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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

lunes, 20 de febrero de 2023

Manual de Vendajes e-book pdf by biblioteca digital cecova

 

Manual de Vendajes e-book pdf by biblioteca digital cecova 


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Libro del Residente de UROLOGIA by Asociacion Española de Urologia PDF Gratis

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Protocolo de atención para el manejo del paciente politraumatizado en emergencia

 

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Sistematizar la atención y manejo del paciente Politraumatizado garantizado la estabilización de las funciones fisiológicas e identificar las complicaciones que pongan en peligro la vida del paciente para disminuir secuelas y mortalidad.
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domingo, 19 de febrero de 2023

A guidance document for medical teams responding to health emergencies in armed conflicts and other insecure environments

 

Overview

This publication, also referred to as the “Red Book”, offers a guidance framework and introduces additional verification requirements for medical teams preparing for or involved in responding to health emergencies in armed conflict and other insecure environments.

 Download 

WHO TEAM
Emergencies Preparedness
NUMBER OF PAGES
104
REFERENCE NUMBERS
ISBN: 9789240029354
COPYRIGHT
   
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ACCIONES PARA ENFRENTAR A LA DIABETES Documento de Postura Colección de 150 Aniversario ACADEMIA NACIONAL DE MEDICINA/ MEXICO. pdf Gratis

ACCIONES PARA ENFRENTAR A LA DIABETES Documento de Postura Colección de 150 Aniversario ACADEMIA NACIONAL DE MEDICINA/ MEXICO. pdf Gratis
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CALIDAD Y SEGURIDAD HACIA LA SALUD DE POBLACIONES. Documento de Postura Colección de 150 Aniversario ACADEMIA NACIONAL DE MEDICINA/ MEXICO. pdf Gratis

CALIDAD Y SEGURIDAD HACIA LA SALUD DE POBLACIONES. Documento de Postura Colección de 150 Aniversario ACADEMIA NACIONAL DE MEDICINA/ MEXICO. pdf Gratis


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LOS ACCIDENTES COMO PROBLEMA DE SALUD PUBLICA EN MEXICO Retos y Oportunidades. Documento de Postura Colección de 150 Aniversario ACADEMIA NACIONAL DE MEDICINA/ MEXICO. pdf Gratis

LOS ACCIDENTES COMO PROBLEMA DE SALUD PUBLICA EN MEXICO Retos y Oportunidades. Documento de Postura Colección de 150 Aniversario ACADEMIA NACIONAL DE MEDICINA/ MEXICO. pdf Gratis

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Documento de Postura Colección de 150 Aniversario ACADEMIA NACIONAL DE MEDICINA/ MEXICO. pdf Gratis
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HACIA UN ENTORNO SALUDABLE EN LAS COMUNIDADES MEXICANAS.Documento de Postura Colección de 150 Aniversario ACADEMIA NACIONAL DE MEDICINA/ MEXICO. pdf Gratis

HACIA UN ENTORNO SALUDABLE EN LAS COMUNIDADES MEXICANAS.Documento de Postura Colección de 150 Aniversario ACADEMIA NACIONAL DE MEDICINA/ MEXICO. pdf Gratis

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ENVEJECIMIENTO Y SALUD una propuesta para un plan de acción. Documento de Postura Colección de 150 Aniversario ACADEMIA NACIONAL DE MEDICINA/ MEXICO. pdf Gratis

ENVEJECIMIENTO Y SALUD una propuesta para un plan de acción. Documento de Postura Colección de 150 Aniversario ACADEMIA NACIONAL DE MEDICINA/ MEXICO. pdf Gratis

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The TECC Committee’s red Recognized Educational Content logo by C-TECC

 

The TECC Committee’s red Recognized Educational Content logo by C-TECC

Así se expresa el COMITE, luego de nuestra recomendación de dejar claro el uso del logo,,, para los que andan vendiendo pajaritos en el aire. att. Dr. Ramon Reyes, MD

"Para aclarar, usted está autorizado a mostrar este logotipo siempre que se adhiera a los principios, pero el derecho a mostrar este logotipo de ninguna manera respalda su capacitación ni crea ninguna capacitación oficial del comité. Este es el único logotipo del Comité que está autorizado a exhibir. El logotipo del Comité verde es solo para asuntos oficiales del Comité y no está destinado a ser utilizado por ninguna entidad independiente." by C-TECC

Thank you for agreeing to teach TECC according to the Principles of Guidelines Education. Attached to this email is the Committee’s red Recognized Educational Content logo for your use on your materials, publications, certificates, etc.
To clarify, you are authorized to display this logo as long as you adhere to the principles, but the right to display this logo in no way endorses your training or creates any official committee training. This is the only Committee logo you are authorized to display. The green Committee logo is only for official Committee business and is not intended for use by any independent entity.
==============================================
How did the TECC guidelines come about?
The Committee for Tactical Emergency Casualty Care (C-TECC) was formed in 2010 to formally translate military trauma lessons learned into the civilian high-threat prehospital community. The C-TECC is modeled after the highly successful Committee on Tactical Combat Casualty Care (CoTCCC) - frequently credited as one of the major initiatives that has resulted in the lowest combat mortality rates in recorded history.
==============================================
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THE TRAUMA CHAIN OF SURVIVAL / Cadena de Supervivencia en el Trauma


THE TRAUMA CHAIN OF SURVIVAL / Cadena de Supervivencia en el Trauma


THE TRAUMA CHAIN OF SURVIVAL / Cadena de Supervivencia en el Trauma


Strengthening the trauma chain of survival

  1. K. Søreide*
Version of Record online: 22 DEC 2011
DOI: 10.1002/bjs.7795






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 This special issue on trauma highlights established and emerging areas in injury care ranging from epidemiology to epigenetics. It does not attempt to cover the complete trauma chain of survival (Fig.1); rather, the collection reflects areas of current and ongoing interest, explores translational aspects of pathophysiology in trauma care, discusses changes in concepts and paradigms, and gives ‘best evidence’ even where this is still guided largely by expert opinion and limited data. Randomized clinical trials, systematic reviews and meta-analyses demonstrate that rigorous methodology can, however, be applied in trauma studies resulting in better quality evidence. Mathematical modelling and narrative review of experimental research with translational applications also show that research in trauma care can move from the laboratory to the bedside.
A mix of commissioned and unsolicited material has been evaluated and edited for inclusion. Several papers are followed by expert commentaries that may foster further reflection and discussion. Interest in publication has been enormous. Following a call for papers on this topic, those selected represent only 10 per cent of all submissions.
The care of injured patients is based on appropriate, timely and correct intervention through each link in the trauma chain of survival (Fig.1). Breaks in the chain result in suboptimal outcomes. A systems approach to the injured patient ensures appropriate care at each level. This involves many clinicians and management plans that defy specialty-drawn borders1. The potential benefits with appropriate care are substantial. Many injured patients are young with many working years ahead and a considerable number of life-years to gain if death and disability can be avoided2. Evaluation of outcomes other than mortality is urgently needed, although few trauma registries contain such information3. Exactly which link in the chain has the greatest influence on outcome for each injured patient is largely unknown. Strengthening one part of the chain may have greater benefits in certain situations than others, but the surgeon has much to offer both in maintaining the chain and in making it stronger. While focus on optimizing resuscitative strategies and training of surgical technique may be important in areas with mature systems with few breaks in the chain, focus on logistics and resource allocation may be the cornerstone in other settings, such as in disaster management or the development of strategies in resource-poor locations.
Despite a global rise in trauma and an increasing volume of surgical work, trauma care seems poorly represented in most federal funding programmes, global organizations and patient interest groups. The lack of global and uniform standards for collecting, reporting and auditing data is in stark contrast to other health problems, for instance relating to cancer or cardiovascular disease. There are no agreed uniform standards for measuring the various relevant outcomes other than death, but attempts to harmonize definitions are in development4 and hopefully these will enable improved European and global networks for data collection, sharing and comparison.
The surgeon has always played an important role in the care of the injured patient. Indeed trauma has been a part of BJS publishing history since the first volume in 1913. It is interesting to see how surgeons understood shock in the past5, and reassuring to see the change in knowledge of its pathophysiology a century later, as reviewed in this supplement. It is disturbing to note, however, that management is still often based on expert opinion and emerging concepts. The reviews in this series are intended both to instruct where evidence is available and to highlight gaps in knowledge.
Research in difficult environments and urgent situations where there is a need for rapid decisions and interventions is particularly challenging in terms of methodology, logistics, practicality and ethics. Not every new theory and principle can be tested in a controlled environment before being brought to clinical use. It should not be forgotten, however, that surgeons have adopted experimental approaches to common injuries in the past6 and have brought these concepts to saving life and limbs for better outcomes. This supplement points to clinical challenges with vascular and extremity injuries with novel approaches likely to result in further advances and better outcomes in years to come. At the other end of the scale, gaining experience in understanding and dealing with rare, complex and highly lethal injuries, such as those of the pancreas7, is always likely to have its basis in the realities of clinical practice. The series of over 200 penetrating pancreas injuries managed in Cape Town, described in this supplement, is one of the largest of its kind and represents a compelling experience8. Most surgeons will see few, if any, such injuries during a lifetime.
Hippocrates urged surgeons who wanted to learn about wounds and injuries to follow the army into war. While all surgeons cannot go to war to learn, recent acts of civilian terror remind us of the need for domestic preparedness. Knowledge of patterns of injury seen in warfare has become important even for civilian surgeons9. The unpredictable events of nature also call on surgeons to respond following earthquakes, floods and other natural disasters. Unintentional injuries, dominated by road traffic accidents, are responsible for an increasing number of deaths and disability, particularly in a young population2, 10. Despite all of this, the shift towards specialized modern surgery has left trauma in many countries as a Cinderella activity within general surgery. William Halsted once stated that every hospital should have at least one surgeon who was particularly adept with all surgical emergencies and injuries. In many healthcare systems this is no longer the case, owing to subspecialization, yet it behoves the surgical community to face up to the demands of modern trauma care.
The potential for research in trauma to spill over into care of the elective surgical patient should not be overlooked. This may be true for clinical experience, but also for understanding mechanisms of disease. Understanding the ways in which a single-nucleotide polymorphism makes patients respond to a traumatic insult in different ways and react to therapies that affect outcome11 leads the researcher to investigate cellular pathways involved, potentially applying new knowledge in a non-trauma context as well. Advances in blood component therapy and increased understanding of the activated coagulation system are now used in several situations. Military drivers for the development of artificial or haemoglobin-based oxygen carriers and dried blood products stored at ambient temperatures12may be used to replace human blood transfusions in civilian medicine. Studies in the laboratory may translate into new modes of haemostatic resuscitation and protection for cellular damage, including epigenetic manipulation at the DNA level13. A better understanding of the potential value of fluids that preserve cellular functions and avoid secondary organ reperfusion injury or exploration of the role of deep therapeutic hypothermia may lead to applications valuable for a number of clinical disciplines. Damage considered irreparable, such as complete spinal cord injuries, may be viewed differently in the future, for example by using neuronal stem cells14 and engineering nanostructured matrices into neuroprosthetics15 to regenerate axons for eventual neurological recovery. Inevitably, the results of some of these studies will challenge existing concepts regarding human physiology and cellular biology, and change our views of possible outcomes and potential in rehabilitation.
It is hoped that that this supplement will be thought-provoking and stimulate ideas and new research in trauma. BJS welcomes future submissions of papers that are likely robustly to confirm, translate, change or redirect the thinking and care of injured patients. In doing so, it is hoped that this reinforces the role of the surgeon in the trauma chain of survival.

  • 1
    Davenport RA, Tai N, West A, Bouamra O, Aylwin C, Woodford M et al. A major trauma centre is a specialty hospital not a hospital of specialties. Br J Surg 2010; 97: 109–117.
    Direct Link:
  • 2
    Mock C, Abantanga F, Goosen J, Joshipura M, Juillard C. Strengthening care of injured children globally. Bull World Health Organ2009; 87: 382–389.
  • 3
    Sleat GK, Ardolino AM, Willett KM. Outcome measures in major trauma care: a review of current international trauma registry practice. Emerg Med J 2011; [Epub ahead of print].
  • 4
    Ringdal KG, Lossius HM, Jones JM, Lauritsen JM, Coats TJ, Palmer CS et al. Collecting core data in severely injured patients using a consensus trauma template: an international multicentre study. Crit Care 2011; 15: R237.
  • 5
    Rendle Short A. The nature of surgical shock. Br J Surg 1913; 1(1): 114–127.
  • 6
    Hey Groves EW. An experimental study of the operative treatment of fractures. Br J Surg 1913; 1(4): 438–501.
    Direct Link:
  • 7
    Grey Turner G. Two cases of injury to the pancreas. Br J Surg 1913; 1(4): 637–643.
    Direct Link:
  • 8
    Chinnery GE, Krige JEJ, Kotze UK, Navsaria P and Nicol A. Surgical management and outcome of civilian gunshot injuries to the pancreas. Br J Surg 2012; 99(Suppl 1): 140–148.
    Direct Link:
  • 9
    Owers C, Morgan JL, Garner JP. Abdominal trauma in primary blast injury. Br J Surg 2011; 98: 168–179.
    Direct Link:
  • 10
    Gore FM, Bloem PJ, Patton GC, Ferguson J, Joseph V, Coffey C et al. Global burden of disease in young people aged 10–24 years: a systematic analysis. Lancet 2011; 377: 2093–2102.
  • 11
    Chen KH, Zeng L, Gu W, Zhou J, Du DY, Jiang JX. Polymorphisms in the toll-like receptor 9 gene associated with sepsis and multiple organ dysfunction after major blunt trauma. Br J Surg 2011; 98: 1252–1259.
    Direct Link:
  • 12
    Holcomb JB. Reconstitution: reverse engineering. J Trauma 2011; 70(Suppl): S65–S67.
  • 13
    Li Y, Alam HB. Modulation of acetylation: creating a pro-survival and anti-inflammatory phenotype in lethal hemorrhagic and septic shock. J Biomed Biotechnol 2011; 2011: 523481.
  • 14
    Abematsu M, Tsujimura K, Yamano M, Saito M, Kohno K, Kohyama J et al. Neurons derived from transplanted neural stem cells restore disrupted neuronal circuitry in a mouse model of spinal cord injury. J Clin Invest 2010; 120: 3255–3266.
  • 15
    Gelain F, Panseri S, Antonini S, Cunha C, Donega M, Lowery J et al. Transplantation of nanostructured composite scaffolds results in the regeneration of chronically injured spinal cords. ACS Nano 2011; 5: 227–236.

  • THE TRAUMA CHAIN OF SURVIVAL / Cadena de Supervivencia en el Trauma


MEDEVAC / TACEVAC / CASEVAC / AROMEDICINA / TRANSPORTE AEROMEDICO
https://emssolutionsint.blogspot.com/2019/08/medevac-tacevac-casevac-aromedicina.html 
DESFIBRILADOR AED, DEA, DESA. Muerte Subita y Cardioproteccion "Zona Cardioprotegida" Desfibrilador Externo-Automatico


HELIPUERTOS Y HELISUPERFICIES en Republica Dominicana
https://emssolutionsint.blogspot.com/2019/08/helipuertos-y-helisuperficies-en.html
Todas nuestras publicaciones sobre Covid-19 en el enlace
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