EMS SOLUTIONS INTERNATIONAL by @DrRamonReyesMD marca registrada

miércoles, 22 de agosto de 2018

The Fascinating Anatomy of the Presidential Motorcade Going inside the safest and most dangerous place on the road. BY TYLER ROGOWAY

The Fascinating Anatomy of the Presidential Motorcade Going inside the safest and most dangerous place on the road. BY TYLER ROGOWAY JULY 22, 2016

sábado, 18 de agosto de 2018

La tesis de una enfermera española 'resucita' al mayor fracaso de Google by redaccionmedica.com

La tesis de una enfermera española 'resucita' al mayor fracaso de Google 

Ha conseguido demostrar que la calidad de la reanimación cardiopulmonar puede mejorar con el uso de este dispositivo  

Para reanimar a las famosas Google Glass de su fracaso ha hecho falta hasta una tesis doctoral. Es preciso recordar que, tras el lanzamiento, este dispositivo no tuvo todo el éxito que esperaba. Uno de los desarrolladores de las gafas y jefe de Google X, Astro Teller, llegó a declarar que uno de los motivos del fiasco "fue llamar tanto la atención sobre la marcha del proyecto" que, quizá, era prematuro. 

Años después del 'fracaso', la tesis de Francisca Segura Melgarejo, dirigida por los doctores Manuel Pardo Ríos y Nuria Pérez Alonso, de la Facultad de Enfermería de la Universidad Católica de Murcia (UCAM), ha obtenido importantes resultados en la calidad de la reanimación cardiopulmonar (RCP) en adultos mediante el uso de las Google Glass, al mejorar la asistencia en parada respiratoria, aumentar el índice de supervivencia y disminuir las secuelas neurológicas.

En este sentido, la fórmula propuesta por Melgarejo ha conseguido reducir el tiempo para el inicio de la reanimación cardiopulmonar un 83 por ciento. Y al mismo tiempo permite mejorar las ventilaciones en el paciente evitando posibles olvidos y priorizando el rescate en un 72 por ciento de los casos. En el primer epígrafe de todos los que componen la citada tesis doctoral se detalla el protocolo que el equipo de emergencias debe seguir para interpretar correctamente las instrucciones de los expertos mediante las Google Glass y a través de recursos de imagen y sonido. 

Cuestiones a tener en cuenta en la reanimación

Otra de las innovaciones que la doctora incluye en esta tesis doctoral es el estudio de la relación de fatiga física del personal de emergencias respecto de la toma de decisiones, a partir del cual se ha podido comprobar que, tras dos minutos de reanimación, no se contemplaron cambios de precisión en la fatiga mental, siendo este tiempo el máximo permitido a un especialista para intervenir sobre el paciente puesto que sí que afecta al cansancio físico del profesional sanitario enfermero.

A partir de estos resultados, publicados en revistas indexadas en JCR, dos de las mayores asociaciones de reanimación de España, SEMES y SEMICYUC se han unido para determinar los parámetros más importantes a la hora de valorar una buena reanimación, como la cantidad adecuada de compresiones (100-120 compresiones por minuto), así como habilidades no técnicas como la coordinación del equipo o el uso de la adrenalina en el momento clave.

https://www.redaccionmedica.com/secciones/enfermeria/la-tesis-de-una-enfermera-espanola-resucita-al-mayor-fracaso-de-google-6932

Google Glass para aumentar la supervivencia en pacientes en parada cardiorrespiratoria

Los importantes resultados obtenidos en la tesis doctoral de Francisca Segura, publicados en prestigiosas revistas de impacto a nivel internacional, han permitido evaluar positivamente el efecto de la telemedicina mediante Google Glass para reducir el tiempo de inicio de la Reanimación Cardiopulmonar (RSC) y mejorar las ventilaciones sobre el paciente

Murcia, 17/08/2018

La tesis doctoral de Francisca Segura Melgarejo, dirigida por los doctores Manuel Pardo Ríos y Nuria Pérez Alonso, de la Facultad de Enfermería de la UCAM, ha obtenido importantes resultados en la calidad de la RCP en adultos mediante el uso de las Google Glass, al mejorar la asistencia en parada respiratoria, aumentar el índice de supervivencia y disminuir las secuelas neurológicas.

Esta fórmula de instrucción guiada consiguió reducir el tiempo para el inicio de la resucitación cardiopulmonar en un 83%, mejorar las ventilaciones en el paciente evitando posibles olvidos, y priorizando el rescate en un 72% de los casos, todo ello en un escenario de hospitalización en las Salas de Simulación de la Universidad, donde el equipo de emergencias ha seguido las instrucciones de expertos mediante las Google Glass, como ha recogido el primero de los artículos que componen la tesis doctoral de Nuria Pérez. Este estudio ha evaluado el efecto de la telemedicina mediante Google Glass en RCP, para conectar a los intervinientes en la escena donde se encuentra la víctima con expertos, a través de esta tecnología que posibilita dar las indicaciones a través de los recursos de imagen y sonido.

Otra de las innovaciones que la doctora incluye en esta tesis doctoral es el estudio de la relación de fatiga física del personal de emergencias respecto de la toma de decisiones, a partir del cual se ha podido comprobar que, tras dos minutos de reanimación, no se contemplaron cambios de precisión en la fatiga mental, siendo este tiempo el máximo permitido a un especialista para intervenir sobre el paciente puesto que sí que afecta al cansancio físico del profesional sanitario enfermero.

A partir de estos resultados, publicados en revistas indexadas en JCR, dos de las mayores asociaciones de reanimación de España, SEMES y SEMICYUC se han unido para determinar los parámetros más importantes a la hora de valorar una buena reanimación, como la cantidad adecuada de compresiones (100-120 compresiones por minuto), así como habilidades no técnicas como la coordinación del equipo o el uso de la adrenalina en el momento clave. Todo ello ha sido recogido por la nueva doctora en el diseño y validación de una herramienta de evaluación de la calidad de la RCP (SIEVCA-CPR 2.0) universal, que ya se está implantando en centros de formación como método común de evaluación de los alumnos. http://www.cartagenaactualidad.com/2018/08/google-glass-para-aumentar-la-supervivencia-en-pacientes-en-parada-cardiorrespiratoria/

Randomised clinical simulation designed to evaluate the effect of telemedicine using Google Glass on cardiopulmonary resuscitation (CPR)

Nuria Pérez Alonso1, Manuel Pardo Rios1, Laura Juguera Rodriguez1, Tomas Vera Catalan2, Francisca Segura Melgarejo3, Belen Lopez Ayuso4, Carolina Martínez Riquelme5, Joaquin Lasheras Velasco4,6

Abstract

Aim Through a clinical simulation, this study aims to assess the effect of telematics support through Google Glass (GG) from an expert physician on performance of cardiopulmonary resuscitation (CPR) performed by a group of nurses, as compared with a control group of nurses receiving no assistance.

Methods This was a randomised study carried out at the Catholic University of Murcia (November 2014–February 2015). Nursing professionals from the Emergency Medical Services in Murcia (Spain) were asked to perform in a clinical simulation of cardiac arrest. Half of the nurses were randomly chosen to receive coaching from physicians through GG, while the other half did not receive any coaching (controls). The main outcome of the study expected was successful defibrillation, which restores sinus rhythm.

Results Thirty-six nurses were enrolled in each study group. Statistically significant differences were found in the percentages of successful defibrillation (100% GG vs 78% control; p=0005) and CPR completion times: 213.91 s for GG and 250.31 s for control (average difference=36.39 s (95% CI 12.03 to 60.75), p=0.004).

Conclusions Telematics support by an expert through GG improves success rates and completion times while performing CPR in simulated clinical situations for nurses in simulated scenarios.

https://emj.bmj.com/content/34/11/734

jueves, 16 de agosto de 2018

How to Become a SWAT Medic? 13 Steps to be SWAT Medic by WikiHow

How to Become a SWAT Medic

SWAT medics provide emergency medical care to law enforcement personnel and civilians injured in SWAT operations. SWAT teams are called to situations that regular law enforcement teams are not equipped or trained to handle.[1] These kinds of missions have the potential to be highly violent and to practice emergency medicine under these circumstances take an immense amount of disciplined training and experience. However, if you are up for the challenge, becoming a SWAT medic can be an extremely rewarding career.

1. Earn a high school diploma. To begin down the road to becoming a paramedic, you need to hold a high school diploma or GED. Many paramedic training programs operate out of community colleges and will earn you an associate’s degree.

It is recommended that if possible, you continue your education after high school. While becoming a paramedic does not require a higher degree, continuing your education may give you more options in your career down the line.

2. Become CPR-certified. Some EMT-B courses require that you are already CPR certified. The Red Cross and other organizations offer CPR courses both online and in-person.[2]

3. Complete a EMT-B (Emergency Medical Technicians-Basic) training program. EMT training classes are offered at many community colleges and other institutions, so finding a course near you should not be too difficult. An average EMT course will take about 6 months to complete and will require 120-150 hours of training.[3]

4. Become certified as a EMT. After completing EMT-B, you will be able to take the National Registry of Emergency Medical Technicians Exam (NREMT) for EMTs and then apply for certification. You will need to take the exam and apply for certification within two years of completing the EMT coursework.[4]

5. Find a job as an EMT. Once you have become certified as an EMT, begin reaching out to ambulance companies, firehouses, and police departments to inquire about EMT positions. Online job lists can also be helpful in finding jobs (i.e. https://emtjobs.nremt.org/). EMT jobs are relatively plentiful, as they are in high need around the country.[5]

6. Enroll in a paramedic training course. After working as an EMT for at least 6 months, you will be able to begin coursework to become a paramedic.[6] Paramedic training will take 1200-1800 hours, which means that many programs will last 6 to 12 months. It is common for community colleges to offer two-year courses in paramedic training, so check with your local schools to see what they offer.

Paramedic training is extensive and will involve both classroom and clinical training in hospitals and with ambulance companies.[7] If you are a paramedic student looking to eventually become a SWAT medic, it would be worthwhile to find an internship within law enforcement during your paramedic training.

7. Become certified as an paramedic. Once you have completed classroom and clinical training to become a paramedic, take the paramedic version of the NREMT and apply for certification as a paramedic.[8]

8. Find a job as a paramedic. The kind of job experience you have as a regular paramedic will greatly affect whether or not you will be able to eventually become a SWAT paramedic. You will need at least 5 years of experience as a paramedic in high-intensity situations. If you cannot find a regular paramedic job within a fire department or police department, it is worthwhile to seek out volunteer positions within these agencies.[9]

To become a SWAT medic, you will need to show your commitment to being the best practitioner of emergency medicine that you can. This means that you will need to be present and focused for your patients during your time as a regular paramedic in order to hone your skills.[10]

One option for gaining applicable experience as a medic is through the military. The military lifestyle may not fit into your plans, but if you are looking to become a SWAT medic specifically, being trained as a medic through the military might be a good option for you.[11]

9. Continue to develop professionally. Seek out additional certifications as a paramedic that will give you a more complete skill set, such as flight paramedic certification. When trying to find a job as a tactical medic, it will be important that you have shown an interest in staying up to date with new strategies and certifications.

10. Connect with a law enforcement tactical team. Many tactical paramedic training courses will require that you have an existing relationship with a law enforcement agency. Reach out directly to law enforcement agencies near you and if possible, make contact with local SWAT officers to express your interest in gaining tactical experience.[12]

11. Enroll in TEMS training. Once you have had some experience with a tactical team in law enforcement, you will be able to take a course in tactical emergency medicine. Tactical Emergency Medical Service training (TEMS) will focus on setting up zones of care, dealing with tactical constraints, and understanding how to support the overall success of a law enforcement mission.[13] Depending on the program, these intensive courses run for about a week and will often involve training with firearms.

12. Take the Certified Tactical Paramedic exam (TP-C). The exam is 125 questions and takes about 2.5 hours to complete. The exam is based around tactical principals and paramedicine best practices. Your TEMS training should prepare you well for this exam.

13. Find a position as a SWAT medic. The relationship building that you have engaged with throughout your career as a regular paramedic will be vitally important when trying to secure a SWAT medic position. Police departments will advertise for open medic positions sometimes, but you will find more success by reaching out directly to law enforcement agencies and sheriff departments.

There are a few website that can provide listings of positions within law enforcement, such as policeone.com. Tactical medic job listings can also be found on more traditional job search websites like Indeed.com and simplyhired.com.

Be aware that many SWAT medics, while elite members of the emergency medical community, will often work part time as a SWAT medic and full time as a regular medic. The reason for this is that only larger cities tend to have full time, large scale SWAT teams in their police departments.[14]

https://www.wikihow.com/Become-a-SWAT-Medic