1. ePAROS Training Guide A/Prof Marcus Ong Eng Hock Consultant, Director of Research and Senior Medical Scientist Dept of Emergency Medicine, Singapore General Hospital Assoc Professor, Office of Clinical Sciences Duke-NUS Graduate Medical School, Singapore Consultant, Ministry of Health, Hospital Services Division

2. Contents 1.Entering a new case 2.Case Search/Edit 3.Generating Reports 4.Customizing dashboard 5.Tracking incomplete cases

3. 1. Entering new case

4. ePAROS Demo account for EMS/hospital user log in: Username: paros Password: paros14 http://eparos.org/ Note: Once co-coordinators from each participating country have been identified, a personal username and password will be issued to them by PAROS administrator.

5. ePAROS Go to ePAROS tab and click ‘Add New’

6. ePAROS Site number – Recruiting sites/hospital. Refer to taxonomy for other variables definition. site number will be issued once confirmation of participating sites have been received) User will see the Patient Enrollment page as shown below. Enter the particulars as required and click save.

7. ePAROS EMS Section Select the type of transportation the patient was brought in Select this if no first responder is dispatched

8. ePAROS EMS Section

9. ePAROS EMS Section End of EMS section

10. ePAROS ED section has 3 additional sub sections: 1.ED Resuscitation Information 2.Hospital Outcome 3.Patient Health and Quality of Life ED Section

11. ePAROS ED Section Click save upon completion of data entry. Check this box if your site does not collect quality of life data

12. ePAROS Once the form is saved, click on log out to exit or ePAROS tab to add new case.

13. Patient Health & Quality of Life (EQ-5D)  EQ-5D is a standardised instrument for use as a measure of health outcome.  Consist of five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression)  Applicable to a wide range of health conditions and treatments.  Provides a single index score for health status. (extracted from http://www.euroqol.org/)

14.  Give as complete and accurate information as you can at the time you are completing your PAROS data entry.  For any technical problem, contact PAROS coordinator(s) at weilun.teoh@scri.edu.sg or idah1024@ymail.com. Summary

15. 2. Case Search/Edit

16. To do a case search…. Click on ePAROS  PAROS search

17. Select the date of incident and click ‘Search’ To do a case search….

18. Results based on your search criteria will be displayed as shown below.

19. To edit a case…. Click the paper/pencil icon under ‘Edit Form’ to view the data for editing.

20. 3. Generating Reports

21. To create Utstein survival report: 1. Click on Report  Utstein Survival report 2. Select the date you want the report to show and click ‘Generate Report’

22. Sample of the generated Utstein report

23. To generate call times report 1. Click on Reports  Call Times 2. Select the type of call time and the date you want to include in the report. Next, click ‘Generate Report’

24. Sample of the generated Call Times report

25. To export data into excel: 1. Data can be exported into excel by doing an initial search Generation of Reports

26. 2. Select ‘excel export of data’ from the list shown below

27. Sample of excel report of data

28. 4. Customizing Dashboard

29.  Dashboard is the layout of PAROS home page a user see upon successful log in.  A user can customize this dashboard to include number of cases being entered by weekly or monthly, and to track incomplete records.

30. To add items to dashboard: 1. Click on dashboard builder

31. 2. Select the item you want to add to your dashboard e.g. Agency Productivity – Volume by Month (to show the number of cases entered for specific EMS agency or participating site. Then click on ‘Add Content’.

32. 3. The item will appear on the dashboard as shown below 4. Repeat Step 2 to add in more items to the dashboard.

33. 5. Click ‘Back to myDashboard’ once adding of items is completed

34. The items added to the dashboard will be shown below.

35. 5. Tracking Incomplete Cases

36. You are now able to see the number of forms that require hospital outcomes from your dashboard. Click on the number to view the individual forms. To enter hospital outcomes data for a case, select the paper and pencil icon on the far right of the screen.

37. After clicking on the paper and pencil icon, the screen will show the form for that case. Scroll all the way down to the ‘Hospital Outcomes’ section and fill in the necessary fields. If patient is discharged at 30th day post arrest or still in hospital upon 30 days, do complete the ‘Patient’s Quality of Life’ section. Check ‘Unknown’ if you are unable to provide this information

38. After the outcomes are completely entered, click on Save. When the record has been saved with no errors, you can select “Home” from the toolbar in the upper left hand corner of the screen. This will take you back to your dashboard. The case you have entered outcomes for will have disappeared from your dashboard and you can move on to the next case.