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Wednesday, 26 November 2014

Abcs Of Duodenal Switch Surgery In Mexico

By Christa Jarvis


Medicine brings medical and surgical resources to deal with an emergency, that is to say, the perception of a situation where the empire quickly without care, exposure to short period of irreversible damage or death. The concept of "speedily" is very relative; in acute cases, we only have a few minutes to respond, but in general in France, it is considered under the emergency risks to 6 or 12 h (duodenal switch surgery in Mexico).

For hospital emergency, a key component is to summon the services of prehospital medicine (usually an ambulance may be land, air or naval) for help by calling the appropriate phone number for emergencies. For EU member states and 112 different numbers in other countries such as the popular 911 in Americas. Emergency operators generally operate through a protocol of questions to determine if you can perform an outpatient treatment or assess the need to send a particular medical resource your help. Not the same a clinic than a hospital, many people confuse it

Disaster Medicine is a branch of medicine for accidents or disasters involving mass casualties: train crash, earthquake, bomb ... The disaster is defined as inadequate relief needs and the resources available (outdated means). It requires organization and a "doctrine" different from the usual emergency medicine.

The principles of chain of life apply to emergency in which the patient has no breathing and heartbeat. This involves the four stages of early access, early CPR, early defibrillation and early advanced life. The mobilization and evacuation of a victim requires special knowledge and skills, and unless the situation is particularly dangerous, and is likely to further damage the patient should be left to professionals, emergency medical and fire service.

In 1958, a trainer has to prepare a portable kit doctors and rescue workers to disaster management, and management of mass casualties. Realistic moldings mimic almost all types of injuries caused by armed struggle or nuclear explosion. In picture, the trainer shows a blood bag to simulate bleeding (arterial or venous pressure as the pocket). Pressure in right place is to stop the flow or the spray of blood. Military and civilian leaders of all the United States have been trained.

This type of behavior undermines the effectiveness of system, the "real" emergencies may be supported with delay because of size of system, personal and fatigue generated by this workload is detrimental to quality of care. Note that this behavior is also a miscalculation for the patient, because it might be better to sit at home (until the arrival of doctor on call or opening a private practice the next day) rather to wait for emergencies, with the inconvenience and risk of catching diseases others.

In Argentina, the SAE (Society of Emergency Argentina) is the main organization of emergency medicine. There are several programs in medicine residency. It is also possible to achieve certification as a specialist in medicine certifying a number of years of medical care and attending a university graduate school.

But nothing prevents a patient to bypass the pre-hospital system to go to emergency departments of hospitals or private clinics, which are therefore those presenting spontaneously, as well as those brought by emergency services above. Medicine is the link between the outside of hospital and other hospital departments (surgery, radiology, pulmonology, cardiology, neurology ...), but also the relationship between these services for distress unexpected and sudden.




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