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by Dr Ramon REYES MD
AUTISMO TEA PDF
TRASTORNO ESPECTRO AUTISMO y URGENCIAS PDF
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Niveles de Alerta Antiterrorista en España. Nivel Actual 4 de 5.
Fuente Ministerio de Interior de España
sábado, 15 de abril de 2023
martes, 11 de abril de 2023
¿FOTOQUERATITIS O EPILEPSIA DEL LOBULO FRONTAL? Posible diagnostico del Apóstol Pablo. Infografía by MSP
#SemanaSantaMSP | El apóstol #Pablo pudo haber sufrido de una condición #neurológica, puesto que en la biblia se nombran ciertos #síntomas asociados a enfermedades como el #párkinson. ¡Comparte!
#MSP: El lugar donde médicos, profesionales de la salud y pacientes pueden entrar. #MSPLíderesPioneros
#MSPLegadoQueInspira
EL FASCINANTE CEREBRO HUMANO. Infografía by MSP
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| EL FASCINANTE CEREBRO HUMANO. Infografía by MSP |
#MSPNeurología | El cerebro es el órgano que más funciones tiene en nuestro cuerpo, pues controla absolutamente todo lo del ser humano. De ahí se derivan los sentimientos, pensamientos y las decisiones de la vida diaria.
Conoce más sobre este gran órgano con esta infografía que hemos preparado para ti.
Aprende más en www.revistamsp.com
#MSP: El lugar donde médicos, profesionales de la salud y pacientes pueden entrar. #MSPLíderesPioneros
#MSPLegadoQueInspira
Anaesthesia, Trauma and Critical Care Course Manual 2014 Free PDF ATACC 8th edition
Anaesthesia, Trauma and Critical Care Course Manual 2014 Free PDF
DOWNLOAD THE ATACC MANUAL (HIGH RES – 112MB)
Link
he ATACC association has published the 8th edition of the Anaesthesia Trauma and Critical Care course manual, in a free pdf format FOAMED.
DOWNLOAD THE ATACC MANUAL (HIGH RES – 112MB)
Link
he ATACC association has published the 8th edition of the Anaesthesia Trauma and Critical Care course manual, in a free pdf format FOAMED.
Trauma remains one of the major killers in our modern society. Improved medical care enables us to sustain life in the face of many serious conditions but until we reach 40-50 years of age, trauma is our greatest risk to life. If we total up all of the lost life years, from cancer, heart disease and stroke premature deaths, then it will still not be equivalent to the number lost as a result of trauma. It is a killer of all age groups, but especially the young.
ATACC is a totally non-commercial, not for profit organisation and faculty members receive no remuneration or payment for their work. All income from the course is re-invested back into the programme, which has now been running for over 15 years in the UK.
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..
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..
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jueves, 6 de abril de 2023
Copa menstrual by JAMA
Future hemostatic solutions for Hemorrhage XSTAT tm
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| The compact XStat-30 applicator includes a telescoping handle and a sealed valve tip. The telescoping mechanism allows the handle to be stored in a shortened state to maximize compactness. The applicator tip is designed to prevent fluid ingress and minimize the risk of premature sponge expansion. |
XStat is an investigational hemostatic dressing under development by RevMedx for the control of severe bleeding from pelvis or shoulder wounds not amenable to tourniquet application in adults and adolescents.
XStat works by applying a group of small, rapidly-expanding sponges into a wound cavity using a lightweight applicator. Two applicator sizes are under development: a 30 mm diameter applicator for larger wounds and a 12 mm diameter applicator for narrow wound tracks.
The XStat sponges are composed of standard medical sponge that is coated with a hemostatic agent and compressed. Each Xstat sponge contains a radiopaque marker for easy detection via X-ray.
In the wound, the Xstat sponges expand and create a barrier to blood flow, present a large surface area for clotting, and provide gentle pressure. No direct manual pressure is required.
In a preclinical model with aggressive non-compressible hemorrhaging, Xstat provided statistically significant improvement in hemostasis and survival 60 minutes after injury with a large reduction in blood loss, resuscitation fluid requirement, and medic treatment time compared to conventional hemorrhage control dressings.
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| Future hemostatic solutions for Hemorrhage XSTAT tm |
Link to official WEB http://www.revmedx.com/#!xstat-dressing/c2500
Guia de Actuacion en Urgencias PREHOSPITALARIAS. pdf Gratis XUNTA DE GALICIA
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| Guia de Actuacion en Urgencias PREHOSPITALARIAS. pdf Gratis XUNTA DE GALICIA |
miércoles, 5 de abril de 2023
EPITAXIS (Hemorragia Nasal)
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| EPITAXIS (Hemorragia Nasal) |
Consejo de primeros auxilios:
Si sangra la nariz, pellizque las fosas nasales e inclínese hacia adelante hasta que se detenga el sangrado.
Sigue este enlace para saber más ⬇️
SANGRADO POR LA NARIZ es una emergencia común que ocurre cuando se revientan los vasos sanguíneos alrededor de la nariz.
Causas comunes :
✒️ Lesión en la nariz
✒️ Uso de anticoagulantes, por ejemplo, warfarina
✒️ hurgarse la nariz
✒️ Cambios en la humedad o la temperatura, lo que hace que el interior de la nariz se seque y agriete
✒️ Cirugía reciente
✒️ Anomalías vasculares
🚨 Factores de riesgo: edad > 50 años, uso de antiplaquetarios/anticoagulantes, insuficiencia cardíaca congestiva, hipertensión, diabetes y consumo de alcohol.
Estos son los pasos a seguir;
1️⃣ Sentar a la víctima
2️⃣ Inclínelos HACIA ADELANTE para minimizar la deglución de sangre y pídales que escupan sangre por la boca
3️⃣ Pídales que se suenen la nariz para eliminar cualquier coágulo mal formado
4️⃣ Aconséjeles que se pellizquen la parte blanda de la nariz con el pulgar y el índice.
✅ Mantenga la presión durante al menos 10 - 15 minutos sin soltar para permitir que la sangre se coagule.
🔴 NB: la presión arterial alta (hipertensión) no necesariamente causa hemorragias nasales, pero aumenta la tasa de flujo sanguíneo en caso de una lesión.
🚑 Llame al EMS "SEM" (número gratuito 911, 112 en Europa) para casos graves.
Leer para publico en general https://www.msdmanuals.com/es-es/hogar/trastornos-otorrinolaringol%C3%B3gicos/s%C3%ADntomas-de-las-enfermedades-de-la-nariz-y-la-garganta/hemorragia-nasal#
Leer para profesionales https://www.msdmanuals.com/es-es/professional/trastornos-otorrinolaringol%C3%B3gicos/abordaje-del-paciente-con-s%C3%ADntomas-nasales-y-far%C3%ADngeos/epistaxis
¿Qué sucede cuando ocurre una reacción alérgica durante el vuelo? What happens when an in-flight allergic reaction strikes?
Ready for Takeoff: The Importance of In-Flight Allergic Reaction PreparednessPaulo M. Alves, MD, MSc
By Paulo M. Alves, MD, MSc
Global Medical Director, Aviation Heath, MedAire Worldwide
Posted on January 31, 2023
Medical Support & Training
Doctor looking at red and itchy rash.
As business aviation operators, we are constantly focused on the safety and well-being of passengers and crew. But what happens when an in-flight allergic reaction strikes? Are you prepared for the unexpected?
It is essential to be aware of the potential for in-flight allergic reactions while keeping perspective on the rarity of these events. In-flight allergic reactions constitute fewer than 1 case per million passengers.
Rare but Severe Reactions
Regardless of rarity, allergic reactions can be severe and require immediate attention. Having the right medical equipment onboard to respond to an in-flight allergic reaction is vital in ensuring the safety and well-being of passengers and crew.
Ground-based medical service companies, such as MedAire, have developed standardised medical kits that meet or exceed relevant aviation authorities: FAA, EASA, Canadian AOHS, ANAC, HKCAD, etc. Those entities require onboard first aid kits to include 1:1000 strength epinephrine in an ampule but not as an auto-injector. More recently, allergic travellers and advocacy groups have pushed for the availability of auto-injectors.
Epinephrine and Auto-Injectors Explained
Epinephrine is used to treat allergic reactions, specifically anaphylaxis. It is a severe, potentially life-threatening allergic reaction that can cause symptoms such as hives, swelling of the face and throat, difficulty breathing, rapid heartbeat and low blood pressure.
Epinephrine, considered the first-line treatment for anaphylaxis, is designed to quickly alleviate symptoms and prevent further deterioration of the patient’s condition by constricting blood vessels and opening airways. It is crucial to administer it as soon as possible in cases of an allergic reaction.
Auto-injectors are user-friendly devices suitable for individuals with little medical knowledge. Their simple design eliminates the need for measuring and preparing the correct dosage, reducing the risk of administering incorrect doses or not administering the medication at all.
Auto-injectors provide a consistent dose every time, which is crucial for treating anaphylaxis, particularly in an emergency situation where the patient may be unable to communicate or provide information about their condition. They are also easily portable and can be carried in a small bag or purse, making them ideal for passengers with severe allergies who need to have their medication with them at all times.
Insights From In-Flight Allergic Reaction Reports
I worked with Kodoth et al. on a study titled “The Frequency and Characteristics of Epinephrine Use During In-Flight Allergic Events.” Our team analysed IFMEs (in-flight medical emergencies) reported to MedAire’s MedLink Emergency Response Centre from January 2017 to December 2019. We found allergic events made up 3% of all IFMEs and occurred at a rate of 0.91 cases per million passengers.
Epinephrine was administered 328 times and was associated with passengers above 12 years of age, the involvement of a volunteer in the passenger assessment and auto-injector availability. Peanut or tree nut was reported to be the allergen in 145 administrations.
In addition, 17 events in which epinephrine was administered resulted in the diversion. Only 58 cases in which epinephrine was administered resulted in a final diagnosis of anaphylaxis. There were 70 cases in which epinephrine was recommended by MedAire to be administered but was not.
Given these findings, it is clear that having the right medical equipment and trained personnel onboard is crucial for responding to in-flight allergic reactions. Operators should also ensure flight crew are adequately trained to recognise the signs and symptoms of an allergic reaction, administer epinephrine and communicate with ground-based medical service companies for additional guidance and support. This will help ensure passengers’ safety and well-being during an allergic reaction.
Another critical aspect of preparing for these circumstances is establishing a clear and effective communication system. This includes having protocols for how flight crew should respond to an allergic reaction and having clear communication channels to keep all stakeholders aware of the situation to provide the necessary support and assistance when called upon.
Expecting the Unexpected
In conclusion, it is essential to be prepared for the unexpected. Having the right medical equipment and trained personnel onboard can ensure the well-being of your passengers and crew.
As an added step, consider what is included in your onboard first aid kit and your passenger profile when deciding if epinephrine auto-injectors should be included to best support crew members responding to an allergic reaction.
MedAire WorldwideMedAire Worldwide
Flight departments around the world rely on MedAire, an International SOS company, to reduce their travel safety risks. Crews are trained on the resources to manage in-flight illness and injury with onboard medical equipment and telemedicine assistance. On the ground, passengers and crew have one resource for medical referrals; guaranteed payments for medical expenses; assistance with lost documents and prescriptions; online and e-mail travel advisories; evacuation support and a host of other services.
http://www.medaire.com/
martes, 4 de abril de 2023
Diagnóstico y tratamiento de la intoxicación por metales: plomo, mercurio, arsénico y talio en el primer, segundo y tercer niveles de atención.
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| Diagnóstico y tratamiento de la intoxicación por metales: plomo, mercurio, arsénico y talio en el primer, segundo y tercer niveles de atención. |
Enlace para DESCARGAR pdf Gratis
TRAUMA DE TORAX: DOCENA DE LA MUERTE en trauma toracico
Descompresión de Neumotórax a Tensión
Diagnóstico y tratamiento del TRAUMATISMO DE TÓRAX en adultos. 2017 PDF Gratis MEXICO
Enlace para DESCARGAR pdf Gratis
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..
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..
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lunes, 3 de abril de 2023
TRASTORNO ESPECTRO AUTISTA "ATUSTISMO" TEA. Infografía by MSP
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| TRASTORNO ESPECTRO AUTISTA "ATUSTISMO" TEA. Infografía by MSP |
#MSPNeurología | Día mundial de concienciación sobre el autismo
Este trastorno se puede diagnosticar a entre los 18 a 24 meses de edad, sin embargo, la mayoría de los niños y padres no saben que tienen esta condición, lo que puede afectar sus oportunidades de mejorar considerablemente su desarrollo y habilidades.
Conoce los tratamientos con esa infografía que hemos preparado para ti.
Aprende más en www.revistamsp.com
#MSP: El lugar donde médicos, investigadores y pacientes pueden entrar. #MSPLíderesPioneros
#MSPLegadoQueInspira
domingo, 2 de abril de 2023
Tres (3) condiciones bajo las que los médicos (Organización Medica Colegial de España. OMC) españoles aceptarían la gestación subrogada by redaccionmedica
El colectivo ha mostrado su rechazo a esta práctica siempre que esté supeditada a una remuneración,
El artículo 65.1 de la nueva guía ética de los médicos reconoce que la gestación por sustitución con contraprestación económica es “contraria” a la Deontología Médica, ya que “la comercialización del cuerpo de la mujer vulnera su dignidad”, de acuerdo texto publicado por la Organización Médica Colegial (OMC).
Si es avalado por la OMC si es acción ALTRUISTA. y deberían cumplirse tres condiciones:
1. Que se preserve la dignidad de la mujer.
2. Que se mantenga el interés superior del menor.
3. Que se regule y controle a través de la Comisión Nacional de Reproducción Humana Asistida.
Leer mas en el enlace
sábado, 1 de abril de 2023
EL IFAK MODERNO by guerrilla medicine
reposted by Dr. Ramon Reyes, MD
TACMED España
Credits GUERRILLA MEDICINE
¿Pensamientos? Lo mínimo es excelente para la movilidad, pero tiene consecuencias para la capacidad de respuesta ante una emergencia.
by @european_medics
EL IFAK MODERNO
(Descargo de responsabilidad: esto podría generar cierta controversia. Mantengamos la mente abierta y no nos aferremos a los conceptos solo por comodidad mental).
El IFAK es la base de atención en el campo y la principal fuente de material para el médico.
En entornos austeros donde el médico no puede esperar una evacuación rápida y un reabastecimiento, es prácticamente imposible que el médico lleve suficientes suministros para atender adecuadamente a múltiples víctimas críticas con sus propios suministros.
Nuestros IFAK actuales con equipo insuficiente no ofrecen las capacidades requeridas para un enfoque de tratamiento holístico como se espera por sus conceptos.
Eso lleva a que el médico tenga que sobrecargar su paquete médico con suministros básicos y llevar menos equipo esencial para la misión, como herramientas de diagnóstico avanzadas o productos sanguíneos.
Un enfoque de IFAK de fase dual combinado con suministros avanzados en el IFAK puede ofrecer un alivio logístico y permitir que el Enfermero de Combate o el AGFR brinden tratamiento incluso cuando la bolsa médica no está disponible o no está completamente abastecida.
¿Qué opinas? ¡Cuéntanos en los comentarios!
Imágenes por @thatgearaddict
Thoughts? Minimal is great for mobility but has consequences for capability…
from @european_medicsTHE MODERN IFAK
(Disclaimer: this might trigger some controversity. Let's keep an open mind and not hold on to concepts just for mental comfort.)
The IFAK is the baseline of care in the field and the primary source of material for the medic.
In austere environments where the medic cannot hope for rapid evac and resupply, it is virtually impossible for the medic to carry enough supplies to adequately support multiple critical casualties with his own supplies.
Our current underequipped IFAKs do not offer the required capabilities for a wholistic treatment approach as expected by it's concepts.
That leads to the medic having to overload his medical pack with basic supplies and carry less mission essential equipment such as advanced diagnostic tools or blood products.
A dual-phase IFAK approach combined with advanced supplies in the IFAK can offer logistics relief as well as enable the medic or AGFR to provide treatment even when the medic bag is not available or fully stocked.
What do you think? Let us know in the comments!
Pictures by @thatgearaddict
(Disclaimer: this might trigger some controversity. Let's keep an open mind and not hold on to concepts just for mental comfort.)
The IFAK is the baseline of care in the field and the primary source of material for the medic.
In austere environments where the medic cannot hope for rapid evac and resupply, it is virtually impossible for the medic to carry enough supplies to adequately support multiple critical casualties with his own supplies.
Our current underequipped IFAKs do not offer the required capabilities for a wholistic treatment approach as expected by it's concepts.
That leads to the medic having to overload his medical pack with basic supplies and carry less mission essential equipment such as advanced diagnostic tools or blood products.
A dual-phase IFAK approach combined with advanced supplies in the IFAK can offer logistics relief as well as enable the medic or AGFR to provide treatment even when the medic bag is not available or fully stocked.
What do you think? Let us know in the comments!
Pictures by @thatgearaddict
#EURMED #GuerillaMedicine #IFAK #MedicinaDeGuerrilla #IFAK
#remotemedic #medic #tccc #tecc
#remotemedic #medic #tccc #tecc
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