[Study on most common overnight urological service consultations.] / Principales consultas urológicas a la guardia de un hospital de alta complejidad.

INTRODUCTION: In Argentina, our institutionhas a urology resident on call who handles requests to the single radio during nighttime. Few studies address this important issue that provides useful information to promote education and optimize hospital dynamics. OBJECTIVE: To describe the characteristics of the calls received in the urology radio during night shifts. MATERIALS AND METHODS: During the night shifts, all calls to the radio were recorded during the period between June and July 2019. We determined: time, source, sex, and age of the patient, reason for the call and classified the calls according to: calls for immediate resolution (which required urological instrumental intervention, bladder catheterization or lavage, etc.), unnecessary calls (wrong number), and the number of emergencies that require calling a superior for immediate surgical resolution. RESULTS: We registered a total of 325 calls, most of them male patients. The main reason for calling was for placement, replacement, or washing of the urinary catheter or suprapubic catheter. We obtained 139 calls that required urological intervention. The highest number of calls was from the emergency department (119), followed by the Internal Medicine staff (47). Most of them (242) did not require patient admission. The total of unnecessary calls was three, corresponding to wrong number. CONCLUSION: This study helped us to characterize the calls to the Urology radio from other services and emergency department, allowing us to identify the most common problems and educate based on this.

INTRODUCCIÓN: En Argentina nuestra institución cuenta con un residente de guardia activa de urología que se ocupa de las llamadas al radio único durante la noche. Existen pocos trabajos que tratan este tema que resulta importante, ya que brinda información útil para promover educación y optimizar la dinámica hospitalaria.OBJETIVO: Describir las características de las llamadas al radio de urología durante la guardia.MATERIALES Y MÉTODOS: Durante la guardia activa, se registraron llamadas al radio durante el período comprendido en junio y julio de 2019. Determinamos:  hora, fuente, sexo y edad del paciente, motivo de la llamada y los clasificamos según: llamadas para guardia inmediata (que necesitó intervención instrumental urológica como sonda, talla o lavado vesical, etc.), llamadas innecesarias (número equivocado) y número de urgencias que requieren llamar a médico urólogo de pasiva para guardia quirúrgica inmediata.RESULTADOS: Se recopilaron un total de 325 llamadas, la mayoría de pacientes de sexo masculino. El principal motivo de la llamada fue para colocación, recambio o lavado de sonda vesical y/o talla vesical. Obtuvimos 139 llamadas que requirieron intervención urológica. El mayor número de llamadas fue de la Guardia externa (119), seguidos de Clínica Médica (47). La mayoría de las llamadas (242) no fueron ingresos. El total de llamadas innecesarias fueron 3 que corresponden al número equivocado.CONCLUSIÓN: Este trabajo permitió detallar las llamadas al radio de Urología provenientes de otros servicios y guardia externa, pudiendo identificar las problemáticas más comunes y educar en base a esto.

Principales consultas urológicas a la guardia de un hospital de alta complejidad / Main urological consultations on duty at a highly complex hospital

Introducción: En Argentina nuestrainstitución cuenta con un residente de guardia activa deurología que se ocupa de las llamadas al radio únicodurante la noche. Existen pocos trabajos que tratan estetema que resulta importante, ya que brinda informaciónútil para promover educación y optimizar la dinámicahospitalaria.Onjetivo: Describir las características de las llamadasal radio de urología durante la guardia.Materiales y métodos: Durante la guardia activa,se registraron llamadas al radio durante el período comprendido en junio y julio de 2019. Determinamos: hora,fuente, sexo y edad del paciente, motivo de la llamaday los clasificamos según: llamadas para guardia inmediata (que necesitó intervención instrumental urológicacomo sonda, talla o lavado vesical, etc.), llamadas innecesarias (número equivocado) y número de urgenciasque requieren llamar a médico urólogo de pasiva paraguardia quirúrgica inmediata.Resultados: Se recopilaron un total de 325 llamadas,la mayoría de pacientes de sexo masculino. El principalmotivo de la llamada fue para colocación, recambio olavado de sonda vesical y/o talla vesical. Obtuvimos139 llamadas que requirieron intervención urológica. Elmayor número de llamadas fue de la Guardia externa(119), seguidos de Clínica Médica (47). La mayoría delas llamadas (242) no fueron ingresos. El total de llamadas innecesarias fueron 3 que corresponden al númeroequivocado.Conclusión: Este trabajo permitió detallar las llamadas al radio de Urología provenientes de otros serviciosy guardia externa, pudiendo identificar las problemáticas más comunes y educar en base a esto.(AU)

Introduction: In Argentina, our institution has a urology resident on call who handles requests to the single radio during nighttime. Few studiesaddress this important issue that provides useful information to promote education and optimize hospital dynamics.Objetive: To describe the characteristics of the callsreceived in the urology radio during night shifts. Materials ans methdos: During the night shifts,all calls to the radio were recorded during the periodbetween June and July 2019. We determined: time,source, sex, and age of the patient, reason for the calland classified the calls according to: calls for immediate resolution (which required urological instrumentalintervention, bladder catheterization or lavage, etc.),unnecessary calls (wrong number), and the number ofemergencies that require calling a superior for immediate surgical resolution.Results: We registered a total of 325 calls, most ofthem male patients. The main reason for calling wasfor placement, replacement, or washing of the urinarycatheter or suprapubic catheter. We obtained 139 callsthat required urological intervention. The highest number of calls was from the emergency department (119),followed by the Internal Medicine staff (47). Most ofthem (242) did not require patient admission. The totalof unnecessary calls was three, corresponding to wrongnumber.Conclusion: This study helped us to characterizethe calls to the Urology radio from other services andemergency department, allowing us to identify the mostcommon problems and educate based on this.(AU)

Management of COVID-19 Outbreak in Argentina: Stage 2.

OBJECTIVE: With the intention to try to contain the spread of the viral disease, several measures were taken in Argentina for long periods of time. METHODS: The lack of labor activity, social constraints, and a strong sense of helplessness, combined with a complex economic scenario with recession, inflation, and devaluation, led to the emergence of a dense climate of discontent. RESULTS: After a second wave hit the country, several measures were reinstalled. The Argentine society, polarized in many aspects, was further divided between those who supported the re-establishment of strict measures to help prevent further infections and those who desperately claimed for the urgent need to return to work to sustain their livings. CONCLUSIONS: The preexisting problems to which developing countries are usually exposed have been sharpened over the last year, determining a very complex scenario where every decision is important for the country's future. An updated report of the current situation and its management in different countries is of vital importance regarding global health issues and may serve for feedback and decision-making.