications
         8. Discharge or Transfer
      2. In AB Hospital
         1. Basic Details
         2. PCI
         3. Medications in Cath Lab tab
         4. Discharge Summary
         5. Discharge Medications
         6. Discharge or Transfer
8. EMRI-to-AB
   1. Enter data of a new patient on the STEMI App from the EMRI ambulance
      1. New Patient
      2. Fibrinolytic Checklist
      3. Co-Morbid Conditions
      4. Diagnosis
      5. Transportation Details
      6. Discharge Summary
   2. Enter data for the same patient on the STEMI App in the A/B Hospital
      1. Basic Details
      2. Cardiac History
      3. Co-Morbid Conditions
      4. Contact Details
      5. Thrombolysis
      6. PCI
      7. Medications in Cath Lab
      8. Discharge Summary
      9. Discharge Medications
      10. Discharge or Transfer