Guidance for Vaccine and Pharmaceutical Logistics & Distribution IATA by IATA. Covid-19

 

Guidance for Vaccine and Pharmaceutical Logistics & Distribution  IATA by IATA 

4th Release Available Now: Guidance for Vaccine and Pharmaceutical Logistics & Distribution

IATA collaborates with leading authorities and organizations to facilitate full preparedness for COVID-19 vaccines transportation. This document summarizes all the considerations to be taken into account for large-scale handling, air transport and distribution of vaccines. 

> Download an extract of the guidance document (pdf) 
> Register to receive the complete guidance document and be alerted when new versions are made available.

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Free PDF IATA Medical Manual 11th Edition June 2018/ Manual Medico de IATA "International Air Transport Association"

https://emssolutionsint.blogspot.com/2011/05/iata-medical-manual-manual-medico-de.html

Covid-19: Mapa interactivo de restricciones de Viajes by IATA/ Timatic

https://emssolutionsint.blogspot.com/2020/06/covid-19-mapa-interactivo-de.html

IATA propone una estrategia de seguridad multinivel para la reanudación de la industria. Covid-19

https://emssolutionsint.blogspot.com/2020/06/iata-propone-una-estrategia-de.html

¿Fallecimiento de pasajero en Vuelo? Protocolo IATA

https://emssolutionsint.blogspot.com/2019/04/fallecimiento-de-pasajero-en-vuelo.html

¿Cuales son las posibilidades de ser in infectado en un Avión de Coronavirus?

https://emssolutionsint.blogspot.com/2020/02/cuales-son-las-posibilidades-de-ser-in.html

¿QUE ES TELEMEDICINA? Marco de implementación de un Servicio de Telemedicina OMS / OPS pdf

https://emssolutionsint.blogspot.com/2018/05/marco-de-implementacion-de-un-que-es.html

How airlines deal with in-flight medical emergencies? 1 in every 604 flights involves medical situation, study says. In-flight Medical Emergencies "Be Prepared"

https://emssolutionsint.blogspot.com/2014/11/in-flight-medical-emergencies-be.html

Guidance for Vaccine and Pharmaceutical Logistics & Distribution  IATA by IATA. Covid-19

http://emssolutionsint.blogspot.com/2020/11/guidance-for-vaccine-and-pharmaceutical.html

Primer Repondiente, Alcaldia de Bogota. Colombia

 

Primer Repondiente, Alcaldia de Bogota. Colombia 

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Manual_Primer_Respondiente_7edicion.pdf

Daños hepáticos relacionados on el consumo de bebidas alcohólicas

Daños hepáticos relacionados on el consumo de bebidas alcohólicas

Los daños hepáticos relacionados on el consumo de bebidas alcohólicas suelen hacerse evidentes cuando ya es demasiado tarde. Ante esta situación, un grupo de científicos de la Universidad de Southampton (Reino Unido) creó un análisis de sangre para ver los daños no aparentes en el hígado de las personas que beben alcohol en exceso. Según la BBC, los investigadores consideran que esta prueba –que usa el código del semáforo para mostrar el nivel del daño– será una herramienta valiosa para el diagnóstico temprano de aquellas enfermedades hepáticas que se manifiestan solo cuando están en niveles avanzados y el órgano comienza a fallar. 

Pese a que el hígado tiene la capacidad de regenerarse, cuando es sometido a un embate continuo el daño se vuelve irreparable. Además, las complicaciones son mortales.

El nuevo examen muestra los resultados en colores: el verde indica que es poco probable el daño hepático; el ámbar, que la probabilidad de daño es del 50%; y el rojo, que es muy probable un daño mayor y que la enfermedad es potencialmente irreversible.

De acuerdo con el estudio publicado en “British Journal of General Practice”, el análisis es la combinación de la prueba hepática que los médicos ya emplean habitualmente, con otros dos exámenes que miden el nivel de cicatrización en el hígado.

El análisis se probó en más de 1.000 pacientes y ahora es posible realizar una prognosis [conocimiento anticipado] de la enfermedad hepática.

Según los investigadores, entre los pacientes que mostraron un código rojo (50%) y que fueron sometidos a un seguimiento, cerca de 25% murió dentro de los siguientes cinco años. Sin embargo, ninguno de los que mostraron código verde murió o desarrolló complicaciones.

“Hemos visto que para la mayoría de los pacientes esta advertencia es un buen estímulo para dejar de beber o al menos reducir su consumo a niveles seguros”, dijo a la BBC el doctor Nick Sheron, quien desarrolló el análisis. Para Ian Gilmore, presidente de la organización Alcohol Health Alliance, “este estudio puede ser realmente útil para guiar al paciente hacia la atención especializada de forma oportuna”.

El análisis puede ser usado en personas con diabetes tipo 2.

Fuente: El Comercio.pe

Recomendaciones para la vacunación del SARS-CoV-2 en los centros escolares by Asociación Científica Española de Enfermería y Salud Escolar (ACEESE)

Recomendaciones para la vacunación del SARS-CoV-2 en los centros escolares by Asociación Científica Española de Enfermería y Salud Escolar (ACEESE)

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UC San Diego Division of Trauma, Surgical Critical Care, Burns, and Acute Care Surgery Handbook Edition 4.1, August 2, 2019

 

UC San Diego Division of Trauma, Surgical Critical Care, Burns, and Acute Care Surgery Handbook Edition 4.1, August 2, 2019

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Resources for National Burn Awareness Day TOOLKIT

 

Download E-Book "PDF" 2.23 MB

27 pages 

Downloadable Resources

Resources for National Burn Awareness Day 2021 can be downloaded below. Click on each link to download them directly to your computer.

Logo	National Burn Awareness Day logo	Download
Toolkit	Everything you need to know about raising awareness	Download
A4 Poster – Child (Hot Drinks)	A poster highlighting hot drinks as the main cause of burns	Download
A4 Poster – Adult	A poster for adult burn awareness	Download
A4 Poster – Child	A poster for child burn awareness	Download
Hospital Event Planner	A guide for Hospitals when planning National Burn Awareness Day events	Download
Parent Hot Drink  Policy	Case study for parents and children’s centres	Download
Email signature	Insert on the bottom of all e-mails to raise awareness	Download
Facebook cover	Insert as your Facebook cover image	Download
Facebook post	Post for Facebook	Download
Instagram post	Post for Instagram	Download
Twitter header	Insert as your Twitter header	Download
Twitter post	Post for Twitter	Download
LinkedIn header	Insert as your LinkedIn header	Download
LinkedIn post	Post for LinkedIn	Download
Facebook Post (Hot Drinks)	Post for Facebook	Download
Twitter Post (Hot Drinks)	Post for Twitter	Download
Instagram (Hot Drinks)	Post for Instagram	Download

Please email us for A3 print ready versions of the posters. Welsh versions of the posters are also available.

• Help to raise awareness of the shocking number of people burned each and every day – the vast majority of which are preventable
• Promote good first aid

The importance and reach of National Burn Awareness Day has grown year-on-year.  Hospitals, Burns Services, Community Health, Fire & Rescue Services around the country are among the many organisations that hold awareness raising events.

Guia atencion prehospitalaria para enfermeros de combate. Colombia

 

Guia atencion prehospitalaria para enfermeros de combate. Colombia 

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MEDICINA TACTICA: PDF Videos Manuales

http://emssolutionsint.blogspot.com/2018/07/medicina-tactica-pdf-videos-manuales.html

DESTAQUES DAS DIRETRIZES DE RCP E ACE DE 2020 DA AHA. em Portugués.

 

DESTAQUES DAS DIRETRIZES DE RCP E ACE DE 2020 DA AHA. em Portugués.

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Destaques das Diretrizes da American Heart Association 2010 para RCP e ACE

Link para baixar BROCHURA

Guidelines of the 2020 American Heart Association Guidelines for CPR and ECC Heart & Stroke Foundation of Canadian Edition

 

Guidelines of the 2020 American Heart Association Guidelines for CPR and ECC Heart & Stroke Foundation of Canadian Edition 

DOWNLOAD 

iResus 2020 - now on iOS and Android RESUCITATION COUNCIL (UK). ILCOR

iResus 2015 - now on iOS and Android RESUCITATION COUNCIL (UK). ILCOR 

Dr. Ramon Reyes, MD  

The Resuscitation Council (UK) have developed a new version of the iResus app. 

This free tool allows healthcare professionals to access the latest algorithms from the 2015 guidelines quickly and easily using any tablet or mobile device. 

The app is lightweight and does not require an internet connection to function. 

It can be downloaded via the Apple App Store or Google play. 

Download the app in the link 

By Dr. Ramon Reyes Diaz, MD 

Cortesía
EMS España / Emergency Medical Services en España
@EMSESP

Follow me / INVITA A TUS AMIGOS A SEGUIRNOS
https://www.facebook.com/drramonreyesdiaz

International Liason Committee on Resuscitation ILCOR 2015-2020 / The “Highlights of the 2015-2020 American Heart Association Guidelines for CPR and ECC “ / Summary of the main changes in the Resuscitation "Guidelines ERC GUIDELINES 2015" / Recomendaciones para la Resucitación 2015 del Consejo Europeo de Resucitación (ERC) 2015 / Principales novedades para las nuevas guías de RCP

Curso TECC España TACTICAL EMERGENCY CASUALTY CARE http://emssolutionsint.blogspot.com.es/2017/04/curso-tecc-tactical-emergency-casualty.html

iResus 2015 - now on iOS and Android RESUCITATION COUNCIL (UK). ILCOR

iResus 2015 - now on iOS and Android RESUCITATION COUNCIL (UK). ILCOR 

The Resuscitation Council (UK) have developed a new version of the iResus app. 

This free tool allows healthcare professionals to access the latest algorithms from the 2015 guidelines quickly and easily using any tablet or mobile device. 

The app is lightweight and does not require an internet connection to function. 

It can be downloaded via the Apple App Store or Google play. 

Download the app in the link https://www.resus.org.uk/apps/iresus/

By Dr. Ramon Reyes Diaz, MD 

Cortesía
EMS España / Emergency Medical Services en España
@EMSESP

Follow me / INVITA A TUS AMIGOS A SEGUIRNOS
https://www.facebook.com/drramonreyesdiaz

International Liason Committee on Resuscitation ILCOR 2015-2020 / The “Highlights of the 2015-2020 American Heart Association Guidelines for CPR and ECC “ / Summary of the main changes in the Resuscitation "Guidelines ERC GUIDELINES 2015" / Recomendaciones para la Resucitación 2015 del Consejo Europeo de Resucitación (ERC) 2015 / Principales novedades para las nuevas guías de RCP

The NCAA’s plan of attack. SUDDEN CARDIAC ARREST, is a leading killer of college athletes.

The NCAA’s plan of attack. SUDDEN CARDIAC ARREST,  is a leading killer of college athletes

Sudden cardiac arrest is a leading killer of college athletes. Here’s the NCAA’s plan of attack..

Basketball fans attending Loyola Marymount University’s game against the University of Portland in March 1990 thought they were in for a spirited semifinal game. But then the unthinkable happened: 23-year-old Hank Gathers, a 6-foot 7-inch superstar, collapsed on the court. Stunned fans later learned that he died of sudden cardiac arrest — a condition that still kills between five and 10 NCAA athletes every year. Now, 26 years later, the NCAA has issued new guidance on how to prevent those kinds of deaths.

It’s the result of a multi-year process initiated by the association, which convened a task force of cardiovascular and sports medicine experts, student athletes, and athletic trainers to decide what to do about sudden cardiac deaths in sports back in 2014. The group came up with a consensus statement recently published in the Journal of the American College of Cardiology. The document identifies the purpose of pre-participation evaluations, best practices for those screenings, and guidelines for how officials should plan for and handle emergency cardiac arrest when it’s in progress.

Just how bad is the problem? In 2011, researchers from the University of Washington at Seattle used an NCAA database, public media reports, and catastrophic insurance claims to come up with an incidence rate for sudden cardiac death among students who died suddenly during exercise. They found that 75 percent of sudden deaths among student athletes who died during exercise could be traced to cardiovascular causes and that the current methods of collecting data underestimate the risk of sudden cardiac death.

The NCAA itself found that the risk of a male athlete dying from sudden cardiac arrest is one in 38,000 and only one in about 122,000 for female athletes. Basketball, soccer, and football players appear to be at the greatest risk — though only 4 percent of NCAA athletes are basketball players, they represent a full 20 percent of all sudden cardiac deaths.

But though the recommendations give guidelines on how to use electrocardiograms (ECGs) to predict those kinds of risks to student athletes, they stop short of actually recommending them. “We’re not mandating or recommending that they be done across the board,” says Brian Hainline, staff senior vice president and chief medical officer of the NCAA. In 2015, Hainline, who is the NCAA’s first-ever chief medical officer, backtracked on a publicly announced plan to require all student athletes to receive ECGs when team physicians from over 100 universities protested.

“Look, people have been talking about electrocardiogram screening for a long time, but it's been so polarized that you have two camps and the two camps just keep saying the same thing and you're not moving forward in a consensus-driven manner," Hainline says. One camp insists that EKGs are a critical predictive tool that can identify cardiac conditions, like myocarditis, a disease that inflames and can damage the heart muscle and that is associated with sudden cardiac death. The other holds that since so few student athletes have the kinds of cardiac problems that can be detected by EKG and that put them at risk for sudden death, the procedure shouldn’t be performed as a requirement for participation — a position held by organizations like the American Heart Association.

“For a lot of sudden cardiac deaths, the first symptom is sudden cardiac death,” says Justin Wright, assistant professor in the Department of Family and Community Medicine at the Paul L. Foster School of Medicine in El Paso. A sports-medicine-trained physician, Wright directs the school’s sports medicine program. “Our current system isn’t perfect, but I’m not sure that EKG screening may not be the perfect answer, either.”

The new consensus statement neatly sidesteps the EKG issue: It provides best practices for institutions that choose to require the tests as part of screening, but stops short of recommending it be implemented across the board. It may be cautious when it comes to how to predict cardiac arrest risks, but when it comes to how organizations should treat it while it’s happening, the statement minces no words. “The debate about the effectiveness of various screening examinations … will undoubtedly continue,” it reads. “However, there is no debate that a well-rehearsed and effectively implemented [emergency action plan] ... is effective at reducing the risk of death.”

To that end, the statement insists that coaching staff, referees and other responders be trained, that emergency plans be in place, and that working automatic external defibrillators (AEDs) be available during practice and play. When Gathers collapsed back in 1990, CPR was initially not administered because he was responsive. However, an AED was unsuccessfully used to save his life, and once Gathers registered no pulse, CPR was unsuccessfully used.

Perhaps a more cohesive emergency plan — or a more rigorous cardiovascular screening — could have saved Gathers. But Hainline hopes that the new guidelines can keep today’s athletes and those of the future from dying during sports. “No matter what we do, there’s always going to be a risk of someone dying of sudden cardiac arrest,” he says. “In all sports settings the most important thing we can do is make certain that all of the appropriate people are CPR and AED trained.”

Wright, who oversees medical game coverage for the University of Texas at El Paso and local high schools, agrees. “Everyone thinks they’re going to rise to the occasion, but most of the time we fall back to our level of training,” he says. “It’s not difficult to learn CPR.”

CARDIAC ARREST VS. HEART ATTACK

https://www.washingtonpost.com/news/to-your-health/wp/2016/05/06/sudden-cardiac-arrest-is-a-leading-killer-of-college-athletes-heres-the-ncaas-plan-of-attack/

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iResus 2015 - now on iOS and Android RESUCITATION COUNCIL (UK). ILCOR

International Liason Committee on Resuscitation ILCOR 2015-2020 / The “Highlights of the 2015-2020 American Heart Association Guidelines for CPR and ECC “ / Summary of the main changes in the Resuscitation "Guidelines ERC GUIDELINES 2015" / Recomendaciones para la Resucitación 2015 del Consejo Europeo de Resucitación (ERC) 2015 / Principales novedades para las nuevas guías de RCP

Cortesía
EMS España / Emergency Medical Services en España

Follow me / INVITA A TUS AMIGOS A SEGUIRNOS
https://www.facebook.com/drramonreyesdiaz/

2020 Highlights - Guidelines for First Aid A concise document that puts the First Aid science release into clean, short, digestible information

 DOWNLOAD 

Resuscitation 2022 "European resuscitation congress 2022" 16 and 17 June in Antwerp, Belgium

 

Save the date! Join us for Resuscitation 2022, our hybrid congress on 16 and 17 June in Antwerp, Belgium.

Can't make it to Antwerp? We've got you covered. On our congress platform you can follow the live sessions and watch exclusive interviews.

More #RESUS22 news coming soon!

¡Reserva! Únase a nosotros para Resuscitation 2022, nuestro congreso híbrido los días 16 y 17 de junio en Amberes, Bélgica.

¿No puedes ir a Amberes? Te tenemos cubierto. En nuestra plataforma de congresos puede seguir las sesiones en vivo y ver entrevistas exclusivas.

¡Más noticias sobre # RESUS22 próximamente!

https://www.erc.edu/

POSTERS in PDF ERC European Resuscitation Council Guidelines for Resuscitation. The ERC ILCOR 2021

 POSTERS in PDF ERC European Resuscitation Council Guidelines for Resuscitation. The ERC ILCOR  2021

POSTERS PDF 

BLS-Algorithms-STEP-BY-STEP.pdf 

ALS-Algorithms-Advanced-Life-Support.pdf

ALS-Algorithms-In Hospital resuscitation

ALS-Algorithms-Tachycardia.pdf

ALS-Algorithms-Bradycardia

TRAUMATIC CARDIAC ARREST/ PERI-ARREST ALGORITHM

EMERGENCY TREATMENT OF HYPERKALAEMIA

ACCIDENTAL HYPOTHERMIA

MANAGEMENING ACUTE ASTHMA IN ADULTS IN HOSPITAL

CORONARY THROMBOSIS

TOXIC EXPOSURE

CARDIAC SURGERY

CARDIAC CATHETERISATION LABORATORY

DELAYED AND INTERMITTENT CPR IN HYPOTHERMIC PATIENTS WHEN CONTINUOUS CPR IS NOT POSSIBLE DURING DIFFICULT RESCUE MISSIONS

AVALANCHE RESCUE

HYPERTHERMIA

POST-RESUSCITATION CARE

NEUROPROGNOSTICATION FOR THE COMATOSE PATIENT AFTER RESUSCITATION FROM CARDIAC ARREST

RECOMMENDATIONS FOR IN-HOSPITAL FUNCTIONAL ASSESSMENTS, FOLLOW-UP AND REHABILITATION AFTER CARDIAC ARREST

Post-Resus-Algorithms 

APPROVED-NLS-Algorithms-portrait-4_2021-03-23-153459 

PAEDIATRIC BASIC LIFE SUPPORT

PAEDIATRIC ADVANCED LIFE SUPPORT

PAEDIATRIC FOREIGN BODY AIRWAY OBSTRUCTION

EDUCATION-Algorithms-L/S

EDUCATION-Algorithms-L/S

EDUCATION-Algorithms-L/S

EDUCATION-Algorithms-L/S

EDUCATION-Algorithms-L/S

 EDUCATION-Algorithms-L/S

#ERC_resus 2021

All Downloads 

http://emssolutionsint.blogspot.com/2021/03/erc-european-resuscitation-council.html

The European Resuscitation Council Guidelines for Resuscitation provide specific instructions for how resuscitation should be practiced and take into account ease of teaching and learning, as well as the science. They were developed by Europeans and have been specifically written with European practice in mind.

Link to DOWNLOAD ALL Posters in PDF 

Spanish Army Chooses the Pyng Medical FAST1 Intraosseous Infusion System

Spanish Army Chooses the Pyng Medical FAST1 Intraosseous Infusion System

SOURCE: PYNG MEDICAL CORP. JAN 10, 2012

VANCOUVER, British Columbia, Jan. 10, 2012 /PRNewswire/ -- Pyng Medical Corp. (the "Company") (PYT: TSX-V) announced today that the FAST1® has been chosen by the Spanish Army through Pyng's exclusive dealer in Spain, International Emergency Services (IES), as the standard of care for their army combat medics to carry in their medical bags.  Currently used by most NATO forces including the United States, United Kingdom, Australia, Germany and Norway, the Spanish Army is the latest force to select the FAST1 Intraosseous Infusion System for their vascular access needs.

Spanish Army Chooses the Pyng Medical FAST1 Intraosseous Infusion System

Responsible for land-based military operations, the Spanish Army (Ejercito de Tierra - "Ground Army") is the terrestrial army of the Spanish Armed Forces.  After much consideration and research, the Spanish Army decided that the sternal route for intraosseous infusion was the best way to administer emergency fluids and medications in battlefield situations. 

"In the past, the Spanish Army has used the EZ-IO® and BIG® (Bone Injection Gun) systems for their intraosseous needs.  However, they found that soldiers would have injuries to their extremities, exactly where these devices require deployment.  They realized that the sternum was a better access point as it is one of the most protected parts on a soldier's body," commented Jesus Orbe, Director of Sales and Marketing at IES Spain.

"The FAST1 really is a product like no other on the market.  Its design and ease of use takes the guesswork out of the intraosseous infusion process.  From the target patch to the automated depth control, the medic just has to find the sternal notch and deploy the device.  It is easy to learn and deploy, even in low light conditions," added Mr. Orbe.  "These benefits in particular are the very reasons why the FAST1 is the device of choice for the Spanish Army's intraosseous needs." 

The first order of FAST1 for the Spanish Army will be used for a contingent of soldiers that are being deployed to Lebanon in the coming weeks.  "We are honored to offer a product such as the FAST1 with its high degree of success, ease-of-use and dependability," noted Mr. Orbe.

Spanish Army Chooses the Pyng Medical FAST1 Intraosseous Infusion System

http://www.emsworld.com/press_release/10612037/spanish-army-chooses-the-pyng-medical-fast1-intraosseous-infusion-system

Related: http://emssolutionsint.blogspot.com/2011/03/nuevo-dispositivo-para-acceso-rapido.html

10 reglas de Chamberlain para identificar un #EKG normal

 

10 reglas de Chamberlain para identificar un #EKG normal

#Chamberlain's10Rules

APRENDIENDO A LEER UN EKG 

Como todos sabemos ( estudiantes de medicina humana) el tener que aprender a leer un EKG puede ser una experiencia muy dificultosa para muchos así que para poder aprender a leer correctamente y reconocer sus patologías primero tenemos que saber lo normal así que aquí dejo las 10 reglas de Chamberlain  para poder saber cuando un EKG es normal y así desde ahí poder saber reconocer cualquier patología.

Regla 1: El intervalo PR debe ser de 120 a 200 milisegundos o de 3 a 5 pequeños cuadrados

Regla 2: La anchura del complejo QRS no debe exceder 110 ms, menos de 3 pequeños cuadrados

Regla 3:La anchura del complejo QRS no debe exceder 110 ms, menos de 3 pequeños cuadrados

Regla 4: Las ondas QRS y T tienden a tener la misma dirección general en las derivaciones de las extremidades

Regla 5:Todas las ondas son negativas en plomo aVR

Regla 6: 

La onda R en las derivaciones precordiales debe crecer de V1 a por lo menos V4 

La onda S en las derivaciones precordiales debe crecer desde V1 hasta al menos V3 y desaparecer en V6. 

Regla 7:El segmento ST debe comenzar isoeléctrico excepto en V1 y V2 donde puede ser elevado

Regla 8: :Las ondas P deben estar erguidas en I, II y V2 a V6

Regla 9: No debe haber una onda Q o sólo una pequeña q menor de 0.04 segundos de ancho en I, II, V2 a V6

Regla 10: La onda T debe estar en posición vertical en I, II, V2 a V6

Aquí les dejo un video donde se ve como se lee muy xvr.