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5.
SEMERGEN, Soc. Esp. Med. Rural Gen. (Ed. impr.) ; 32(7): 339-343, ago. 2006. ilus
Artigo em Es | IBECS | ID: ibc-047986

RESUMO

El desfibrilador semiautomático externo es un equipo con un sistema computarizado de análisis del ritmo cardíaco que monitoriza el ritmo del corazón y, si está indicado, libera un choque eléctrico sin necesidad de que el personal que lo utiliza sepa reconocer los ritmos cardíacos; únicamente debe poner los electrodos adhesivos en la persona a tratar. En la recuperación de un paciente en fibrilación ventricular el principal factor pronóstico es la desfibrilación precoz, sea realizada por personal de soporte vital básico (SVB) o avanzado. El European Resuscitation Council publicó recomendaciones para el uso de los desfibriladores externos automáticos (DEA) en 1988. El Grupo de Trabajo de Soporte Vital Básico y de Desfibrilación Externa Automática ha estudiado este documento y la bibliografía científica que lo apoya y ha aconsejado cambios en las recomendaciones de DEA. Los cambios más importantes en las técnicas son los siguientes: 1) La aportación de las 2 respiraciones iniciales es parte esencial de la comprobación de los signos de que hay circulación. 2) Cuando no está indicado el choque, o inmediatamente después de una serie de tres choques, se debe hacer resucitación cardiopulmonar (RCP) durante un minuto. 3) Si el protocolo de DEA va a ser utilizado por los que suministran soporte vital avanzado (SVA), se debe administrar adrenalina/epinefrina cada 2 o 3 minutos


Semiautomated external defibrillator is an equipment with a computerized system of cardiac rhythm analysis that monitors heart rhythm and, if indicated, releases electric shock without requiring the personnel using it to know the cardiac rhythms. They only need to place the adhesive electrodes on the person to be treated. Early defibrillation in the recovery of a patient with ventricular fibrillation, the main prognostic factor in early defibrillation, is done by basic or advanced life support staff. The European Resuscitation Council published recommendations for the use of the automated external defibrillators (AED) in 1988. The basic life support work (BLS) and Automated External Defibrillation (AED) group has studied this document and the scientific bibliography that supports it and has recommended changes in the AED Recommendations. The most important changes in the techniques are the following: 1) Providing 2 initial respirations is an essential part of the verification of the signs that there is circulation. 2) When shock is not indicated, or immediately after a series of three shocks, cardiopulmonary resuscitation (CPR) for one minute. 3) If the AED protocol is going to be used by those who supply advanced life support (ALS), adrenaline/epinephrine should be administered every 2 or 3 minutes


Assuntos
Humanos , Educação Continuada , Reanimação Cardiopulmonar/educação , Reanimação Cardiopulmonar/métodos , Padrões de Prática Médica , Cardioversão Elétrica/instrumentação , Cardioversão Elétrica/métodos
6.
Aten Primaria ; 19(4): 177-82, 1997 Mar 15.
Artigo em Espanhol | MEDLINE | ID: mdl-9264637

RESUMO

OBJECTIVE: To verify the influence of the weather on suicides. DESIGN: A retrospective descriptive study. SETTING: County of Cartagena. PARTICIPANTS: All the suicides recorded in the Anatomical Forensic Institute of Cartagena between 1986 and 1993. INTERVENTIONS: Creation of a data base with the essential features of each suicide and all the relevant bioclimatological variables of the exact moment they happen. MEASUREMENTS AND MAIN RESULTS: A statistical description of each variable was made. The relationship between the different variables was defined by the Pearson chi 2 test and residual analysis. The sample data were compared with the population data (Neyman-Pearson and Pearson chi 2 tests), p < 0.05. 149 suicides were recorded. These suicides occur during the day, Monday and Saturday being the days with the highest number of them. Distribution throughout the month was homogeneous: July was the month with most suicides. There was an age band in the second and third decades of life and a peak in elderly people. Our sample had 77.9% men. Retired people and housewives predominated. CONCLUSION: Suicides are generally influenced by meteorological factors.


Assuntos
Conceitos Meteorológicos , Suicídio/estatística & dados numéricos , Adolescente , Adulto , Fatores Etários , Idoso , Criança , Clima , Interpretação Estatística de Dados , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Estações do Ano , Fatores Sexuais , Espanha , Tempo (Meteorologia)
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