COMBAT CASUALTY CARE CONFERENCE. medical-mobile simulation team-europe. by Join Trauma System thusday, 29 June 2023 07:00 CDT

 

On Thursday, June 29, the Joint Trauma System will host a presentation led by COL Michael Wissemann on the newly created Medical Mobile Simulation Team-Europe (MMoST-E), which was recently announced as winner of the U.S. Army Medical Command Annual Wolf Pack Award for FY22.

Maintaining a ready medical force is a critical piece of the overall readiness of the Army. While Army medical treatment facilities are often referred to as medical readiness platforms, there are other critical or advanced skills that Army medical personnel do not receive as part of their daily work routine.

MEDDAC-B Medical Mobile Simulation Team has been singled out for their exceptional contributions focused on multiple actions to increase the individual critical tasks percentage by creating a static synthetic Role I environment for the MTFs closest to the headquarters and developing a mobile element for those at greater distance. https://www.army.mil/article/263513/meddac_bavaria_sets_the_standard_for_medical_readiness_training

Please join JTS for this presentation!

#jointtraumasystem #jts #medicalsimulation #combatcare

Conoce el estado actual de la formación de inglés entre los profesionales y las empresas españolas en este 2023 (sin censura y sin subtítulos)

 

Conoce el estado actual de la formación de inglés entre los profesionales y las empresas españolas en este 2023 (sin censura y sin subtítulos).

Enlace de descarga PDF  

Unsolicited Electronics. Smatwatches Received by Mail. Army Criminal Investigation Division

 

Attention❗ There have been incidents of military personnel receiving D18 Smart watches in the mail. Concerns are the watch can be used as a tool to gain personal information from individuals & cause a significant Info/Operations security threat to the United States Department of Defense and its members.

Action❗ If you receive an unsolicited D18 smart watch please contact your unit Security Manager or Counterintelligence.
Do not connect it to your personal Wi-Fi or bring it to work. It is recommended that you do not use the item for any purpose whatsoever.

#Security #Alert
US Army United States Army Reserve
Air Force Office of Special Investigations (AFOSI) Naval Criminal Investigative Service (NCIS) United States Marine Corps U.S. Coast Guard United States Air Force US Navy

Trasplante cardiaco en niño con cardiomiopatía en shock y tratado con ECMO by Dr. Jorge Barretta

 

Créditos: Dr. Jorge Barretta 

Nos llena de mucha satisfacción el agradecimiento familiar y el trabajo mancomunado de un equipo multidisciplinario que llevo adelante un tratamiento muy complejo en un niño de 4 años con diagnostico de miocardiopatía , quien en estado critico de Shock cardio génico , fuese tratado inicialmente con terapia de Ecmo móvil pediátrico , el cual se fue a buscar a mas de 50 km de nuestra institución.

Observando su irreversibilidad , fue luego tratado con terapia mecánica prolongada ( Berlin Heart ) estando conectado durante 134 días .
Hoy cursa satisfactoriamente su tercer día post operatorio de trasplante cardiaco y desconexión del corazón artificial .
Felicitaciones a todo este gran equipo del Hospital Italiano de Bs. As. que hace que esto pueda ser posible.

"Si eres de los que piensan que ser estrella del fútbol o del cine es ser héroes, pues te equivocas, estos son los verdaderos, aquellos que mantienen el milagro de la vida en la practica diaria del arte de la medicina" by @DrRamonREYESMD

https://www.facebook.com/DrRamonReyesMD/photos/a.420586674950934/791397341203197/

"Si eres de los que piensan que ser estrella del fútbol o del cine es ser héroes, pues te equivocas, estos son los verdaderos, aquellos que mantienen el milagro de la vida en la practica diaria del arte de la medicina" by @DrRamonREYESMD

Leer: 

Trasplante de órganos - Infografía

TRASPLANTE DE ORGANOS ¿COMO SE ORGANIZA EN EL MEJOR SISTEMA DEL MUNDO? ESPAÑA

https://emssolutionsint.blogspot.com/2022/06/trasplante-de-organos-infografia.html

STAT Tourniquet 21 of 24 applications FAIL by Mike Shertz CRISIS MEDICINE

STAT Tourniquet 21 of 24 applications FAIL by Mike Shertz CRISIS MEDICINE 

STAT Medical devices is marketing a ‘new STAT tourniquet’ on social media, advertising it as a “mass casualty tourniquet.” After repeated questions from my law enforcement and fire colleagues about this device, I contacted STAT Medical on several occasions requesting information or medical literature demonstrating their product’s efficacy. I received no response.  

Subsequently, we performed our own testing on the STAT tourniquet. by Mike Shertz CRISIS MEDICINE 

A convenience sample of 24 firefighter and EMS related individuals was used to test the ability of 24 new STAT tourniquets to occlude femoral artery flow on doppler ultrasound. Tourniquets were purchased directly from the manufacturer at a cost of $474.75 for 25 tourniquets. 

Ages ranged from 14 (my daughter) to a 55-year old firefighter/paramedic, comprising 4 females and 20 males. Standing thigh sizes were determined by placing the STAT tourniquet snugly around the largest part of the thigh, over their standard duty uniforms, marked, and then measured with a tape measure at the completion of testing. This technique likely overestimates thigh circumference somewhat. Accurate, but not precise thigh measurements ranged from 20.5 inches to 27 inches. All of the testers have extensive experience self-applying CAT-tourniquets in training (yes, including my daughter).

Prior to tightening the STAT tourniquet, each tester was seated on the ground and was asked to place the tourniquet as high on the thigh as possible. Their posterior tibial pulse was established with an 8.0 MHz doppler ultrasound. Doppler pulsations were audible to the tester, who was then asked to tighten the STAT tourniquet until audible pulsation ceased or they were not physically capable of tightening it any more. If audible pulsations could not be eliminated, it was considered a device failure. If the device could not be maximally tightened because the locking mechanism repeatedly “slipped,” this was deemed a mechanical failure. Testers were allowed to use both hands to apply the device and try as many times as they desired. Each tester applied the device in a group setting which provided a competitive environment, with one tester commenting, “I hope I’m successful so I can rub it in all day on you.”

We chose a high and tight tourniquet placement because it tends to be the most challenging location to achieve vascular occlusion. Advertising materials from the device manufacturer suggest a high and tight placement. This testing model and tourniquet application site was chosen because it is consistent with the evaluation of other commercially available tourniquets tested on human volunteers.lthough the manufacturer recommends using a second device side by side if “bleeding doesn’t stop,” we chose not to do this in an attempt to evaluate the device consistent with the methodology of prior studies of commercially available tourniquets. Similarly, we chose to self-apply the tourniquets consistent with many of these studies. Unlike the USAISR “Navy Dive Study” in 2007, testers could hear the doppler pulsation, which encouraged them to continue and try to tighten the tourniquet. 

Dr. Mike Shertz is the Owner and Lead Instructor at Crisis Medicine. Dr. Shertz spent over 30 years gaining the experience and insight to create and provide his comprehensive, science-informed, training to better prepare everyday citizens, law enforcement, EMS, and the military to manage casualties and wounded in high-risk environments. Using a combination of current and historical events, Dr. Shertz’s lectures include relevant, illustrative photos, as well as hands-on demonstrations to demystify the how, why, when to use each emergency medical procedure you need to become a Force Multiplier for Good. 

Go to the Articule https://www.crisis-medicine.com/stat-tourniquet-21-of-24-applications-fail/

STAT Tourniquet 21 of 24 applications FAIL by Mike Shertz CRISIS MEDICINE 

STAT Tourniquet 21 of 24 applications FAIL by Mike Shertz CRISIS MEDICINE 

Competencias y Tecnicas de Enfermeria en los Servicios de Urgencias pdf

Competencias y Técnicas de Enfermería en los Servicios de Urgencias

DESCARGA 

by Dr. Ramon Reyes, MD @DrRamonReyesMD #DrRamonReyesMD

http://emssolutionsint.blogspot.no/2016/12/dr-ramon-reyes-diaz-md-emt-t-dmo.html

Hipertonía vs Hipertonía Infantil

 

Cuando una familia recibe el diagnóstico que su hijo presenta una hipertonía o hipotonía existen una serie de características típicas en cada una de ella.
La hipertonía mayoritariamente está relacionada con la presencia de espasticidad.
Y en caso de la hipotonía se ha relacionado con más de 600 condiciones, las más comunes: Síndrome de Down, Síndrome de Prader-Willi, síndrome de Marfan, Síndrome de Ehlers-Danlos, Osteogénesis imperfecta, Síndrome de Joubert, Síndrome Pierre Robin, Síndrome de Smith-Kingsmore, Algunas enfermedades neuromusculares, Algunas anomalías cromosómicas, Algunos tipos de Parálisis cerebral, etc.
Los signos comunes en presencia de hipotonía incluyen: Pronación de pies, Movilidad reducida, Déficit en el mantenimiento de las posturas, Dificultades para la respiración y alimentación, Retraso en el lenguaje, Reflejos pobres, Laxitud de ligamentos y articulaciones, Caminar con una base ancha, Retraso en el desarrollo de las habilidades motoras gruesas y finas, etc.
Hay niños que pueden tener hipotonía sin ningún diagnóstico subyacente conocido, se llama hipotonía congénita benigna.
En todas estas condiciones y síntomas es importante una adecuada intervención y atención temprana, valoración de los síntomas y cómo estos influyen en el desarrollo psicomotor y de las habilidades propias de la infancia. De esta forma es posible adecuar el planteamiento terapéutico en cada niño en particular.
Interesante información en: https://lnkd.in/dftBt7M9

#atenciontemprana
#fisioterapiapediatrica
#fisiotarepiainfantil
#desarrollopotencialhumano
#desarrollopsicomotor
#hipertonía
#hipertonía
#sindromesneurologicos
#discapacidadinfantil
#childhooddisability

Metales contaminantes como factores de riesgo cardiovascular Contaminant Metals as Cardiovascular Risk Factors

 La exposición crónica a niveles bajos de plomo, cadmio y arsénico a través de artículos domésticos de uso común, aire, agua, suelo y alimentos está asociada con un mayor riesgo de enfermedad cardiovascular, según una nueva declaración científica de la American Heart Association publicada hoy.

Los factores de riesgo tradicionales y los mecanismos biológicos definen de forma incompleta el riesgo aterosclerótico. La cardiología ambiental reconoce que la exposición a contaminantes, incluidos los metales contaminantes, constituye un componente importante y modificable del riesgo de enfermedad cardiovascular.

Esta declaración prioriza tres metales omnipresentes en el medio ambiente con evidencia actual que los vincula con la toxicidad cardiovascular: plomo, cadmio y arsénico.

Los estudios experimentales in vivo e in vitro muestran que la exposición a metales altera las vías biológicas con funciones compartidas en la regulación de las funciones cardíacas y vasculares, incluida la función del endotelio vascular, la inflamación crónica, el estrés oxidativo, los efectos epigenéticos y otros efectos cardiotóxicos.

El campo de la cardiología ambiental identifica la exposición a contaminantes, incluidos los metales contaminantes, como riesgos modificables de enfermedad cardiovascular. Lee el comunicado completo: http://spr.ly/6047OaV9x

Chronic exposure to low levels of lead, cadmium and arsenic through commonly used household items, air, water, soil and food is associated with an increased risk of cardiovascular disease, according to a new American Heart Association scientific statement published today.

Traditional risk factors and biological mechanisms incompletely define atherosclerotic risk. Environmental cardiology recognizes that exposure to pollutants, including contaminant metals, constitutes an important, modifiable component of cardiovascular disease risk.
This statement prioritizes three environmentally ubiquitous metals with current evidence linking them to cardiovascular toxicity: lead, cadmium, and arsenic.
Experimental studies in vivo and in vitro show that metal exposure alters biological pathways with shared roles in the regulation of cardiac and vascular functions, including vascular endothelial function, chronic inflammation, oxidative stress, epigenetic effects, and other cardiotoxic effects.

The field of environmental cardiology identifies exposure to pollutants, including contaminant metals, as modifiable risks for cardiovascular disease. Read the full statement: