Emergencias
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Although 4769 transplants were performed in Spain in 2015 and the organ donor rate reached 39.7 per million population, thousands of patients remain on wait lists. Currently 65% of donors die from strokes and the mean donor age is 64 years. This profile calls for strategies to detect candidates outside the intensive care unit (ICU) and it justifies an ever stronger role for the participation of emergency services in the procurement process. Spain's National Transplant Organization (ONT) and the Spanish Society of Emergency Medicine (SEMES) have drafted recommendations whose purposes are to define the responsibilities of emergency staff in this process, to establish protocols for multidisciplinary cooperation that facilitate the identification of candidate donors, and to consolidate a new approach to patient care that will facilitate optimal management of the donor prior to ICU admission.
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Comparative Study
[Productivity of Spanish emergency physicians: comparison of the 5-year periods 2010-2014 and 2005-2009].
To study the publication productivity of Spanish emergency physicians in the 5-year period from 2010 through 2014 and compare it with the previous period (2005-2009). ⋯ The productivity of Spanish emergency physicians continued to grow at a good pace in the 2010-2014 period. Publications in journals with IFs increased and there were significant changes in the dynamics of publication and the subjects covered.
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Observational Study
[Efficacy of nurse consultants in a health emergency coordination center].
To describe nurse consultants' work at the Health Emergency Coordination Center of Galicia (CCUSG-061) in terms of their ability to resolve problems and the appropriateness of their decisions. ⋯ Nurses resolve most patients' emergency care requirements safely without moving patients or mobilizing health resources.
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A 2014 measles outbreak in Catalonia affected 131 persons. We describe a series of 6 cases diagnosed in our emergency department. All the patients were under 31 years of age and complained of flu-like symptoms, including high fever and rash. ⋯ A firm diagnosis of measles need not be made in the emergency department, but a high level of suspicion is important for ruling out complications, isolating the patient, and protecting health care staff at high risk for exposure. We found that 6% of the staff of our emergency department had a low level of immunity to measles. Given our findings, we suggest that preventive treatment is necessary when health care staff have been exposed to measles and their vaccination status is unknown.