Difference between revisions of "STEMI-2017/C3/GVK-EMRI-to-D-Hospital/English"

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(Created page with "<div style="margin-left:-0.035cm;margin-right:0cm;">Topic: GVK-EMRI Ambulance to D Hospital transfer <div style="margin-left:-0.035cm;margin-right:0cm;">Contributor Name: Je...")
 
 
Line 22: Line 22:
 
|| '''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''' from an '''EMRI ambulance'''.
+
* Enter data of a new patient on the '''STEMI App''' from an '''EMRI ambulance'''.
* <div style="margin-left:1.27cm;margin-right:0cm;">Enter further data for the same patient on the '''STEMI App''' in a '''D Hospital'''
+
* Enter further data for the same patient on the '''STEMI App''' in a '''D Hospital'''
 
+
  
 
|-  
 
|-  
Line 31: Line 30:
  
 
|-  
 
|-  
|| '''Blue box '''on '''stemiEuser'''
+
|| 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.
  
 
|-  
 
|-  
Line 49: Line 48:
 
||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 -
  
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Name:'''
+
* '''Name:'''
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Age:'''
+
* '''Age:'''
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Gender: '''
+
* '''Gender: '''
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Phone: '''
+
* '''Phone: ''' and
* <div style="margin-left:1.27cm;margin-right:0cm;">and '''Address: '''
+
* '''Address: '''
 
+
  
 
|-  
 
|-  
|| Select the '''Save & Continue''' button at the bottom of the page.
+
|| 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 83: Line 76:
 
There would be 13 items displayed, if the patient was '''Female.'''
 
There would be 13 items displayed, if the patient was '''Female.'''
  
The extra item is '''Pregnant Female? Yes / No, '''which we have to fill according to the gender of the patient'''.'''
+
The extra item is '''Pregnant Female? Yes / No, '''which we have to fill according to the gender of the patient.
  
 
|-  
 
|-  
Line 90: Line 83:
  
 
|-  
 
|-  
|| 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 98: Line 91:
  
 
|-  
 
|-  
||  
+
|| '''History And Co-Morbid Conditions.'''
|| Here''' '''we have '''History And Co-Morbid Conditions.'''
+
|| Here we have '''History And Co-Morbid Conditions.'''
  
 
|-  
 
|-  
||  
+
|| Mark few as '''Yes'''
 
|| I’ll mark some of these as '''Yes'''.
 
|| I’ll mark some of these as '''Yes'''.
  
Line 110: Line 103:
  
 
|-  
 
|-  
|| '''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''' >> '''Retrosternal '''selected
  
'''Pain Severity '''( a mandatory field) – type from 1 -10 : '''8'''
+
'''Pain Severity '''( a mandatory field) – type from 1 -10''' >>  '''8''' selected
  
 
|| '''Chest Discomfort: '''I’ll select '''Pain'''
 
|| '''Chest Discomfort: '''I’ll select '''Pain'''
Line 121: Line 114:
  
 
'''Pain Severity''': I’ll choose '''8'''
 
'''Pain Severity''': I’ll choose '''8'''
 
 
 
 
 
 
 
 
|-  
 
|-  
 
|| '''Palpitation''': Yes
 
|| '''Palpitation''': Yes
Line 173: Line 159:
 
So, I'll make the entries for -
 
So, I'll make the entries for -
  
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Symptom Onset Date: '''and '''Time:'''
+
* '''Symptom Onset Date: '''and '''Time:'''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Ambulance Call Date: '''and '''Time:'''
+
* '''Ambulance Call Date: '''and '''Time:'''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Ambulance Arrival Date: '''and '''Time:'''
+
* '''Ambulance Arrival Date: '''and '''Time:'''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Ambulance Departure Date: '''and '''Time:'''
+
* '''Ambulance Departure Date: '''and '''Time:'''
  
 
|-  
 
|-  
 
|| '''Transport to STEMI Cluster'''
 
|| '''Transport to STEMI Cluster'''
  
'''Yes''': '''No''':
+
'''Yes : No''':
  
if''' Yes '''is selected  
+
if''' Yes '''is selected >> Blue box on '''Google maps'''
  
'''Blue box '''on '''Google maps'''
 
  
'''Blue box '''on '''Contacts'''
+
Blue box on '''Contacts'''
 
|| 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
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Google maps- '''to locate and select the '''Hospital''' on the '''Google Maps''' for directions
+
* '''Google maps- '''to locate and select the '''Hospital''' on the '''Google Maps''' for directions
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Contacts - '''to call or get contact details of the '''Hospital, '''to which the patient is being shifted.
+
* '''Contacts - '''to call or get contact details of the '''Hospital, '''to which the patient is being shifted.
 
+
  
 
|-  
 
|-  
|| '''Blue box '''on '''Medications during Transport'''
+
|| Blue box on '''Medications during Transport'''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Oxygen: '''if '''Yes'''
+
* '''Oxygen: '''if '''Yes'''
  
 
'''Oxygen Amount: 5L/ 10L'''
 
'''Oxygen Amount: 5L/ 10L'''
Line 240: Line 224:
 
(Text on screen)
 
(Text on screen)
 
|| Then under '''Medications during Transportation:''', we have to enter the relevant details, as shown here.
 
|| Then under '''Medications during Transportation:''', we have to enter the relevant details, as shown here.
 
  
 
|-  
 
|-  
Line 250: Line 233:
  
 
Select '''No'''
 
Select '''No'''
|| If ‘'''No'''’ is selected under '''Transport to STEMI cluster,''' then * <div style="margin-left:1.27cm;margin-right:0cm;">'''Save and Continue''' button appears below the field  
+
|| If ‘'''No'''’ is selected under '''Transport to STEMI cluster,''' then  
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">and data entry for the particular page ends here.
+
* '''Save and Continue''' button appears below the field  
 
+
* and data entry for the particular page ends here.
  
 
|-  
 
|-  
Line 299: Line 282:
  
  
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Remarks: '''if any
+
* '''Remarks: '''if any
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Transfer to Hospital Name: '''
+
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Transfer to Hospital Address: '''
+
 
+
  
 +
* '''Transfer to Hospital Name: '''
  
 +
* '''Transfer to Hospital Address: '''
  
  
Line 310: Line 292:
  
  
This is because this hospital is already part of the '''STEMI '''programme.
+
This is because this hospital is already part of the '''STEMI programme'''.
 
|-  
 
|-  
 
|  Text on screen
 
|  Text on screen
 
|| If this hospital was not part of the '''STEMI '''programme, then we would have to manually enter -
 
|| If this hospital was not part of the '''STEMI '''programme, then we would have to manually enter -
* <div style="margin-left:1.27cm;margin-right:0cm;">the hospital name
+
* the hospital name
* <div style="margin-left:1.27cm;margin-right:0cm;">and hospital address.
+
* and hospital address.
 
+
  
 
|-  
 
|-  
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|| After this data is entered, select the '''Finish''' button at the bottom of the page.  
 
|| After this data is entered, select the '''Finish''' button at the bottom of the page.  
 
|-  
 
|-  
| |  
+
||  
| | This will save the current page.
+
|| This will save the current page.
 
|-  
 
|-  
 
| |  
 
| |  
Line 329: Line 310:
  
 
|-  
 
|-  
| | Slide
+
|| Slide
 
|| The patient has now arrived at a '''D Hospital.'''
 
|| The patient has now arrived at a '''D Hospital.'''
 
|-  
 
|-  
| | Slide
+
|| Slide
 
|| 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'''
+
|| 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'''.
 
|-  
 
|-  
Line 348: Line 329:
  
 
|-  
 
|-  
|| '''Blue box '''on '''Basic Details'''
+
|| Blue box on '''Basic Details'''
 
|| We are now moved to the page – '''Basic Details.'''
 
|| We are now moved to the page – '''Basic Details.'''
 
|-  
 
|-  
|| '''Blue box '''on '''Edit '''button
+
|| Blue box on '''Edit '''button
 
|| Select the '''Edit''' button at the top right corner of the page to edit the particular page.
 
|| Select the '''Edit''' button at the top right corner of the page to edit the particular page.
  
Line 357: Line 338:
 
Do likewise to edit the remaining pages.
 
Do likewise to edit the remaining pages.
 
|-  
 
|-  
| |  
+
||  
 
|| 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.'''
+
|| 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.'''
+
|| Blue box on '''Manual ECG Taken Yes/No.'''
  
 
Select '''Yes.'''
 
Select '''Yes.'''
Line 374: Line 353:
 
I'll select this as '''Yes'''.
 
I'll select this as '''Yes'''.
 
|-  
 
|-  
|| '''Blue box '''on '''ECG Date '''and '''Time'''
+
|| 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.'''
+
|| Blue box on '''STEMI Confirmed Yes/No.'''
  
 
Select '''Yes.'''
 
Select '''Yes.'''
Line 385: Line 364:
 
I'll select '''Yes '''here.
 
I'll select '''Yes '''here.
 
|-  
 
|-  
|| '''Blue box '''on '''STEMI Confirmed Date and Time.'''
+
|| Blue box on '''STEMI Confirmed Date and Time.'''
 
|| And then fill the '''Date '''and '''Time.'''
 
|| And then fill the '''Date '''and '''Time.'''
 
|-  
 
|-  
Line 392: Line 371:
  
 
|-  
 
|-  
|| '''Blue box '''on '''Cardiac History'''
+
|| Blue box on '''Cardiac History'''
 
|| 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.
 
|-  
 
|-  
| |  
+
||  
 
|| 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'''
+
|| 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'''
Line 405: Line 385:
  
 
|-  
 
|-  
|| '''Blue box '''on '''Co-Morbid Conditions'''
+
|| Blue box on '''Co-Morbid Conditions'''
 
|| We are moved to the '''Co-Morbid Conditions '''page.
 
|| We are moved to the '''Co-Morbid Conditions '''page.
 
|-  
 
|-  
Line 417: Line 397:
  
 
|-  
 
|-  
|| '''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  
 
|| Here, we have to enter the  
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Name, '''
+
* '''Name, '''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Relation Type, '''
+
* '''Relation Type, '''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Address, '''
+
* '''Address, '''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''City '''and  
+
* '''City '''and  
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Mobile no.'''  
+
* '''Mobile no.'''  
  
 
of the patient's relative.
 
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.'''  
 
|| After this comes the '''Aadhar Card No.'''  
 
|| After this comes the '''Aadhar Card No.'''  
 
|-  
 
|-  
|| '''Blue box '''on '''Upload Aadhar card.'''
+
|| 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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|| Select the '''Save and Continue '''button at the bottom.
 
|| Select the '''Save and Continue '''button at the bottom.
 
|-  
 
|-  
|| '''Blue box '''on '''Transportation Medications'''
+
|| Blue box on '''Transportation Medications'''
 
|| We will move to the '''Transportation Medications.'''
 
|| We will move to the '''Transportation Medications.'''
  
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|-  
 
|-  
|| '''Blue box '''on '''Medications prior to Thrombolysis'''
+
|| Blue box on '''Medications prior to Thrombolysis'''
 
|| We will move to the '''Medications prior to Thrombolysis '''page.  
 
|| We will move to the '''Medications prior to Thrombolysis '''page.  
 
|-  
 
|-  
|| '''Blue box '''on '''Edit '''button
+
|| Blue box on '''Edit '''button
 
|| Select the '''Edit''' button at the top right corner of the page to edit the particular page.
 
|| Select the '''Edit''' button at the top right corner of the page to edit the particular page.
 
|-  
 
|-  
Line 458: Line 438:
 
|| 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'''
+
|| 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 box on '''Clopidogrel'''
 
|| 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'''.
 
|-  
 
|-  
Line 468: Line 448:
  
 
|-  
 
|-  
|| '''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'''
+
|| Blue box on '''Select any one Thrombolytic agent'''
  
  
Line 477: Line 457:
 
|| 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 492: Line 472:
  
 
|-  
 
|-  
| |  
+
||  
 
|| 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'''
 
|| We are now in the next page, that is '''Discharge Summary'''.  
 
|| We are now in the next page, that is '''Discharge Summary'''.  
  
Line 507: Line 487:
  
 
|-  
 
|-  
|| '''Blue box '''on '''Discharge Medications'''.
+
|| Blue box on '''Discharge Medications'''.
 
|| Next comes '''Discharge Medications'''.
 
|| Next comes '''Discharge Medications'''.
 
|-  
 
|-  
Line 518: Line 498:
 
|| 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.
 
|-  
 
|-  
Line 524: Line 504:
 
|| Select '''Add Transfer Details '''button.
 
|| Select '''Add Transfer Details '''button.
 
|-  
 
|-  
|| '''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 '''D Hospital.'''
 
|| Here we need to enter the details related to the discharge from the '''D Hospital.'''
 
|-  
 
|-  
Line 530: Line 510:
 
|| I’ll select '''STEMI Cluster Hospital'''.
 
|| I’ll select '''STEMI Cluster Hospital'''.
 
|-  
 
|-  
|| '''Blue box '''on '''Remarks''' and '''Transfer to Hospital Name'''
+
|| Blue box on '''Remarks''' and '''Transfer to Hospital Name'''
 
|| It further opens into  
 
|| It further opens into  
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Remarks''' if any
+
* '''Remarks''' if any
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Transfer To Hospital Name'''
+
* '''Transfer To Hospital Name'''
  
 
|-  
 
|-  
Line 554: Line 534:
 
|| 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''' from an ambulance.
+
* Enter data of a new patient on the '''STEMI App''' from an '''EMRI ambulance'''.
* <div style="margin-left:1.27cm;margin-right:0cm;">Enter further data for the same patient on the '''STEMI App''' in a '''D Hospital'''
+
* Enter further data for the same patient on the '''STEMI App''' in a '''D Hospital'''
 
+
  
 
|-  
 
|-  
 
|| Show STEMI INDIA slide
 
|| Show STEMI INDIA slide
 
|| STEMI INDIA
 
|| STEMI INDIA
* <div style="color:#000000;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="color:#000000;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="color:#000000;margin-left:1.27cm;margin-right:0cm;">and reducing deaths due to heart attacks.
+
* and reducing deaths due to heart attacks.
 
+
  
 
|-  
 
|-  
Line 574: Line 552:
 
|| Show THANK YOU slide
 
|| Show THANK YOU slide
 
||This tutorial has been contributed by
 
||This tutorial has been contributed by
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">STEMI INDIA
+
* STEMI INDIA
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">and the Spoken Tutorial Project, IIT Bombay.
+
* 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.
 
|-
 
|-
 
|}
 
|}

Latest revision as of 15:02, 15 July 2020

Topic: GVK-EMRI Ambulance to D Hospital transfer


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 ambulance to D Hospital and A/B Hospital

Hello and welcome to this tutorial on transfer from EMRI ambulance to D Hospital.
Show Learning Objectives Slide 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
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
  • 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 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.
On Fibrinolytic Checklist

(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.

The extra item is Pregnant Female? Yes / No, which we have to fill according to the gender of the patient.

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.
History And Co-Morbid Conditions. Here we have History And Co-Morbid Conditions.
Mark few as Yes I’ll mark some of these as Yes.
Diagnosis Then comes the Diagnosis section.
Chest Discomfort: options Pain, Pressure, Aches >> Aches selected

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

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

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

(Text on screen)

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.

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:
Transport to STEMI Cluster

Yes : No:

if Yes is selected >> Blue box on Google maps


Blue box on Contacts

Next is 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.
Blue box on 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

(Text on screen)

Then under Medications during Transportation:, we have to enter the relevant details, as shown here.
Select the Finish button Lastly, select the Finish button at the bottom of the page.
Go back to Transport to STEMI Cluster field


Select No

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.
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.
<<PAUSE>>
Under Discharge Summary


Death - i’ll check this as “No

Under Discharge Summary, Death is a mandatory field.


I’ll check this as “No”.

Date: 21/1/2016 Time: 10:10 am


Transport To:

Select from Stemi Cluster Hospital

Next we have to enter Discharge from EMRI Date: and Time:


In Transport To: I’ll select Stemi Cluster Hospital.

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

It further opens into-


  • Remarks: if any
  • Transfer to Hospital Name:
  • Transfer to Hospital Address:


When we select the hospital name, the hospital address gets auto-populated.


This is because this hospital is already part of the STEMI programme.

Text on screen If this hospital was not part of the STEMI programme, then we would have to manually enter -
  • the hospital name
  • and hospital address.
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.
Blue box on Edit button Select the Edit button at the top right corner of the page to edit the particular page.


Do likewise to edit the remaining pages.

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.


I'll select this as Yes.

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.


I'll select Yes here.

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 Cardiac History We will skip the Fibrinolytic Checklist page and move to the Cardiac 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.
Text on screen Here we are prompted to enter the medicines that the patient is on, as per his medical condition.

Pls make the relevant entries for that patient.

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.
Blue box on Transportation Medications We will move to the Transportation Medications.


This page contains details of medications administered to the patient, during transfer to D Hospital.

Blue box on Medications prior to Thrombolysis We will move to the Medications prior to Thrombolysis page.
Blue box on Edit button Select the Edit button at the top right corner of the page to edit the particular page.
Text on screen 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 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


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.
We will skip the In-Hospital Summary page.
Blue box on Discharge Summary >> Death We are now in the next page, that is Discharge Summary.

Here we have the tab Death.

I’ll 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.
Text on screen

Select medications advised to the patient at the time of discharge.

Once again, enter the relevant ones from the options displayed on this page.
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.
Select STEMI Cluster Hospital. I’ll select STEMI Cluster Hospital.
Blue box on Remarks and Transfer to Hospital Name It further opens into
  • Remarks if any
  • Transfer To Hospital Name
When we select the Hospital Name, the Hospital Address gets auto-populated.
Text on screen This is because this hospital is already part of the STEMI programme.
Transport Vehicle >> GVK EMRI Ambulance. In Transport Vehicle field, choose Private vehicle.
Select Finish Now select the Finish button.
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 EMRI ambulance.
  • Enter further data for the same patient on the STEMI App in a D 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