RESUMEN
The role of the nurse in the emergency reception service has become more complex in recent years in view of the evolution of these services. The particularity of this position lies in its autonomy, adaptation, adjustment, capacity for anticipation and participation in the diagnosis. Illustration of the central role of the nurse in the multidisciplinary care chain of a patient with limb trauma.
Asunto(s)
Servicios Médicos de Urgencia , Enfermería de Urgencia , Rol de la Enfermera , Servicios Médicos de Urgencia/organización & administración , Extremidades/lesiones , Humanos , Heridas y Lesiones/enfermeríaAsunto(s)
Arteriopatías Oclusivas/diagnóstico , Betacoronavirus/patogenicidad , Técnicas de Laboratorio Clínico , Infecciones por Coronavirus/diagnóstico , Técnicas de Apoyo para la Decisión , Coagulación Intravascular Diseminada/diagnóstico , Neumonía Viral/diagnóstico , Tromboembolia/diagnóstico , Trombosis de la Vena/diagnóstico , Arteriopatías Oclusivas/sangre , Arteriopatías Oclusivas/virología , Biomarcadores/sangre , COVID-19 , Prueba de COVID-19 , Infecciones por Coronavirus/sangre , Infecciones por Coronavirus/virología , Coagulación Intravascular Diseminada/sangre , Coagulación Intravascular Diseminada/virología , Femenino , Productos de Degradación de Fibrina-Fibrinógeno/análisis , Fibrinógeno/análisis , Interacciones Huésped-Patógeno , Humanos , Relación Normalizada Internacional , Masculino , Persona de Mediana Edad , Puntuaciones en la Disfunción de Órganos , Pandemias , Recuento de Plaquetas , Neumonía Viral/sangre , Neumonía Viral/virología , Valor Predictivo de las Pruebas , Tiempo de Protrombina , Reproducibilidad de los Resultados , Estudios Retrospectivos , SARS-CoV-2 , Tromboembolia/sangre , Tromboembolia/virología , Trombosis de la Vena/sangre , Trombosis de la Vena/virologíaRESUMEN
Post-traumatic stress disorder is an adjustment disorder combining psychological and physical symptoms. Faced with the pain associated with post-traumatic stress disorder, it is important to know how to differentiate between the pain linked to the physical injury at the time of the traumatic event and the psychogenic pain. Identifying these pains and studying their aetiology, combined with an assessment of the patient's psychological state and life history, enables multi-disciplinary care to be put in place to improve the patient's prognosis and can help to improve recognition of these disorders.
Asunto(s)
Dolor/epidemiología , Trastornos Psicofisiológicos/epidemiología , Trastornos por Estrés Postraumático/epidemiología , Humanos , Dolor/psicologíaRESUMEN
There are two types of indications of hyperbaric oxygen therapy: it may be used as an emergency treatment in certain acute pathologies or as a therapy for chronic long-term pathologies. The indications are regularly updated and assessed through consensus conferences.
Asunto(s)
Oxigenoterapia Hiperbárica , Enfermedad Aguda/terapia , Enfermedad Crónica/terapia , Servicios Médicos de Urgencia/métodos , Humanos , Oxigenoterapia Hiperbárica/efectos adversos , Oxigenoterapia Hiperbárica/métodos , Oxigenoterapia Hiperbárica/enfermería , Oxigenoterapia Hiperbárica/estadística & datos numéricos , Oxígeno/uso terapéuticoRESUMEN
Colourless and odourless, each year carbon monoxide is responsible for several thousand cases of poisoning. Often collective, their symptoms are non specific and can result in serious neurological sequelae or even death, if they are not detected in time. The (pre-) hospital emergency nurse plays an important role in the management of these patients, in terms of assessment, treatment and monitoring as well as the organisation of the admittance of victims, categorisation and medical triage. As part of a team, the nurse ensures that the patient enters an adapted, regulated pathway, with the most serious cases being directed towards a hospital equipped with a hyperbaric medicine facility.
Asunto(s)
Intoxicación por Monóxido de Carbono , Triaje , Intoxicación por Monóxido de Carbono/diagnóstico , Intoxicación por Monóxido de Carbono/enfermería , Intoxicación por Monóxido de Carbono/terapia , Urgencias Médicas/enfermería , Enfermería de Urgencia/métodos , Enfermería de Urgencia/organización & administración , Humanos , Oxigenoterapia Hiperbárica/estadística & datos numéricos , Triaje/organización & administración , Recursos HumanosAsunto(s)
Intervención en la Crisis (Psiquiatría) , Guías de Práctica Clínica como Asunto , Triaje , Intervención en la Crisis (Psiquiatría)/métodos , Intervención en la Crisis (Psiquiatría)/organización & administración , Intervención en la Crisis (Psiquiatría)/normas , Enfermería de Urgencia/organización & administración , Enfermería de Urgencia/normas , Socorristas , Humanos , Incidentes con Víctimas en Masa , Triaje/organización & administración , Triaje/normasAsunto(s)
Anticuerpos Monoclonales Humanizados/administración & dosificación , Accidente Cerebrovascular/terapia , Trombectomía , Terapia Trombolítica , Anciano , Antitrombinas/administración & dosificación , Terapia Combinada , Dabigatrán/administración & dosificación , Humanos , Inyecciones Intravenosas , MasculinoRESUMEN
Diseases always have a significant impact during military deployments. We evaluated the operational impact of health problems observed in a French infantry battalion (n = 690) during a 4-month assignment in Ivory Coast. In all, 55.7% of soldiers consulted at least once and sought care for 608 health problems. A total operational incapacity was observed in 22.2% of cases (7.6/1,000 person-days). The 5 diseases causing the greatest operational incapacity were diarrhea (2.1 days lost/1,000 person-days), musculoskeletal diseases and injuries (53.7 days), malaria (29 days), dental diseases (30.9 days), and fevers of undetermined origin (7 days). The incidence of diarrhea and skin infections was higher in rank-and-file troops than among noncommissioned officers. It was also higher during the mission's first month, when individual susceptibility to infections is suspected to be highest. Some diseases that are not serious nonetheless have a significant operational impact and should be better studied to determine preventive measures.