Rearmemos la vida de los niños y niñas: Guía para la familia

Ante la pérdida de un ser querido, de la casa y objetos apreciados, los niños y las niñas vivirán un duelo. La tarea de los adultos en este proceso es ser buenos acompañantes y saber darles el tiempo para recuperarse. Este documento brinda recomendaciones y consejos acerca de cómo se debe conversar y como se deben atender los niños y las niñas después de haber vivido una experiencia de este tipo.

Rearmemos la vida de los niños y niñas: Guía psicoeducativa

Este documento busca informar y orientar al personal que trabaja con niños y niñas afectados por un terremoto brindándoles información acerca de las principales reacciones psicológicas que tiene las personas frente a un evento de esta magnitud, especialmente los niños. También pretende entregar indicaciones de cómo pueden ellos, en su trabajo, ayudar a manejar las consecuencias emocionales y psicológicas de un terremoto en los niños, niñas y sus familias, y en sí mismos.

Damage Control Orthopaedics in Patients with Delayed Referral to a Tertiary Care Center: Experiencie from a Place where Composite Trauma Centers do not exist

Background: Management of orthopaedic injuries in polytrauma cases continues to challenge the orthopaedic traumatologist. Mass disasters compound this challenge further due to delayed referral. Recently there has been increasing evidence showing that damage control surgery has advantages that are absent in the early total care modality. We studied the damage control modality in the management of polytrauma cases with orthopaedic injuries who had been referred to our hospital after more than 24 hours of sustaining their injuries in an earthquake. This study was conducted in 51 cases after reviewing their records and complete management one year after the trauma. Results: At one year, out of the 62 fractures, 3 were still under treatment, while the others had united. As per the radiological and functional scoring there were 20 excellent, 29 good, 5 fair and 5 poor results. In spite of the delayed referral there was no mortality. Conclusion: In situations of delayed referral in areas where composite trauma centers do not exist the damage control modality provides an acceptable method of treatment in the management of polytrauma cases. (AU)

Estudio realizado en una cadena de montaje de automóviles para determinar los posibles factores de riesgo asociados a las lesiones por microtraumatismos repetitivos

En las dos últimas décadas, las lesiones por microtraumatismos repetitivos han cobrado gran importancia en las sociedades industriales modernas debido al porcentaje de incidencias y prevalencias. A pesar de que hoy en día se cuenta con una gran variedad de métodos que se han desarrollado para el análisis de puestos de trabajo y prevención de riesgos asociados a las lesiones anteriormente mencionadas, puede afirmarse que no existe ningún método que realñice un análisis integral del puesto de trabajo. Conscientes de esta carencia y con la intensión de proveer algún medio para satisfacerla, se presentan los resultados obtenidos en la primera fase de aplicación de un método de valoración de puestos de trabajo (futuro Método Opel), la cual se centró en la evaluación de la repetitividad para determinar los posibles factores de riesgo asociados a las lesiones por microtraumatismos repetitivos en una cadena de montaje de automóviles. (AU)

Forensic overview of the Port Arthur tragedy

An overview is provided of forense aspects of the scene of multiple fatal shootings at Port Arthur and subsequent mortuary investigations along with a brief review of injury patterns of the victims. The forensic aspects of this disaster were handled extremely well by all personnel involved, despite outdated mortuary facilities. The mortuary is located within a teaching hopital which provided full support and backup allowing the forensic personnel work effectively and effeciently in a non-ideal enviroment.The autopsies were more lengthy and complex than would have been expeced in a similar number of cases in a bus or aviation accident. (AU)

Hurricane Andrew - related injuries and Illnesses, Loisiana, 1992

determine the extent and types of injuries and illnesses in Loisiana associated with or related to Hurricane Andrew, we gathered data from hospital emergency departments and coroner's offices on demographic variables, institution, nature and cause of the injury or illness, body part affected, location, and date and time of the event. A hurricane related injury or illness was defined as one that occurred from noon on August 24, 1992, through midnight on September 21, 1992, as a direct or indirect result of the preparation for (preimpact), the impact of, the clean up after the hurricane (postimpact). Nineteen parishes in south central louisiana that were most affected by Hurricane Andrew provided data from patients seen in emergency departments and reports from coroner's offices. Active, advance surveillance of this type promotes and facilitates the reporting of disaster related health outcomes. Future planning for hurricanes should take into account the high rate of cuts, lacerations, and puncture wounds, particularly during the postimpact phase (AU)