RESUMO
Amoebiasis is a parasitic infection that represents a public health problem in developing countries including Asia and Latin America where it is endemic (1000-5000 cases/100,000 habitants/year). The majority of patients have an asymptomatic course; however, 10% of patients develop complications with high morbidity and mortality, such as colonic perforation or fulminant amoebic colitis. We report a case in which a 73-year-old female presented with an acute abdomen that was initially attributed to a bowel obstruction that rapidly progressed to fulminant colitis with bowel perforation requiring total colectomy. Pre-surgical endoscopic histopathological examination revealed findings suggestive of Entamoeba histolytica trophozoites that were later confirmed in the colon post-surgical specimen leading to a diagnosis of fulminant amoebic colitis. This atypical presentation of amoebiasis, further expands the already broad differential diagnosis of acute abdominal pathology in the elderly population. A high index of suspicion is required for its prompt treatment and to prevent life-threatening complications.
RESUMO
OBJECTIVE: The emergency medical technician plays a fundamental role and is the most important figure quantitatively in pre-hospital emergencies. The aim was to asses the socio-demographic, work-related, health characteristics and technical skills of an Emergency Medical Technician in Spain. METHODS: Cross-sectional descriptive study. An ad hoc questionnaire was managed using Google Docs® that was delivered between April-June 2014 via email and social networks. A total of 705 questionnaires were collected. Statistical analysis was performed with SPSS ® 20.0 Windows version. A significance level p≤0.05 was used for all analyzes. RESULTS: The data analyzed show that the profile of the Emergency Medical Technician in Spain is an 39 year-old man, married or living as a couple and has a child. The average BMI is 27 kg/m2, does regular exercise, does not smoke. His seniority in the company is 10 years and has the Medium Cycle of Emergency Medical Technician. The analysis for gender shows that men have an average of 40, an average BMI of 27, 5 kg/m2 and work in an advanced life support unit; while women have an average of 36,5 years, an average BMI of 24,7 kg/m2, mainly work in Basic Life Support Unit and her seniority in the company is 6,76 years. CONCLUSIONS: Emergency Medical Technician profile is a overweight men, who refer to practise regular exercise, his seniority in the company is 10 years and is in possession of CMTES; differences were observed according to gender in BMI, resource where they perform their work, seniority and age.
OBJETIVO: El Técnico de Emergencias Sanitarias desempeña una labor fundamental y es la figura cuantitativamente más importante en las emergencias extrahospitalarias. El objetivo fue conocer las características socio-demográficas, laborales, de salud del técnico y formativas en emergencias sanitarias en España. METODOS: Estudio descriptivo transversal. Se realizó un cuestionario ad hoc mediante Google Docs® que se distribuyó entre AbrilJunio 2014 mediante correo electrónico y redes sociales. Se recogieron un total de 705 cuestionarios. El análisis estadístico se realizó con SPSS ® versión 20.0 versión Windows. Se utilizó un nivel de significación P≤0.05 en todos los análisis. RESULTADOS: Los datos analizados muestran como el perfil del Técnico de Emergencias Sanitarias (TES) en España es el de un hombre de 39 años, que vive en pareja o está casado con un hijo. El IMC medio es de 27 kg/m2, realiza ejercicio de forma regular, no fuma. Su antigüedad en la empresa es de 10 años y tienen el Ciclo Medio de Técnico Emergencias Sanitarias (CMTES). El análisis por sexos muestra como los hombres tienen una media de 40 años, un IMC medio de 27,5kg/m2 y desarrollan su labor profesional en una unidad de soporte vital avanzado, mientras que las mujeres tienen una media de 36,5 años, un IMC medio de 24,7kg/m2, trabajan principalmente en unidades de soporte vital básico y su antigüedad en la empresa es de 6,76 años. CONCLUSIONES: El perfil del TES en España es hombre con sobrepeso, que refiere realizar ejercicio físico, lleva 10 años trabajando y está en posesión del CMTES; se observan diferencias en función del sexo en IMC, recurso donde desempeña su trabajo, antigüedad y edad.