Project ChARM provides remote monitoring for asymptomatic and mildly symptomatic COVID-19 positive doctors in Trichy, India through a tele-triaging system. Doctors contact the IMA COVID helpline and are monitored daily by an on-call physician who tracks their symptoms, vitals and testing results. Those with moderate or severe symptoms are referred to the hospital, while others may be home monitored with logistic support for drugs, tests and food. The goal is to provide clinical, technological, logistical and moral support to COVID positive IMA doctors in Trichy.
Project ChARM provides remote monitoring for asymptomatic and mildly symptomatic COVID-19 positive doctors in Trichy, India through a tele-triaging system. Doctors contact the IMA COVID helpline and are monitored daily by an on-call physician who tracks their symptoms, vitals and testing results. Those with moderate or severe symptoms are referred to the hospital, while others may be home monitored with logistic support for drugs, tests and food. The goal is to provide clinical, technological, logistical and moral support to COVID positive IMA doctors in Trichy.
Project ChARM provides remote monitoring for asymptomatic and mildly symptomatic COVID-19 positive doctors in Trichy, India through a tele-triaging system. Doctors contact the IMA COVID helpline and are monitored daily by an on-call physician who tracks their symptoms, vitals and testing results. Those with moderate or severe symptoms are referred to the hospital, while others may be home monitored with logistic support for drugs, tests and food. The goal is to provide clinical, technological, logistical and moral support to COVID positive IMA doctors in Trichy.
Project ChARM provides remote monitoring for asymptomatic and mildly symptomatic COVID-19 positive doctors in Trichy, India through a tele-triaging system. Doctors contact the IMA COVID helpline and are monitored daily by an on-call physician who tracks their symptoms, vitals and testing results. Those with moderate or severe symptoms are referred to the hospital, while others may be home monitored with logistic support for drugs, tests and food. The goal is to provide clinical, technological, logistical and moral support to COVID positive IMA doctors in Trichy.
TRICHY IMA PROJECT CHaRM COVID POSITIVE DOCTOR’S access to REMOTE MONITORING
1 AGENDA
01 04 WHAT IS THIS PROJECT? WHAT SHOULD I DO?
02 WHO IS IT FOR? 05 FREQ ASKED QUES
03 HOW DOES IT WORK?
2 WHAT IS PROJECT CHaRM?
Tele-triaging based on DARSHAN model.
Remote monitoring for asymptomatic/pre-
symptomatic & mildly symptomatic COVID+ doctors.
Logistic support 4 WHO IS IT FOR?
For Trichy District IMA Doctors and their close
family members who are COVID positive. 6 CONSENT FORMS
LETTER OF UNDERTAKING CONSENT FROM
SIGNED BY COVID CARETAKER FOR HOME POSITIVE DOCTOR AND MONITORING COUNTERSIGNED BY PHYSICIAN
7 WORKFLOW LOGISTIC / SCIENTIFIC CO- ORDINATOR TEAM
IMA CO-ORDINATOR
ON-CALL PHYSICIAN
8 LOGISTIC/ SCIENTIFIC TEAMS SOP Bed availability
Drug Procurance
Insurance fast-tracking ON-CALL PHYSICIAN Virtually evaluate and tele-triage patient to homecare or hospital
Monitor parameters of patients on
Home monitoring
IMA CO-ORDINATOR RT PCR facilitation
CT Chest Facilitation
Ambulance Coordination
Stay/food facilitation for remote monitored
patients
9 WHAT SHOULD I DO? SOP
COVID POSITIVE DOCTOR
Contact IMA COVID Helpline Coordinator
Contact On-Call Physician
1 1 TRICHY IMA COVID COORDINATOR (HELPLINE )
96552 40708
1 2 FILL-UP GOOGLE FORM https://forms.gle/9omsAYmQUqhNVYmk6 CARRY OUT BLOOD TESTS
CONTACT ON-CALL DOCTOR
1 4 SOP
On-call DOCTOR Contact IMA COVID Helpline Coordinator
Receive Handover
Monitor homecare COVID+ Doctors
Tele Triage new COVID+ Doctors.
1 6 VIRTUAL D.A.R.S.H.A.N algorithm.
1 8 Let’s discuss a case scenario
2 0 WORKFLOW
ON-CALL PHYSICIANS IMA LOGISTIC/SCIENTIFIC TEAM
CO-ORDINATOR
2 1 SAMPLE PATIENT MEDICAL HISTORY
AGE: 60 GENDER: Male CO MORBIDITIES: Yes LOCATION: Trichy PRESYMPTOMATIC / RT PCR ASYMPTOMATIC / MILD : HOME MONITORING
REPORT EARLIEST CT CHEST
MOD-TO-SEV: REFER TO COVID HOSPITAL SPO2/TEMP/PULSE/BP
SYMPTOM EVALUATIO TRIAGING & S N 2 MONITORING 2 RESULTS
As per current strategy,
CT Chest should be normal for
Home monitoring
2 3 DECIDING FACTORS
BLOOD TESTS PARAMETERS
SYMPTOMS IMAGING CO-MORBIDITIES
2 4 VIRTUAL PHYSICAL EXAMINATION: D.A.R.S.H.A.N
DYSPNEA ALTERED MENTATION DYSPNEA
ALETERED MENTATION
RISK FACTORS RISK FACTORS
HYPO-PERFUSION HYPOXEMIA SYMPTOMS
HYPO PERFUSION/ HYPOXEMIA If SPO2 >95% 1 min STST ASSESS & TRIAGE 1 minute SIT-to-STAND TEST (1MSTST): NOTIFY TEAM Done only if spO2 >95%.Pt asked to sit in an armless chair and asked to stand-and-sit as 2 many times as possible in a minute, without arm support. A desaturation of Spo2 OF 3% 5 or more is suggestive of hidden hypoxia. 2 6 MONITORING
DAY 1 DAY 2 DAY 3 DAY 4 DAY 5
sPO2
Pulse
Temp
BP
Resp Rate
2 7 DRUG PROCUREMENT
REMDESIVIR TOCILIZUMAB
1 2 3 4
FAVIPIRAVIR PLASMA
2 8 PENTAD
SYMPTOMS
TRIAGING & TREATMENT RT PCR
CLINICAL CT CHEST
EVALUATION
2 9 FREQ ASKED DR. 2 QUESTIONS “Home monitoring gadgets”
DR. 1 “Which number to contact?”
DR. 3 “How about Ambulance”
3 0 DR. B DISCUSSION “How about Bed booking for Doctors?”
DR. A “How about drug procurement?”
DR. C “How about Insurance?”
3 1 DISCUSSION SUMMARY Only for TRICHY district IMA Doctors and their close family members
Asymptomatic/Pre-symptomatic,Mildly
01 symptomatic: Tele-triaging & Home Monitoring
02 Moderate-to Severe pts: Hospital referral and logistic support CONCLUSIONS
CONCLUSIONS Clinical, Technological , Logistical & Moral support to all members of Trichy district IMA who become COVID positive.
