STEMI-2017/C3/EMRI-to-D-to-AB-Hospital/English
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
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 -
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Select the Save & Continue button at the bottom of the page. | 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.
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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 at the bottom of the page. | 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 |
Chest Discomfort: I’ll select Pain
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Palpitation: Yes
Diaphoresis: Yes Shortness of breath: Yes Nausea/ Vomiting: Yes Dizziness: Yes
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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:
Blue box on Contacts
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Next is Transport to STEMI Cluster Yes/No.
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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. |
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.
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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
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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.
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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
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Show Spoken Tutorial Project Slide | Spoken Tutorial Project, IIT Bombay is funded by NMEICT, MHRD, Govt. of India.
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Show THANK YOU slide | This tutorial has been contributed by
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