Sunday, November 30, 2014

Guide To Duodenal Switch Surgery In Mexico

By Christa Jarvis


Trauma: Many accidents cause injuries: fractures, dislocations, sprains, wounds, burns, drowning. Toxicology: many situations resulting from accidental or intentional poisoning (suicide attempt, murder, drug use): food poisoning by gas emanation, drug by drug, alcohol, poisoning (duodenal switch surgery in Mexico). The establishment of a social emergency is also an attempt to answer.

In addition to purely medical terms, medicine requires logistics (having the right equipment and the right people at the right time and the right place) and cooperation with other organizations, which will be designed to accommodate the patient or who can advise the emergency in its approach. This may involve concepts of telemedicine (transmission of patient data, possibly vital parameters and image diagnosis).

The National Residence program is developed through the Center for Strategic Development and Information on Health and Social Security of Costa Rica. The most important partnership is the Costa Rican Association of Physicians is responsible for large number of academic activities to improve health care. Also Medicine Costa Rica is characterized by a large share of web and social networks through the Effort ASOCOME.

In Spain main organization is the SEMES (Spanish Society of Emergency Medicine). In Bolivarian Republic of Venezuela, the SVMED (Venezuelan Society of Emergency and Disaster Medicine) is the organization that brings together medical specialists and certifies attendees prehospital emergency, Emergency Prehospital TM, There is also the career Senior Technicians university (TSU) in Prehospital Emergency (EPh).

Within a hospital staff is generally adequate to meet this average emergency. The accident and emergency physicians are trained to handle most emergency and maintain certifications in CPR (Cardiopulmonary Resuscitation) and ALS (Advanced Life Support). In disasters most hospitals have protocols to quickly summon the staff and the service is not.

This type of behavior undermines the effectiveness of system, the "real" emergencies may be supported with delay because of size of system, personal and fatigue generated by this workload is detrimental to quality of care. Note that this behavior is also a miscalculation for the patient, because it might be better to sit at home (until the arrival of doctor on call or opening a private practice the next day) rather to wait for emergencies, with the inconvenience and risk of catching diseases others.

However, do not overlook the importance of medical advice in certain situations (see above). Moreover, the poor cannefit of universal health coverage (CMU) which allows them to have free care without advance payment, including in private practices. If situations are still variables from one department to another, the current trend is that any call outside working hours and days 15 through the center, including for the doctor on duty, or when the seeks an ambulance. Some standards associations constantly care (SOS Doctors) are entitled to receive calls directly, subject to an interconnection with the center 15 (direct telephone line).

But nothing prevents a patient to bypass the pre-hospital system to go to emergency departments of hospitals or private clinics, which are therefore those presenting spontaneously, as well as those brought by emergency services above. Medicine is the link between the outside of hospital and other hospital departments (surgery, radiology, pulmonology, cardiology, neurology ...), but also the relationship between these services for distress unexpected and sudden.




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