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Aunque pueda contener afirmaciones, datos o apuntes procedentes de instituciones o profesionales sanitarios, la información contenida en el blog EMS Solutions International está editada y elaborada por profesionales de la salud. Recomendamos al lector que cualquier duda relacionada con la salud sea consultada con un profesional del ámbito sanitario. by Dr. Ramon REYES, MD

Niveles de Alerta Antiterrorista en España. Nivel Actual 4 de 5.

Niveles de Alerta Antiterrorista en España. Nivel Actual 4 de 5.
Fuente Ministerio de Interior de España

miércoles, 30 de agosto de 2017



Oct. 22, 2013 7:47 p.m. ET
The school shooting in Newtown, Conn., and the Boston Marathon bombing are prompting medical experts to change their thinking about the long-disdained technique of using tourniquets to save lives.
Drawing on lessons from those attacks and battlefields in Afghanistan and Iraq, emergency-medicine doctors are recommending that rescue personnel carry tourniquets and be prepared to use them in mass-casualty events.
A tourniquet is a bandage or other device applied tightly to restrict blood flow and prevent a victim with an arm or leg wound from bleeding to death. For decades, many first-aid classes and doctors have taught that tourniquets were too dangerous to use, because prolonged loss of blood circulation can lead to loss of a limb.
Now, a group of surgeons is challenging that view, advocating tourniquet training not just for police officers but for teachers and others who work in public places.
"It's kind of a radical change in thinking, because for years we have been teaching that tourniquets should be the absolute last resort," said Peter Pons, associate medical director for the National Association of Emergency Medical Technicians. In recent months, he has begun teaching tourniquet use to police officers in Denver, where he lives.
Studies have shown that tourniquets distributed to soldiers in the Iraq and Afghanistan wars helped save lives, Dr. Pons said. And researchers haven't found instances in which improper tourniquet use cost a soldier's limb, he added.
The risk of limb loss may have been overstated because it can take two hours or more for a tourniquet to damage a limb beyond repair, and it is unusual in the U.S. for someone suffering a life-threatening injury to take more than two hours to reach professional medical help, according to Dr. Pons and others.
The tourniquet's benefit, by contrast, comes in the initial minutes before medical personnel arrive. Shooting or bombing victims can bleed to death in five minutes.
Several doctors noted that the response at the Boston Marathon—where bystanders immediately used T-shirts and whatever else they had to make improvised tourniquets—shows that, in some ways, common sense among the public is ahead of current medical practice.
Lenworth Jacobs, a Connecticut doctor, said tourniquets wouldn't have prevented the deaths of children in last December's shootings in Newtown, because so many of the wounds were to vital organs. But tourniquets, he argued, would save lives in other cases, including the recent terror attack at a mall in Nairobi, Kenya.
After the Newtown shooting, Dr. Jacobs was among the medical experts asked by the American College of Surgeons and the Federal Bureau of Investigation to draft recommendations for the best way to respond to such events. Those recommendations, called the Hartford Consensus, included a call for wider use of tourniquets.
Some experts remain cautious about tourniquets. Jeffrey Pellegrino, a member of the American Red Cross Scientific Advisory Council, said in a statement that "the majority of bleeding incidents can be stopped by applying direct pressure to the wound. Because of the risk to the limb, lay responders who have been trained should only use a tourniquet as a last resort in cases where help is delayed, when bleeding cannot be controlled by direct pressure, or if applying direct pressure is not possible."
Alexander Eastman, a trauma surgeon who is a member of the Dallas Police Department's SWAT team, said tourniquets should be carried on first responders' uniforms. In his own job on a SWAT team, he often carries a pack with military-style tourniquets he can distribute to officers or victims.
At a recent police conference in Philadelphia, Dr. Eastman asked a crowd of major-city police chiefs whether they had been trained that tourniquets were too dangerous to use. Most raised their hands, he said.
"It's a myth that these tourniquets can hurt somebody, and we are fighting to end that myth," he said.

Combat Tourniquet One of Army’s Top 10 Inventions for ’05

            Combat Application Tourniquet (C-A-T)

Combat Tourniquet One of Army’s Top 10 Inventions for ’05

by  on  • 12:56 pm
Combat Application Tourniquet (C-A-T)

Combat Application Tourniquet (C-A-T)

A new design for a tourniquet for use in combat has brought the devices back into favor with Army surgeons.
The Combat Application Tourniquet was tested along with eight other tourniquets in 2004 at the U.S. Army Institute of Surgical Research in San Antonio, Texas. The evaluation was prompted because many deploying Soldiers and units were purchasing tourniquets off the Internet, but the tourniquets’ effectiveness had not been determined. Once testing was complete, the institute’s researchers recommended the Combat Application Tourniquet be pushed to deployed troops to stop otherwise lethal blood loss.
“If USAISR (U.S. Army Institute of Surgical Research) hadn’t done the work, there still wouldn’t have been an effective tourniquet out there,” said Dr. Tom Walters of the institute that studies how to save the lives of Soldiers who are wounded in combat.
Up until that point, he added, the tourniquets that were available through the military’s supply system included a cravat-and-stick tourniquet that Soldiers were taught how to use in basic training and the strap-and-buckle tourniquet that dated back to the American Civil War. The latter “had always been known to be ineffective,” Walters said.
In the “tourniquet-off” held at the institute during the summer of 2004, 18 volunteers helped evaluate the nine tourniquets’ ability to cut off blood flow. When the results were in, the CAT, as well as two other tourniquets, came out on top. The CAT had a smaller learning curve than the others, so researchers recommended it for the Army. The Marine Corps has adopted it as well.

“Tourniquets are being used on almost every extremity injury, and they are saving lives,” said Holcomb, who was recently deployed as a surgeon at the 10th Combat Support Hospital in Iraq. “Tourniquets were rarely seen early in the war, and now it’s abnormal to see a severe extremity injury without a functional tourniquet in place. There is no pre-hospital device deployed in this war that has saved more lives than tourniquets.”
While it’s certainly come at a tremendous human cost, the Iraq war has shown us entire fields of technology where we’ve been lacking. Say what you will about technology that improves offensive potential, but innovations to keep soldiers and civilians alive are always good ideas.
More from ARNews
FlashbacksThe Special Operations Forces Tactical TourniquetArmy Develops Improved Tourniquet

domingo, 20 de agosto de 2017

Libro Gratis: Proceso asistencial simplificado del síndrome coronario agudo. Actualización 2017

Libro Gratis: Proceso asistencial simplificado del síndrome coronario agudo. Actualización 2017

Domingo Marzal Martín, José Luis López-Sendón Hentschel, Inmaculada Roldán Rabadán.
Publicación: 2017
Nº de páginas: 149
ISBN: 978-84-697-3325-7
Descripción: En la actualidad, el desarrollo, el diseño y la implantación de protocolos clínicos constituyen una exigencia para los especialistas, con el objetivo nal de garantizar la seguridad, la calidad y la excelencia de la práctica clínica; además, en procesos tan complejos como el síndrome coronario agudo son indispensables para evitar que las condiciones clínicas sean distintas según el profesional o el centro de que se trate.
El presente trabajo trata de sistematizar y protocolizar las pruebas y los datos que tenemos sobre el manejo del síndrome coronario agudo en las guías de práctica clínica de la Sociedad Europea de Cardiología.
Ha sido desarrollado reconocidos expertos en el síndrome coronario agudo y lo ha avalado la Sociedad Española de Cardiología. Su contenido tiene un carácter integral y abarca, por lo tanto, todo el proceso, desde el comienzo de los síntomas a la prevención secundaria en la fase crónica.
El documento está ilustrado con profusión de figuras, tablas y algoritmos de actuación, y es altamente recomendable para todos los profesionales relacionados con la atención a pacientes con insuficiencia cardiaca.

sábado, 5 de agosto de 2017

¿Cómo hacer sangre falsa?

Simulacion de Sangrado con apaciencia casi real 
Dr. Ramon Reyes, MD

¿Cómo hacer sangre falsa?

Cómo hacer sangre falsa

Fuente y Creditos WIKIHOW 
Muchos maquilladores y aficionados a los efectos especiales utilizan sangre falsa con la finalidad de lograr apariencias realistas y cruentas, sobre todo en la época de Halloween. ¡Nada aumentar más la emoción aterradora de Halloween que una gran cantidad de sangre roja y pegajosa! Para crear sangre falsa comestible, puedes utilizar los ingredientes que quizás tengas en tu cocina. Para ello, puedes usar jarabe de maíz o preparar una sangre falsa de color rojo intenso con azúcar en polvo. Si quieres crear una sangre falsa espesa, añádele harina mientras se enfría. ¡Con estos métodos, nunca más tendrás que volver a comprar sangre falsa!

Sangre falsa comestible con jarabe de maíz

  • 1/2 taza (120 ml) de jugo de frutas rojo
  • 1 taza (300 g) de jarabe de maíz
  • 2 cucharadas de colorante alimentario rojo
  • 1 cucharada de jarabe de chocolate
  • 2 cucharadas de maicena
  • 1 cucharadas de cacao en polvo

Sangre falsa comestible con azúcar en polvo

  • 3 1/2 tazas (453 g o 16 oz) de azúcar en polvo
  • 2 cucharadas (1 oz) de colorante alimentario rojo
  • 1 cucharada de cacao en polvo
  • 1 taza (240 ml) de agua

Sangre falsa comestible con harina

  • 1 cucharada de harina
  • 1 taza (240 ml) de agua
  • 2 cucharadas de colorante alimentario rojo
Leer articulo completo en WIKIHOW


jueves, 3 de agosto de 2017

Respondedor de Emergencias Medicas Por Medical Transport and Training Solutions

Respondedor de Emergencias Medicas
Por Medical Transport and Training Solutions

24, 25 y 26 de Agosto del 2017

Salon Camara de Comercio de San Cristobal. Rep. Dominicana

30 horas de formacion

Costo RD$1500 P/P

Contactos 809 997 7191 829 7555 5468

Respondedor de Emergencias Medicas Por Medical Transport and Training Solutions 

Avalados por
PHTLS Rep. Dominicana

Emergency Educational Training Institute
Florida, USA
EMS Solutions International

Personal Docente

Christian Goring, NR EMT-P
Boston, EUA

Alexander Pacheco
Faculty y Coordinador PHTLS Dominicana

Dr. Ramon Reyes, MD
Director Medico y Representante EMS Solutions y EETI

Nota: Se hara entrega de Certificado Bleeding Control Basic