Labrada DA

Language: Spanish
References: 14
Page: 483-489
PDF size: 157.63 Kb.

ABSTRACT

Introduction: the knowledge on trauma is a priority in the continuous medical education.
Objective: the objective of present paper is to research the level of updating of basic knowledges on trauma in the family physicians to identify the needs of capitation.
Methods: a questionnaire on the basic concepts of trauma was distributed among the family physicians determining the final qualification. The qualifications from whose have received courses of updating in trauma were compared and that from whom were considered as trained to care a trauma with the remainder. It was determined the questions ratio with percentages de correct answer > 60 % and > 80 %.
Results: sixty one questionnaires were applied and the qualification interval was of 15 to 60 (average 40.7, SD ± 9.51, 95 % CI 39.51-41.89). Average was higher among who received an updating on trauma (41.8 versus 18.3; p= 0.004). Six questions had a percentage of correct answers > 60 % and 5 (25 %) > 80 %.
Conclusions: not all the person polled are trained to care a polytraumatized patients in its health area and although there is an acceptable level of theoretical knowledges, not all are updated, thus, it is necessary a high level of training.

REFERENCES

1. Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet. 2006;367(9524):1747-57.

2. Krug EG, Mercy JA, Dahlberg LL, Zwi AB. World report on Violence and Health. World Health Organization, Geneva. Biomedica. 2002;22(2):327-36.

3. Wong R, Peláez M, Palloni A. Self-reported general health in older adults in Latin America and the Caribbean: usefulness of the indicator. Rev Panam Salud Publica. 2005;17(5-6):323-32.

4. MINSAP. Dirección Nacional de Registros Médicos y Estadística de Salud [homepage en internet]. Anuario Nacional de Salud 2010 [citado 12 de septiembre de 2011]. Disponible en: http://files.sld.cu/dne/files/2011/04/anua rio-2010-e-singraficos1.pdf

5. Minsap. Programa Nacional de Prevención de Accidentes. Cuba; 2000. p. 1-23.

6. Mock CN, Jurkovich GJ, Nii-Amon-Kotei D, Arreola-Risa C, Maier RV. Trauma mortality patterns in three nations at different economic levels: implications for global trauma system development. J Trauma. 1998;44(5):804-12.

7. Arreola-Risa C, Mock C, Vega F, Romero E, Guzmán F, Porras G, et al. Evaluating trauma care capabilities in Mexico with the World Health Organization's Guidelines for Essential Trauma Care publication. Rev Panam Salud Pública. 2006;19(2):94-103.

8. Trejo Mejía JA, Larios Mendoza H, Velasco Jiménez MT, Hernández López A, Martínez Viniegra N, Cortés Gutiérrez MT. Evaluación de la competencia clínica de los alumnos al iniciar el internado médico de pregrado. Rev Fac Med. 1998;41(3):108-13.

9. Quansah R. Availability of emergency medical services along major highways. Ghana Medical Journal. 2001;35:8-10.

10. Castillo J, García-Guash R. Organización y enseñanza de la reanimación cardiopulmonar. Rev Esp Anestesiol Reanimac. 1999;46(5):183-5.

11. Berdud Godoy I, Martín-Malo A, Jiménez Murillo L, Aljama García P. En: Medicina de urgencias: Guía diagnóstica y protocolos de actuación. 2da. ed. Córdoba: Hospital Universitario Reina Sofía; 2000. p. 453-60.

12. Arango Díaz A, Solero Berrio MT, Castillo Hermidal D, Álvarez Cabrera JP. Conocimientos teóricos de los Médicos de Familia sobre reanimación cardiopulmonar. Rev Cubana Med Gen Integr. 2002;18(2):10-8.

13. Ali J, Cohen RJ, Gana TJ, Al-Bedah KF. Effect of the Advanced Trauma Life Support program on medical students's performance in simulated trauma patient management. J Trauma. 1998;44:588-91.

14. Lima Gómez V, Chávez Ramírez G. Grado de conocimientos básicos sobre trauma en médicos que inician el internado. Trauma. 2002;7(1):24-9.