Curso TECC Tactical Emergency Casualty Care

Curso TECC Tactical Emergency Casualty Care
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domingo, 31 de julio de 2016

¿COMO AYUDAR A LOS NIÑOS A CONFRONTAR UNA CATASTROFE By FEMA y American Red Cross

¿COMO AYUDAR A LOS NIÑOS A CONFRONTAR UNA CATASTROFE  By FEMA y American Red Cross










Cómo ayudar a los niños a confrontar una catástrofe 
FEMA
American Red Cross
Enlace para bajar en pdf

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sábado, 30 de julio de 2016

Official Guide to Portable Oxygen Concentrators. by 1stClassMedical


Official Guide to Portable Oxygen Concentrators. by 1stClassMedical

Click here to download your Official Guide!


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jueves, 28 de julio de 2016

PHTLS FOUNDER AND MEDICAL DIRECTOR Norman E. McSwain, Jr., MD, FACS. 1937-2015

"What have you done for the good of mankind lately?" 
¿Qué has hecho por el bien de la humanidad últimamente?
Dr. Norman McSwain 1937-2015


Norman E. McSwain, Jr., MD, FACS
1937-2015

Revered trauma physician Dr. Norman McSwain dies at 78
Dr. Norman McSwain, a New Orleans physician revered for establishing New Orleans' emergency medical services system, died Tuesday (July 28), according to the New Orleans Police Department. He was 78.
He had been hospitalized in critical condition at Tulane University Medical Center after suffering a "cerebral bleed" July 17, according to a report in the Journal of Emergency Medical Services.McSwain's life will be remembered for the impact he made on emergency trauma care. As a member of the American College of Surgeons' Committee on Trauma, he helped develop the Advanced Trauma Life Support and the Pre-Hospital Trauma Life Support programs. His methods are widely regarded as the standard for trauma care outside hospitals.
His practices have been taught to more than 500,000 people in 45 countries. He was also the only physician in the American College of Surgeons' history to achieve all five major trauma awards.
McSwain served as director of trauma for the Spirit of Charity Trauma Center at the Interim LSU Hospital was a surgery professor at Tulane's School of Medicine. He also served as a consulting medical director for the New Orleans Jazz and Heritage Festival for almost 30 years.
Originally from Alabama, McSwain is credited for the creation of emergency medical service programs in New Orleans and Kansas.
His programs emphasized immediate medical services to treat victims of traffic crashes, gunshots, stabbings and other life-threatening injuries before arriving at a hospital.
McSwain earned his medical degree from the University of Alabama before joining the faculty at the University of Kansas, according his biography on Tulane's website.
He was later drawn to New Orleans because he believed Charity Hospital to be "one of the three most important trauma centers in the United States."
McSwain spent his time in New Orleans as he did in Kansas—he helped lift Interim LSU Hospital to become a Level I trauma center and started training police in basic emergency medical and paramedic procedures.
He made a point to care for severely injured police officers in his last 30 years.
McSwain additionally wrote or revised 25 textbooks and made more than 800 presentations of emergency trauma care in all 50 states, all Canadian provinces and most of Europe and South America.

Norman E. McSwain, Jr., MD, FACS
PHTLS Medical Director
Norman E. McSwain, Jr., MD, FACS
PHTLS Medical Director
Email: norman.mcswain@tulane.edu
Norman E. McSwain, Jr., MD, FACS, attended The University of The South in Sewanee, Tenn., and then returned to his birthplace of Alabama to learn medicine under Dr. Tinsley Harrison (of Harrison’s Textbook of Medicine fame) and surgery from Dr. Champ Lyons at the University of Alabama School of Medicine. After completing two years of surgical training at Bowman-Gray School of Medicine in Winston-Salem, N.C., McSwain then joined the Air Force. There, he performed more than a thousand surgical procedures. After his service, he went to Grady Memorial Hospital in Atlanta to finish his initial education as a surgeon. Over the next three years, he learned more about true patient care as a partner in private practice with Dr. Harrison 
Rogers in Atlanta before he joined the clinical and academic faculty at the University of Kansas in Kansas City. While there, he was given the responsibility of EMS education and system development for the State of Kansas. When he was recruited four years later to Tulane University School of Medicine, Department of Surgery, and Charity Hospital, New Orleans, he left behind 90 percent of the population of Kansas covered  by paramedic quality care within ten minutes of home, and one out of every 500 Kansans (including the entire Kansas Highway Patrol) trained as an EMT-Basic.  Serving as academic and clinical faculty at Tulane, McSwain’s main interest was in pre-hospital patient care through Charity Hospital, considered to be one of the three most important trauma centers in the U.S. at the time. Through his work there, he was recruited by the City of New Orleans to develop an EMS system for the city. He initiated both the EMT-Basic and EMT-Paramedic training within the New Orleans Police Department as well as a citywide EMS system.  McSwain also was recruited to the American College of Surgeons Committee on Trauma to assist in the development of the Advanced Trauma Life Support program. He worked with the ACS/COT and NAEMT to develop the PHTLS program.  Today, PHTLS has trained over half a million people in 45 countries.  It is considered to be the world standard for pre-hospital trauma care. He has worked with the military and the Department of Defense to develop the Tactical Combat Casualty Care program for military medics. For the past 30 years, he has provided care to severely injured police officers at Charity Hospital and has written or revised more than 25 textbooks, published more than 360 articles and traveled throughout the world giving 800 presentations. McSwain has lectured in each of the U.S.’s 50 states and in all of Canada’s provinces, most of the countries in Europe and in Central America,
and in the upper part of South America, as well as in Japan, China, Australia, and New Zealand.


Video http://youtu.be/8q92R-hSjcI


www.phtls.org 


PHTLS PreHospital Trauma Life Support

DR. NORMAN MCSWAIN, FOUNDER OF NAEMT'S PHTLS PROGRAM, HAS DIED

Jul 28, 2015


We are very saddened to report that Dr. Norman McSwain passed away today in his home in New Orleans. Internationally renowned and respected for his pioneering work in trauma care, Dr. McSwain founded NAEMT’s Prehospital Trauma Life Support (PHTLS) program 30 years ago, and is recognized by our association as the father of NAEMT education.
Norman McSwain
In addition to his prestigious career as a trauma surgeon, Dr. McSwain was a certified paramedic. He worked tirelessly throughout his career to ensure that EMS practitioners, both in the civilian and military sectors, received the highest quality education to enable them to provide the best care to their patients. He is admired and beloved by the EMS community across our country, as well across the globe, who have been impacted by his vision and passion for excellence in patient care.

He will be missed by the thousands of people whose lives he touched, but he will live on in the hearts and minds of his family, friends, colleagues, students and patients. We send prayers to his family and wish them strength and peace in the coming days.

Read more about Dr. McSwain's prestigious career:

http://tulane.edu/som/departments/surgery/faculty-staff/upload/bio-080608-short-1.pdf

http://www.emsmuseum.org/virtual-museum/curriculum/articles/398251-1971-Norman-McSwain-MD

http://www.nytimes.com/2005/09/09/us/nationalspecial/a-surgeon-caught-up-in-the-flooding-tells-of-a-week-of-chaos-peril-and-heroism.html

http://neworleanscitybusiness.com/blog/tag/dr-norman-mcswain/

http://www.nbcnews.com/id/9270986/ns/health/t/doctors-medical-workers-are-katrinas-heroes/#.VbgV4bfZu7w

http://www.emsmuseum.org/virtual-museum/timeline/articles/398156-EMT-Journal-NAEMT-1977

CC 2012 Trauma Dinner - Order of Military Merit award DSC_0819CC NEWS
The 2012 Clinical Congress of the American College of Surgeons (ACS)



2015 Hartford Consensus III




Announcements:


http://www.wdsu.com/news/local-news/new-orleans/trauma-medicine-pioneer-dr-norman-mcswain-dies/34405790


http://www.nola.com/health/index.ssf/2015/07/revered_trauma_physician_dr_no.html

Pictogramas de peligro (símbolos de peligro)

Pictogramas de Peligro
Tóxico

Clasificación: La inhalación y la ingestión o absorción cutánea en pequeña cantidad, pueden conducir a daños para la salud de magnitud considerable, eventualmente con consecuencias mortales. 

Precaución: evitar cualquier contacto con el cuerpo humano. En caso de malestar consultar inmediatamente al médico. En caso de manipulación de estas sustancias deben establecerse procedimientos especiales! 


Enlace para más simbolos
Articulo relacionado en 20minutos.es

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Publicado por
DR. RAMON REYES DIAZ, MD, DMO, EMT
Skype drtolete
19543249506

Emergency Responders Should Carry Blood Products. UK

Emergency Responders Should Carry Blood Products


Study suggests that emergency medical responders should carry blood products to improve survival of trauma patients


By HospiMedica International staff writers

Posted on 27 Sep 2015

A new study suggests that emergency first responders ought to carry blood products in order to significantly improve trauma patients’ chances of survival. 

Researchers at the UK Defense Science and Technology Laboratory (Dstl; Porton Down, United Kingdom), Queen Mary, University of London (United Kingdom), and the Royal Center for Defense Medicine (RCDM; Birmingham, United Kingdom) conducted a study to compare the potential impact of emergency resuscitation using combined packed red blood cells and fresh frozen plasma (PRBCs:FFP) at a 1:1 ratio; PRBCs alone; or standard of care 0.9% saline during severe injury. 

To do so, 24 terminally anesthetized pigs received a controlled soft tissue injury and controlled hemorrhage of 35% of their blood volume, followed by a 30 minute shock phase. The animals were then allocated randomly to three treatment groups during a simulated prehospital evacuation phase. The first group were allocated to hypotensive resuscitation using 0.9% saline, the second to PRBCs:FFP, and the third to PRBCs alone. Following this phase, in-hospital resuscitation to a normotensive systolic blood pressure target of 110 mmHg using PRBCs:FFP was performed in all three groups. 

The results showed that considerable coagulopathy developed in the first group, which persisted for 60–90 minutes into the in-hospital phase. The coagulopathy was significantly reduced in groups 2 and 3, but not significantly different from each other. Finally, the volumes of resuscitation fluid required was significantly greater in group 1, compared with groups 2 and 3; this difference was principally due to the greater volume of saline used in group 1. The study was published in the August 2015 issue of Shock.

“Badly injured people often lose the ability to form a blood clot properly, just when they need it most,” said senior author Emrys Kirkman, MD, principal scientist at Dstl. “Our research provides the scientific foundation for the premise that giving blood products before seriously injured patients reach hospital could help save lives, as it improves the ability to form blood clots.”

In 2008 the medical evacuation response team in Afghanistan started carrying blood products to injured personnel on the frontline, thanks to the development of special refrigeration units on the Chinook helicopters. The emergency care procedure, among other measures, has been credited with saving a number of lives in Afghanistan. It could also have an impact for civilian first responders,, but currently only a few air ambulance services in the UK have the mandate, staff, and systems required to carry blood products.


Phi Med 2 Flight Nurse, Shannon Miller, prepares to administer blood to a critical patient in Hemorrhagic Shock.




http://www.hospimedica.com/critical_care/articles/294760564/emergency_responders_should_carry_blood_products.html


Related Links:

UK Defense Science and Technology Laboratory
Queen Mary, University of London
Royal Center for Defense Medicine



1er SIMPOSIUM INTERNACIONAL DE TRAUMA 2015
By Comité de Trauma Colegio Dominicano de Cirujanos
http://goo.gl/j8AVGq
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EN URGENCIAS LA SEGURIDAD DEL PACIENTE ESTA EN NUESTRAS MANOS SEMES-Fundacion MAPFRE. PDF

EN URGENCIAS LA SEGURIDAD DEL PACIENTE ESTA EN NUESTRAS MANOS
SEMES-Fundacion MAPFRE


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EN URGENCIAS LA SEGURIDAD DEL PACIENTE ESTA EN NUESTRAS MANOS
SEMES-Fundacion MAPFRE



EN URGENCIAS LA SEGURIDAD DEL PACIENTE ESTA EN NUESTRAS MANOS
SEMES-Fundacion MAPFRE


EN URGENCIAS LA SEGURIDAD DEL PACIENTE ESTA EN NUESTRAS MANOS
SEMES-Fundacion MAPFRE



EN URGENCIAS LA SEGURIDAD DEL PACIENTE ESTA EN NUESTRAS MANOS
SEMES-Fundacion MAPFRE





EN URGENCIAS LA SEGURIDAD DEL PACIENTE ESTA EN NUESTRAS MANOS
SEMES-Fundacion MAPFRE


EN URGENCIAS LA SEGURIDAD DEL PACIENTE ESTA EN NUESTRAS MANOS
SEMES-Fundacion MAPFRE



EN URGENCIAS LA SEGURIDAD DEL PACIENTE ESTA EN NUESTRAS MANOS
SEMES-Fundacion MAPFRE


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 Bajar PDF en el enlace http://portalsemes.org/semesdivulgacion/doc/seguridad-del-paciente.pdf

miércoles, 27 de julio de 2016

Búsqueda y Rescate en Estructuras Colapsadas. Manual de Campo. USAID

Búsqueda y Rescate en Estructuras Colapsadas. Manual de Campo. USAID
Enlace para bajar PDF gratis 

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lunes, 25 de julio de 2016

Atención prehospitalaria de pacientes embarazadas: revisión y recomendaciones para el entrenamiento


Atención prehospitalaria de pacientes embarazadas: revisión y recomendaciones para el entrenamiento  


Atención prehospitalaria de pacientes embarazadas: revisión y recomendaciones para el entrenamiento

El helicóptero del servicio médico de emergencias de Sidney provee traslado crítico pre- e inter-hospitalarios medicalizados. Los autores revisaron la casuística obstétrica de dicho servicio en cuanto al diagnóstico primario y a las intervenciones para mejorar el entrenamiento médico para estos casos.
Se recuperaron fichas correspondientes a un periodo de cuatro años para identificar las palabras clave asociadas con embarazo o complicaciones obstétricas.
De los 66 casos de embarazo o puerperio:
  • 38 fueron transportadas por carretera y 28 por aire.
  • 33 tenían complicaciones obstétricas y 33 condiciones médicas no obstétricas.
  • 61 pacientes requirieron ventilación mecánica, 23 de las cuales fueron intubadas por el médico rescatista antes del transporte.
  • 33 pacientes requirieron apoyo circulatorio vasoactivo y se colocó un acceso arterial y/o venoso central en 48 y 30 pacientes, respectivamente.
  • La única intervención obstétrica llevada a cabo por el médico rescatista fue terapia intravenosa tocolítica (dos casos) y un caso de histerotomía de resucitación (cesárea peri-mortem).
Los autores concluyeron que la mitad de las pacientes peri-parto en dicho servicio de transporte de cuidados intensivos fueron trasladadas por diagnósticos no obstétricos. Las intervenciones obstétricas realizadas por los médicos de rescate fueron raras, pero la histerotomía de resucitación podría llegar a ser necesaria. La mayoría de las intervenciones fueron procedimientos generales de cuidados intensivos. Un entrenamiento exhaustivo en emergencias obstétricas no reflejaría las necesidades de aprendizaje de los médicos rescatistas en servicios como el mencionado. Los recursos educativos deberían priorizar el cuidado crítico general de la mujer embarazada, más que los procedimientos obstétricos específicos.
Fuente: http://reanimacion.net/atencion-prehospitalaria-de-pacientes-embarazadas-revision-y-recomendaciones-para-el-entrenamiento-2/

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domingo, 24 de julio de 2016

BORRADOR EUROPEO DEL REGLAMENTO CONTRA LOS MEDICAMENTOS FALSIFICADOS Instituciones europeas y distribución española, contra los medicamentos falsificados

Medicamentos Falsos




Este miércoles, 9 de septiembre, el director general de la Federación Nacional de Asociaciones de Mayoristas y Distribuidores de Especialidades Farmacéuticas (Fedifar), Miguel Valdés, explicó a Acta Sanitaria la novedad que supone la publicación del borrador del reglamento europeo contra la entrada de productos falsificados en la cadena del medicamento en suelo europeo; se trata de un reglamento impulsado desde las instituciones europeas y que cuenta con la plena colaboración de la distribución española de medicamentos.
El texto, conocido como “Delegated Act” (Acto Delegado) da continuidad a la directiva europea 2011/62/EU aprobada por las instituciones comunitarias (Parlamento y Consejo de Europa) y tiene rango en términos paneuropeos equivalente a los reglamentos que se desarrollan en España mediante reales decretos. Su contenido no sólo es vinculante para el sector de la Distribución en nuestro país, sino que establece pautas y requisitos a cumplir por todos los agentes integrantes de la referida cadena del Medicamento.
Blindar el canal Distribución
En palabras de Valdés, la publicación del citado borrador no ha causado sorpresa en el sector de la Distribución española de medicamentos, habida cuenta de que este ya llevaba trabajando tres años en la materia. Al tratarse de una iniciativa legislativa comunitaria, la interlocución sectorial ha sido supranacional, a través de la patronal europea de la Distribución GIRP. En el plano nacional, relató Valdés, España es un país en el que no se ha dado ningún caso de medicamento falsificado, razón que no ha evitado que se haya producido una alineación total con los postulados europeos en materia de lucha contra dichos medicamentos falsificados. En ese sentido, la Distribución española se sumó desde un principio a los dos objetivos básicos recogidos en la directiva europea: proteger a los ciudadanos contra los medicamentos fraudulentos que circulan por internet y blindar el canal del medicamento contra cualquier posibilidad de entrada de un medicamento falsificado, por remota que sea aquella.
A tiempo para Datamatrix
Entre las obligaciones que contempla la nueva normativa europea está fijar los requisitos necesarios para excluir la posibilidad de que entren medicamentos falsificados en el espacio europeo, con carácter vinculante para todos los agentes que componen dicha cadena. Así mismo, establece, pensando en el canal Farmacia y en el de la Distribución, que se verifiquen de forma efectiva las devoluciones realizadas en las oficinas, siempre con criterio de eficiencia en los procesos. En ese camino ayudará mucho el sistema Datamatrix, que los agentes del sector del Medicamento deberán adoptar tomando como tope el año 2018.
El sistema Datamatrix consiste en un código de lectura bidimensional  asociado a una enorme base de datos. Antes que una herramienta de trazabilidad, Datamatrix es un un elemento de verificación a utilizar entre la asignación de un código a un medicamento a la dispensación, según su disponibilidad, con carácter unitario e irrepetible. Un sistema, en definitiva, según el director general de Fedifar, que será aún más eficaz y adaptado a la realidad, tras la publicación del Acto Delegado, esperada a finales de año.
Mirando las urnas
Aunque Miguel Valdés no encontró grandes motivos de preocupación ante la posibilidad de que la autoridad sanitaria adopte los conocidos como Precios Seleccionados dentro del Real Decreto de Precio y Financiación de Medicamentos, fundamentalmente por el hecho de que no habrá tiempo legal para su entrada en vigor dentro de la actual legislatura ya muy próxima a su fin. Sí mostró, sin embargo Valdés, cierta serena preocupación en relación a los resultados que puedan derivarse de las elecciones de Cataluña y Generales. En cualquier caso, y sean cuales sean los resultados, desde Fedifar se pidió que se respete o incluso mejore el clima de estabilidad que precisa la cadena del Medicamento.
Finalmente, Valdés también estimó que la actualidad del sector de la Distribución vendrá marcada en los próximos meses por la aplicación de los referidos Acto Delegado y Datamatrix.


Medicamentos Falsos

Medicamentos Falsos

sábado, 23 de julio de 2016

GUIA DE RECOMENDACIONES AL PACIENTE "Trastornos Depresivos"


GUIA DE RECOMENDACIONES AL PACIENTE "Trastornos Depresivos"








GUIA DE RECOMENDACIONES AL PACIENTE "Trastornos Depresivos"

Madrid, España

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