Manual de Instalaciones Contra Incendios. DEMSA octubre 2013

Manual de Instalaciones Contra Incendios. DEMSA octubre 2013

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Semana de Vacunación en las Américas

Afiches

Para descargar los afiches fácilmente: hacer un click con el botón derecho sobre la imagen > seleccionar "guardar destino como" > guardar los afiches (PDF o JPG) en su computadora.

¡Tu mejor jugada!

Enlace para bajar afiches : http://www.paho.org/vwa/?page_id=2020&lang=es 

 
 

Bloquea el sarampión y la rubéola

 
 

¿Tienes la defensa lista? ¡Vacúnate!

 
 

Toma la delantera ¡Vacúnate!

 

2do Congreso Internacional SODOEM / ITECC2014 Bayahibe, República Dominicana 24 al 27 de Julio 2014

2do Congreso Internacional SODOEM / ITECC2014 Bayahibe, República Dominicana 24 al 27 de Julio 2014

English Version

La Academia Americana de Medicina de Emergencias (AAEM) y la Sociedad Dominicana de Medicina de Emergencias (SODOEM), unen esfuerzos para realizar el segundo Congreso Internacional  “Trauma, Emergencias y Cuidados Críticos 2014”.

La doctora Laila Cochon, representante de la Academia Americana de Medicina de Emergencias (AAEM) en el pais, explica que por primera vez unen esfuerzos con SODOEM, para el congreso nacional. Manifestó que el evento será de impacto nacional para la evolución de la medicina de emergencias en el país.

Mientras que el doctor Alejandro Baez Chairman,del “ITECC 2014”,expresó que el propósito del evento va en apoyo al desarrollo y fortalecimiento de la medicina de emergencias en el país.

En tanto que el doctor Franklin Gómez Rivas, presidente de “SODOEM” ,informó  “este año se abordará el tema: Medicina Pre-Hospitalaria y cuidados critico", manifestó Gómez Rivas.

Los expertos en el tema de emergencias aseguran que la alianza con “AAEM”, garantizará el conocimiento de los últimos avances y atención de calidad en los futuros y presentes emergenciologos.

Con la presencia de expertos internacionales, también se abordará el tema de desarrollo del sistema Pre-Hospitalario 911 en el país.

La actividad se llevará  a cabo del 24 al 27 de julio, en el Hotel Dreams en Bayahibe.

El Congreso cuenta con el aval de la Universidad Nacional Pedro Henríquez Ureña, la Sociedad Dominicana de Medicina Pre-Hospitalaria (EMC2) Institute  de  Sensa Healthcare y ALACE; así como los grupos de interés en medicina de emergencia de Unibe, Intec y Unphu. Los intersados pueden comunicarse al:  809-508-1924.

 

Deseamos extender una cordial invitación al primer Congreso Internacional de Trauma Emergencias y Cuidados Críticos con el tema " Medicina Prehospitalaria y Cuidados Críticos : Últimos Avances”.

Este cuenta con el respaldo de la Sociedad Dominicana de Medicina de Emergencias, Academia Americana de Medicina de Emergencia y la Universidad Nacional Pedro Henríquez Ureña . Se llevará a cabo el 24 de julio al 27 en el Dreams La Romana Hotel.Esta actividad será la primera de su tipo, con la Academia Americana de Medicina de Emergencia primero organizando un evento en el Caribe. El programa del congreso incluye dinámicas académica y sociales en el que expertos de renombre procedentes de los EE.UU. y América Latina. Se trataran las últimas tendencias en el manejo clínico de los pacientes en estado crítico y medicina prehospitalaria .Será único y representado por la excelencia académica más alta por primera vez en nuestro país , los invito a unirse y sacar el máximo provecho de este gran evento. 

2do Congreso Internacional SODOEM / ITECC2014 Bayahibe, República Dominicana 24 al 27 de Julio 2014

VIDEO

Enlace pagina oficial del evento http://www.itecc2014.com/ 

Aplicación " App: ALPIFY" Para localización en caso de Emergencias en lugares remotos. España y Andorra

Aplicación " App: ALPIFY" Para localización en caso de Emergencias en lugares remotos. España y Andorra

En caso de perderte o de sufrir un accidente practicando una actividad al aire libre, puedes enviar una alerta al servicio de rescate de la zona a través de la aplicación Alpify. Es muy sencillo: pulsa el botón “Emergencia” de la aplicación. 
Los usuarios, siempre y cuando se encuentren dentro del perímetro de funcionamiento de Alpify, pueden recibir mensajes relativos a la seguridad de la zona en que se encuentren. En ningún caso se tratará de mensajes publicitarios. Por ejemplo: los esquiadores y usuarios que practiquen actividades en una estación de esquí que disponga de Alpify podrán recibir mensajes sobre las condiciones climatológicas, posibles averías, etc.

Aplicación " App: ALPIFY" Para localización en caso de Emergencias en lugares remotos. España y Andorra

Apenas ha pasado una semana desde que el Gobierno de Cantabria compró la licencia de la aplicación Alpify y alrededor de siete mil personas ya se la han descargado en su teléfono móvil, para disponer de un geolocalizador que en caso de emergencia envía su ubicación exacta al 112 y gozar de un plus de tranquilidad en trayectos por carretera, en excursiones a la montaña, paseos en solitario... A pesar del elevado número de usuarios, ninguno de ellos ha tenido que pulsar todavía el 'SOS' por encontrarse en una situación de riesgo. El único que ha contactado con los servicios de emergencia ha sido el presunto ladrón de un teléfono que, por error, tocó el botón manipulando el móvil. La alerta llegó a la sala del 112, que intentó ponerse en contacto con ese usuario sin éxito, luego se avisó a la otra persona de contacto facilitada al darse de alta en la aplicación y resultó ser su esposa: «A mi marido le robaron el móvil», dijo, así que en este caso la geolocalización sirvió para saber el punto exacto en el que estaba alguien con un teléfono que no era suyo.

Desde el Servicio de Emergencias del 112 están satisfechos con la buena aceptación que está teniendo esta aplicación, aunque han detectado que muy pocos de esos 7.000 la llevan activada de manera constante, por lo que pierde utilidad, ya que «nadie sabe en qué momento puede necesitar ayuda», indicó el director operativo del 112, Francisco Caso. Recuerda que es una aplicación gratuita y que tiene más ventajas que otros geolocalizadores: también funciona sin internet enviando un SMS, si al usuario le ha pasado algo y no ha podido pulsar el botón también se le puede localizar si da la alerta otra persona y se puede conocer el recorrido que ha hecho en las últimas 24 horas.

Alpify funciona en el País Vasco y La Rioja, además de Andorra, lugar de origen de sus artífices, y diversas estaciones de esquí europeas. Cuando el usuario pulsa el botón manda una señal al 112 que en cuestión de segundos recibe los datos de la persona que está pidiendo socorro y su ubicación geográfica. Salta la alarma en la sala y, al momento, en la pantalla un punto rojo se ubica en el mapa y se descubre la identidad del que pide ayuda, sus coordenadas y hasta la batería que le queda en el teléfono. Recibido el 'SOS', el 112 se pone en contacto con el usuario, se valora la situación y se movilizan los recursos necesarios para su rescate. Este servicio de localización se activa únicamente en los casos en los que esté justificada la búsqueda de la persona, por encontrarse en una situación de peligro real o haber indicios suficientes sobre ello, y consigue optimizar al máximo los tiempos de respuesta de los servicios de emergencia.

DESCARGAR APP: 

Android 

Blackberry 

iPhone 

Férula para Inmovilización 3D EXOVITE tm. Video

Férula para Inmovilización 3D EXOVITE tm

Es un sistema de recuperación para personas que tienen que ser inmovilizadas mucho más confortable para los pacientes que el método actual. El Sistema EXOVITE se compone de dos partes:

Una férula, creada tras un escaneo de la parte a inmovilizar e impresa con una impresora 3D a la medida exacta del paciente y definido por el traumatólogo.
Un sistema de fisioterapia online con electro-estimuladores y un medidor de masa muscular para controlar la perdida de masa muscular en la zona afectada.

Con el Sistema EXOVITE evitamos los típicos problemas que ocasionan las escayolas convencionales como son la ducha, los problemas de piel, la pérdida de masa muscular y el peso de la escayola. Además con nuestro dispositivo de tele-fisioterapia ejercitamos el músculo con ejercicios definidos por el traumatólogo en función de las necesidades del paciente y monitorizamos los resultados.

1. Permite configurar un tratamiento a medida
2. Es capaz de bloquear sólo el movimiento que requiere inmovilización.
3. Es fácil de manejar por todo elequipo
4. Se puede corregir el tratamiento online
5. Disminuye la saturación del área de rehabilitación
6. Es capaz de marcar ejercicios de recuperación de manera remota
7. Permite llevar un seguimiento del paciente de forma online
8. La recuperación empieza desde el primer día
9. La comodidad de la férula permite llevar una vida normal
10. Pesa 10 veces menos que una férula estándar y además es extraible
11. Te puedes duchar y rascar

http://www.exovite.com/index/

XXVI Congreso Nacional de SEMES en Málaga durante los días 11 y 13 de Junio de 2014

XXVI Congreso Nacional de SEMES en Málaga durante los días 11 y 13 de Junio de 2014

Congreso Nacional SEMES 2014 del 11 al 13 de Junio en Málaga. #SEMES2014

La actividad para los #TES estará concentrada en los días 12 y 13.

Web oficial del evento (información, inscripciones, alojamiento, etcétera): http://semes2014.org/

http://semes2014.org/

II CAMPEONATO NACIONAL DE REANIMACIÓN CARDIOPULMONAR (RCP) SEMES. durante el XXVI Congreso Nacional de SEMES en Málaga durante los días 11 y 13 de Junio de 2014

¿Eres el mejor haciendo RCP? Demuéstralo durante el XXVI Congreso Nacional de SEMES en Málaga durante los días 11 y 13 de Junio de 2014.

OBJETIVO

Promocionar la RCP de calidad entre los profesionales sanitarios y particularmente la importancia de la correcta ejecución de las compresiones torácicas para conseguir aumentar la supervivencia de las víctimas de parada cardiorrespiratoria.

EN QUÉ CONSISTE EL CAMPEONATO

En realizar dos minutos de compresiones torácicas en los que, por medios electrónicos y con la participación del tribunal, se evaluarán aspectos técnicos como: frecuencia, profundidad, descompresión torácica completa y adecuada posición de las manos y brazos del reanimador, entre otros.

2 CATEGORÍAS

- Medicina/Enfermería
- Técnicos

PREMIOS EN CADA CATEGORÍA:

- 1 PRIMER PREMIO DE 500 € + CERTIFICADO
- 1 SEGUNDO PREMIO DE 250 € + CERTIFICADO

Enlace fuente de la información  http://www.semescyl.org/urgenciasyemergencias/2014/02/25/661/

Discriminate spinal immobilization procedure & XCollar allows improved cervical spine splinting capability.

X-COLLAR

How Lee County (Fla.) EMS Implemented a New Paradigm of Cervical Spine Management

Discriminate spinal immobilization procedure & XCollar allows improved cervical spine splinting capability.

Michael G. Hamel, NREMT-P, CCEMT-P, FP-C | From the January 2014 Issue | Thursday, January 9, 2014

As EMS professionals we’re obligated to adhere to the principle of primum non nocere —“first, do no harm.” But as the EMS industry becomes more protocol driven, the ability to think outside the box is often discouraged. Practices that seem like common sense become less common and, for many providers, the notion of doing no harm can be complex. This notion can be magnified when individuals or departments repeatedly accept a lower standard of performance until that lower standard becomes the normal. This behavior is known as normalization of deviance. In EMS, normalization of deviance can be defined as performing de facto procedures that appear to be absent of harm or deemed safe by tradition when in fact they are not. Providers end up performing “automatic” procedures that may not be beneficial or may have undesirable patient outcomes.

This is especially true for spinal immobilization procedures. For example, applying a cervical collar (C-collar) and strapping an 85-year-old kyphotic patient to a long spine board, when the only examination finding is a scalp laceration secondary to a ground level trip-and-fall, may not be the best course of action.

Likewise, fully immobilizing an altered mental status patient with a closed head injury who has a stomach full of alcohol and suboptimal airway protective reflexes may also be a poor choice treatment modality. For more than 30 years, EMS professionals in the United States have settled for spinal immobilization techniques that have been supported by little to no evidence, but now some systems are calling the techniques into question.

Improving Immobilization
In late 2011, Lee County Public Safety/EMS (LCEMS) located in Fort Myers, Fla., set out to reduce iatrogenic insult caused by traditional immobilization practices. LCEMS first examined the C-collars used in the system to determine if any weaknesses could be identified. The agency found that the deployed collar was inadequate in terms of its ability to splint a patient’s cervical spine (C-spine) and restrict overall head movement.

A group of experienced paramedics further discovered that patient’s lateral head movement, although limited, wasn’t rendered immobile. The team also noted the traditional collar created an inadvertent “wedge” space between the patient’s head and torso in most cases.

Although the conclusion of this wedge could not be studied thoroughly in the out-of-hospital environment, it was clear to the team the wedge had the potential to create C-spine distraction—obviously counterproductive to the patient suspected of having a vertebral or spinal cord injury.

The agency then examined other collars on the market to evaluate their ability to splint the C-spine. None of them were found to be better than the collar already in use. Discouraged but not defeated, the team continued to research alternatives and eventually discovered the XCollar by Emegear. The XCollar, with its unique C-spine splinting capability, immediately caught the agency’s attention. But for various reasons unassociated to the project, the XCollar was not fully appreciated, and was ultimately placed in a drawer.

New Device, New Guideline
In mid-2012, amid continued pressure from team members determined to continue the quest for clinical excellence in spinal immobilization, representatives from Emegear were asked to visit Fort Myers to present the XCollar. The presentation was well received. The XCollar’s ability to splint the C-spine became more impressive to our team.

The team clearly able to appreciate how the head of a patient is splinted to the torso above C-1 and below C-7 on two points anterior and two points posterior. This engineering noticeably prevents cervical spine distraction while completely restricting head movement.

Now fully engaged, the team went back to work. First garnering the support of the Lee County medical director, the team then sought the backing of the Lee Memorial Hospital Trauma Services Manager. The XCollar was demonstrated to the trauma, neurosurgical, orthopedic and emergency services at Lee Memorial Hospital.

The hospital parties were supportive of the project and deemed the device to be a better method of cervical splinting. Additionally, the ED staff members expressed their optimism with the project—it was a way to reduce ED overcrowding.

The hope was that “fully immobilized” patients who previously required a bed could be sent to triage with this new device in place. This wasn’t only attractive to the ED, but also gave way to the hope that EMS units could return to service faster.

Simultaneous to this effort, our team labored to incorporate the new C-spine splinting concepts in a clinical guideline that would reduce the application of long spine boards and other extrication devices in patients who didn’t warrant such devices. The protocol was drafted and approved in the summer of 2012.

This guideline, for the first time in LCEMS history, would allow the field provider, based upon the patient’s clinical presentation and exam, to forgo full immobilization methods in favor of an evidence-based, XCollar-only controlled extrication or immobilization. In other words, the agency would break away from the dogmatic and de facto spinal immobilization practices of the past and embark on a new clinical paradigm: C-spine splinting and discriminate spinal immobilization.

Field Testing
In September 2012, LCEMS conducted the discriminate spinal immobilization field trial. The field trial lasted six-months and was performed by the department’s field training officers (FTOs) following a four-hour in-service. The in-service training for the field trial was provided by the manufacturer and included both didactic and practical sessions.

The department, supported by several position statements1,2 and a large study on spinal immobilization deficiencies,3 worked diligently to overcome the skepticism of a long-standing “past practice” that anyone in a motor vehicle crash or a victim of a fall needed to be fully immobilized.

Remaining open-minded and with a high degree of confidence in the science, the medical director continually expressed his overwhelming desire to improve patient outcome through evidence-based, goal-directed spinal immobilization care. This would ultimately serve as the foundation for the procedure in place today.

Protocol Approval
With the field trial complete, the team gained the approval from the Lee County Protocol Committee in February 2013. In March 2013, the Lee County Medical Care Council unanimously approved the “XCollar and Discriminate Spinal Immobilization Guideline.” (See Figure 1.) The guideline went live in the third quarter of 2013.

Emegear returned to Lee County following the field trial and provided XCollar factory training, offering several sessions every day for a three-week period. This training touched over 250 field providers and 24 EMS supervisors.

More than 300 primary providers in the county were trained. When factory training was complete, the LCEMS Field Training Supervisors and FTOs—using the agency’s Mobile Simulation Lab—made rounds to the various fire districts and hospitals to educate their respective staffs.

At the April 2013 LCEMS in-service, the training department presented a lecture on the new cervical spine splinting paradigm, discriminate spinal immobilization guideline and the intra-county collaborative. In addition to discussing the initiative, EMTs and paramedics were able to practice their newfound knowledge in a large-scale practical session. As with the previous training sessions, the members were engaged and expressively grateful for the opportunity to be on the cutting edge of evidence-based medicine in the world of C-spine splinting.

On May 1, 2013, LCEMS went live, ahead of schedule, with the countywide discriminate spinal immobilization procedure. Although early in the data collection, this cultural shift appears to be successful in terms of doing no harm. No red flags or under-triaged patients have been identified or reported by our hospital partners. Furthermore, a retrospective chart review over the first four months since implementation has demonstrated an 88% decrease in the use of the KED and a 56% decrease in the use of long spine boards.

Although these numbers are promising, the positive feedback received from the field providers is even more encouraging. In other words, the standalone XCollar application is fast becoming the standard of care in Lee County for low impact/low velocity traumatic events.

“Lee County EMS prides itself in providing evidence-based, current, and best practice prehospital medicine,” says medical director Joseph D. Lemmons, DO, FACOEP, FACCWS. “I have been most impressed with the revolutionary cervical spine splinting device developed by Emegear. The early data regarding the acceptance and appreciation of the XCollar by hospitals and prehospital providers has been favorable.”

Lee County Public Safety/EMS remains committed to achieving clinical excellence in spinal immobilization and other areas where evidence-based medicine encourages innovation.

References

1. National Association of EMS Physicians and the American College of Surgeons Committee on Trauma. EMS spinal precautions and the use of the long backboard. Prehosp Emerg Care. 2013;17(3):392–393.

2. Yale-New Haven Sponsor Hospital Program. Backboard memo. Nov. 12, 2012.

3. Dixon M, O'Halloran J, Cummins NM. Biomechanical analysis of spinal immobilisation during prehospital extrication: A proof of concept study. Emerg Med J. June 28, 2013. [Epub ahead of print.]

About Lee County Public Safety/EMS (LCEMS)
LCEMS is a Florida-certified ground ALS provider. Lee County paramedics and EMTs provide care on-scene and during transport to the most appropriate medical facility in Southwest Florida. LCEMS covers more than 1,000 square miles, including 75 islands that dot the coastline. LCEMS currently operates 36 ALS transport ambulances, two ALS non-transport units and six ALS district supervisors. In 2012, LCEMS was dispatched to more than 83,000 emergency calls. LCEMS has for 20 years provided an ongoing comprehensive training program for its employees. The training incorporates every aspect of medical specialties common to prehospital emergency medical care. Visit the LCEMS website at www.safelee.org.

X-COLLAR

http://www.jems.com/article/patient-care/how-lee-county-fla-ems-implemented-new-p

Paramedics eliminating long spine boards at Johnson County, Kansas City

Paramedics eliminating long spine boards at Johnson County, Kansas City

Johnson County paramedics eliminating long spine boards

VIDEO

Posted: Mar 01, 2014 12:47 AMUpdated: Mar 01, 2014 1:47 AM

By DeAnn Smith, Digital Content Manager - email

By Jamie Oberg, News Reporter - email

OVERLAND PARK, KS (KCTV) -

Johnson County paramedics will no longer strap crash victims onto a long spine board.

After careful consideration, county officials believe the boards are unnecessary and slow down the trip to a hospital.

The hope is to reduce patient discomfort and the boards themselves can have their own risks, officials say.

For decades, the boards have been standard practice at wreck scenes in which a patient may have had a cervical, thoracic or lumbar spine injury. They immobilize the patient's entire body.

But county officials say they are used only because of historical dogma and institutional EMS culture, and have no evidence-based justification. 

"There are studies showing putting someone on a long board can cause harm, can cause pressure sores, discomfort, can make it more difficult to assess them and reduce their ability to breathe fully," EMS Chief Brad Cusick said.

Paramedics will still have a C-collar to immobilize patients, who will need to remain rigid as much as possible and will be secured to a cot by straps. 

The long boards will remain on the ambulances if needed to get a patient onto an ambulance and a cot but will be removed before transport.

Johnson County's change is effective Saturday and is expected to shave off two minutes from the trip to the hospital. Kansas City, KS, firefighters are training and phasing out their long boards as well.

Physician groups including the American Academy of Neurological Surgeons and the Kansas Medical Advisory County support the change. 

Copyright 2014 KCTV (Meredith Corp.) All rights reserved.

Long Spine Board out of services?

Johnson County's new trauma protocol effective March 1

February 28

Q&A about the Johnson County Emergency Medical Services System new trauma protocol with Dr. Ryan Jacobsen, Medical Director of Johnson County EMS System

What is the change in trauma protocol in Johnson County?

Johnson County’s new procedures go into effect March 1 and relate to how EMS providers care for pre-hospital patients with potential spine injuries. Historically, protocol mandated EMS providers in Johnson County transport any patient with a potential cervical, thoracic or lumbar spine injury on a Long Spine Board. Under the new protocol, excellent spine care will be accomplished without transporting a patient on a Long Spine Board.

So ambulance responders won’t use the Long Spine Boards anymore?

The Long Spine Board will still be used to extricate and transfer patients to the EMS cot, but then the EMS provider will generally remove the board for transport.

Isn’t that risky for someone with a spine injury?

Research shows that excellent spine care is accomplished utilizing the cervical collar and the ambulance cot. The new technique is expected to improve patient comfort and enable better airway care.

Is Johnson County the only EMS System making this switch?

While we will be the first in the region, there are multiple other agencies both nationally and internationally that have adopted similar changes.

Does this change the way the lay person should handle someone with a suspected spinal injury before the ambulance arrives?

No, it doesn't change how the lay public should deal with trauma patients. This change only applies to trained professional responders.

http://www.jocogov.org/article/2014/02/28/2907 

Johnson County paramedics eliminating long spine boards

Johnson County paramedics eliminating long spine boards

EZpole Lets You Take Your IV Drip Along on a Post Surgical Hike

EZpole Lets You Take Your IV Drip Along on a Post Surgical Hike

by EDITORS on Mar 4, 2014 • 3:17 pm

Mobiu, a Korean company, aiming to improve the recovery experience has developed a new IV pole that’s worn like a backpack and, while looking pretty silly, allows the patient to at least get out for a walk.

The IV pouch hangs above the patient on a plastic pole that’s strapped onto the shoulder. The whole unit (without the drugs) weighs less than 400 grams, and as long as the patient remains upright, the medicine will flow. The device is not yet available, but the company is planning to soon release it in four different sizes, according to the AVINGnews service.

Features from the product page:

• Easy to wear/take off alone.
• Comfotable to wear for an extended period by distributing weight.
• Accommodates IV in 500ml, 1000ml PVC types and 500ml Bottle Type.
• IV containers safely mounted at three points to prevent shaking/rocking.
• Can be worn either left/right shoulder.
• Excellent wearable feeling by applying the most advanced triple soft pad,
• Easy to assemble/disassemble/maintain.
• Built with Strong and Lightweight plastic material (PP : Polypropylene).

EZpole Lets You Take Your IV Drip Along on a Post Surgical Hike

 Information from medGadget

Dia Mundial de las Enfermedades Raras 28 de Febrero

Dia Mundial de las Enfermedades Raras 28 de Febrero

Enlace a pagina oficial

Federación Española de Enfermedades Raras

 http://www.enfermedades-raras.org/

Resuscitation 2014. 15-16-17 May 2014, Bilbao Spain The pathway to new Guidelines

Resuscitation 2014. 15-16-17 May 2014, Bilbao Spain The pathway to new Guidelines

Welcome to Resuscitation 2014!

This year's conference promises to be one of the most exciting to date.
The conference will focus on the pathway to new Guidelines.

Come and hear about the hottest controversies in resuscitation science, education and implementation, and gain an insight into how these controversies may be resolved to produce the new resuscitation Guidelines due for publication in 2015.

At the same time, why not try your hand at one or more of the advanced skill workshops, or enter a team for the 2014 International CPR Competition? Seize the opportunity to network with international experts and present your research to key opinion leaders.

Submit your abstract now!  Deadline is 15 January 2015!

See the Spanish Resuscitation Councils Facebook page.

See the ERC Facebook and Twitter pages.\

More information Resuscitation 2014