STEMIcathAID

STEMIcathAID

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STEMIcathAID

Mobile application and web platform to facilitate communication and patient tracking between STEMI care teams as well as target automated collection of performance metrics for QI/QA.

Aim of STEMIcathAID Mobile App

STEMIcathAID aims to improve the clinical outcomes of patients with STEMI (ST-segment Elevation Myocardial Infarction, aka heart attack) and cardiogenic shock. Time is life when treating such patients and early intervention leads to a better recovery. There are multiple personnel and steps involved in caring for these patients. STEMIcathAID takes an algorithmic approach which will enhance the coordination and communication tasks essential to rapid assessment and easy transfer of STEMI patients from the field or outside facility. It will also provide protocols for the EMS or outside hospital provider to identify patients in cardiogenic shock even before their arrival in the catheterization lab. The application will integrate live GPS tracking of the patients alongside the time the alarm was raised prompting the sense of urgency in transferring the patient. We believe this intuitive and interactive system will help interventional cardiologists across the globe deal with early recognition of shock in patients with STEMI.

Application Design

Incorporating images, videos, illustrations, and live GPS tracking of the EMS, the design will be subdivided into three main sections:

EKG upload by outside facility or EMS
Assessment of Cardiogenic Shock
STEMI patient transfer pathway

When a medical provider, in the field, other hospital, or outpatient office, suspects STEMI, the provider uploads the EKG by taking a picture of it with their phone. Once the EKG is uploaded, the on-call attending at the Mount Sinai Hospital (MSH) receives a notification from the application. If the attending believes the patient is experiencing a real STEMI, the pathway is activated. Upon activation, the approximately 10-12 people involved in taking care of the patient are notified so they can begin preparations. Adhering to HIPAA compliance, all users log into the encrypted application and begin to collaborate such aspects as patient vitals, shock information, and emergency vehicle current location and estimated arrival time to the MSH.

Through the optimized communication and collaboration of multiple key players in the STEMI pathway, these time-critical, vulnerable patients can begin treatment promptly. Please see below wireframes of the STEMIcathAID application’s key features.

Catch STEMI Early

Provider logs into application available in Android and iOS stores. iPad and web browser versions are also available.

A new STEMI alarm is raised by uploading a picture of the EKG.

In addition to EKG, basic patient details as well as callback number for MD-MD call are provided.

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Alert the Response Team

Cath lab attending reviews the EKG, uses video or phone call to discuss, and confirm/reject STEMI.

Track various key time points during and after the case for QI/QA purposes.

Transfers are tracked via GPS to be aware of the patient’s location and be prepared for their arrival.

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Communicate and Share Valuable Information

Video or text-based chat can be used to ask further questions about the patient and plan care.

Key patient vitals provide a better picture of status and allow for pre-arrival cardiogenic shock screening.

The alarm list gives quick access to key features and allows for multiple simultaneous cases from different hospitals.

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STEMIcathAID was developed by a multidisciplinary Mount Sinai team

The Cardiac Catheterization Laboratory
Emergency Medicine Services
Nursing
IT/InfoSec