Análisis de las Reclamaciones al Servicio de Urgencias de un hospital detercer nivel en el primer año de Pandemia / Análise de Sinistros ao Serviço de Emergência de um hospital terciário no primeiro ano daPandemia / Analysis of Claims to the Emergency Department of a tertiary care hospital in the first year of the Pandemic

The hospital emergency department (ED) has become the gateway to the health system during thefirst COVID-19 wave. The objective of this study is to describe the behaviour of claims in the first yearof the pandemic, comparing them with the previous year. Method: Retrospective descriptive study of thecomplaints addressed to the ED of the Nuestra Señora de Candelaria University Hospital Complex(CHUNSC) during the years 2019 and 2020. The variables studied were: the number of claims receivedat the CHUNSC and at the ED and of the latter: year, month, dimensions, reasons, professional category,sex, relationship of the claimant and the number of emergencies attended. Results: 347 claims from theED and 6259 from the CHUNSC were analyzed, with the average for 2019 being higher than that of 2020. The most requested dimension in the ED is health care assistance and the reason for dissatisfactionfor the provision of care. The professional category with more claims is health care staff and the userhimself, is the one who claims the most. Conclusions: the number of claims has decreased in the firstyear of the pandemic but the dimension has not changed, nor the reason in relation to the previous year. (AU)

El servicio de urgencias hospitalario (SUH) es la puerta de entrada al sistema sanitario de lospacientes COVID-19. El objetivo de este estudio es describir el comportamiento de las reclamaciones enel primer año de pandemia, comparándolas con el año anterior. Método: Estudio descriptivo retrospectivode las reclamaciones dirigidas al SUH del Complejo Hospitalario Universitario Nuestra Señora deCandelaria (CHUNSC) durante los años 2019 y 2020. Las variables estudiadas fueron: número dereclamaciones recibidas en el CHUNSC y en el SUH y de estas últimas: año, mes, dimensiones, motivos,categoría profesional, sexo, parentesco del reclamante y número de urgencias atendidas. Resultados: seanalizaron 347 reclamaciones del SUH y 6259 del CHUNSC, siendo la media del 2019 mayor que la de2020. La dimensión más reclamada en el SUH, es la asistencial y el motivo la insatisfacción por laprestación de la asistencia, la categoría profesional más demandada es la sanitaria y el propio usuario, esel que más reclama. Conclusiones: el número de reclamaciones, ha disminuido en el primer año depandemia pero no ha variado la dimensión, ni el motivo en relación al año anterior. (AU)

O pronto-socorro hospitalar (DE) é a porta de entrada do sistema de saúde para pacientes comCOVID-19. O objetivo deste estudo é descrever o comportamento dos sinistros no primeiro ano dapandemia, comparando-os com o ano anterior. Método: Estudo descritivo retrospectivo das queixasdirigidas ao SU do Complexo Hospitalar Universitário Nuestra Señora de Candelaria (CHUNSC) duranteos anos de 2019 e 2020. As variáveis estudadas foram: número de queixas recebidas no CHUNSC e noSU e do último: ano, mês, dimensões, motivos, categoria profissional, sexo, parentesco do reclamante enúmero de emergências atendidas. Resultados: foram analisadas 347 reclamações do PS e 6259 doCHUNSC, sendo a média de 2019 superior à de 2020. A dimensão mais solicitada no PS é o atendimentoe o motivo é a insatisfação com o atendimento, a categoria profissional mais demandado é o serviço desaúde e o próprio usuário é quem mais reclama. Conclusões: o número de sinistros diminuiu no primeiroano da pandemia mas a dimensão não mudou, nem o motivo em relação ao ano anterior. (AU)

The Origins and Evolution of Emergency Medical Services for Children.

The emergency medical services for children (EMSC) program was established in 1984 to improve the quality of emergency care for children. Since that time, all 50 states and Washington, DC, 5 US territories, and 3 freely associated states have received federal funding to achieve this goal. There have been many unique training and education programs developed, along with quality improvement and pediatric research initiatives. This article provides a history of the EMSC program and its accomplishments. [Pediatr Ann. 2021;50(4):e150-e154.].

Twenty Years of Military Prehospital Care in the Eastern Sovereign Base Area, Cyprus.

INTRODUCTION: The Medical Reception Station (MRS) in Dhekelia provides a prehospital emergency care (PHEC) service for the Eastern Sovereign Base Area and surrounding Cypriot towns. This service has been evaluated previously but some important aspects of care have not yet been measured. The primary aim of this study was to undertake the most comprehensive service evaluation of the demand for the PHEC service at MRS Dhekelia over a 12-month period. The secondary aim of this study was to compare findings in 2018 to those in 1995-1998 and 2013-2016. METHODS: All calls to the PHEC team between 01/07/2017 and 30/06/2018 were reviewed and compared with previously reported data from 1995 to 1998 and 2013 to 2016. Data were collected from the occurrence book, the logbook used by the PHEC team to record the details of each call. RESULTS: There were 164 calls to the PHEC service during the current study period. The number of activations has decreased since the 2013-2016 period but remains greater than 1995-1998. In every month there was a call to a scene where more than one casualty was present, with the highest number being nine patients at one call. More calls were received during the day (55%). There were more calls because of trauma than medical complaints (55% vs 45%). Trauma calls have reduced over 20 years. The frequency of neurological and psychiatric complaints has increased over 20 years. CONCLUSIONS: The PHEC service at MRS Dhekelia is frequently used. The team consistently face with scenes with more than one casualty. Trauma is becoming less frequent but psychiatric and neurological complaints are increasingly common. These findings are important for training and service provision.

A Review of "Prehospital Hypotension as a Valid Indicator of Trauma Team Activation" (2000).

Prehospital hypotension has been utilized for decades as a surrogate marker of injury severity. Several studies have discussed the correlation between injury and hypotension both in the field as well as in the emergency department. Increases have been noted in injury severity score and mortality. Resource utilization is higher in this patient population. This study revisits our original work from 2000 and reviews the current literature regarding hypotension and injury severity. We also examine the role of prehospital hypotension as an indicator of trauma team activation and resource allocation. This review serves as a part of a Literary Festschrift in honor of Dr J David Richardson's role as the Editor-in-Chief of The American Surgeon.

[Ethics of clinical trials]. / L'éthique des essais thérapeutiques.

TITLE: L'éthique des essais thérapeutiques. ABSTRACT: La pandémie de COVID-19 a conduit certains acteurs reconnus de la médecine à renoncer aux méthodes codifiées de la recherche médicale au profit d'affirmations établies dans l'urgence et sans réelle évaluation scientifique. Autant l'on peut comprendre que certains praticiens recourent à ce qui leur est ainsi proposé, autant cette confusion entre action dans l'urgence et recherche scientifique serait lourde de conséquences si elle venait à se généraliser, et cela à de multiples points de vue : image et rôle de la science, qualité et éthique de la recherche médicale et en fin de compte sort des malades soumis à des traitements mal évalués. Ce sont ces questions qui motivent la mise au point qui suit sur les questions d'éthique associées de longue date aux « essais thérapeutiques ¼, cette procédure rationnelle d'acquisition dans les meilleurs délais d'informations fiables sur les avantages et les risques des traitements dont on envisage l'éventuelle utilisation.

[A protestant pastor as the pioneer of emergency medicine : Sebastianus Albinus published the first emergency manual 400 years ago]. / Ein evangelischer Pfarrer als Pionier der Notfallmedizin : Vor 400 Jahren ließ Sebastianus Albinus die erste Notfallfibel drucken.

In 1588 Sebastian Weiß, the son of a miller, became the first Lutheran pastor of Dittersbach in Saxony. At home he had repeatedly witnessed successful resuscitation of drowned persons by means of simple measures by his parents. Missing appropriate recommendations in the medical literature, in 1620 as "Sebastianus Albinus" he published a booklet with measures for reviving apparently drowned persons. This Kurtze Bericht und Handgrieff (Brief report and handgrip) attracted great attention amongst physicians, especially the reprint of 1675 of which a few copies still exist. The first printed edition from 1620 was lost until, some years ago, the apparently only still existing copy was rediscovered in the Herzog August Library in Wolfenbüttel.

Enfermedades médicas, trepanación y cirugía de emergencia durante el sitio de Gibraltar (1779-1783). Las operaciones de Joaquín de Villalba (1752-1807) / Medical diseases, trepanning, and emergency surgery during the 1779-1783 Siege of Gibraltar: the surgeries of Joaquín de Villalba (1752-1807)

No disponible

El origen del aerotransporte sanitario en España. Una historia olvidada de la Medicina de Urgencias / Earliest air ambulance flights in Spain: a forgotten part of the history of emergency medicine

No disponible

Dominique Jean Larrey (1766-1842) and His Contributions to Military Medicine and Early Neurosurgery.

Dr. Dominique Jean Larrey was a pioneer in the field of military surgery. His creative innovation and drive to improve the quality of medical services available to those injured during war guided his achievements in medicine. Dr. Larrey has often been referred to as "the father of emergency medical services" and "the father of modern military medicine." His contributions to medicine continue to live on in common procedures and healthcare systems today, such as aspiration of pericardial effusion and drainage of hemothorax and empyema. Based on his own writings, he treated multiple cases of intracranial injury, making him an early, but often forgotten, pioneer of neurosurgery.

The German emergency and disaster medicine and management system-history and present.

As well for optimized emergency management in individual cases as for optimized mass medicine in disaster management, the principle of the medical doctors approaching the patient directly and timely, even close to the site of the incident, is a long-standing marker for quality of care and patient survival in Germany. Professional rescue and emergency forces, including medical services, are the "Golden Standard" of emergency management systems. Regulative laws, proper organization of resources, equipment, training and adequate delivery of medical measures are key factors in systematic approaches to manage emergencies and disasters alike and thus save lives. During disasters command, communication, coordination and cooperation are essential to cope with extreme situations, even more so in a globalized world. In this article, we describe the major historical milestones, the current state of the German system in emergency and disaster management and its integration into the broader European approach.