Difference between revisions of "STEMI-2017/C3/Non-STEMI-C-to-STEMI-AB-Hospital/English"

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(Created page with "<div style="margin-left:-0.035cm;margin-right:0cm;"> <div style="margin-left:-0.035cm;margin-right:0cm;"> <div style="margin-left:-0.035cm;margin-right:0cm;">Topic: Transfer...")
 
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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 -
* <div style="margin-left:1.27cm;margin-right:0cm;">Enter data of a new patient on the '''STEMI App''' in an '''A/B Hospital'''
+
* Enter data of a new patient on the '''STEMI App''' in an '''A/B Hospital'''
* <div style="margin-left:1.27cm;margin-right:0cm;">when the patient is transferred from a '''Non-STEMI C Hospital.'''
+
* when the patient is transferred from a '''Non-STEMI C Hospital.'''
 
+
  
 
|-
 
|-
Line 37: Line 36:
  
  
It says '''stemiAuser - '''that means the '''A/B Hospital '''staff''' '''is making these entries'''.'''
+
It says '''stemiAuser - '''that means the '''A/B Hospital '''staff is making these entries.
 
|-  
 
|-  
 
| Select New Patient
 
| Select New Patient
Line 59: Line 58:
 
||Under '''Basic Details, '''let us enter the patient's  
 
||Under '''Basic Details, '''let us enter the patient's  
  
 
+
* '''Name:'''
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Name:'''
+
* '''Age:'''
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Age:'''
+
* '''Gender: '''
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Gender: '''
+
* '''Phone: '''and
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Phone: '''
+
* '''Address: '''
* <div style="margin-left:1.27cm;margin-right:0cm;">and '''Address: '''
+
 
+
  
 
|-  
 
|-  
||select the '''Payment''' details >> '''State BPL Insurance'''
+
||Select the '''Payment''' details >> '''State BPL Insurance'''
 
|| Next, we have to select the '''Payment''' details from the options provided in the drop-down menu.
 
|| Next, we have to select the '''Payment''' details from the options provided in the drop-down menu.
 
|-  
 
|-  
Line 79: Line 76:
 
|| '''Admission >> choose Non-STEMI.'''
 
|| '''Admission >> choose Non-STEMI.'''
  
'''Note: Blue Box '''
+
 
 +
 
 +
 
 +
 
 +
 
 +
Note: Blue Box with text about Non-STEMI hospital protocols.
 
|| In '''Admission''', we will choose '''Non-STEMI. '''
 
|| In '''Admission''', we will choose '''Non-STEMI. '''
  
Line 92: Line 94:
 
This is because '''Non STEMI Hospitals '''are outside the '''STEMI programme. '''
 
This is because '''Non STEMI Hospitals '''are outside the '''STEMI programme. '''
  
The data flow only takes place between the''' '''hospitals linked within the '''STEMI programme. '''
+
The data flow only takes place between the hospitals linked within the '''STEMI programme. '''
 
|-  
 
|-  
 
||Enter the '''Hospital Name '''and''' Address.'''
 
||Enter the '''Hospital Name '''and''' Address.'''
Line 104: Line 106:
 
|-  
 
|-  
 
|| Enter  
 
|| Enter  
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Manual ECG Taken'''
+
* '''Manual ECG Taken'''
* <div style="margin-left:1.27cm;margin-right:0cm;">and '''STEMI Confirmed'''
+
* and '''STEMI Confirmed'''
 
+
 
+
 
|| Under '''STEMI Details''', fill in the details for '''Manual ECG Taken '''and '''STEMI Confirmed.'''
 
|| Under '''STEMI Details''', fill in the details for '''Manual ECG Taken '''and '''STEMI Confirmed.'''
 
|-  
 
|-  
Line 124: Line 124:
 
|| Here, I will choose '''Private''' from the drop-down menu provided.
 
|| Here, I will choose '''Private''' from the drop-down menu provided.
 
|-  
 
|-  
||Select the '''Save & Continue''' button at the bottom of the page.
+
||Select the '''Save & Continue''' button
 
|| Then select the '''Save & Continue''' button at the bottom of the page.
 
|| Then select the '''Save & Continue''' button at the bottom of the page.
  
Line 140: Line 140:
 
||I’ll be checking all the 12 points as “'''No'''” for now.
 
||I’ll be checking all the 12 points as “'''No'''” for now.
 
|-  
 
|-  
||Select the '''Save & Continue''' button at the bottom of the page.
+
||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 147: Line 147:
 
|| The '''App''' now moves us to '''Cardiac History '''page.
 
|| The '''App''' now moves us to '''Cardiac History '''page.
 
|-  
 
|-  
|  
+
|| Mark as NO
 
|| Here we have to enter the relevant details related to the patient's history.
 
|| Here we have to enter the relevant details related to the patient's history.
 
|-  
 
|-  
|  
+
|| Mark as NO
 
||I’ll mark these as '''No'''.
 
||I’ll mark these as '''No'''.
 
|-  
 
|-  
||'''Blue box '''on '''Diagnosis'''
+
||Blue box on '''Diagnosis'''
 
|| Then under '''Diagnosis, '''enter the details for that particular patient.
 
|| Then under '''Diagnosis, '''enter the details for that particular patient.
 
|-  
 
|-  
||'''Chest Discomfort''': options '''Pain, Pressure, Aches; Aches''' selected
+
||'''Chest Discomfort''': options '''Pain, Pressure, Aches''' >> '''Aches''' selected
  
'''Location of Pain''': options '''Retrosternal, Jaw, L arm, R arm, Back; L arm '''selected
+
'''Location of Pain''': options '''Retrosternal, Jaw, L arm, R arm, Back''' >> '''L arm '''selected
  
'''Pain Severity '''( a mandatory field) – type from 1 -10 : '''8'''
+
'''Pain Severity '''( a mandatory field) – type from 1 -10 :''' >> '''8'''
 +
||'''Chest Discomfort: '''I’ll select '''Pain'''
  
  
 +
'''Location of Pain: '''I’ll select '''Retrosternal'''
  
||'''Chest Discomfort: '''I’ll select '''Pain'''
 
 
'''Location of Pain: '''I’ll select '''Retrosternal'''
 
  
 
'''Pain Severity''': I’ll choose '''8'''
 
'''Pain Severity''': I’ll choose '''8'''
Line 175: Line 174:
 
'''Diaphoresis''': Yes
 
'''Diaphoresis''': Yes
  
'''Shortness of breath''': Yes
+
'''Shortness of breath:''' Yes
  
'''Nausea/ Vomiting''': Yes
+
'''Nausea/ Vomiting:''' Yes
  
 
'''Dizziness''': Yes
 
'''Dizziness''': Yes
Line 183: Line 182:
 
|| After this, I'll select '''YES '''for some of the remaining items.
 
|| After this, I'll select '''YES '''for some of the remaining items.
 
|-  
 
|-  
||'''Blue box '''on '''Clinical Examination'''
+
||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.
 
|-  
 
|-  
 
||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.
  
 
|-  
 
|-  
Line 194: Line 193:
  
 
|-  
 
|-  
|  
+
|| On '''Co-Morbid Conditions '''page >> make some entries for dosage
 
|| Here we will be prompted to enter the medicines that the patient is on, as per his medical condition.
 
|| Here we will be prompted to enter the medicines that the patient is on, as per his medical condition.
  
Line 200: Line 199:
 
Pls make the relevant entries for that patient.
 
Pls make the relevant entries for that patient.
 
|-  
 
|-  
|| Check the following
+
|| Check the following under '''Co – Morbid Conditions'''
 
+
Under '''Co – Morbid Conditions'''
+
 
+
  
 
'''Diabetes Mellitus''': Yes
 
'''Diabetes Mellitus''': Yes
Line 216: Line 212:
  
 
|-  
 
|-  
||'''Blue box '''on '''Contact Details'''
+
|| 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.'''
+
||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'''
+
|| Blue box on '''Occupation'''
 
|| Then enter the '''Occupation'''.
 
|| Then enter the '''Occupation'''.
 
|-  
 
|-  
|| '''Blue box '''on''' Aadhar Card No.'''
+
|| Blue box on''' Aadhar Card No.'''
  
'''Blue box '''on''' Upload Aadhar card..'''
+
Blue box on''' Upload Aadhar card..'''
 
|| Next is the''' ID proof '''section - '''Aadhar Card No. '''and the upload of the soft-copy.
 
|| Next is the''' ID proof '''section - '''Aadhar Card No. '''and the upload of the soft-copy.
 
|-  
 
|-  
Line 237: Line 233:
 
|| The '''App''' will now move us to the next tab which is '''Thrombolysis'''.
 
|| The '''App''' will now move us to the next tab which is '''Thrombolysis'''.
 
|-  
 
|-  
||'''Blue box '''on '''Medications prior to Thrombolysis'''
+
||Blue box on '''Medications prior to Thrombolysis'''
 
|| Here we have to specify some details in the '''Medications prior to Thrombolysis '''page.
 
|| Here we have to specify some details in the '''Medications prior to Thrombolysis '''page.
 
|-  
 
|-  
||'''Blue box '''on '''Clopidogrel'''
+
||Blue box on '''Clopidogrel'''
 
|| I'll enter '''Clopidogrel '''as '''Yes, '''and enter the '''Dosage, Date '''and '''Time'''.
 
|| I'll enter '''Clopidogrel '''as '''Yes, '''and enter the '''Dosage, Date '''and '''Time'''.
 
|-  
 
|-  
|| '''Narration - Blue Box '''
+
|| Narration - Blue Box with text on doses and medications
 
|| Please note.
 
|| Please note.
  
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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 '''Thrombolysis'''
+
||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 >> '''Select '''Streptokinase.'''
+
||Blue box on '''Select any one Thrombolytic agent >> '''Select '''Streptokinase.'''
 
|| 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'''.
+
||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'''.
+
||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.'''
+
||Blue box on '''Successful Lysis Yes/No.'''
 
|| '''Successful Lysis Yes/No. '''
 
|| '''Successful Lysis Yes/No. '''
  
Line 274: Line 270:
  
 
|-  
 
|-  
|  
+
|| Next page >> '''PCI'''
 
|| The '''App''' now takes us to the next page i.e. '''PCI'''.
 
|| The '''App''' now takes us to the next page i.e. '''PCI'''.
 
|-  
 
|-  
|  
+
||  
 
|| Here we have '''Drugs before PCI.'''
 
|| Here we have '''Drugs before PCI.'''
 
|-  
 
|-  
| Make entries in PCI
+
|| Make entries in '''Drugs before PCI.'''
 
|| Enter the details of the drugs administered to the patient before '''PCI, '''with '''Date '''and '''Time '''details.
 
|| Enter the details of the drugs administered to the patient before '''PCI, '''with '''Date '''and '''Time '''details.
 
|-  
 
|-  
Line 290: Line 286:
 
|| The next tab is '''PCI'''.
 
|| The next tab is '''PCI'''.
 
|-  
 
|-  
|| '''Remove Blue Box for Cath Lab Activation and Cath Lab Arrival'''
+
|| Blue Box for '''Cath Lab Activation and Cath Lab Arrival'''
  
'''show details to be entered either by a cardiologist or Lab Technician to be shown in a blue box'''
+
Show details to be entered either by a '''cardiologist''' or '''Cath Lab Technician''' to be shown in a blue box
|| The details in this page have to be entered either by a cardiologist or a Cath Lab Technician only.
+
|| The details in this page have to be entered either by a '''cardiologist''' or a '''Cath Lab Technician''' only.
  
  
 
Under '''Cath Lab details '''we have  
 
Under '''Cath Lab details '''we have  
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">
+
* '''Cath Lab Activation '''and
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Cath Lab Activation '''and
+
* '''Cath Lab Arrival '''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Cath Lab Arrival '''
+
 
+
  
 
|-  
 
|-  
||'''Blue box '''on '''Vascular access'''
+
||Blue box on '''Vascular access'''
  
'''Blue box '''on '''Catheter 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'''
+
||Blue box on '''CART, Start & End Date and Time'''
 
|| Then fill the '''CART '''details such as  
 
|| Then fill the '''CART '''details such as  
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Start Date '''and''' Time'''
+
* '''Start Date '''and''' Time'''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''End Date '''and''' Time'''
+
* '''End Date '''and''' Time'''
 
+
  
 
|-  
 
|-  
||'''Blue box '''on '''Culprit Vessel'''
+
||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'''
+
||Blue box on '''Management'''
 
|| Now, make the entries under '''Management''' for that patient.
 
|| Now, make the entries under '''Management''' for that patient.
 
|-  
 
|-  
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|-  
 
|-  
||Blue box''' '''on '''Medications in Cath Lab'''
+
||Blue box on '''Medications in Cath Lab'''
 
|| We are in the '''Medications in Cath Lab tab'''.
 
|| We are in the '''Medications in Cath Lab tab'''.
 
|-  
 
|-  
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|| Enter the details of the medications administered to the patient in the '''Cath Lab'''.
 
|| Enter the details of the medications administered to the patient in the '''Cath Lab'''.
 
|-  
 
|-  
|  
+
|| Enter the details for '''2b3a Inhibitors'''
 
|| I will enter the details for '''2b3a Inhibitors'''.
 
|| I will enter the details for '''2b3a Inhibitors'''.
 
|-  
 
|-  
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|| '''Unfractionated Heparin, Dosage, Date '''and '''Time'''.
 
|| '''Unfractionated Heparin, Dosage, Date '''and '''Time'''.
 
|-  
 
|-  
|| '''Narration - Blue Box '''
+
|| Narration - Blue Box with text for doses and medications
 
|| Please note.  
 
|| Please note.  
  
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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'''
+
||Blue box on '''Discharge Summary >> Death'''
 
|| And move on to '''Discharge Summary'''.  
 
|| And move on to '''Discharge Summary'''.  
 
|-  
 
|-  
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|-  
 
|-  
||'''Blue box '''on '''Discharge Medications'''.
+
||Blue box on '''Discharge Medications'''.
 
|| Next comes '''Discharge Medications'''.
 
|| Next comes '''Discharge Medications'''.
 
|-  
 
|-  
|  
+
|| Make entries for some medications by selecting '''Yes''' or '''No'''
 
|| There are some options displayed on this page.
 
|| There are some options displayed on this page.
  
Line 383: Line 376:
 
|| Select the '''Save and Continue '''button at the bottom.
 
|| Select the '''Save and Continue '''button at the bottom.
 
|-  
 
|-  
||'''Blue box '''on '''Discharge/Transfer'''  
+
||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'''
+
||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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|| Lastly, select the '''Finish '''button.
 
|| Lastly, select the '''Finish '''button.
 
|-  
 
|-  
|  
+
||  
 
|| This completes the data entry in the '''A/B Hospital.'''
 
|| This completes the data entry in the '''A/B Hospital.'''
  
 
|-  
 
|-  
|  
+
||  
| 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 -
* <div style="margin-left:1.27cm;margin-right:0cm;">Enter data of a new patient on the '''STEMI App '''in an '''A/B Hospital'''
+
* Enter data of a new patient on the '''STEMI App '''in an '''A/B Hospital'''
* <div style="margin-left:1.27cm;margin-right:0cm;">when a patient is transferred from a '''Non-STEMI C Hospital.'''
+
* when a patient is transferred from a '''Non-STEMI C Hospital.'''
 
+
  
 
|-  
 
|-  
 
|| Show STEMI INDIA slide
 
|| Show STEMI INDIA slide
 
|| '''STEMI INDIA'''
 
|| '''STEMI INDIA'''
* <div style="margin-left:1.27cm;margin-right:0cm;">was set up as a ‘not for profit’ organisation
+
* was set up as a ‘not for profit’ organisation
* <div style="margin-left:1.27cm;margin-right:0cm;">primarily to reduce delays in accessing appropriate care for heart attack patients  
+
* primarily to reduce delays in accessing appropriate care for heart attack patients  
* <div style="margin-left:1.27cm;margin-right:0cm;">and reducing deaths due to heart attacks.
+
* and reducing deaths due to heart attacks.
 
+
  
 
|-  
 
|-  
Line 429: Line 420:
 
|| Show THANK YOU slide
 
|| Show THANK YOU slide
 
|| This tutorial has been contributed by
 
|| This tutorial has been contributed by
* <div style="margin-left:1.27cm;margin-right:0cm;">'''STEMI INDIA'''
+
* '''STEMI INDIA'''
* <div style="margin-left:1.27cm;margin-right:0cm;">and the''' Spoken Tutorial Project, IIT Bombay.'''
+
* and the''' Spoken Tutorial Project, IIT Bombay.'''
  
  

Revision as of 11:52, 15 July 2020

Topic: Transfer from Non-STEMI C to STEMI A/B Hospital
Contributor Name: Jerry David, STEMI Team, Coimbatore
Revised and reviewed by: Nancy Varkey, Spoken Tutorial Project, IIT Bombay

Keywords: STEMI, STEMI App, Data entry in STEMI App in A/B Hospital, patient transfer from Non-STEMI C Hospital


VISUAL CUE NARRATION
Show TITLE slide -

Transfer from Non-STEMI C to AB Hospital.

Hello and welcome to this tutorial on transfer of patient from Non-STEMI C to AB Hospital.
Show Learning Objectives Slide In this tutorial, we will learn to -
  • Enter data of a new patient on the STEMI App in an A/B Hospital
  • when the patient is transferred from a Non-STEMI C Hospital.
Switch to STEMI device interface We are in the STEMI Homepage.
Blue box on stemiAuser Notice here.


It says stemiAuser - that means the A/B Hospital staff 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


Patient Name: Venugopal

Age:48

Gender: Male

Phone : 9988776655

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

Under Basic Details, let us enter the patient's
  • Name:
  • Age:
  • Gender:
  • Phone: and
  • Address:
Select the Payment details >> State BPL Insurance Next, we have to select the Payment details from the options provided in the drop-down menu.
Enter the Symptom Onset Date & Time. After this, we have to enter the Symptom Onset Date & Time.
Enter the D Hospital Arrival Date & Time. Followed by A/B Hospital Arrival Date & Time.
Admission >> choose Non-STEMI.




Note: Blue Box with text about Non-STEMI hospital protocols.

In Admission, we will choose Non-STEMI.

This is because the patient is transfered from a Non STEMI Hospital.

We need to enter all the details in this case.


No data is transferred from Non STEMI Hospital to the STEMI Hospital.


This is because Non STEMI Hospitals are outside the STEMI programme.

The data flow only takes place between the hospitals linked within the STEMI programme.

Enter the Hospital Name and Address. Immediately, we are prompted to enter the Hospital Name and Address.


Let's enter these.

Enter the Non-STEMI Hospital Arrival Date & Time. Next, we have to enter the Non-STEMI Hospital Arrival Date & Time.
Enter
  • Manual ECG Taken
  • and STEMI Confirmed
Under STEMI Details, fill in the details for Manual ECG Taken and STEMI Confirmed.
Post Thrombolysis details Now we have to fill the Post Thrombolysis details.

We’ll choose No as the patient was transfered from a C type Non STEMI Hospital.


In these hospitals, Thrombolysis is not done.

Transportation Details Lastly on this page, we have Transport Details.
Transportation Details >> choose Private Here, I will choose Private from the drop-down menu provided.
Select the Save & Continue button Then 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.
On Fibrinolytic Checklist page, put text on screen. Under Fibrinolytic Checklist, there are 12 items, if the patient is Male.


There would be 13 items displayed, if the patient was Female.

Check all of the following as NO I’ll 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.
Blue box on Cardiac History The App now moves us to Cardiac History page.
Mark as NO Here we have to enter the relevant details related to the patient's history.
Mark as NO I’ll mark these as No.
Blue box on Diagnosis Then under Diagnosis, enter the details for that particular patient.
Chest Discomfort: options Pain, Pressure, Aches >> Aches selected

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

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

Chest Discomfort: I’ll select Pain


Location of Pain: I’ll select Retrosternal


Pain Severity: I’ll choose 8

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.
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.
On Co-Morbid Conditions page We are moved to the next page which is Co-Morbid Conditions.
On Co-Morbid Conditions page >> make some entries for dosage Here we will be prompted to enter the medicines that the patient is on, as per his medical condition.


Pls make the relevant entries for that patient.

Check the following under Co – Morbid Conditions

Diabetes Mellitus: Yes

Hypertension: Yes

Dyslipidemia: Yes

I’ll check a few as ‘Yes’ and also give the relevant details as prompted by the App.
Select Save and Continue 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.

Blue box on Upload Aadhar card..

Next is the ID proof section - Aadhar Card No. and the upload of the soft-copy.
Select Save and Continue Select the Save and Continue button at the bottom.
Blue box on Thrombolysis The App will now move us to the next tab which is Thrombolysis.
Blue box on Medications prior to Thrombolysis Here we have to specify some details in the Medications prior to Thrombolysis page.
Blue box on Clopidogrel I'll enter Clopidogrel as Yes, and enter the Dosage, Date and Time.
Narration - Blue Box with text on doses and medications Please note.

The above mentioned doses and selection of medications, are meant for demo purposes only.

Administer drugs as per the patient’s condition and treatment modalities.

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 >> 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.
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.

This is based on the 90 mins ECG.

Select Save and Continue Select the Save and Continue button at the bottom.
Next page >> PCI The App now takes us to the next page i.e. PCI.
Here we have Drugs before PCI.
Make entries in Drugs before PCI. 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 tab is PCI.
Blue Box for Cath Lab Activation and Cath Lab Arrival

Show details to be entered either by a cardiologist or Cath Lab Technician to be shown in a blue box

The details in this page have to be entered either by a cardiologist or a Cath Lab Technician only.


Under Cath Lab details we have

  • 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.
Blue box on CART, Start & End Date and Time 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.
Entry of details 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.
Entry of details 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 in the Medications in Cath Lab tab.
Entry for medications Enter the details of the medications administered to the patient in the Cath Lab.
Enter the details for 2b3a Inhibitors I will enter the details for 2b3a Inhibitors.
Entry for Unfractionated Heparin Unfractionated Heparin, Dosage, Date and Time.
Narration - Blue Box with text for doses and medications Please note.

The above mentioned doses and selection of medications are meant for demo purposes only.

Administer drugs as per the patient’s condition and treatment modalities.

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 And move on to Discharge Summary.
Select No. Here we have the tab Death, which I will select as No.
Select Save and Continue Then select the Save and Continue button at the bottom.
Blue box on Discharge Medications. Next comes Discharge Medications.
Make entries for some medications by selecting Yes or No There are some options displayed on this page.

Once again, enter the relevant ones advised for that 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. So, let's select Home here.
Transport Vehicle >> Private. Then in Transport Vehicle, choose Private.
Select Finish. Lastly, select the Finish button.
This completes the data entry in the A/B Hospital.
Let us summarize.
Show Summary Slide In this tutorial, we have learnt to -
  • Enter data of a new patient on the STEMI App in an A/B Hospital
  • when a patient is transferred from a Non-STEMI C Hospital.
Show STEMI INDIA slide 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 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
  • STEMI INDIA
  • and the Spoken Tutorial Project, IIT Bombay.


This is Nancy Varkey signing off. Thanks for joining.

Contributors and Content Editors

Nancyvarkey, PoojaMoolya