Revista médica de Chile
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Revista médica de Chile · Mar 2024
Case Reports[Advanced Orotracheal Tube Fixation Techniques in Severe Burn Patients: Innovations from a Chilean Hospital].
Since its foundation, the Hospital Emergency Public Assistance in Santiago, Chile, has been the national reference center for managing severe burn patients. In 2007, more than 6,000 hospital admissions for burns were registered in Chile due to the severity of the clinical condition. These patients must be treated in intensive care units. ⋯ In the Major Burn Unit, cotton cloth restraints and transpore-type adhesives are used on the user's face, but in patients with facial territory compromise, these cause tissue damage; due to this, the Dental Unit has innovative techniques of orotracheal tube fixation, using stainless steel and plastic wire ties, which have allowed to reduce the risks of extubation and accidental displacement of the tube, improving its stability. This work describes the technique used in orotracheal tube fixation in two patients with severe burns, performed by the Dental Unit of the Hospital Emergency Public Assistance, Dr. Alejandro del Río, Chile.
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Revista médica de Chile · Mar 2024
[Nutritional Status of Institutionalized Elderly and Its Relationship with Functional Status During 2019].
Aging is associated with physiological, economic, and psychological changes that can compromise nutritional and functional status. ⋯ In this study, malnutrition due to deficit and excess are positively associated with decreased functionality, and a low educational level is associated with dependency and being bedridden.
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Revista médica de Chile · Mar 2024
[Implementation of an Early Discharge Protocol in Patients with ST-Segment Elevation Myocardial Infarction].
Clinical guidelines do not clearly define hospitalization time after primary angioplasty in ST-segment elevation myocardial infarction (STEMI). The hospitalization time should be tailored according to risk stratification. ⋯ The application of a protocol for early discharge after primary angioplasty allowed for shorter hospital stays without compromising patient safety in the medium term.
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Revista médica de Chile · Mar 2024
[Criteria for Designating a Health Care Facility as a Teaching Institution: An Analysis of International Regulations and Practices].
The requirements of health care facilities (HCF) being recognized as having 'university' status are relevant for providing high-quality clinical education to health profession students. However, no previous studies have reported the key features of the Chilean HCF as having university rank. ⋯ The findings represent a significant contribution to the requirements that must be considered to strengthen and develop health facilities that currently welcome students, in order to comprehensively develop safe and quality care, teaching and research, promoting effective collaboration between these institutions.