RESUMEN
SUMMARY The extracorporeal membrane oxygenation (ECMO) is a procedure that has been used for a long time in reference centers worldwide. Its fundamental precept is to serve as a bridge to a definitive treatment in patients with severe, but potentially reversible, clinical conditions. Despite this, its use in cardiopulmonary arrest (ECPR) is still a matter of debate, especially when indicated in the emergency department. There is not yet a sufficient level of evidence to support its routine use. In Brasil, the procedure stopped being considered an experimental technique by the Federal Council of Medicine only in 2017. The objective of the present case is to share the pioneering spirit of a Brazilian reference center with ECPR in the emergency room and to discuss the future challenges of the ECMO technique.
Asunto(s)
Humanos , Masculino , Oxigenación por Membrana Extracorpórea , Reanimación Cardiopulmonar , Paro Cardíaco/terapia , Brasil , Servicio de Urgencia en Hospital , Persona de Mediana EdadRESUMEN
Objetivo: estudar a prevalência doméstica física e/ou sexual contra a mulher e suas repercussões para a saúde. Materiais e métodos: O estudo foi realizado no município de São Paulo com 1343 mulheres (15-49 anos) usuárias de 12 serviços públicos de atenção primária à saúde. Resultados: Ao analisar a prevalência de violência física e/ou sexual, 50,2 por cento das mulheres (IC95 por cento = 47,5-52,9por cento) relataram a ocorrência de pelo menos um episódio / Objectives: To investigate the prevalence of physical and sexual forms domestic violence against women and its outcomes in health. Methods: the study was carried out in São Paulo, Brazil, with a sample of 1343 women aged 15 to 49 years old among users of 12 public primary care health services. Results: As regards the prevalence of physical and/or sexual violence, 50,2 per cent of the women (95 per cent CI=44,1-49,5 per cent) reported the occurrence of at least one epysode in their lives, being the intimate partner the agressor in the most of the cases (57,2per cent)...