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Nota Importante

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
Mostrando entradas con la etiqueta AHA 2015. Mostrar todas las entradas
Mostrando entradas con la etiqueta AHA 2015. Mostrar todas las entradas

jueves, 14 de diciembre de 2023

Canarias regula a partir del 6 de octubre la obligatoriedad de desfibriladores semiautomáticos Por Europa Press · septiembre 28, 2015

Desfibrilador TELEFUNKEN

Canarias se incorporará a partir del 6 de octubre al grupo de Comunidades Autónomas que ha regulado la obligatoriedad de la instalación de Desfibriladores Semi Automáticos (DESA) en determinados espacios públicos y empresas.
Así, quedan obligados a disponer de un DESA en condiciones aptas de funcionamiento y listo para su uso inmediato estaciones e intercambiadores de transporte terrestre en poblaciones de más de 50.000 habitantes; los aeropuertos; puertos comerciales; hoteles con más de 1.000 plazas; centros y complejos deportivos públicos de poblaciones de mas de 50.000 habitantes y con una afluencia media diaria superior a 1.000 usuarios; establecimientos dependientes de las administraciones públicas de poblaciones de más de 50.000 habitantes y una afluencia media diaria superior a 1.000 usuarios; teatros municipales, auditorios y salas de congresos con un aforo superior a 1.000 personas o grandes establecimientos comerciales y centros comerciales.
Tras Cataluña, Andalucía y País Vasco, Canarias en la cuarta Comunidad Autónoma que regula la disponibilidad y uso de los DESA. Hasta ahora, la normativa canaria regulaba aspectos administrativos y formativos asociados al uso de desfibriladores pero no establecía ningún tipo de obligatoriedad, informa la empresa B+Safe en un comunicado.
“El nuevo reglamento es un paso clave en el desarrollo de una cultura de cardioprotección similar a la que existe en la sociedades más avanzadas, entre las que destacan algunas ciudades norteamericanas que aseguran el acceso a un desfibrilador en menos de 3 minutos. La disponibilidad de un DESA permite salvar miles de vidas al año en todo el mundo y en la mayoría de las paradas cardiacas establece la frontera entre la vida y la muerte de la persona afectada. Su vida dependerá de nuestra capacidad de respuesta en los primeros 5 minutos”, destaca el director general de la compañía, Nuno Azcona.
La cardioprotección es una tendencia emergente orientada a la protección del corazón en caso de episodios cardíacos. El gran número de muertes por paro cardíaco en la población ha animado a gobiernos, empresas, entidades y asociaciones a concienciar a la población y tomar medidas que permitan revertir la situación gracias a la creación de zonas o espacios cardioprotegidos.
Estas zonas cuentan con, al menos, un desfibrilador, con mantenimiento garantizado y personas adecuadamente formadas para poder garantizar una rápida actuación en caso de paro cardíaco repentino -para conseguir que vuelva a latir el corazón de la persona afectada- hasta la llegada de los servicios médicos de emergencia.
PASOS CRÍTICOS
Para que las posibilidades de supervivencia ante un paro cardíaco repentino sean óptimas, informa la compañía, se debe realizar de forma inmediata una resucitación cardiopulmonar (RCP) que permita mantener el flujo necesario de sangre oxigenada al cerebro hasta que se restablezca el ritmo cardíaco normal mediante la descarga eléctrica suministrada por un desfibrilador.
El tiempo máximo para aplicar la desfibrilación a una persona que ha sufrido un paro cardiaco repentino es de un máximo de 5 minutos.
Hay identificados cuatro pasos críticos para tratar el paro cardíaco repentino, denominados ‘cadena de supervivencia’ y que pasan por reconocimiento y llamada al servicio de emergencia; rápida resucitación cardiopulmonar (RCP); desfibrilación temprana y cuidados post-resucitación.
En Europa, el paro cardiaco es una de las primeras causas de mortalidad, y en España se dan más 40.000 por año. Aquí, tras una enfermedad cardiaca, el índice de salvación se sitúa en un 4 por ciento mientras en Estados Unidos se sitúa ya en un 50 por ciento gracias a la implantación masiva de desfibriladores.
El plazo de intervención para salvar a una víctima es de no más de 4-5 minutos y por cada minuto que se pierde, hay un 10 por ciento menos de probabilidad de supervivencia.

viernes, 20 de enero de 2023

Protocolo para el correcto uso y mantenimiento de aparataje de uso sanitario: esfigmomanómetro, desfibrilador y electrocardiógrafo



Monitor-Desfibrilador Lifepak 15


Lifepak 15

Protocolo para el correcto uso y mantenimiento de aparataje de uso sanitario: esfigmomanómetro, desfibrilador y electrocardiógrafo.

Mª de los Ángeles Merino Godoy


Resumen



La profesión enfermera esta rodeada cada vez más de las nuevas tecnologías. A veces no llegamos a ser conscientes de la gran cantidad de aparatos que manejamos a diario.
A continuación presentamos 3 protocolos amenos y divertidos para un correcto manejo y cuidado de estas útiles herramientas
Abstract
The nursing profession is surrounded more and more by the new technologies. Sometimes we aren´t even conscious about the big amount of devices that we handle daily. Next, we submit three nice and amusing protocols to handle in a proper way and take care of three useful tools.

Centro de Trabajo: EU Enfermería / Hosp. J.R. Jiménez
Fecha del Trabajo: 06/11/2003
Palabra Clave: Protocolos, nuevas tecnologías, aparatos
Key Words: Protocols, new technologies, devices 

Texto completo:

DESCARGAR doc en pdf 


Lifepak 15 A prueba de Agua

Lifepak 15  A prueba de caídas

Dr. Ramon Reyes Diaz, MD para Frontiermedex UK
Haciendo revision rutinaria del Monitor-Desfibrilador Lifepak 15, a bordo del Buque Sismico Oceanic Vega en aguas del Golfo de Mexico de los Estados Unidos 


Monitor-Desfibrilador Lifepak 15



Lifepak 15 A prueba de golpes



Gestión y mantenimiento del equipamiento electromédico Guía de buenas prácticas para generar valor en el proceso asistencial
https://lnkd.in/ewJrSn9v
#pdf #librosmedicina #DrRamonReyesMD





Lifepak 15 versión hecha para la las condiciones más adversas

Dr Ramon REYES, MD,
Por favor compartir nuestras REDES SOCIALES @DrRamonReyesMD, así podremos llegar a mas personas y estos se beneficiarán de la disponibilidad de estos documentos, pdf, e-book, gratuitos y legales..

domingo, 12 de diciembre de 2021

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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viernes, 11 de diciembre de 2020

Calcula aquí tu riesgo cardiovascular



El Plan Integral de Atención a las Cardiopatías pretende profundizar en el conocimiento de las enfermedades cardiacas en Andalucía, para, sobre la base de este saber, promover estilos de vida cardiosaludable, al tiempo que garantizar una atención sanitaria equitativa y de calidad.

Se plantea como un instrumento que permita el mejor abordaje de las distintas fases de la historia natural de las cardiopatías (prevención primaria y secundaria, detección precoz, tratamiento y rehabilitación de las mismas), a través de una estrategia global que integre las intervenciones más adecuadas en orden a prevenir, curar o asistir, así como a formar e investigar sobre las causas y soluciones de este grupo de enfermedades.
Los objetivos propuestos por este Plan Integral son los siguientes:
  • Aumentar el grado de conocimiento e información de la población sobre las cardiopatías y sus factores de riesgo.
  • Reducir la incidencia de las cardiopatías en Andalucía.
  • Reducir el impacto de las cardiopatías en términos de morbilidad y mortalidad.
  • Mejorar la calidad de vida de las personas afectadas.
  • Garantizar a quines padecen cardiopatías una atención sanitaria basada en la estructuración del proceso asistencial, desde la perspectiva de la continuidad asistencial como elemento de calidad integral.
  • Adecuar la oferta de servicios a las necesidades de la población de manera efectiva y eficiente.
  • Construir el futuro invirtiendo en la formación de profesionales y en la investigación para la lucha contra las cardiopatías y sus repercusiones.
Última revisión:  28/10/2011


Enlace para bajar documento en pdf

Ampliar información
Pagina oficial Junta de Andalucía 

lunes, 24 de diciembre de 2018

European Congress of Emergency Medicine EUSEM 2019. Prague 12-16 October 2019

European Congress of Emergency Medicine EUSEM 2019. Prague 12-16 October 2019 



https://www.eusemcongress.org/en/


Venue & Access
Dates
From Saturday 12 October 2019, 8:00
to Wednesday 16 October 2019, 14:00

The Venue
Prague Congress Centre (PCC)

Unique location in the center of Prague with an exhibition area of 13,000 m2
20 halls and 50 meeting rooms and with foyers for up to 10,000 persons
Access for disabled
Its values: tradition and professionalism, pleasant and self-confident people, sustainable growth, technological innovation
Renovated premises since 2017
Excellent transport accessibility thanks to its strategic position
More than 1,000 parking spaces
Accommodation in the immediate vicinity https://www.eusemcongress.org/en/info/venue/



domingo, 29 de enero de 2017

AED: AHA CPR guidelines: How they impact AED use and purchasing



AHA CPR guidelines: How they impact AED use and purchasing

The 2015 AHA CPR guidelines refresh: still the most current recommendations.  

Oct 20, 2015Since 1974, the American Heart Association (AHA) has published periodic guidelines for CPR and emergency cardiovascular care (ECC). Those procedures are the basis for cardiac resuscitation protocols in EMS systems and hospital emergency departments throughout the U.S.
Automated external defibrillators (AEDs), similar to today’s models, were first acknowledged by the AHA in their 1992 update. Although circuitry and waveforms have changed since then, fundamental principles for treating pulseless patients have not: get help, start CPR, and defibrillate shockable rhythms as early as possible. The AHA’s 2015 guidelines mostly remind us how important each of those steps are.
If you own an AED, are thinking of buying one, or are just curious about the latest ECC recommendations for BLS providers, you might want to review these highlights from the 2015 update, which are still considered the most 
The AHA continues to stress the importance of placing AEDs where people are most likely to need them. They’ve adopted the conventional term public access defibrillation (PAD) for the process of identifying target-rich locations for AEDs, making sure potential responders know where defibrillators are and how to use them, linking accessible AEDs with EMS systems, and seeking ongoing quality improvement.
According to AEDSuperstore, “Unlike fire extinguishers, which are required by law, AEDs have been considered an optional safety investment on corporate properties for the most part. Despite the fact there are Good Samaritan laws in all 50 states to protect owners and users of these life-saving devices from litigation, it is still a perceived risk many companies are unwilling to take.  Of the 350,000 sudden cardiac deaths each year in the US, OSHA states 10,000 occur in the workplace. If corporations viewed investing in AEDs and training their employees in CPR the same way they looked at any other insurance, they would see the cost is comparatively minimal. “

AED TRAINING

Self-directed training in the use of AEDs is an acceptable alternative to instructor-led courses for both professional and lay rescuers. The message here is that any instruction is better than none at all. However, the AHA considers today’s automated defibrillators so easy to use that even someone with zero training can and should grab an AED when indicated.
The AHA adds that refresher classes for CPR and AEDs should be less frequent than every two years for responders likely to encounter cardiac arrests.

SCENE MANAGEMENT

The 2015 AHA guidelines incorporate recommendations about scene management that most professional rescuers take for granted: ensure scene safety, multitask patient assessment by simultaneously checking breathing and pulse, and choreograph concurrent interventions when there are teams of rescuers. The AHA also acknowledges the variability of scenes and preaches flexibility, rather than rote adherence to cardiac arrest algorithms.

COMMUNICATION BY CELLPHONE

A new suggestion for 2015 is that the lay rescuers who discover the patient or witness the arrest stay by the patient’s side and contact EMS via mobile phone whenever possible. Rescuers are encouraged to maintain two-way communication with dispatchers by activating cellphone speakers. Newer apps and social media platforms are another option for contacting emergency assistance.

WHEN TO SHOCK

There has been some debate about whether a minute or two of CPR before defibrillation might increase the chances of resuscitation by improving the metabolic state of the heart. The AHA examined four studies of defibrillation delayed by up to three minutes of CPR, and concluded there were no differences in either short- or long-term survival. The recommendation is still to assess for a shockable rhythm as quickly as possible and defibrillate immediately when indicated.

CHEST COMPRESSIONS

Although the 2015 guidelines offer no major changes for CPR, rescuers should note the following fine adjustments to chest compressions:
  • The upper limit of acceptable compression rates is now 120 per minute.
  • The maximum depth of compressions on adults is 2.4 inches, although 2 inches is still the target.
  • Compressions delivered by mechanical devices are not superior to manual compressions.
  • Rescuers are reminded not to lean on their patients’ chests between compressions. Full recoil of the chest wall is needed to optimize blood flow to the heart.
Perhaps the best news from the AHA is that they will issue continuous updates rather than periodic ones from now on. Ask suppliers about the capability of any AED unit's software to be reprogrammed as evolving resuscitation science may require updates. Keep an eye on ECCguidelines.heart.org for the latest research and recommendations.
References
  • Neumar RW, Shuster M, Callaway CW, et al. Part 1: executive summary: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015;132(suppl 2):S315-S367.
  • Highlights of the 2015 American Heart Association Guidelines Update for CPR and ECC. 2015.
This article was updated by EMS1 Staff on December 12th, 2016 to reflect the most recent data and information on AEDs.