Recenti progressi in medicina
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The Emergency Medical Service in Italy is based on operating exchanges, distributed on all the national territory. The operating exchange coordinates the help means sending in relation to the event severity. The telephone calls of request for help are sent to the operating exchange through a single telephone number (118). ⋯ In the April 1996 the National Guide Lines, which provide the information on the organizational and functional emergency requirements, have been given off. Requirements have been furthermore identified for the Emergency Departments of first and second level. After ten years from the Emergency Department activation, the main critical states are represented by the heterogeneous organization on the national territory and medical and nursing staff's formation.
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The importance of this case, an episode of anaphylactic reaction for Argas reflexus, the pigeon tick, is due to the ever-increasing presence in urban areas of the pigeon. The knowledge of existence of this parasite and of his biological characteristics is essential to make a correct and timely diagnosis, to avoid the frequent relapse of symptoms, to take the necessary therapeutical and preventive measures.