If the distant/consulting provider is using the dashboard to listen to the Live Stream auscultation, follow the process below:
- Provider logs in to the Eko Dashboard using the account credentials they entered when they created an Eko account. https://dashboard.ekodevices.com/users/sign_in Eko will work on Chrome, FireFox or Safari browsers but will not work on Internet Explorer.
- Provider clicks on the “Live Stream” tab on the left side and then clicks on “Sites”
- Click on “Join Live Stream” for the site you wish to listen to. Be sure to wear high quality plugged in or Bluetooth headphones or earbuds while listening. Volume can be adjusted using the slider bar on the lower right portion of the Live Stream screen or on your laptop. If on a Windows computer, be sure to make this one time adjustment to remove sound reduction: Windows sound adjustment. Ask the sending site to mute their microphone to prevent any outside noise during the Live Stream
- Once a recording has been made on the sending side, AI results will appear at the bottom of the LiveStream frame and indicate if a murmur was heard if using the CORE device and murmur and AFib detection if using a DUO.
Best Practices / Troubleshooting:
- The consulting provider should always use plug-in headphones in order to receive the best audio quality during the auscultation portion of the visit; it may be advisable to wear headphones throughout the visit to ease the workflow.
- Hardwired headphones that connect to a computer via 3.5mm aux jack may be preferred as they typically have less configuration needs than a USB headset, but either should work well.
- If performing the consultation using a Windows PC, audio settings may need to be adjusted to prevent Windows from reducing the Live Stream volume.
- The originating site will not be able to adjust your listening volume, only their own. Be sure to use any local controls on your computer, as well as the built in volume adjustment located on the livestream URL page.
- From within your web-browser you can view the wave forms, monitor heartbeat, and review any AI results (if applicable to plan). You can also mute your livestream audio as needed via the play/pause button. If auscultation is required again during your session, be sure that you have your volume properly adjusted.
- If you are experiencing audio feedback, it could be helpful to suggest to your originating site to briefly mute their microphone during your remote listening. That way, the listening provider can continue to instruct on stethoscope placement as needed. When bi-directional conversation is needed again, remember to unmute.
- Please be advised that Internet Explorer does not support the Eko Live Stream. Compatible web browsers include Chrome, Safari, Firefox and Microsoft Edge.
- If Internet Explorer is your default browser, simply launch a compatible browser and copy/paste the Livestream URL link into the search bar.
- If experiencing an issue in the stability of your connection and waveforms, instruct the patient/provider with the patient to move closer to the device that the stethoscope is paired with. Note the Connection status in the top left corner of your waveform view for real time feedback, which corresponds to your overall connection across Bluetooth and your network. Additionally, it is recommended to quit any applications you have running on your computer that you don’t need during your visit to ensure adequate bandwidth for your telemedicine visit + Eko livestream.
- If the originating site resets the livestream link and no waveform is displayed in your browser, simply request that they share the livestream link with you again.
- If your waveform is still not displaying despite a successful connection and active livestream from your originating site, then you may need to have your IT/IS group check that the appropriate URLs and ports have been whitelisted.
- When the session is complete, they can close the browser window and return to the video conference.
LBL 272, Rev F, May, 2022