Revista médica de Chile
-
Revista médica de Chile · Nov 2018
Multicenter Study Controlled Clinical Trial[Effectiveness of a case management intervention for high blood pressure and type II diabetes in primary health care].
-
Revista médica de Chile · Nov 2018
[Gaps between country needs and intentions to obtain a subspecialty among general surgery trainees in Chile].
The fragmentation of a general specialty in subspecialties or derived specialties is a widely spread reality. Chilean health care system is becoming more complex, requiring more specialists. On the other hand, doctors in specialty training increasingly choose a subspecialty to continue their training and professional development. ⋯ These figures correspond to 18.5% and 23.8% of the existing resources. A survey published in 2009 reported that 78% of trainees in general surgery would prefer to continue studying a subspecialty, following the trend observed in the USA and Europe. Therefore, there is a disproportion between the intentions of general surgery trainees and the needs for these professionals in Chile.
-
Revista médica de Chile · Sep 2018
[Deterioration of vital signs as predictors of major medical emergencies in hospitalized patients].
Medical emergencies (ME) in hospitalized patients (cardiac and respiratory arrest, suffocation, asphyxia, seizures, unconsciousness) are associated with high morbidity and mortality. Most of these patients have signs of physiological deterioration prior to the appearance of the emergency. Early detection of warning signs by rapid response teams (RRT) may provide an opportunity for the prevention of major adverse events. ⋯ In the absence of RRT, special attention should be given to patients with polypnea, airway involvement, hypotension and desaturation, since these are associated with poor clinical outcomes.