[Actions that should not be taken with a paediatric patient who has been exposed to a potentially toxic substance]. / Acciones que no hay que hacer ante un paciente que ha contactado con un posible tóxico.

OBJECTIVE: To show the preparation process by the Poisoning Working Group of the Spanish Society of Paediatric Emergencies (GTI-SEUP), of the list of things «not to do¼ for a paediatric patient who has been exposed to a potentially toxic substance. METHOD: The preparation process of the list was carried out in three phases. First: «Brainstorming¼ that was open to all members of the GTI-SEUP. Second: Recommendations were selected by following modified-Delphi methodology. All participants were asked to rate the proposals (from 1 = strongly disagree to 9 = strongly agree). Those with an average score greater than 8 were accepted (provided that at least two-thirds of the participants had given them a score ≥ 7), and a second consultation was made for the recommendations with an average score between 6 and 8. Third: Writing and creating a consensus of the final document was done. RESULT: A total of 11 proposals were initially obtained. Thirty-two of the 57 GTI-SEUP participants completed the scoring questionnaire. In the first consultation, seven «not to do¼ recommendations were accepted, and four obtained a doubtful average score (between 6 and 8). After the second consultation, the list was made up of eight recommendations. Two refer to general management, four to gastrointestinal decontamination techniques, and two to the administration of antidotes. CONCLUSION: The list of actions that should not be taken with a child that has been exposed to a possible poison is a consensus tool, within the GTI-SEUP, to promote improvement in the quality of care offered to these patients. This improvement is based on avoiding unnecessary measures, which can sometimes be harmful to the child.

Manejo de la otitis media aguda en la infancia. Guía de practica clínica

Guía de práctica clínica basada en la evidencia que sirve como herramienta de ayuda al Pediatra y Médico de Atención Primaria en la toma de decisiones en el manejo de la otitis media aguda (OMA) en la infancia. Va dirigida a la atención de niños entre 3 meses y 14 años, y pretende actualizar los conocimientos que se poseen sobre esta patología, haciendo especial referencia a la etiología, factores de riesgo, diagnóstico y tratamiento (elección del más adecuado en función de las características del niño y de la infección).

Diagnóstico y tratamiento antimicrobiano de las otitis externas / Diagnosis and antibiotic treatment of external otitis

No disponible