STEMI-2017/C2/EMRI-or-Ambulance-data-entry/English

Topic: EMRI or Ambulance data entry

Contributor Name: Jerry David, STEMI Team, Coimbatore

Reviewed by: Nancy Varkey, Spoken Tutorial Project, IIT Bombay

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 or Ambulance data Entry	Hello and welcome to this tutorial on EMRI or Ambulance data entry.
Show Learning Objectives Slide	In this tutorial, we will learn to - Enter data of a new patient on the STEMI App from an ambulance.
Show System Requirement Slide	To practise this tutorial, you will need - An Android tablet with STEMI App installed on it and A working Internet connection.
	Earlier in this series, we learnt - how to login to the STEMI App and about mandatory data entry fields.
Switch to STEMI device interface	After logging in, we are in the STEMI Homepage.
Select New Patient	Select New Patient tab.
	Let’s assume a patient and enter the following data.
Type the following details Patient Name: Ramesh Age:53 Gender: Male Phone : 9988776655 Address: X villa, X road, Coimbatore – 000 000, Tamil Nadu	Under Basic Details, let us enter- Patient Name: Ramesh Age:53 Gender: Male Phone : 9988776655 Address: X villa, X road, Coimbatore, Tamil Nadu
Select the Save & Continue button at the bottom of the page.	Select the Save & Continue button at the bottom of the page.
Pop-up message	Immediately, the page gets saved. Please wait if buffering sign is seen And “Saved Successfully” pop-up message appears at the bottom of the page.
On Fibrinolytic Checklist page	The App now takes us to the next page, Fibrinolytic Checklist.
On Fibrinolytic Checklist page	Under Fibrinolytic Checklist, there are 12 items, if the patient is Male. If the patient is Female, there would be 13 items displayed. The extra item is Pregnant Female ? Yes / No, which we have to fill accordingly.
Check the following Systolic BP Greater than 180 mmHg - No Diastolic BP Greater than 110 mmHg - No Right Vs Left arm Systolic BP greater than 15 mmHg – No Significant closed head/facial trauma within the previous 3 months – No Recent (within 6 weeks) major trauma, surgery (including laser eye surgery),GI/GU Bleed – No Bleeding or clotting problem or on blood thinners – No CPR greater than 10 min -No Serious systemic disease (e.g., advanced/terminal cancer, severe liver or kidney disease) –No History of structural central nervous system disease -No Pulmonary edema (rales greater than halfway up - No Systemic hypoperfusion (cool, clammy) - No Does the patient have severe heart failure or cardiogenic shock such that PCI is preferable such that PCI is preferable? - No	I’ll will be checking all the 12 points as “No” for now. Systolic BP Greater than 180 mmHg - No Diastolic BP Greater than 110 mmHg - No Right Vs Left arm Systolic BP greater than 15 mmHg – No Significant closed head/facial trauma within the previous 3 months - No Recent (within 6 weeks) major trauma, surgery (including laser eye surgery), GI / GU Bleed – No Bleeding or clotting problem or on blood thinners –No CPR greater than 10 min - No Serious systemic disease (e.g., advanced/terminal cancer, severe liver or kidney disease) –No History of structural central nervous system disease - No Pulmonary edema (rales greater than halfway up - No Systemic hypoperfusion (cool, clammy) – No Does the patient have severe heart failure or cardiogenic shock such that PCI is preferable? - No
Show Slide The options are- To a D hospital if it is the closest and the Hub hospital is beyond 30 minutes of travelling distance and if Thrombolysis is not contraindicated OR To a A/B Hospital (Hub) if it is within 30 minutes of travelling distance and if Thrombolysis is contraindicated.	The Fibrinolytic Checklist is a relative or absolute contraindication for thrombolysis. It helps the paramedic in the ambulance determine whether to shift the patient. To a D hospital if it is the closest and the Hub hospital is beyond 30 minutes of travelling distance and if Thrombolysis is not contraindicated OR To a A/B Hospital (that is Hub) if it is within 30 minutes of travelling distance and if Thrombolysis is contraindicated.
Select the Save & Continue button at the bottom of the page.	Once the Fibrinolytic Checklist is completed, select the Save & Continue button at the bottom.
	This will save the current page. Please wait if buffering sign is seen.
Pop -up message	“Saved Successfully” pop - up message appears at the bottom of the page
On Co morbid Conditions page	And we are moved to the next page – Co-Morbid Conditions.
Co - Morbid Conditions page	Under Co-Morbid Conditions, we will fill the details of History and Co-Morbid Conditions.
Check the following Under Co – Morbid Conditions History and Co - Morbid Conditions Smoker: Yes Previous IHD: Yes Diabetes Mellitus: Yes Hypertension: Yes Dyslipidemia: Yes Stroke: Yes Bronchial Asthma: Yes Allergies: Yes	I’ll check all as ‘Yes’ Smoker: Yes Previous IHD: Yes Diabetes Mellitus: Yes Hypertension: Yes Dyslipidemia: Yes Stroke: Yes Bronchial Asthma: Yes Allergies: Yes
Diagnosis 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 Palpitation: Yes Pallor: Yes Diaphoresis: Yes Shortness of breath: Yes Nausea/ Vomiting: Yes Dizziness: Yes Syncope: Yes	Diagnosis Chest Discomfort: options are Pain, Pressure, Aches I’ll select Aches Location of Pain: options are Retrosternal, Jaw, L arm (i.e. left arm), R arm (i.e. right arm), Back I’ll select L arm Pain Severity (a mandatory field): on a scale of 1 - 10, 1 being least and 10 being extreme pain, I’ll choose 8 Palpitation: Yes Pallor: Yes Diaphoresis: Yes Shortness of breath: Yes Nausea/Vomiting: Yes Dizziness: Yes Syncope: Yes
Select the Save & Continue button at the bottom of the page.	Once the data is entered, select the Save & Continue button at the bottom of the page.
	This will save the current page. Please wait if buffering sign is seen.
Pop - up message	“Saved Successfully” pop-up message appears at the bottom of the page.
On Co morbid Conditions page	And we are moved to the next page – Transport 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 Transport to STEMI Cluster Yes: No: if Yes is selected it further opens into Google maps - Contacts - Medications during Transport Oxygen: if Yes Oxygen Amount: 5L/ 10L select 5L Aspirin 325mg : if Yes Date: 21/1/2016 Time: 9:50 am Clopidogrel 600 mg: if Yes Date: 21/1/2016 Time: 9:52 am Prasugrel 60 mg: if Yes Date: 21/1/2016 Time: 9:54 am Ticagrelor 180 mg: if Yes Date: 21/1/2016 Time: 9:56 am Unfractionated Heparin: if Yes Route: IV Dosage:bolus 60U/kg Date: 21/1/2016 Time:9:58 am LMW Heparin N Saline: 2 pint Nitroglycerine: 5mcg /min Morphine: 1mg /ml Atropine: 1ml amp	Under Transportation Details, all the 5 fields are mandatory. 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 Transport to STEMI Cluster Yes No 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 Medications during Transport: Oxygen: if Yes Oxygen Amount: 5L/ 10L I’ll select 5L* Aspirin 325mg : if Yes Date: 21/1/2016 Time: 9:50 am* Clopidogrel 600 mg :if Yes Date: 21/1/2016 Time: 9:52 am* Prasugrel 60 mg: if Yes Date: 21/1/2016 Time: 9:54 am* Ticagrelor 180 mg: if Yes Date: 21/1/2016 Time: 9:56 am* Unfractionated Heparin: if Yes Route: IV Dosage:bolus 60Units/kg Date: 21/1/2016 Time:9:58 am* Similarly, for LMW Heparin I’ll be checking LMW Heparin as ‘No’ N Saline: 2 pint Nitroglycerine: 5mcg /min Morphine: 1mg /ml Atropine: 1ml amp
Select the Save & Continue button at the bottom of the page.	Once data is entered, select the Save & Continue button at the bottom of the page, to save the page and move on to the next.
Go back to Transport to STEMI Cluster field Select No	If ‘No’ is selected under Transportation to STEMI cluster then Save and Continue button appears below the field and data entry for the particular page ends here.
Select Save and Continue	Select Save and Continue button.
	This will save the current page. Please wait if buffering sign is seen.
Pop - up message	“Saved Successfully” pop-up message appears at the bottom of the page
On Discharge Summary page	And we are moved to the next page – Discharge Summary.
Under Discharge Summary If checked “Yes”, it further opens into Cause of death: choose between Cardiac / Non Cardiac; I’ll choose Cardiac Death Date: 21/1/2016 Time: 10:10 am Remarks: if any And the data entry ends here. If checked “No” it further opens into Discharge from EMRI Date: 21/1/2016 Time: 10:10 am Transport To: Select from Stemi Cluster Hospital, Non Stemi Cluster Hospital, Home Select Stemi Cluster Hospital If “STEMI Cluster Hospital or Non STEMI Cluster Hospital” it further opens into Remarks: if any Transfer to Hospital Name: Kovai Medical Center and Hospital Transfer to Hospital Address: 3209,Sitra, Avinashi Road Coimbatore, Tamil Nadu - 641 014 Highlight in blue box Hospital name and address have to be entered manually for Non STEMI cluster Hospital	Under Discharge Summary, Death is a mandatory field. If checked “Yes”, it further opens into - Cause of death: choose between Cardiac / Non Cardiac; I’ll choose Cardiac Death Date: 21/1/2016 Time: 10:10 am Remarks: if any And the data entry ends here. If Death is checked “No”, it further opens into - Discharge from EMRI Date: 21/1/2016 Time: 10:10 am Transport To: Select from Stemi Cluster Hospital, Non-Stemi Cluster Hospital or Home I’ll select Stemi Cluster Hospital. If “STEMI Cluster Hospital or Non STEMI Cluster Hospital” is selected, it further opens into- Remarks: if any Transfer to Hospital Name: Kovai Medical Center and Hospital Transfer to Hospital Address: 3209, Avinashi Road, Sitra, Coimbatore, Tamil Nadu - 641 014 When we select the hospital name, the hospital address auto-populates. This is because this hospital is a part of the STEMI programme.
Select the Finish button at the bottom of the page.	After this data is entered, select the Finish Tab at the bottom of the page.
	This will save the current page. Please wait if buffering sign is seen.
	Now the page is saved and data entry is completed.
Pop - up message	“Saved Successfully” pop-up message appears at the bottom of the page.
	Let us summarize.
Show Summary Slide	In this tutorial, we have learnt to - Enter data of a new patient on the STEMI App from an ambulance.
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