Emergencias
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To design and validate a clinical simulation method for training nurses to use the Emergency Severity Index (ESI) for triage. ⋯ This study supports the relevance of clinical simulations for training nurses to implement structured triage, and in particular to use the ESI. We can state that this study opens the door to further research into whether the reliability of triage can be improved by using this approach, specifically whether it can facilitate better interobserver agreement.
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To determine whether the Identification of Seniors at Risk (ISAR) score predicts short-term adverse outcomes in elderly patients discharged from a short-stay unit. ⋯ An ISAR score of 3 or higher is able to identify elderly individuals at high risk of an adverse outcome within 30 days of discharge from a short-stay unit.
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To determine perception of quality of care for acute heart failure (AHF) of patients discharged from the emergency department in comparison with the perception of admitted patients; to explore the variables associated with perception of quality. ⋯ Patients with AHF have high opinions of the different components of care received in the emergency department, and their evaluations are unrelated to whether they were admitted or discharged home. Those discharged home agree with the decision and their opinion remains firm regardless of whether adverse events occur later.
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To compare venous catheter insertion by inexperienced medical residents using a traditional ultrasound guidance method and ultrasound with a probe to guide the needle. ⋯ In this group of residents without prior experience of venous cannulation or ultrasound guidance, significantly fewer attempts were required and the catheter was correctly inserted sooner when the needle guide was used. Furthermore, most residents felt insertion was easier when the guide was used.
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To analyze the variables associated with better functional outcome 3 months after ischemic stroke treated with fibrinolytic agents. ⋯ The prognosis for the functional recovery of patients given intravenous fibrinolytic therapy after stroke depends on such factors as age, time treatment is started, severity, and the patient's status at 24 hours. The last factor is the one that is most strongly related to prognosis.