Emergencias
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Abdominal pain conditions that fall into the category of acute abdomen (AA) are the most important ones to identify quickly. Diagnostic delay can lead to death or significant complications. Biological markers have the potential to improve the diagnostic and prognostic capacity of clinical assessment and the conventional complement of tests. ⋯ The kinetics of CRP make it the most sensitive biomarker and one that is appropriate for assessing severity before the onset of clinical signs of severe sepsis or altered hemodynamics. Lactate is a marker of poor tissue perfusion, a key element in the management of severe sepsis and septic shock in AA. Since lactate testing is easy and inexpensive, this important biomarker is useful in the emergency department.
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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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Observational Study
[Results of provisional use of a system for voluntary anonymous reporting of incidents that threaten patient safety in the emergency medical services of Asturias].
To describe the reported incidents and adverse events in the emergency medical services of Asturias, Spain, and assess their consequences, delays caused, and preventability. ⋯ It is important to promote a culture of safety and incident reporting among health care staff in Asturias given the number of serious adverse events. Reporting is necessary for understanding the errors made and taking steps to prevent them. The ERCC is the point in the system where incidents are particularly likely to appear and be noticed and reported.