Emergencias
-
To analyze gender disparity in scientific productivity reflected by the authorship of articles in the journal Emergencias over the past decade. ⋯ The publication of articles by women in Emergencias has increased over the past decade. However, women continue to author fewer articles than men.
-
Observational Study
Clinical manifestations and serious adverse effects after cannabis use: role of age according to sex and coingestion of alcohol.
To study whether there are age-related differences in the clinical effects of cannabis poisoning and whether any age differences found are also related to sex or coingestion of alcohol. ⋯ There are age-related differences in the acute clinical manifestations of cannabis poisoning requiring emergency hospital care. Sex and coingestion of alcohol modify the relationship between age and frequency of some manifestations.
-
Hyperkalemia, a common electrolyte disorder, is seen often in emergency departments. Patient outcomes are impacted by proper management, which requires consideration of both clinical and laboratory findings in relation to kidney function, hydration, the acid-base balance, and heart involvement. Delicate decisions about the timing of potassium level correction must be tailored in each case. ⋯ Ion-exchange resins are falling into disuse because of adverse effects and poor tolerance, whereas novel gastrointestinal cation-exchange resins are gaining ground and may even be of some use in managing acute cases. It is essential to adjust treatment rather than discontinue medications that, even if they favor the development of hyperkalemia, will improve a patient's long-term prognosis. Valid alternative treatment approaches must therefore be sought for each patient group, and close follow-up is imperative.
-
The teaching of emergency medicine (EM) and urgent care in Spanish universities is unregulated. This study aimed to analyze how EM is being taught in Spanish medical faculties. We visited the web pages of 46 universities that offer medical degrees. ⋯ That percentage decreased as professional category increased. We found that EM is taught in a majority of Spanish universities with medical schools, but not all; nor is the subject managed uniformly. Instructors are not often closely tied to the faculty, syllabi vary greatly and a low number of women teachers, suggesting considerable room for improvement in the future.