ABSTRACT
Descrever as ações de Vigilância e Atenção em Saúde no município de Almas no Tocantins em todos os níveis de complexidade em consonância com a rede pública, privada e estadual, a serem executadas frente à detecção de um caso suspeito de Infecção Humana pelo novo Coronavírus (Covid-19). Objetiva minimizar riscos à população frente a um caso suspeito de COVID 2019, Divulgar informações em saúde, Estabelecer estratégias de Comunicação de Risco e Orientar a adoção de medidas preventivas e indicação de uso de Equipamento de proteção individual EPI.
Describe the actions of Surveillance and Health Care in the municipality of Almas in Tocantins at all levels of complexity in line with the public, private and state network, to be carried out when detecting a suspected case of Human Infection by the new Coronavirus (Covid -19). It aims to minimize risks to the population in the face of a suspected case of COVID 2019, Disseminate health information, Establish Risk Communication strategies and Guide the adoption of preventive measures and indication of the use of Personal Protective Equipment - PPE.
Discretar las acciones de Vigilância e Atenção em Saúde en el municipio de Almas no Tocantins en todos los niveles de complejidad de acuerdo con una red pública, privada y estatal, a realizarse antes de la detección de un caso suspendido de infección humana por un nuevo coronavirus (COVID-19). Objetivo minimizar los riesgos para la población ante una falla del COVID 2019, Difundir información de salud, Poner en marcha estrategias de comunicación de Risco y Orientar la adopción de medidas preventivas e indicación del uso de Equipo de Protección Personal (EPP.
Décrire les actions de Surveillance et de Santé de la commune d'Almas à Tocantins à tous les niveaux de complexité en lien avec le réseau public, privé et étatique, à mener lors de la détection d'un cas suspect d'infection humaine par le nouveau Coronavirus (Covid -19). Il vise à minimiser les risques pour la population face à un cas suspect de COVID 2019, à diffuser des informations sanitaires, à établir des stratégies de communication des risques et à guider l'adoption de mesures préventives et l'indication de l'utilisation des équipements de protection individuelle - EPI.
Subject(s)
Humans , Primary Health Care/organization & administration , Coronavirus Infections/prevention & control , Contingency Plans , Signs and Symptoms, Respiratory , Case Management/standards , Municipal Health Surveillance Centers , eHealth Strategies , Health Authorities/organization & administrationABSTRACT
Las situaciones de crisis en la sala de operaciones son eventos poco frecuentes, con personal trabajando rápido y bajo presión, intentando sobrellevar el incidente con los menores riesgos para el paciente. Se expone un caso clínico en el marco del trabajo de una unidad de anestesia para cirugía de tórax en la cual se presenta una crisis asistencial abordada por un equipo de trabajo capacitado mediante simulación en la aplicación de la herramienta de "Manejo de los Recursos en Crisis (CRM)". Planteamos que la aplicación de esta herramienta por un equipo capacitado en su utilización contribuyó al éxito y buena evolución de un paciente crítico.
Crisis situations on the operation room seldom happen, with staff working fast and under pressure, trying to overcome the incident at the same time as reducing the risks for the patient. Here we expose a clinical case on the frame of work of an anesthesia unit assembled for thorax surgery during which an asistential crisis occurs and is managed by a group of coworkers trained by means of simulation on the appliance of the tool called "Crisis Resource Management (CRM)". We support the idea that the appliance of this tool by a team of professionals trained on its use, contributed to the success and good evolution on a critical patient.
Subject(s)
Humans , Male , Aged , Postoperative Complications , Biopsy/adverse effects , Anesthesiologists , Mediastinal Neoplasms/pathology , Case Management/standards , EmergenciesSubject(s)
Aged , Aged, 80 and over , Humans , Male , Middle Aged , Bereavement , Case Management/standards , Depression/therapy , Depressive Disorder, Major/therapy , Primary Health Care/standards , Depression/drug therapy , Depressive Disorder, Major/drug therapy , New York City , Pennsylvania , Time Factors , Treatment OutcomeABSTRACT
El Gobierno de Reconciliación y Unidad Nacional a través del Ministerio de Salud, presente el siguiente documento Protocolos de atención de enfermedades quirúrgicas más frecuentes en adultos, que es una recopilación de los servicios de los Hospitales Alemán Nicaraguense y Antonio Lenin Fonseca quienes iniciaron revisión, actualización y elaboración de guías clínicas de las principales patologías atendidas en los servicios. Este trabajo se base en la búsqueda de la unificación de criterios y la mejor utilización de recursos en función de brindar un servicio eficaz y de calidad para nuestros usuarios y usuarias...
Subject(s)
Choledocholithiasis , Disease Management , Abdominal Pain/surgery , Abdominal Pain/classification , Hernia, Inguinal/classification , Hernia, Inguinal/diagnosis , Patient Care Management/standards , Case Management/standards , Pathology, Surgical/classification , Pathology, Surgical/standards , Appendicitis/surgery , Appendicitis/classification , Appendicitis/pathology , Cholecystitis/surgery , Cholecystitis/diagnosis , Cholecystitis/pathologySubject(s)
Humans , Adult , Anesthesia/standards , Multiple Trauma/mortality , Multiple Trauma/drug therapy , Multiple Trauma/therapy , Cardiotonic Agents/therapeutic use , Anesthetics/standards , Anesthetics/therapeutic use , Emergencies , Case Management/standards , Vasoconstrictor Agents/therapeutic useSubject(s)
Case Management/standards , Child , Child Health Services/organization & administration , Child Welfare/trends , Child, Preschool , Delivery of Health Care, Integrated/organization & administration , Health Priorities/trends , Humans , India , Infant , Infant, Newborn , Models, Theoretical , Practice Guidelines as TopicABSTRACT
A cross-sectional study assessed the knowledge and practices of registered practitioners in management of tuberculosis [TB] in north-western Somalia. Of 100 registered doctors, 53 were interviewed. Of these, 32 [64%] had treated TB patients during the previous year, but only 1 had notified the authorities, 33 [66%] knew the most important symptoms and 32 [64%] identified sputum smear microscopy as the most important diagnostic test. Only 4 doctors prescribed the correct regimen and only 7 advocated direct observation. Suboptimal knowledge was more common among doctors working in private practice [relative risk: 2.1; 95% CI: 1.1-4.3]. Patients are being treated in the private sector, but few doctors follow national treatment guidelines. Training in diagnosis and case management is needed to improve TB control in Somalia
Subject(s)
Adult , Female , Humans , Male , Antitubercular Agents , Attitude of Health Personnel , Case Management/standards , Clinical Competence/standards , Directly Observed Therapy/standards , Needs Assessment , Practice Patterns, Physicians'/standards , Practice Guidelines as Topic/standardsABSTRACT
En mayo de 1995, el Hospital Raúl Maldonado Mejía de Cayambe recibió a 43 pacientes del brote colérico de la parroquía de Cangahua (cayambe), el cual resultó por la compartición de comidas y bebidas durante el velorio de la primera infectada fallecida. El 35 por ciento llegaron con deshidratación grado 3 y 16 por ciento en shock. La media del tiempo de hospitalización fue 3.63 días de los 43 casos ninguno falleció ni presentaron complicación alguna...
Subject(s)
Humans , Case Management/classification , Case Management/history , Case Management/legislation & jurisprudence , Case Management/organization & administration , Case Management/standards , Case Management/statistics & numerical data , Cholera/classification , Cholera/diagnosis , Cholera/epidemiology , Cholera/etiology , Cholera/physiopathology , Cholera/pathology , Cholera/therapyABSTRACT
Based on epidemiological investigation of 75 gstro-enteritis deaths that occurred in 22 major hospitals of Delhi during 1990-92, this paper deals with the observations pertaining to the role of physicians and health infrastructure in the management of gastro-enteritis patients. Majority of the patients visited private practitioners/clinics in the first instance. Hospital stay in 44% of cases was 6 hours or more, by which time dehydration and/or electrolyte imbalance should have been corrected. Still, in 54.5 percent out of these, dehydration was the cause of death, while in 18.2 percent electrolyte imbalance co-existed. Record maintenance at various hospitals was far from satisfactory. The study, highlighting the need for proper rehydration and timely referral enlists recommendations that might help in preventing gastro-enteritis deaths.