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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
Mostrando entradas con la etiqueta American College of Surgeons. Mostrar todas las entradas
Mostrando entradas con la etiqueta American College of Surgeons. Mostrar todas las entradas

domingo, 2 de junio de 2024

CIRUGÍA DE GUERRA TRABAJAR CON RECURSOS LIMITADOS EN CONFLICTOS ARMADOS Y OTRAS SITUACIONES DE VIOLENCIA VOLUMEN 1 C. Giannou M. Baldan


CIRUGÍA DE GUERRA TRABAJAR CON RECURSOS LIMITADOS EN CONFLICTOS ARMADOS Y OTRAS SITUACIONES DE VIOLENCIA VOLUMEN 1 C. Giannou M. Baldan

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CIRUGÍA DE GUERRA TRABAJAR CON RECURSOS LIMITADOS EN CONFLICTOS ARMADOS Y OTRAS SITUACIONES DE VIOLENCIA VOLUMEN 1 C. Giannou M. Baldan



English Version pdf


Libro Gratuito en PDF Relacionado:

GUÍA PARA EL MANEJO MÉDICO-QUIRÚRGICO DE HERIDOS EN SITUACIÓN DE CONFLICTO ARMADO CICR 




GUÍA PARA EL MANEJO MÉDICO-QUIRÚRGICO DE HERIDOS EN SITUACIÓN DE CONFLICTO ARMADO CICR 
Ministerio de la Protección Social República de Colombia 
COMITÉ INTERNACIONAL DE LA CRUZ ROJA MINISTERIO DE LA PROTECCIÓN SOCIAL 
La cirugía que se realiza en víctimas de una situación de conflicto armado es en general diferente a las que se efectúan en tipos diversos de trauma. Las heridas originadas en conflictos armados son causadas por balas o fragmentos de la explosión de minas o bombas y siempre se consideran lesiones contaminadas. Para estas intervenciones es importante que los médicos cirujanos, anestesiólogos y enfermeras comprendan las particularidades de las heridas generadas en el conflicto y que tengan un rápido acceso a los conocimientos de como proceder en tales casos. Esta Guía aspira contribuir con estos propósitos.

BAJAR PDF GRATIS




MANUALES DE MEDICINA SUTURA, CIRUGIA, CIRUGIA MENOR GRATIS EN PDF


Balística de las heridas: introducción para los profesionales de la salud, del derecho, de las ciencias forenses, de las fuerzas armadas y de las fuerzas encargadas de hacer cumplir la ley http://emssolutionsint.blogspot.com/2017/04/balistica-de-las-heridas-introduccion.html
Guía para el manejo médico-quirúrgico de heridos en situación de conflicto armado by CICR http://emssolutionsint.blogspot.com/2017/09/guia-para-el-manejo-medico-quirurgico.html
CIRUGÍA DE GUERRA TRABAJAR CON RECURSOS LIMITADOS EN CONFLICTOS ARMADOS Y OTRAS SITUACIONES DE VIOLENCIA VOLUMEN 1 C. Giannou M. Baldan CICR http://emssolutionsint.blogspot.com.es/2013/01/cirugia-de-guerra-trabajar-con-recursos.html
Protocolo de cirugía menor en Atención Primaria. PDF Gratis by Gobierno Canario de Salud. España http://emssolutionsint.blogspot.com/2018/06/protocolo-de-cirugia-menor-en-atencion.html
Manual Suturas, Ligaduras, Nudos y Drenajes. Hospital Donostia, Pais Vasco. España http://emssolutionsint.blogspot.com/2017/09/manual-suturas-ligaduras-nudos-y.html
Técnicas de Suturas para Enfermería ASEPEYO y 7 tipos de suturas que tienen que conocer estudiantes de medicina http://emssolutionsint.blogspot.com/2015/01/tecnicas-de-suturas-para-enfermeria.html
Manual Práctico de Cirugía Menor. Grupo de Cirugia Menor y Dermatologia. Societat Valenciana de Medicina Familiar i Comunitaria http://emssolutionsint.blogspot.com/2013/09/manual-practico-de-cirugia-menor.html
Protocolo de Atencion para Cirugia. Ministerio de Salud Publica Rep. Dominicana. Marzo 2016 http://emssolutionsint.blogspot.com/2016/09/protocolo-de-atencion-para-cirugia.html
Manual de esterilización para centros de salud. Organización Panamericana de la Salud http://emssolutionsint.blogspot.com/2016/07/manual-de-esterilizacion-para-centros.html

Articulos relacionados:

Sindrome de Latigazo Cervical 
Compilacion, PDF, Videos e Imagenes by Dr. Ramon Reyes, MDhttp://emssolutionsint.blogspot.com/2016/11/sindrome-de-latigazo-cervical.html

Cinematica de Trauma ATROPELLO, Explosion, Peatones
http://emssolutionsint.blogspot.com.es/2016/07/cinematica-de-trauma-en-peatones.html

Inmovilizacion Espinal en el Paciente de Trauma, Inmovilizacion Selectiva, El NEXUS, El Canadian C-Spine Rule, Consenso Británico http://emssolutionsint.blogspot.com/2016/09/es-necesario-inmovilizar-todos-los.html

MAS LIBROS MEDICINA Y SALUDhttps://www.facebook.com/pg/DrRamonReyesMD/photos/?tab=album&album_id=620883388254594




Se merecen mi respeto al mas alto nivel. Con sangre y fluidos por todas partes, sin preocuparse por nada, lo salvaron..Este paciente entró a la emergencia con una herida severa y casi sangró el volumen sanguíneo ...Todos, incluidos los médic@s y enfermer@s, terminaron con la sangre encima, sin preocuparse por contaminación "infección" pero lograron salvar al paciente. by Detcare 👍


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Este Blog va dirigido a profesionales de la salud y publico en general EMS Solutions International garantiza, en la medida en que puede hacerlo, que los contenidos recomendados y comentados en el portal, lo son por profesionales de la salud. Del mismo modo, los comentarios y valoraciones que cada elemento de información recibe por el resto de usuarios registrados –profesionales y no profesionales-, garantiza la idoneidad y pertinencia de cada contenido.


Es pues, la propia comunidad de usuarios quien certifica la fiabilidad de cada uno de los elementos de información, a través de una tarea continua de refinamiento y valoración por parte de los usuarios.

Si usted encuentra información que considera erronea, le invitamos a hacer efectivo su registro para poder avisar al resto de usuarios y contribuir a la mejora de dicha información.

El objetivo del proyecto es proporcionar información sanitaria de calidad a los individuos, de forma que dicha educación repercuta positivamente en su estado de salud y el de su entorno. De ningún modo los contenidos recomendados en EMS Solutions International están destinados a reemplazar una consulta reglada con un profesional de la salud.




sábado, 1 de junio de 2024

New Rapid-Deployment Plasma Protocol for Trauma Care Effectively Treats Patients Quicker in the Emergency Room

New Rapid-Deployment Plasma Protocol for Trauma Care Effectively Treats Patients Quicker in the Emergency Room

American College of Surgeons guidelines enable trauma centers to deliver key blood component three times faster than traditional delivery method.
NEWS FROM THE AMERICAN COLLEGE OF SURGEONS | FOR IMMEDIATE RELEASE
CHICAGO (May 28, 2015): Traumatic injury is the leading cause of death among people under age 45, but if trauma  physicians could deliver plasma to these injury victims within minutes of their arrival in the emergency room, more of them would stand a better chance of survival.
When they arrive at the hospital, trauma victims can often wait 30 minutes or longer to receive plasma because the traditional way of giving them plasma involves two time-consuming steps: testing for blood type and then thawing frozen plasma. “There’s a golden hour after trauma where you need to be able to stabilize the patient,” explained  Deborah Novak, MD, of the University of Arizona, Tucson, lead author of a new study on a rapid-deployment plasma protocol.
The study was conducted at 12 urban trauma centers. Researchers found that trauma teams could consistently deliver plasma to trauma patients three times faster than the traditional delivery method.  The latest results from the Pragmatic, Randomized Optimal Platelets and Plasma Ratios (PROPPR) clinical trial determined that the participating trauma centers were able to utilize a new clinical guideline to have thawed plasma delivered to the trauma patient’s bedside within 10 minutes of arrival. The most recent report was published online in the journal Transfusion, a publication of the American Association of Blood Banks, in advance of print publication in June.
The investigators evaluated the utility of guidelines for massive transfusion developed by the American College of Surgeons (ACS) Trauma Quality Improvement Program (TQIP®). Approximately 4,700 units of plasma were given to the 680 patients enrolled in the trial.
Whole blood, used for transfusion when patients lose excessive amounts of blood, is divided into its three key components that makes it easier to store and keep fresh: plasma, platelets, and red blood cells. “Plasma contains the critical proteins necessary for the human body to control, and stop, bleeding,” Dr. Novak said.  Platelets are essential for clotting, and red blood cells transport oxygen throughout the body.
Traditional trauma resuscitation involves giving the patient non-blood fluids, called crystalloid fluids, and red blood cells early on, and then administering plasma and platelets later. Plasma is typically stored frozen and thawed only when trauma staff request it. While this method successfully treats most trauma victims with mild or moderate injuries, military and civilian researchers have found that individuals with massive bleeding benefit when they received plasma at the same ratio as red blood cells. “A renewed look at the process resulted in the concept of transfusing plasma earlier, with red blood cells and plasma in ratios that approximate the reconstitution of the original unit of whole blood,” Dr. Novak said.  
PROPPR focuses on the use of universal-donor plasma—that is, plasma that can be given to all blood types—but because thawed, universal-donor plasma can be scarce at times, three trial sites used blood type A plasma instead without complications. This approach was an important side note of the trial, according to Dr. Novak. “What we found out and what other places have found is that trauma teams can safely use AB or limited amounts of A plasma for that small window when the patient’s blood type is not yet known,” Dr. Novak said. That finding could be significant in sustaining supplies of unthawed plasma for trauma use.
But the challenge is to have plasma thawed and ready when the patient arrives at the emergency room. Thawed plasma must be discarded after five days whereas frozen plasma can last up to a year. “So any hospital endeavoring to maintain a pre-thawed plasma inventory could experience additional wastage,” Dr. Novak said.  “The key to controlling the amount of wastage depends on balancing the amount of plasma pre-thawed, and the amount of plasma used daily in the facility.” Eleven sites reported thawed plasma wastage of less than 10 percent of units. Only one of 12 sites reported having to discard about 25 percent of the thawed plasma. The other sites reported no increase, illustrating that with careful inventory management, wasted plasma need not increase, while clinical outcomes can improve.
Overcoming the challenge of getting thawed plasma rapidly into the trauma unit was an essential component of the PROPPR trial. Eleven of the 12 sites were able to consistently delivery six units of thawed plasma to the patient’s bedside within 10 minutes of arrival. The twelfth site, which had only two trauma patients a month, was able to do so within 15 minutes.
The blood bank guidelines spelled out by ACS TQIP enabled these centers to achieve the goal of delivering thawed plasma within 10 minutes, noted PROPPR trial coauthor Bryan Cotton, MD, MPH, FACS, professor of surgery at University of Texas Health Sciences Center in Houston.  “That step really brought those centers’ the ability to deliver and pull off the massive transfusion protocol and meet those TQIP guidelines in such a dramatic fashion,” said Dr. Cotton, who is also a member of the expert committee that drafted the TQIP guidelines.
Future studies using the PROPPR data will closely evaluate problems with inflammation and clotting after trauma, and to influence the guidelines regarding the way massively hemorrhaging trauma patients receive transfusions.
Other study coauthors are Yu Bai, Rhonda K. Cooke, Marisa B. Marques, Magali J. Fontaine, Jerome L. Gottschall, Patricia M. Carey, Richard M. Scanlan, Eberhard W. Fiebig, Ira A. Shulman, Janice M. Nelson, Sherri Flax, Veda Duncan, Jennifer A. Daniel-Johnson, Jeannie L. Callum, John B. Holcomb,  Erin E. Fox,  Sarah Baraniuk, Barbara C. Tilley, Martin A. Schreiber, Kenji Inaba, Sandro Rizoli, Jeanette M. Podbielski, and John R. Hess.
This research was sponsored by the US National Heart,Lung, and Blood Institute (U01HL077863) and the US Department of Defense, as well as Defence Research and Development Canada in partnership with the Canadian Institutesof Health Research (CIHR) Institute of Circulatory and Respiratory Health (CRR-120612).
# # #
About the American College of Surgeons
The American College of Surgeons is a scientific and educational organization of surgeons that was founded in 1913 to raise the standards of surgical practice and improve the quality of care for surgical patients. The College is dedicated to the ethical and competent practice of surgery. Its achievements have significantly influenced the course of scientific surgery in America and have established it as an important advocate for all surgical patients. The College has more than 80,000 members and is the largest organization of surgeons in the world. For more information, visit www.facs.org.
Contact
Devin Rose
312-202-5324
or
Sally Garneski
312-202-5409
pressinquiry@facs.org
- See more at: https://www.facs.org/media/press-releases/2015/trauma0515#sthash.KxeXJJbG.dpuf



PHTLS PreHospital Trauma Life Support Dominican Republic Chapter

jueves, 30 de mayo de 2024

Will Chapleau EMT-P, RN, TNS Director of Performance Improvement. American College of Surgeons

Will Chapleau EMT-P, RN, TNS Director of Performance Improvement. American College of Surgeons

Will.chapleau@iphmi.com


Will Chapleau has been a Paramedic for 41 years and trauma nurse specialist for 28 years. For the last five years he has served as the Director of Performance Improvement at the American College of Surgeons after spending 6 years managing Trauma training programs for the Committee on Trauma there. He also spent 20 years with the Chicago Heights Fire Department, the last 6 years as Chief. He also spent 15 years as an educator in the Good Samaritan Hospital EMS System in Downers Grove, Ill., and at St. James Hospital and Prairie State College in Chicago Heights. 

Chapleau served as the Chair of the PHTLS Committee of NAEMT for nearly 20 years. He also served on the NAEMT Board of Directors, as well as on the boards for the National Association of EMS Educators and the Society of Trauma Nurses. He also chaired a task force for the National Association of EMS Physicians. He’s been a frequent contributor to the Journal of Emergency Medical Services (JEMS), EMS World Magazine and Fire Apparatus Magazine. He has also been published in the Journal of Trauma and Critical Care and the Journal of Emergency Medicine. He also served on the editorial board of EMS World Magazine. Will has written and edited five pre-hospital care texts in four languages and has taught prehospital care and lectured in conferences in over 60 countries.



Will Chapleau EMT-P, RN, TNS
Director of Performance Improvement
American College of Surgeons






PHTLS Chair







 
Will Chapleau
Chair

Will Chapleau has been chairman of the PreHospital Trauma Life Support (PHTLS) Committee since 1996, and has served as national faculty since 1984. He has been a Paramedic for 38 years and trauma nurse specialist for 25 years. He currently serves as the Director of Performance Improvement at the American College of Surgeons after spending 6 years managing Trauma training programs for the Committee on Trauma there. He also spent 20 years with the Chicago Heights Fire Department, the last 6 years as Chief. He also spent 15 years as an educator in the Good Samaritan Hospital EMS System in Downers Grove, Ill., and at St. James Hospital and Prairie State College in Chicago Heights.

Chapleau has served on the NAEMT Board of Directors, as well as on the boards for the National Association of EMS Educators and the Society of Trauma Nurses. He’s been a frequent contributor to the Journal of Emergency Medical Services (JEMS) and Fire Apparatus. He is also on the editorial board of EMS World Magazine. Will has written and edited five pre-hospital care texts and has taught prehospital care and lectured in conferences in over 50 countries. 



Will Chapleau EMT-P, RN, TNS
Director of Performance Improvement
American College of Surgeons


Will Chapleau EMT-P, RN, TNS
Director of Performance Improvement
American College of Surgeons

Will Chapleau, who has managed the College’s Advanced Trauma Life Support®(ATLS®) program for six years, assumed the newly created position of Director of Performance Improvement (PI), although he will continue to oversee the ATLS program until his replacement is hired. In his new post, Mr. Chapleau will lead the transition from a GE-led PI initiative at the College to an internal program. He brings to the position a unique background as a licensed nurse with experience in emergency and critical care and 36 years as a licensed paramedic, including his work as chief of the Chicago Heights, IL, Fire Department, and its director of emergency medical services (EMS) and the Emergency Management Agency.
Mr. Chapleau has lectured on EMS and trauma topics in more than 40 countries and has been an EMS educator for 28 years. He has written four published EMS textbooks as well as numerous journal articles. Mr. Chapleau serves as chair of Prehospital Trauma Life Support and has participated with boards of the National Association of Emergency Medical Technicians, the National Association of EMS Educators, and the Society of Trauma Nurses. Since 2000, he has worked as an instructor and as a member of the executive council of Advanced Trauma Care Nursing. He earned an associate degree in fire science administration from Prairie State College in Chicago Heights as well as an associate degree in nursing from Western Illinois University, Macomb. http://bulletin.facs.org/2012/09/college-hires/


NAEMT ANNOUNCES 2012 LIFETIME ACHIEVEMENT AWARD WINNER: WILL CHAPLEAU

Oct 31, 2012


NAEMT is pleased to announce that Will Chapleau, EMT-P, RN, TNS is the 2012 recipient of the prestigious Rocco V. Morando Lifetime Achievement Award. This award is generously sponsored by the National Registry of Emergency Medical Technicians (NREMT) and was presented last night to Chapleau at the NAEMT General Membership Meeting.

Will Chapleau has been leading the cause for quality EMS education nationwide and across the globe for many years. He has served as Chair of NAEMT's Prehospital Trauma Life Support (PHTLS) Committee for the past 16 years, taking the program to new heights in using evidence-based, critical thinking to treat multi-system trauma. Because of his work, PHTLS is now offered to EMS practitioners in more than 55 countries.

Chapleau is Director of Performance Improvement and the Advanced Trauma Life Support (ATLS) Program Manager for the American College of Surgeons, Chicago. He has been a paramedic for 36 years and a trauma nurse specialist for 23 years. He has worked in the field as a firefighter paramedic and finished his 20-year fire department career as Chief of the Chicago Heights Fire department. Chapleau also has worked in emergency and critical care nursing.

An EMS educator for 28 years, Chapleau has published four EMS textbooks and contributed to numerous other texts, including ATLS, PHTLS and ATCN. He also has written frequently for EMS and trauma journals and has lectured on EMS and trauma topics in more than 50 countries.

In addition, he has served on the Board of Directors of NAEMT, the National Association of EMS Educators, and the Society of Trauma Nurses, and currently serves on the Board of Marian Catholic High School in Chicago Heights, Illinois.

The Rocco V. Morando Lifetime Achievement Award is NAEMT's most prestigious award, and is named after one of the founding members of NAEMT.



Books by Will Chapleau

The PARAMEDIC By Will Chapleau


Ever since the first EMT book was written, there have been two philosophies chosen by the authors for the reader: One type is to provide for the minimal required information and to meet only the minimum standards required by the profession. At the other end of the spectrum is the philosophy that is written to be all-inclusive. This will give the student reader (and ultimately patient care provider) the strongest knowledge possible. If you or your family were to become sick or injured in the middle of the night, in the blowing snow or in the cold rain, do you want the EMT taking care of you to be the very best they possibly could be or simply one who has taken the course to “get by”? This book is not a “get by” book. This book is not written by “get by” authors. This book is not edited by “get by” editors. Just open this book and look at the four editors—four better people in the United States to write such a book could not have been chosen. 

Norman E. McSwain, Jr., MD, FACS, NREMT-P Professor of Surgery Tulane University 



RAPID First Responder Will Chapleau
Perfect for the classroom or the field, this handy pocket guide is full of essential information in a convenient, quick-access format. Plenty of quick-reference tables, CPR and AED information, airway management and breathing skills, and much more make Rapid: First Responder, Second Edition an excellent companion for everyday use.
 
Features & Benefits
  • Essential information in a convenient, quick access format is perfect for the classroom or field.
  • Fluid-resistant and pocket-sized format makes this reference durable enough for rugged clinical use.
  • At-a-glance tables, charts, and algorithms highlight important content.
  • 24 step-by-step skills with NEW photos clarify important skills.
  • NEW! Trauma, Pediatric, and Environmental sections allow for quick access.

EMERGENCY FIRST RESPONDER Will Chapleau
With real-world case scenarios, tips for working with other members of the emergency response team, and much more, Emergency First Responder: Making the Difference offers essential coverage of the information you need for success in the field. This one-of-a-kind text is designed for the 40- to 60-hour course length and covers both the objectives in the National Standard Curriculum (NSC) for the First Responder and the new National Education Standards.

PHTLS PreHospital Trauma Life Support
Will Chapleau Associate Editor and Contributor
Each new print copy of PHTLS: Prehospital Trauma Life Support, Eighth Edition also includes an access code that unlocks a complete eBook and skills videos.
PHTLS: Prehospital Trauma Life Support, Eighth Edition is the next step in the evolution of the premier global prehospital trauma education program. For three decades, PHTLS has improved the quality of trauma patient care and has saved lives. The Eighth Edition of PHTLS continues the PHTLS mission to promote excellence in trauma patient management by all providers involved in the delivery of prehospital care through global education.
This legendary program was first developed by the National Association of Emergency Medical Technicians (NAEMT) in the early 1980s in cooperation with the American College of Surgeons Committee on Trauma (ACS-COT). Its medical content is continuously revised and updated to reflect current, state-of-the-art knowledge and practice. PHTLS promotes critical thinking as the foundation for providing quality care. It is based on the belief that EMS practitioners make the best decisions on behalf of their patients when given a good foundation of knowledge and key principles. The Eighth Edition of PHTLS features a new chapter, Physiology of Life and Death. This chapter creates a solid understanding of the physiology of life and pathophysiology that can lead to death. This understanding is essential for the prehospital care provider if abnormalities are to be found and addressed quickly in the trauma patient.
Clear Approach to Assessing a Trauma Patient
In the field, seconds count. PHTLS teaches and reinforces the principles of rapidly assessing a trauma patient using an orderly approach, immediately treating life-threatening problems as they are identified, and minimizing any delays in initiating transport to an appropriate destination.
Dynamic Technology Solutions
World-class content joins instructionally sound design in a user-friendly online interface to give instructors and students a truly interactive and engaging learning experience with:
•    eBook
•    Video Demonstrations of Critical Skills
•    Interactive Lectures



Técnico en emergencias sanitarias (DVD + evolve) :Marcando la diferencia Will Chapleau

  • Esta obra, de contenidos exhaustivos pero de uso sencillo, es una guía completa para el aprendizaje de las habilidades esenciales que permitirán al lector convertirse en un técnico médico de urgencias (TMU) de primera línea.

  • Cumple todos los requisitos del U.S. Department of Transportation National Standard (NSC) para los técnicos de emergencias médicas básicos.

  • El lector podrá visualizar más de 40 demostraciones de habilidades reales y animaciones médicas en el DVD acompañante. En los detallados 'Escenarios de casos' se lleva a cabo un seguimiento de la actividad de los TMU a lo largo del libro.

  • Asimismo, cuenta con evolve. A esto hay que añadirle las animaciones médicas sobre anatomía, fisiología y procesos fisiopatológicos.

PUNTOS CLAVE


  • Esta obra, de contenidos exhaustivos pero de uso sencillo, es una guía completa para el aprendizaje de las habilidades esenciales que permitirán al lector convertirse en un técnico médico de urgencias (TMU) de primera línea.

  • Cumple todos los requisitos del U.S. Department of Transportation National Standard (NSC) para los técnicos de emergencias médicas básicos.

  • Los epígrafes 'Propósitos de la lección' y 'Objetivos' pretenden ayudar al estudiantes a identificar los contenidos clave. En el interior de los capítulos, los recuadros 'Preguntas a uno mismo', 'Consideraciones especiales' y 'Poblaciones especiales' pueden ayudar al técnico a familiarizarse con las diversas situaciones con las que se encontrará en la vida profesional real.

  • Cada capítulo finaliza con una revisión del mismo bajo el epígrafe 'Aspectos prácticos'. En esta sección se incluyen los puntos críticos, una lista de aprendizaje, los términos clave y los objetivos. Además, permite descubrir paso a paso las habilidades necesarias a través de instrucciones detalladas y de fotografías explícitas. El lector podrá visualizar más de 40 demostraciones de habilidades reales y animaciones médicas en el DVD acompañante. En los detallados 'Escenarios de casos' se lleva a cabo un seguimiento de la actividad de los TMU a lo largo del libro.

  • Asimismo, cuenta con evolve. A esto hay que añadirle las animaciones médicas sobre anatomía, fisiología y procesos fisiopatológicos.

SOBRE LOS AUTORES

By Will Chapleau, EMT-P, RN, TNS, Fire Chief, Chicago Heights Fire Department, Chicago Heights, IL