2016, Number 5
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Mul Med 2016; 20 (5)
Security of patient during transfer in mobile medical emergency. Bayamo 2014-2016
Gómez FJE, Fonseca GY, Fornaris CY, Rosabal LMF, Frutos RYK
Language: Spanish
References: 21
Page: 191-202
PDF size: 170.80 Kb.
ABSTRACT
A cross-sectional retrospective descriptive study was performed in patients classified as medical emergencies that were rescued by the integrated system of medical emergencies of Bayamo from January 2014 to February 2015. The sample was composed by 325 patients. Deeping into the different areas of care during the transfer to show actions that provide security in transfer of medical emergencies, rescued by the integrated system of medical emergencies and with the specific purpose of describing the hemodynamic status of the patient in the collection and in the arrival, showing nursing actions that ensure safety during the transfer, describing clinical complications, and those arising from adverse events during the transfer to calculate the percentages. Results showed that only 3538 % presented hemodynamic stability in collection and 80 % without hemodynamic stability at the time of arrival according to nursing procedures for vital signs only 45,4 % had accidental way out of Levine probe and the psychomotor agitation as clinical complication in 22,98 % of the patients. We conclude that most of the patients had hemodynamic instability on arrival. All of them received monitoring, there were also determined low percentages of complications for adverse and clinical events.
REFERENCES
Eastman AB, Lewis FR Jr., Champion HR, Mattox KL. Regional Trauma System design: critical concepts. Am J Surg. 1987; 154(1): 79-87.
Sosa A. Urgencias Médicas. Guías de primera intención. La Habana: Editorial Ciencias Médicas; 2004.
Nolan JP, Deakin CD, Soar J, Böttiger BW, Smith G, European Resuscitation Council. European Resuscitation Council Guidelines for Resuscitation 2005. Section 4. Adult advanced life support. Resuscitation. 2005; 67 (Suppl 1): 53-6.
4.Handley AJ, Koster R, Monsieurs K, Perkins GD, Davies S, Bossaert L, et al. European Resuscitation Council Guidelines for Resuscitation 2005. Section 2. Adult basic life support and use of automated external debrillators. Resuscitation. 2012; 67 (Suppl 1): 57-23.
Lovesio C. Requerimientos generales de una unidad de terapia intensiva [Internet]. En: Medicina Intensiva. 5ª ed. Buenos Aires: Ateneo; 2011. p. 1-6 [citado 14 Feb 2016]. Disponible en: https://enfermeriaintensiva.files.wordpress.com/2011/02/requerimientos-de-uci-lovesio.pdf.
Espinosa Brito A. Particularidades del enfermo grave. En: Caballero A, et al. Terapia Intensiva. 2ª ed. La Habana: Editorial Ciencias Médicas; 2006. p. 11-8.
Castillo Valery A. Declaración de Ética de la Federación Panamericana e Ibérica de Medicina Critica y Terapia Intensiva. En: Avances en Medicina Intensiva. Madrid: Médica Panamericana; 1999.p.283-7.
Clinton JE, McGill JW. Asistencia respiratoria básica y toma de decisiones. En: Roberts JR, Hedges JR. Procedimientos clínicos. Medicina de Urgencias. 3ª ed. México DF: McGraw-Hill-Interamericana; 2000.p.3-20.
Medina Núñez Z. Introducción a la Enfermería. En: Acciones Independientes de Enfermería. La Habana: Editorial Ciencias Médicas; 2005. p. 1-5.
Álvarez C, Juárez J. Guía para la redacción de un proyecto de un Sistema de Atención Médica Urgente (SAMU). Puesta al día en Urgencias, Emergencias y Catástrofes. 2000; 1(3): 141-6.
Baskett PJF, Steen PA, Bossaert L. European Resuscitation Council. Guidelines for Resuscitation 2005. The ethics of resuscitation and end-of-life decisions. Resuscitation. 2005; 67 (Suppl 1): S171-80.
Fernández Ayuso D., Aparicio Santos J., Pérez Olmo J.L., Serrano Moraza A. Manual de Enfermería de Urgencia Prehospitalaria y Rescate. Madrid: Editorial ARAN; 2002.
Álvarez Leiva C, Chuliá Campos V, Hernando Lorenzo. Manual de Asistencia Sanitaria en las Catástrofes. Madrid: Editorial ARAN; 1992.
Sociedad Española de Medicina de Urgencias y Emergencias. SEMES. Manual de Protocolo de Actuación Médica en el Transporte Sanitario. Madrid: Editorial EDICOMPLET; 2011.
López M, Álvarez J. La Enfermería en la Asistencia Extrahospitalaria Las Urgencias Médicas. Puntualizaciones al Documento de Consenso. Rev Emergencia. 1995; 7(1): 49-51.
Blanco Muñoz FJ, Correa Ruiz A, Guerrero León R, Álvarez Leiva C. Unidad de Estabilización Prehospitalaria. Rev Puesta al Día en Urgencias, Emergencias y Catástrofes. 2000; 1(3):147-52.
Loste Paño A. A propósito de la formación de Técnicos de Emergencias Médicas (T.E.M.). En: VII Congreso Nacional SEMES. Oviedo 31 mayo-3 junio 1995. p. 55-56.
Cano Sanz L, Tovar Martín A, Durán Parra A, Diego Martínez G, Planas Miret B, Bravo Onraita I, Juliá Serra C, Mauri Ferrer F, Valle Tudela V. Terapia alternativa en una unidad de hemodinámica. Rev Enferm Cardiol–Esp. 2013 may-ago; XII (35):40-41.
Boccanera NB, Boccanera SFB, Barbosa MA, Brazil VV, Medeiros M. The colors in environment of the unit of intensive therapy. Rev Electr Enfermag. 2004; 6(3): 368-73.
Sparber A. Complementary therapy in critical care settings: a review of surveys and implications for nurses. Crit Care Nur Clin North Am. 2003 Sep; 15(3): 305-12.
Cox C, Hayes J. Experiences of administering and receiving therapeutic touch in intensive care. Complement Ther Nurs Midwifery. 1998 Oct; 4(5): 128-32.