Nuevo auto-Inyector de Epinefrina con guía verbal

Inyector de epinefrina Auvi-Q guíado verbalmente aprobado en EE.UU. (video)

Fuente MedGadget Español

by TILO FEBRES-CORDERO on ago 13, 2012 •

Sanofi acaba de anunciar la aprobación de la FDA para su inyector de epinefrina Auvi-Q, que guía al usuario verbalmente y paso por paso sobre cómo utilizarlo en caso de una reacción alérgica severa. Al extraer el dispositivo de su caja, una voz le indica cual es el primer paso.

Pequeños sensores detectan el cumplimiento de cada paso y al instante se sucede la próxima indicación verbal.

Le presentamos un video corto de cómo funciona el sistema:

MORITA Forest firefighting. VIDEO

Forest firefighting concept vehicle wins 2011 IDEA Gold Award

JUL. 15, 2011 - 05:27AM JST

From Japan today

OSAKA —

Morita Holdings Corp has been awarded a 2011 IDEA Gold Award - the highest possible award - in the Commercial and Industrial Products category for its forest firefighting concept vehicle. The International Design Excellence Awards (IDEA) are the preeminent design awards in the United States.

The award-winning forest firefighting concept vehicle is a future prototype fire truck developed through the joint efforts of Morita’s technical, development, and design teams. The goal of the concept vehicle’s design is to solve many of the problems encountered when fighting large-scale forest fires, which occur frequently around the world.

Communication is critical when fighting forest fires because the fires tend to change direction moment by moment due to weather and forest conditions. The concept vehicle is outfitted with all the advanced data and telecommunication functions to serve as a local communications base as well as with the ability to navigate through rough roads and fight fires while on the move. And because it is difficult to locate water sources in the midst of a forest fire, it is equipped with a compressed air foam system (CAFS) developed by Morita. Using only a small amount of water, CAFS gives the vehicle superb fire extinguishing capability.

In awarding the IDEA Gold Award, the judges praised the design of the forest firefighting concept truck: “The wildfire truck illustrates the power of a bold, refined prototype to test innovative thinking by richly probing a market space with a visceral, hands-on experience of the features and brand,” they said in a statement. 

JCN Newswire

Toronto EMS Special Operations Support Unit

Toronto EMS by gopherit2, on Flickr

Toronto EMS by gopherit2, on Flickr

Toronto EMS by gopherit2, on Flickr

Toronto EMS by gopherit2, on Flickr

Stretchers: Changing the Way We Move our Patients

Stretchers: Changing the Way We Move our Patients

Kathryn L. Hall-Boyer, MD, FACEP
Chair

In field medical exercises with the Army Reserve, we use two-wheeled stretchers to transport patients.  These stretchers are amazing. Due to fascination on my part, I decided to do a bit a research about these stretchers.

The wheel was developed around the 5th Century BC in Mesopotamia¹. There were no major changes in the wheel until the 19th century when pneumatic tires were invented. Two-wheeled stretchers were used back into at least the 19th century. Baron Mundy’s and Neuss’s two-wheeled stretchers² are shown in the references below. I found in Google Book Search the description of two-wheeled carts to transport patients in the Army Surgeon’s Manual printed in 1864³. We used these stretchers to move bags across the base in Bosnia when we moved into our quarters. They transport patients over all sorts of terrain and we continue to care for patients on these stretchers in the emergency treatment areas. The base has two wheels and stabilization bars at each end. These are raised when the cart is wheeled. The canvas stretcher on top is separate and also can be hand carried.

This is one amazing stretcher that with minimal modifications has been used over 140 years on the battle field. Modifications may further improve its durability, maneuverability, transportability, and other features, but it is still quite an invention.

References:

1. Longmore and Morris. A Manual of Ambulance Stretchers. 1893. p. 192-193. See also the discussion of the Geneva Convention and Red Cross starting on page 56. http://books.google.com/books?id=-qk9f_8VmhoC&pg=PA193&lpg=PA193&dq=Neuss's+two+wheeled&source=bl&ots=bHhtcnEH-G&sig=1-MO63RBXVaSU7WVC1ts6W2O3t8&hl=en&sa=X&oi=book_result&resnum=1&ct=result#PPA193,M1.
2. http://books.google.com/books?id=WptXLoeE3QcC&pg=PA22&lpg=PA22&dq=two+wheeled+army+stretcher&source=bl&ots=hVLWGkfISI&sig=fT1lwBwLRMo09COJlkuyHmBiRrs&hl=en&sa=X&oi=book_result&resnum=1&ct=result#PPA7,M1.

Curso de Reducción del Riesgo de Desastres (RRD). USAID

Curso de Reducción del Riesgo de Desastres (RRD) pdf

CURSO SEGURIDAD ESCOLAR (CUSE) Material de Referencia USAID

CURSO SEGURIDAD ESCOLAR (CUSE) pdf
Material de Referencia USAID

Wilderness Medicine Institute. VIDEOS

For two decades and with over 114,000 graduates, the NOLS Wilderness Medicine Institute's (WMI) mission is to provide the highest quality education and information for the recognition, treatment, and prevention of wilderness emergencies.

Mission

The Wilderness Medicine Institute is the leader in wilderness medicine education. Our goal is to provide the highest quality education and information for the recognition, treatment, and prevention of wilderness emergencies.

Link to National Outdoor Leadership School

"PREPARATE" CRUZ ROJA AMERICANA

Enlace para bajar lista en formato pdf

Opioid Overdose

Posted by Sara Fazio • July 13th, 2012

The rate of opioid analgesic overdose is proportional to the number of opioid prescriptions and the dose prescribed. A new review in our Drug Therapy series considers the epidemiology, mechanisms, and management of opioid analgesic overdose.

Opioid analgesic overdose is a preventable and potentially lethal condition that results from prescribing practices, inadequate understanding on the patient’s part of the risks of medication misuse, errors in drug administration, and pharmaceutical abuse. Between 1997 and 2007, prescriptions for opioid analgesics in the United States increased by 700%; the number of grams of methadone prescribed over the same period increased by more than 1200%.

Clinical Pearls

• What are the clinical manifestations of opioid analgesic overdose?

Opioid analgesic overdose encompasses a range of clinical findings. Although the classic toxidrome of apnea, stupor, and miosis suggests the diagnosis of opioid toxicity, none of these findings are consistently present. The sine qua non of opioid intoxication is respiratory depression. Failure of oxygenation, defined as an oxygen saturation of less than 90% while the patient is breathing ambient air and with ventilation adequate to achieve normal ventilation, is often caused by pulmonary edema that becomes apparent later in the clinical course. Hypothermia may arise from a persistently unresponsive state in a cool environment or from misguided attempts by bystanders to reverse opioid intoxication by immersing a patient in cold water. In addition, persons who have been lying immobile in an opioid-induced stupor may be subject to rhabdomyolysis, myoglobinuric renal failure, and the C.

• How does development of tolerance of respiratory depression compare to tolerance of analgesia?

Tolerance of respiratory depression appears to develop at a slower rate than analgesic tolerance; over time, this delayed tolerance narrows the therapeutic window, paradoxically placing patients with a long history of opioid use at increased risk for respiratory depression.

Morning Report Questions

Q: What laboratory tests should be ordered in cases of suspected opioid overdose?

A: The acetaminophen concentration should be measured in all patients because of the prevalence of diversion and misuse of acetaminophen-containing opioids. Clinicians often overlook acetaminophen hepatotoxicity. Quantitative measures of drug concentrations are useless in cases of overdose because patients who have been prescribed elevated doses of opioid analgesics may have therapeutic serum concentrations that greatly exceed laboratory reference ranges. Qualitative analyses of urine for drugs of abuse (toxic screens) rarely affect decisions about patient care and have little role in the emergency evaluation and management of opioid intoxication.

Q: How should opioid overdose be treated?

A: Naloxone, the antidote for opioid overdose, is a competitive mu opioid-receptor antagonist that reverses all signs of opioid intoxication. The onset of action is less than 2 minutes when naloxone is administered intravenously, and its apparent duration of  action is 20 to 90 minutes, a much shorter period than that of many opioids. Dosing of naloxone is empirical. The effective dose depends on the amount of opioid analgesic the patient has taken or received, the relative affinity of naloxone for the mu opioid receptor and the opioid to be displaced, the patient’s weight, and the degree of   penetrance of the opioid analgesic into the central nervous system. The initial dose of naloxone is 0.04 mg; if there is no response, the dose should be increased every 2 minutes to a maximum of 15 mg. If there is no abatement in respiratory depression after the administration of 15 mg of naloxone, it is unlikely that the cause of the depression is opioid verdose. Reversal of opioid analgesic toxicity after the administration of single doses of naloxone is often transient; recurrent respiratory depression is an indication for a continuous infusion or for orotracheal intubation.

Link information

"SAFE LIFES" Philips / AED

Link  to Philips Save Lifes

Demo how to use and AED 

Areas mayor vulnerabilidad en Republica Dominicana

Noticias|29 jun|   Argénida Romero

 Trece provincias en alto grado de vulnerabilidad

Santo Domingo. Trece provincias del país, cerca de un 40% del territorio nacional, se encuentran en un estado de alta vulnerabilidad ante los fenómenos naturales y el cambio climático.

Así lo revelaron los resultados del estudio "Puntos críticos para la Variabilidad y Vulnerabilidad al Cambio Climático y su Adaptación al mismo", presentado ayer con los auspicios de la Agencia de los Estados Unidos para el Desarrollo (USAID, por sus siglas en inglés) y The Nature Conservancy.

Los resultados, expuestos por la consultora Michela Izzo, establecen que de estas provincias, las más vulnerables son Pedernales, Bahoruco, Barahona, Elías Piña, El Seibo y Santo Domingo (provincia Santo Domingo y Distrito Nacional). A éstas les siguen La Altagracia, San Pedro de Macorís, Monte Plata, Peravia, Montecristi y Valverde.

Entre los puntos críticos de estas demarcaciones están: en Santo Domingo la gran concentración poblacional, urbana e industrial; en las provincias de la región Suroeste las inundaciones, sequía y ciclones tropicales; y en la provincias del Este por los elementos insostenibilidad del modelo turístico (salinización de las aguas subterráneas, ecosistemas degradados, etc.).

En sus recomendaciones, el estudio indica la necesidad de educación de la población sobre los eventos de peligrosidad ambiental, buscar soluciones locales con la participación de las comunidades, fomentar modelos alternativos de desarrollo, entre otras.

Fuente de la Informacion Diariolibre.com 

Mas Informacion Listindiario.com

Curso PHTLS Avanzado en Rep. Dominicana

27-28-29 SEPTIEMBRE 2012

Contacto: Alexander Pacheco 

emssolutionsint@gmail.com 

Tel +1 809 849 9295 

Mas informacion en el Enlace Curso PHTLS

MANEJO TORMENTAS SEVERAS Centro Nacional de Prevención de Desastres Mexico

MANEJO DE TORMENTAS
Manual en formato pdf
Centro Nacional de Prevención de Desastres Mexico

GUIA DE ACTUACION EN URGENCIAS 4ta Edicion Mayo 2012

GUIA DE ACTUACION EN URGENCIAS 

4ta Edicion Mayo 2012

MANUEL JOSE VAZQUEZ LIMA / JOSE RAMON CASAL CODECIDO

Enlace para bajar Guia en formato pdf

DESASTRES AEREOS Dr. Javier Vásquez Salas, Peru

Enlace para visualizar presentación en pdf desde reeme.arizona.edu

CINEMATICA DE TRAUMA BASADA EN PHTLS-ATLS. Dr. Osvaldo Rois. Videos

CINEMATICA DEL TRAUMA 
Autor Dr. Osvaldo Rois 
Coordinador Latinoamericano de PHTLS
Presidente Fundación EMME


Enlace para bajar documento en pdf

Crearían Sangre a gran escala para transfusiones

Científicos de cuatro universidades en Escocia están trabajando en un proyecto pionero para producción a gran escala de sangre para transfusión en seres humanos.

Enlace en BBCmundo.com

Cambios de Tratamiento General Inmediato en Sindrome Coronario Agudo (Morfina y Oxigeno) AHA 2010-2015

Cambios en el tratamiento general inmediato(incluidos oxígeno y morfina)

2010 (nuevo): En ausencia de dificultad respiratoria no es necesario administrar oxígeno adicional a los pacientes si la saturación de oxihemoglobina es igual o superior al 94%. La morfina debe administrarse con precaución a los pacientes con angina inestable.

2005 (antiguo): El oxígeno se recomendaba en el caso de pacientes con edema pulmonar manifiesto o con un nivel de saturación de oxihemoglobina arterial inferior al 90%. También era razonable administrar oxígeno a todos los pacientes con SCA durante las primeras 6 horas de tratamiento. La morfina
era el analgésico elegido si el dolor no respondía a los nitratos, pero no se recomendaba en el caso de pacientes con posible hipovolemia.

Motivo: Los profesionales de los servicios de emergencia médica administran oxígeno durante la evaluación inicial de los pacientes con sospecha de SCA. Sin embargo, no hay suficiente evidencia para avalar un uso rutinario en el SCA sin complicaciones. Si el paciente presenta disnea, hipoxemia o signos evidentes de insuficiencia cardíaca, los profesionales deben ajustar la dosis del tratamiento con oxígeno para mantener una saturación de oxihemoglobina igual o superior al 94%. La morfina está indicada en el IMEST cuando las
molestias torácicas no responden a los nitratos. La morfina debe emplearse con precaución en caso de angina inestable/ IMSEST, ya que la administración de morfina se ha asociado con un aumento de la mortalidad en un amplio registro de casos.

Guia RCP 2010 de la American Heart Association

BIBLIOTECA Union de Tecnicos en Emergencias Sanitarias de Andalucia

BIBLIOTECA

Guias de RCP 2010-2015 Plan Nacional de RCP

Guia Farmacologica  EPES 2012

Manual de Procedimientos 2012 Samur -Madrid

Guia de Seguridad Clinica EPES

Consejos Sanitarios para las Principales Emergencias

Procesos Trauma EPES

Procesos Respiratorios EPES

Procesos Neurologicos EPES

Procesos Cardiologicos EPES

Protocolos de Urgencias y Emergencias en el Adulto. EPES

Los Servicios de Emergencias Medicas en España

Enlace a pagina Oficial UTESAN

PLAN OPERATIVO SEMANA SANTA 2012. Republica Dominicana

Enlace para bajar documentos del Plan Operativo Semana Santa 2012 
Centro de Operaciones de Emergencias Rep. Dominicana

PHTLS Rep. Dominicana

Homenaje Servicios Sanitarios de Emergencias de Madrid

Vídeo Técnico Transporte Sanitario España

Un espíritu, una meta - Transporte sanitario

Cada día en una gran ciudad se producen más de 300 emergencias. Para salvar vidas, hacen falta héroes y estos héroes deben estar bien preparados

 Enlace para ver el VIDEO desde RTVE

2010 AMERICAN HEART ASSOCIATION and AMERICAN RED CROSS FOR FIRST AID

Please Follow the link to download in pdf

COAST GUARD AVIATION MEDICINE MANUAL

COAST GUARD AVIATION  
MEDICINE MANUAL 

U.S. Department of
Homeland Security
 United States  
Coast Guard 

Enlace para bajar manual en pdf

Vinculo mayor Riesgo de Muerte con Pildoras para Dormir

SALUD

Las píldoras para dormir vinculadas a un mayor riesgo de muerte

AFP

Londres

Las pastillas para dormir comúnmente recetadas están ligadas a un riesgo cuatro veces mayor de una muerte prematura, según un estudio estadounidense publicado en la revista British Medical Journal.

Esta medicación a grandes dosis está asociada con un 35% más de riesgo de padecer cáncer en comparación con personas que no las usan, pero las razones de este vínculo todavía no son claras, señala el estudio publicado el lunes.

Los doctores dirigidos por Daniel Kripke del Centro del Sueño de la Clínica de la Familia Scripps Viterbi en La Jolla, California, estudiaron el historial médico de 10.500 adultos que viven en Pensilvania y a los que se les había recetado medicación para dormir.

Los datos fueron cotejados con los de más de 23.600 personas, comparadas por edad, salud, y origen, que no tomaba esa medicación.

El estudio se alargó durante dos años y medio y estudió las píldoras comúnmente recetadas a amplios sectores de la población para dormir, lo que incluye benzodiazepinas, no benzodiazepinas, barbitúricos y sedativos.

El número total de muertes que ocurrió durante este período fue pequeño en ambos grupos, totalizando menos de 1000 muertes.

Pero hubo una sorprendente diferencia en la mortalidad, encontraron los investigadores.

Aquellos que tomaron entre 18 y 132 dosis anuales de medicación para dormir tenían 4,6 más posibilidades de morir que el grupo de control.

Incluso aquellos que tomaron menos de 18 dosis anuales tenían 3,5 más posibilidades de morir.

"Los cálculos a grandes rasgos sugieren que en 2010 los hipnóticos (pastillas para dormir) podrían estar asociados con entre 320.000 y 507.000 excesos de muertes en Estados Unidos únicamente", afirma el estudio.

Los detalles de cómo murieron los individuos no fueron desvelados, y los autores recalcan que encontraron una relación estadística pero no una causa.

Pero hicieron sonar la alarma debido al gran número de gente que toma esta medicación.

"Estimamos que, aproximadamente, del seis al 10% de los adultos en Estados Unidos tomaron estos fármacos en 2010 y los porcentajes podrían ser mayores en algunas partes de Europa", escriben.

La media de edad de las personas del estudio fue 54 años. Los investigadores afirmaron que tomaron en cuenta factores que pudieran hacer posible la comparación entre los dos grupos, como si el individuo fumaba o tenía una problema de salud pre existente.

Sin embargo, no fueron capaces de tener en cuenta factores como depresión, ansiedad u otras cuestiones emocionales, ya que los diagnósticos se mantienen en secreto bajo la ley de Pensilvania.

Las investigaciones previas en píldoras para dormir encontraron una relación entre accidentes de coche y caídas graves, síndromes relacionados con comer por la noche, darse atracones de comida, regurgitación en el esófago y úlcera péptica.

"Cough CPR". AHA position

The American Heart Association does not endorse "cough CPR," a coughing procedure widely publicized on the Internet. As noted in the 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, “cough CPR” is not useful for unresponsive victims and should not be taught to lay rescuers.

During a sudden arrhythmia (abnormal heart rhythm), it may be possible for a conscious, responsive person to cough forcefully and repetitively to maintain enough blood flow to the brain to remain conscious for a few seconds until the arrhythmia is treated. Blood flow is maintained by increased pressure in the chest that occurs during forceful coughs. This has been mislabeled "cough CPR," although it's not a form of traditional resuscitation.

Why isn't "cough CPR" appropriate in CPR training courses? should not be taught in lay-rescuer CPR courses because it is generally not useful in the prehospital setting. In virtually all lay-rescuer CPR courses, the finding that signals an emergency is the victim's unresponsiveness. Unresponsive victims will not be able to perform "cough CPR."

Are there situations when "cough CPR" is appropriate?“Cough” CPR may be considered in settings such as the cardiac catheterization laboratory where patients are conscious and constantly monitored (for example, with an ECG machine). A nurse or physician is also present who can instruct and coach the patients to cough forcefully every one to three seconds during the initial seconds of a sudden arrhythmia. However, as this is not effective in all patients, it should not delay definitive treatment.

AHA Recommendation The best strategy is to be aware of the early warning signs for heart attack and cardiac arrest and respond to them by calling 9-1-1. If you're driving alone and you start having severe chest pain or discomfort that starts to spread into your arm and up into your jaw (the scenario presented in the Internet article), pull over and flag down another motorist for help or phone 9-1-1 on your mobile phone.

Link http://www.heart.org/HEARTORG/Conditions/More/CardiacArrest/Cough-CPR_UCM_432380_Article.jsp#.TyOM1Fyn_44

New Google Public Alerts. For Emergency

 

Link to Google Public Alerts

1. What is Google Public Alerts?

   Google Public Alerts is Google’s new platform for disseminating emergency messages such as evacuation notices for hurricanes, and everyday alerts such as storm warnings. We’re starting by showing relevant weather, public safety and earthquake alerts from US National Oceanic and Atmospheric Administration (NOAA), the National Weather Service, and the US Geological Survey (USGS) when you search on Google Maps.
   Google Public Alerts is a project of the Google Crisis Response team, supported by Google.org, which uses Google's strengths in information and technology to build products and advocate for policies that address global challenges. We hope Google Public Alerts provides the public with information it needs to make better decisions in times of crisis.
   This is a new product and we’re learning all the time about when and how we should show this important information. While we can’t guarantee that you’ll see every alert when searching on Google Maps we’re doing our best to show what’s important when you need it, and hope that Google Public Alerts is a useful additional source of information. We’re working hard to improve what you see and appreciate your feedback which you can provide using the “Feedback” links on alert details pages and on www.google.org/publicalerts.
   

2. Why is Google building a public alerting service?

   We want to make it easy for people to find critical emergency information during a crisis through the online tools they use every day. By incorporating public alert data from authoritative sources in to Google Maps, we aim to simplify the process of searching for emergency information.
   

3. What kinds of alerts does Google Public Alerts show?

   Google Public Alerts currently shows weather, public safety and earthquake alerts from US National Oceanic and Atmospheric Administration (NOAA), the National Weather Service, and the US Geological Survey (USGS).
   

4. How does Google decide which alerts are available?

   The Google Public Alerts service uses alerts provided by our authoritative, trusted partners. What alert you see (if any) depends on what alerts are active at a given location, on their severity, and on what you search for and where. To see all alerts go to the Google Public Alerts homepage.
   

5. How does Google work with official alerting services like the National Oceanic and Atmospheric Administration (NOAA)?

   Google partners with alert providers to show relevant alerts to Google users. The US National Oceanic and Atmospheric Administration, the National Weather Service, and the US Geological Survey provide alert feeds and our goal is to enable Google users to see them when they’re relevant. We’ve also built an Alert Hub that aggregates alerts and allows others to develop ways to re-distribute them online.
   

6. I can already see weather on Google Maps or on another site. Why do I need this?

   We’re just getting started, but over time Google Public Alerts will become even more unique as a platform for disseminating many different kinds of emergency alerts, beyond just weather. We’re working hard to make this information appear across many more of Google’s services when it’s relevant.
   

7. Why don't I see any alerts when I search on Google Maps?

   What alert you see (if any) depends on what you search for and where, as well as on the severity of any alerts that might be active at a given location. To see all alerts go to the Google Public Alerts homepage.
   

8. Will you be putting Google Public Alerts on Google Web Search?

   We’re excited to have released a way to show you the alerts from various agencies on Google Maps. We hope this is just the beginning and we plan on making relevant alerts visible on other Google products in the future.
   

9. How do I report inaccurate or inappropriate content?

   Please use the send feedback link on the bottom right of our Google Public Alerts homepage or on the details page for an individual alert. Make sure to give us as much detail as you can.
   

10. The National Weather Service is great, but why don’t you have alerts from my city or state agency?

    We’re just getting started! We’re beginning with a few key partners but plan on expanding this service where there’s relevant data.
    There are a couple of things you can do to make it more likely you’ll see locally produced alerts, including contacting your local emergency management agency and asking them to follow the steps outlined below to get their data in the right format and to let us know they’d like to be included.
    

11. Why are you using the Common Alerting Protocol (CAP)?

    CAP is an international standard for publishing and sharing alerts. We need to use a common standard, otherwise we have no consistent way to automatically receive and re-use alerting information. We strongly encourage all agencies to adopt international standards like CAP for sharing public alerts, and publish them securely using open web formats like Atom and RSS.

12. I'm from a Public Safety agency and I'd love to see our alerts on Google Public Alerts. How do I make that happen?

    Google is starting with US-based alerts, then adding international content. We're being careful about the sources and quality of alerts and when we show them to our users. We are still learning the best way to do this with new sources. Contact us if you are interested in participating. You can get a head start by following these 4 steps:
    
    • Get your alerts into the Common Alerting Protocol (CAP 1.2) standard. Here are some resources we created to help you with this process. Most commercial alert publishing tools support CAP already.
    • Validate that you've set-up your feeds correctly and that your CAP is correct.
    • Subscribe your alerts to Alert Hub and check that they're working.
    • Let us know when you're ready so we can start on the next steps.

10 PAÍSES QUE MAS VISITAN NUESTRO BLOG

10 PAÍSES QUE MAS VISITAN NUESTRO BLOG México, España, Colombia, Perú, Argentina, Venezuela, Rep. Dominicana, Chile, Estados Unidos y Ecuador. Gracias por su apoyo,,, http://emssolutionsint.blogspot.com/

The Chameleon by EMSled / Bici-Camilla

Link to the official Web

Back Raft Novedad: Dispositivo de estabilización de la columna sobre la camilla de trauma

Enlace pagina oficial de BACK RAFT


Tema Relacionado: en formato pdf

Pre-Hospital Care Management of a Potential
Spinal Cord Injured Patient: A Systematic Review
of the Literature and Evidence-Based Guidelines



Publicado por
DR. RAMON REYES DIAZ, MD, DMO, EMT-T

http://emssolutionsint.blogspot.com/

Skype drtolete

facebook.com/drtolete

www.eeii.org

COLCHON DE VACIO INMOVILIZACION

Pre-Hospital Care Management of a Potential
Spinal Cord Injured Patient: A Systematic Review
of the Literature and Evidence-Based Guidelines