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

Enlace más información

Manual ENG

Manual ESP 

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,
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Mass civilian shootings: Are we ready to face this new threat?

Mass civilian shootings: Are we ready to face this new threat?

COL A Puidupin (MD), CPT C Hoffmann (MD),CPT N Cazes (MD), COL S Margerin (PCD), LTC T Provost-Fleury (MD), LTC O Gacia (MD) French Armed Forces Health Service, Paris, Clamart, Marseille

Link to download a free PDF document 



Related 

The Hartford Consensus III Compendium, September 2015. PHTLS B-Con Bleeding Control for the Injured Course "Stop The Bleed" / Control de Sangrados para el Herido By NAEMT.

First Responder Guide for Improving Survivability in Improvised Explosive Device and/or Active Shooter Incidents / Guía DHS para mejorar la supervivencia de primeros respondientes a un incidente a dispositivo explosivo improvisado y tiroteos activos

• Fire/Emergency Medical Services Department Operational Considerations and Guide for Active Shooter and Mass Casualty Incidents   (US  Dept. of Homeland Security / FEMA, September 2013)

• See Something, Do Something: Improving Survival - Strategies to Enhance Survival in Active Shooter and Intentional Mass Casualty Events: A Compendium   (American College of Surgeons Bulletin, Vol. 100 No. 1S, September2015)

• An Evidence-Based Prehospital Guideline for External Hemorrhage Control: American College of Surgeons Committee on Trauma   (PREHOSPITAL EMERGENCY CARE, APRIL-JUNE 2014 VOLUME 18 / NUMBER 2)

• Tactical Combat Casualty Care: Tourniquets and Hemostatic Dressings   (source: National Association of Emergency Medical Technicians)
• 
  

• Committee for Tactical Emergency Casualty Care Guidelines

The Committee for Tactical Emergency Casualty Care used the military battlefield guidelines of Tactical Combat Casualty Care (TCCC) as an evidenced based starting point in the development of civilian specific medical guidelines for high threat operations. Each phase and medical recommendation of the military TCCC guidelines was examined and discussed by the Committee, and then was re-written, annotated, or removed through consensus voting of the Guidelines Committee to create civilian specific, civilian appropriate guidance. Additionally, the Committee added and/or put specific emphasis on several medical recommendations not included in TCCC to address high threat operational aspects unique to civilian operations.

The first phase of care under TCCC is Care Under Fire (CUF). To meet the various operational scenarios and terminology utilized in the civilian sector, the first phase of care under TECC was renamed “Direct Threat Care (DTC).” The priorities of DTC remain relatively unchanged from CUF; emphasis remains on mitigating the threat, moving the wounded to cover or an area of relative safety, and managing massive hemorrhage utilizing tourniquets. Additionally, emphasis was placed on the importance of various rescue and patient movement techniques, as well as rapid positional airway management if operationally feasible. Treatment and operational requirements are the same for all levels of providers during this phase of care.

The second phase of care under TCCC is Tactical Field Care. For the same reasons listed above, this phase was renamed in TECC to be called “Indirect Threat Care.” Indirect Threat Care phase can be initiated once the casualty is in an of relative safety, such as one with proper cover or one that has been cleared but not secured where there is less of chance of rescuers being injured or patients sustaining additional injuries. Similar to TCCC, assessment and treatment priorities in this phase focus on the preventable causes of death as defined by military medical evidence: Major Hemorrhage, Airway, Breathing/Respirations, Circulation, Head & Hypothermia, and Everything Else (MARCHE). Four different levels of providers were assigned to scope of practice and skill sets based on level of training and certification.

The final phase of care under TECC is called “Evacuation Care.” During this phase of care, an effort is being made to move the casualty toward a definitive treatment facility. Most additional interventions during this phase of care are similar to those performed during normal EMS operations.  However, major emphasis is placed on reassessment of interventions and hypothermia management.

Download the TECC Guidlines »

http://www.c-tecc.org/images/content/TECC_Guidelines_-_JUNE_2015_update.pdf

• Improving Active Shooter/ Hostile Event Response Best Practices and Recommendations for Integrating Law Enforcement, Fire, and EMS   (Interagency Board, September 2015)

Almost 90% of American service men and women who die from combat wounds do so before they arrive at a medical treatment facility. This figure highlights the importance of the trauma care provided on the battlefield by combat medics, corpsmen, PJs, and even the casualties themselves and their fellow combatants. With respect to the actual care provided by combat medics on the battlefield, however, J. S Maughon noted in his paper in Military Medicine in 1970 that little had changed in the preceding 100 years. In the interval between the publication of Maughon's paper and the United States’ invasion of Afghanistan in 2001, there was also little progress made. The war years, though, have seen many lifesaving advances in battlefield trauma care pioneered by the Joint Trauma System and the Committee on Tactical Combat Casualty Care. These advances have dramatically increased casualty survival. This is especially true when all members of combat units – not just medics - are trained in Tactical Combat Casualty Care (TCCC.)

Combat medical personnel and non-medical combatants in U.S. and most coalition militaries are now being trained to manage combat trauma on the battlefield in accordance with TCCC Guidelines.

• Committee for Tactical Emergency Casualty Care Guidelines

• Stop the Bleed   (US Dept. of Homeland Security)

Articles

• Report from Paris (New England Journal of Emergency Medicine, 6 December 2015)
• The medical response to multisite terrorist attacks in Paris  (The Lancet, 24 November 2015)
• Arlington County, Va., Task Force Rethinks Active Shooter Incident Response   (Journal of Emergency Medical Services, November 2009)

Podcasts

• Youri Yordanov: Lessons learned from the November Paris attacks (The St.Emlyn’s virtual hospital podcast 4/12/2015)

European Trauma Course – The Team Approach to Trauma ETC

ETC course manual

European Trauma Course – The Team Approach to Trauma

http://europeantraumacourse.com/

by DR. RAMON REYES; MD 

TEXT book in PDF

https://shop.europeantraumacourse.com/en/webshop/manuals

by

https://www.erc.edu/ 

https://www.esahq.org/  

https://eusem.org/ 

http://www.estesonline.org/ 

European Trauma Course – The Team Approach to Trauma

COURSE DESCRIPTION

The ETC is a 2.5 days “hands-on” course. The novel modular course concept is scenario based and provides state-of-the-art team training through workshops and skill stations, reflecting prevailing European practice.

The scenarios are simulations of typical major trauma admissions in an emergency department/shock-room environment. Up to twenty-four candidates, in teams of four (doctors from all specialties, nurses, and paramedics), are taken through 30 progressive trauma admission scenarios with a strong focus on teamwork, communication and non-technical skills.

The modules cover all major aspects of trauma resuscitation. Two interactive lectures and one faculty demonstration complete the course and keep didactic teaching to a minimum.

Candidate assessment is performed continuously as well as in a summative way at the end of the course.

• The ETC is a joint programme of the European Resuscitation Council (ERC), the European Society of Anaesthesiology (ESA), the European Society for Trauma and Emergency Surgery (ESTES) and the European Society for Emergency Medicine (EuSEM).
• The ETC is an innovative 2.5 days Life Support course for doctors and other medical health care professionals that are involved in the acute care of major trauma patients.
• ETC provides state-of-the-art trauma training with a strong focus on team work and non-technical skills.
• The ETC is a hands on course where candidates spend 85% of their time practicing in scenario based workshops.
• Candidates are trained in small groups simulating trauma teams working in a shock-room environment.
• The ETC is certified by all partner organisations.

TCC LEFR Tactical Casualty Care for Law Enforcement and First Responder 

http://emssolutionsint.blogspot.com/2017/09/curso-tcc-lefr-tactical-casualty-care_4.html

Dr Ramon REYES, MD,
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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)

Website: https://www.praguecc.cz/en/

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/

XI European Congress of Emergency Medicine 2017. 23-27 September. Ahens. Greece. EUSEM 2017

XI European Congress of Emergency Medicine 2017. 23-27 September. Ahens. Greece. EUSEM 2017

Read more http://emssolutionsint.blogspot.com.es/2015/07/9th-european-congress-on-emergency.html