Emergencias
-
Observational Study
[Factors related to lack of autonomous mobility during out-of-hospital emergency care].
To explore the frequency of lack of autonomous mobility and factors related to it in patients requiring prehospital emergency services. ⋯ The profile we identified for patients and situations in which patients cannot move autonomously during prehospital emergency care can be used to plan preventive strategies to ensure patient safety.
-
Comparative Study Observational Study
[Comparison of dressings and devices to secure peripheral venous catheters in the emergency department: suitability according to patient profile].
To identify the most suitably designed dressings and devices to secure peripheral venous catheters (PVCs) in different types of patients. To evaluate the traction force the dressings could withstand and times they are able to keep the PVC in place in the emergency department. ⋯ Design C was able to withstand greater forces in the traction tests. Extra surgical tape significantly improved resistance to traction when a stopcock was used. Using a Steri-strip with the Tegaderm device increased resistance to traction, although the improvement was less than that obtained with the Omnifix. The Tegaderm plus Omnifix design was significantly more resistant to traction than the Tegaderm by itself at only a slightly higher cost; the combination design, therefore, may be more recommendable. However, our results for resistance, cost, and application time showed that the Omnifix (desing B) is the best choice for securing a PVC.
-
Randomized Controlled Trial Multicenter Study
[Multicenter, triple-blind randomized placebo controlled trial of adjuvant nitrous oxide 50% in oxygen 50%: efficacy for reducing pain and increasing satisfaction in patients treated for renal colic in the emergency department].
To assess the efficacy of a nitrous oxide and oxygen mixture (N2O/O2 50/50) for reducing pain and increasing satisfaction in patients with an initial clinical diagnosis of renal colic in the emergency department. ⋯ The addition of N2O/O2 50/50 to standard analgesic therapy does not enhance the efficacy of pain control or the satisfaction of patients treated for renal colic in the emergency department.
-
To explore circadian variation in the effectiveness of percutaneous transluminal coronary angioplasty (PTCA) to treat ST-elevation myocardial infarction (STEMI) To explore the effects of circardian variation on infarct extension and in-hospital complications. ⋯ A time of onset of STEMI between 6 AM and 12 PM predicts the ineffectiveness of PTCA and greater infarct extension but not in-hospital complications.
-
To estimate the prevalence of undiagnosed human immunodeficiency virus (HIV) infection detected by routine testing of patients seeking care in an emergency department and to describe the characteristics associated with new HIV-infection diagnosis. ⋯ The prevalence of undiagnosed HIV infection in our emergency department was high at 0.6%. The rate of patient acceptance of routine HIV testing was high. Strategies that target improving the detection of undiagnosed HIV infection are advisable.