Emergencias
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Observational Study
Valor predictivo del preNEWS2-L (Pre-hospital National Early Warning Score 2 Lactate) para la detección de la mortalidad precoz en el ámbito prehospitalario.
To evaluate the ability of the prehospital National Early Warning Score 2 Lactate (preNEWS2-L) to predict early mortality, defined as death within 48 hours of the index event. We also explored the predictive capacity of the score for 7- and 30-day all-cause mortality. ⋯ The preNEWS2-L is a useful prognostic tool that can be assessed quickly and easily in prehospital settings.
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International guidelines recommend adapting military health care protocols to emergencies involving multiple intentional-injury victims in civilian environments. Adaptations can reflect similarities in types of injuries or issues of provider safety and that arise in military and some civilian emergencies. ⋯ We think that participants at each point in the chain of survival must have clear missions and understand the roles they play in the various zones that comprise the scene of an emergency. Therefore this consensus paper attempts to define the relevant principles and roles for participants at all levels, from occasional first responders up to staff at trauma referral centers.
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Observational Study
Valor pronóstico de la proadrenomedulina y el NT-proBNP en los pacientes procedentes de urgencias con síndrome gripal.
To assess the prognostic value of procalcitonin (PTC), C-reactive protein (CRP), N-terminal prohormone of brain natriuretic peptide (NT-proBNP), and mid-regional pro-adrenomedullin (MR-proADM) in patients with influenza syndrome. ⋯ NT-proBNP and MR-proADM were the only biomarkers with prognostic value. Only NT-proBNP was a useful predictor in patients with confirmed influenza.
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Observational Study
Formación de escolares en soporte vital básico por sus propios profesores.
To assess first-year secondary-school students' knowledge and performance of basic life support (BLS) 6 months after training given by their regular teachers during school hours. ⋯ Teachers' training of their own first-year secondary students during regular school hours led to changes in the students' attitudes toward the possibility of cardiac arrest and to the learning of BLS techniques.