Marcelo Muro - Academia.edu (original) (raw)

Papers by Marcelo Muro

Revista de Educaci�n e Investigaci�n en Emergencias

Prehospital and Disaster Medicine, Sep 1, 1993

Prehospital and Disaster Medicine, Sep 1, 1995

World Congress on Emergency and Disaster Medicine Abstracts 111/S19 the trachea past the soft tis... more World Congress on Emergency and Disaster Medicine Abstracts 111/S19 the trachea past the soft tissues and potential obstruction from swelling, tumors, or vocal cords. Method: Consultant anaesthesia staff were to use the device following two or more failed attempts at intubation. Results: Over an 18-month period, there were 10 reports of failed intubation from seven consultants. Of these, eight intubations were successful on first attempt when the introducer was used. Notably, it was beneficial with an "anterior larynx," pharyngeal edema, one patient with a laryngeal tumor, and for intubation of awake patients in the emergency department and intensive care unit. Conclusion: This simple, disposable device appears efficacious in unanticipated, difficult intubations. A follow-up randomized study is underway to assess its effect on the success rate of routine intubations by less experienced operators.

Prehospital and Disaster Medicine, Sep 1, 1995

United States. America no longer can feel safe with an attitude that "it will never happen here".... more United States. America no longer can feel safe with an attitude that "it will never happen here"....it has. This attitude must be shared with and felt by the world community. It is incumbent directly upon the emergency and medical community to plan ahead to ensure that they are at their fullest capacity to confront major disasters. 7.5 minutes. 29.5 minutes. 7 minutes. 11.5 minutes.

Dykinson eBooks, Dec 27, 2022

Se analiza en el presente trabajo distintos aspectos fisiopatològicos del sueño y de la fatiga, y... more Se analiza en el presente trabajo distintos aspectos fisiopatològicos del sueño y de la fatiga, y su relación con tareas que determinan una alteración permanente a sus mecanismos normales y habituales, como los pilotos de línea aérea. Se describen los tipos y ciclos de sueño, revisando los últimos estudios científicos en la materia. Asímismo se analizan los vuelos transmeridianos, la problemática de la adaptación al cambio horario y la influencia en el ritmo circadiano. Se introduce la relación sueño-fatiga como una díada fundamental a la hora de reglamentar las operaciones aéreas. Asimismo se presenta el Fatigue Risk Management System (FRMS) como un método para evaluar la fatiga en tripulaciones y el desarrollo de softwares que pretenden tabular con mayor o menor dificultad el riesgo de una determinada operación. Este sistema fue desarrollado por OACI, IFALPA y IATA, entrando en vigencia mundial como Norma a ser implementada por toda la actividad aeronáutica. Finalmente se establec...

Emerg Medicas, Aug 1, 1996

Rev. argent. resid. cir, 1997

Base de dados : LILACS. Pesquisa : 347690 [Identificador único]. Referências encontradas : 1 [ref... more Base de dados : LILACS. Pesquisa : 347690 [Identificador único]. Referências encontradas : 1 [refinar]. Mostrando: 1 .. 1 no formato [Detalhado]. página 1 de 1, 1 / 1, LILACS, seleciona. para imprimir. Fotocópia. experimental, Documentos relacionados. Id: 347690. ...

Prehospital and Disaster Medicine, 2003

Major terrorist attacks in Argentina since 1990 have been limited to two bombings in Buenos Aires... more Major terrorist attacks in Argentina since 1990 have been limited to two bombings in Buenos Aires, which together caused 115 deaths and left at least 555 injured. Following these attacks, national, regional, and local institutions responsible for emergency response in Argentina sought to improve their planning and preparedness for terrorism-related events. In 1996, the national government enacted legislation, which launched the Sistema Federal de Emergencias (SIFEM) or Federal Emergency System under the direction of the president. Since 1997, several of Argentina's major cities have developed emergency plans for terrorism-related events, including intentional biological and chemical releases. Institutional participants in emergency preparedness for terrorism-related events include Emergency Medical Services, hospitals, and the public health system. Remaining challenges include: (1) Improving intra-agency coordination; (2) Improving intra-agency communication; and (3) Improving a...

Rev Argent Cir, Feb 1, 2002

Rev. argent. …, 1993

Resumo: Se analizan los accidentes de tránsito ocurridos durante el período estival (enero y febr... more Resumo: Se analizan los accidentes de tránsito ocurridos durante el período estival (enero y febrero) de 1992 en las rutas balnearias del sudeste de la Pcia. de Buenos Aires (Rutas 2, 11 y 63). En este período circularon 1.038. 333 vehículos (14//menos que en 1991). ...

Rev. argent. …, 1993

Resumo: Entre abril de 1989 y marzo de 1992 se efectuaron 8 cursos ATLS para alumnos en el área m... more Resumo: Entre abril de 1989 y marzo de 1992 se efectuaron 8 cursos ATLS para alumnos en el área metropolitana y 3 en el interior del país más un curso ATLS para instructores. El total de alumnos inscriptos fue de 248, 8 no se presentaron (3< 2//). De los 240 restantes ...

Air Medical Journal, 1995

With a population of more than 13 million, Buenos Aires is one of the largest provinces in Argent... more With a population of more than 13 million, Buenos Aires is one of the largest provinces in Argentina. Emergency medical care is the responsibility of the Ministry of Health, and as part of this care, an air medical transport service has been developed.

Prehospital and Disaster Medicine, 1993

Introduction: An analysis was conducted of the emergency medical and rescue response to six airli... more Introduction: An analysis was conducted of the emergency medical and rescue response to six airliner crashes that occurred in the United States during 1986-1992. The airliner crashes selected for the study all had a high percentage of injured survivors, trapped victims, and also fatal injuries. Objective: To determine if lessons might be learned from each crash that would assist other localities in preparation for multiple-casualty, airliner crash incidents. Methods: The analysis included a detailed review of reports by the United States National Transportation Safety Board (NTSB), and interviews with local officials including on-scene command officers, emergency medical and rescue team members, along with emergency and trauma physicians and hospital officials. Results: The analysis resulted in the determination of the magnitude of response and degree of EMS/Rescue effectiveness for airliner crashes that occurred as follows: 1

Prehospital and Disaster Medicine

World Congress on Emergency and Disaster Medicine Abstracts 111/S19 the trachea past the soft tis... more World Congress on Emergency and Disaster Medicine Abstracts 111/S19 the trachea past the soft tissues and potential obstruction from swelling, tumors, or vocal cords. Method: Consultant anaesthesia staff were to use the device following two or more failed attempts at intubation. Results: Over an 18-month period, there were 10 reports of failed intubation from seven consultants. Of these, eight intubations were successful on first attempt when the introducer was used. Notably, it was beneficial with an "anterior larynx," pharyngeal edema, one patient with a laryngeal tumor, and for intubation of awake patients in the emergency department and intensive care unit. Conclusion: This simple, disposable device appears efficacious in unanticipated, difficult intubations. A follow-up randomized study is underway to assess its effect on the success rate of routine intubations by less experienced operators.

Objectives: The performance of nine trauma teams during the 1994 "Sun-Health Summer Campaign" is ... more Objectives: The performance of nine trauma teams during the 1994 "Sun-Health Summer Campaign" is analyzed. This campaign is carried out by the Emergency Direction Department of the Health Ministry of the Province of Buenos Aires every summer to provide an adequate response to the increased number of trauma patients coming from tourism movement accidents. Methods: Five hundred twenty-one patients were assisted by the nine trauma teams in different hospitals of the Province. These teams were formed with one advanced trauma life supporttrained surgeon, one specialist in traumatology, and one in anesthesiology. Nine of these groups have acted in rural hospitals during summer as a regionalization in trauma experience Results: Considering three worst injuries in AIS 85, 110 patients suffered severe, 185 moderate, and 226 minor trauma. Head trauma with alteration of level of consciousness was most frequently found in the first group, followed by thorax and .extremity injuries. A total of 46 patients suffering severe head trauma were transferred to higher complexity-level centers since none of the none hospitals has a CAT scanner and only four of them had critical care units. Twenty-six patients from the first group needed surgical interventions. Extremity trauma was the most frequent in the second group, and only 20 patients were transferred. Conclusions: Trauma team performance decreased mortality rate during first 24 hours. Besides, the number of patients transferred patients diminished, thus optimizing cost and quality of the assistance provided in rural hospitals.

Prehospital and Disaster Medicine

United States. America no longer can feel safe with an attitude that "it will never happen here".... more United States. America no longer can feel safe with an attitude that "it will never happen here"....it has. This attitude must be shared with and felt by the world community. It is incumbent directly upon the emergency and medical community to plan ahead to ensure that they are at their fullest capacity to confront major disasters. 7.5 minutes. 29.5 minutes. 7 minutes. 11.5 minutes.

United States. America no longer can feel safe with an attitude that "it will never happen here".... more United States. America no longer can feel safe with an attitude that "it will never happen here"....it has. This attitude must be shared with and felt by the world community. It is incumbent directly upon the emergency and medical community to plan ahead to ensure that they are at their fullest capacity to confront major disasters. 7.5 minutes. 29.5 minutes. 7 minutes. 11.5 minutes.

Revista de Educaci�n e Investigaci�n en Emergencias

Prehospital and Disaster Medicine, Sep 1, 1993

Prehospital and Disaster Medicine, Sep 1, 1995

World Congress on Emergency and Disaster Medicine Abstracts 111/S19 the trachea past the soft tis... more World Congress on Emergency and Disaster Medicine Abstracts 111/S19 the trachea past the soft tissues and potential obstruction from swelling, tumors, or vocal cords. Method: Consultant anaesthesia staff were to use the device following two or more failed attempts at intubation. Results: Over an 18-month period, there were 10 reports of failed intubation from seven consultants. Of these, eight intubations were successful on first attempt when the introducer was used. Notably, it was beneficial with an "anterior larynx," pharyngeal edema, one patient with a laryngeal tumor, and for intubation of awake patients in the emergency department and intensive care unit. Conclusion: This simple, disposable device appears efficacious in unanticipated, difficult intubations. A follow-up randomized study is underway to assess its effect on the success rate of routine intubations by less experienced operators.

Prehospital and Disaster Medicine, Sep 1, 1995

United States. America no longer can feel safe with an attitude that "it will never happen here".... more United States. America no longer can feel safe with an attitude that "it will never happen here"....it has. This attitude must be shared with and felt by the world community. It is incumbent directly upon the emergency and medical community to plan ahead to ensure that they are at their fullest capacity to confront major disasters. 7.5 minutes. 29.5 minutes. 7 minutes. 11.5 minutes.

Dykinson eBooks, Dec 27, 2022

Se analiza en el presente trabajo distintos aspectos fisiopatològicos del sueño y de la fatiga, y... more Se analiza en el presente trabajo distintos aspectos fisiopatològicos del sueño y de la fatiga, y su relación con tareas que determinan una alteración permanente a sus mecanismos normales y habituales, como los pilotos de línea aérea. Se describen los tipos y ciclos de sueño, revisando los últimos estudios científicos en la materia. Asímismo se analizan los vuelos transmeridianos, la problemática de la adaptación al cambio horario y la influencia en el ritmo circadiano. Se introduce la relación sueño-fatiga como una díada fundamental a la hora de reglamentar las operaciones aéreas. Asimismo se presenta el Fatigue Risk Management System (FRMS) como un método para evaluar la fatiga en tripulaciones y el desarrollo de softwares que pretenden tabular con mayor o menor dificultad el riesgo de una determinada operación. Este sistema fue desarrollado por OACI, IFALPA y IATA, entrando en vigencia mundial como Norma a ser implementada por toda la actividad aeronáutica. Finalmente se establec...

Emerg Medicas, Aug 1, 1996

Rev. argent. resid. cir, 1997

Base de dados : LILACS. Pesquisa : 347690 [Identificador único]. Referências encontradas : 1 [ref... more Base de dados : LILACS. Pesquisa : 347690 [Identificador único]. Referências encontradas : 1 [refinar]. Mostrando: 1 .. 1 no formato [Detalhado]. página 1 de 1, 1 / 1, LILACS, seleciona. para imprimir. Fotocópia. experimental, Documentos relacionados. Id: 347690. ...

Prehospital and Disaster Medicine, 2003

Major terrorist attacks in Argentina since 1990 have been limited to two bombings in Buenos Aires... more Major terrorist attacks in Argentina since 1990 have been limited to two bombings in Buenos Aires, which together caused 115 deaths and left at least 555 injured. Following these attacks, national, regional, and local institutions responsible for emergency response in Argentina sought to improve their planning and preparedness for terrorism-related events. In 1996, the national government enacted legislation, which launched the Sistema Federal de Emergencias (SIFEM) or Federal Emergency System under the direction of the president. Since 1997, several of Argentina's major cities have developed emergency plans for terrorism-related events, including intentional biological and chemical releases. Institutional participants in emergency preparedness for terrorism-related events include Emergency Medical Services, hospitals, and the public health system. Remaining challenges include: (1) Improving intra-agency coordination; (2) Improving intra-agency communication; and (3) Improving a...

Rev Argent Cir, Feb 1, 2002

Rev. argent. …, 1993

Resumo: Se analizan los accidentes de tránsito ocurridos durante el período estival (enero y febr... more Resumo: Se analizan los accidentes de tránsito ocurridos durante el período estival (enero y febrero) de 1992 en las rutas balnearias del sudeste de la Pcia. de Buenos Aires (Rutas 2, 11 y 63). En este período circularon 1.038. 333 vehículos (14//menos que en 1991). ...

Rev. argent. …, 1993

Resumo: Entre abril de 1989 y marzo de 1992 se efectuaron 8 cursos ATLS para alumnos en el área m... more Resumo: Entre abril de 1989 y marzo de 1992 se efectuaron 8 cursos ATLS para alumnos en el área metropolitana y 3 en el interior del país más un curso ATLS para instructores. El total de alumnos inscriptos fue de 248, 8 no se presentaron (3< 2//). De los 240 restantes ...

Air Medical Journal, 1995

With a population of more than 13 million, Buenos Aires is one of the largest provinces in Argent... more With a population of more than 13 million, Buenos Aires is one of the largest provinces in Argentina. Emergency medical care is the responsibility of the Ministry of Health, and as part of this care, an air medical transport service has been developed.

Prehospital and Disaster Medicine, 1993

Introduction: An analysis was conducted of the emergency medical and rescue response to six airli... more Introduction: An analysis was conducted of the emergency medical and rescue response to six airliner crashes that occurred in the United States during 1986-1992. The airliner crashes selected for the study all had a high percentage of injured survivors, trapped victims, and also fatal injuries. Objective: To determine if lessons might be learned from each crash that would assist other localities in preparation for multiple-casualty, airliner crash incidents. Methods: The analysis included a detailed review of reports by the United States National Transportation Safety Board (NTSB), and interviews with local officials including on-scene command officers, emergency medical and rescue team members, along with emergency and trauma physicians and hospital officials. Results: The analysis resulted in the determination of the magnitude of response and degree of EMS/Rescue effectiveness for airliner crashes that occurred as follows: 1

Prehospital and Disaster Medicine

World Congress on Emergency and Disaster Medicine Abstracts 111/S19 the trachea past the soft tis... more World Congress on Emergency and Disaster Medicine Abstracts 111/S19 the trachea past the soft tissues and potential obstruction from swelling, tumors, or vocal cords. Method: Consultant anaesthesia staff were to use the device following two or more failed attempts at intubation. Results: Over an 18-month period, there were 10 reports of failed intubation from seven consultants. Of these, eight intubations were successful on first attempt when the introducer was used. Notably, it was beneficial with an "anterior larynx," pharyngeal edema, one patient with a laryngeal tumor, and for intubation of awake patients in the emergency department and intensive care unit. Conclusion: This simple, disposable device appears efficacious in unanticipated, difficult intubations. A follow-up randomized study is underway to assess its effect on the success rate of routine intubations by less experienced operators.

Objectives: The performance of nine trauma teams during the 1994 "Sun-Health Summer Campaign" is ... more Objectives: The performance of nine trauma teams during the 1994 "Sun-Health Summer Campaign" is analyzed. This campaign is carried out by the Emergency Direction Department of the Health Ministry of the Province of Buenos Aires every summer to provide an adequate response to the increased number of trauma patients coming from tourism movement accidents. Methods: Five hundred twenty-one patients were assisted by the nine trauma teams in different hospitals of the Province. These teams were formed with one advanced trauma life supporttrained surgeon, one specialist in traumatology, and one in anesthesiology. Nine of these groups have acted in rural hospitals during summer as a regionalization in trauma experience Results: Considering three worst injuries in AIS 85, 110 patients suffered severe, 185 moderate, and 226 minor trauma. Head trauma with alteration of level of consciousness was most frequently found in the first group, followed by thorax and .extremity injuries. A total of 46 patients suffering severe head trauma were transferred to higher complexity-level centers since none of the none hospitals has a CAT scanner and only four of them had critical care units. Twenty-six patients from the first group needed surgical interventions. Extremity trauma was the most frequent in the second group, and only 20 patients were transferred. Conclusions: Trauma team performance decreased mortality rate during first 24 hours. Besides, the number of patients transferred patients diminished, thus optimizing cost and quality of the assistance provided in rural hospitals.

Prehospital and Disaster Medicine

United States. America no longer can feel safe with an attitude that "it will never happen here".... more United States. America no longer can feel safe with an attitude that "it will never happen here"....it has. This attitude must be shared with and felt by the world community. It is incumbent directly upon the emergency and medical community to plan ahead to ensure that they are at their fullest capacity to confront major disasters. 7.5 minutes. 29.5 minutes. 7 minutes. 11.5 minutes.

United States. America no longer can feel safe with an attitude that "it will never happen here".... more United States. America no longer can feel safe with an attitude that "it will never happen here"....it has. This attitude must be shared with and felt by the world community. It is incumbent directly upon the emergency and medical community to plan ahead to ensure that they are at their fullest capacity to confront major disasters. 7.5 minutes. 29.5 minutes. 7 minutes. 11.5 minutes.

The world could not have anticipated the current pandemic caused by the SARS-CoV-2 virus. That ma... more The world could not have anticipated the current pandemic caused by the SARS-CoV-2 virus. That may be why it is striking the global community in an unprecedented way. In fact, it is not possible to predict the behavior of man-made systems, let alone extremely complex systems, whose components –subsystems– are strongly interrelated
and of which we know only a part. However, this essay postulates
that this type of catastrophic event can be studied by analyzing the implicit difficulties of complex systems. In this sense, we will here deal with the viability of an analytical approach to the pandemic associated to the COVID-19 disease, based on the articulation of the normal or systemic accident theory developed by Charles Perrow and the systemic model for accident research developed by Argentina’s Transport Safety Board.
With the aim of exploring some latent, structural and triggering factors, this preliminary study identifies certain components or subsystems which coincided without precedent to cause this pandemic, taken as an exemplary systemic or normal accident: the food industry, the biotech
industry, the health systems, the alarm and security systems, the aviation industry, changes in the global ecosystem and the uneven distribution of resources.
The value of reflecting while the systemic accident itself is happening lies in the possibility of submerging ourselves totally in our subject. Therefore, establishing the validity of this approach is our first step in delving deeper into the current pandemic, through interdisciplinary research –broad, exhaustive and focused on managing the risks involved in the origination and development of this type of pandemics–, whose results will be key pieces of precise information to modify policies and design accurate strategies when facing similar future catastrophes or minimizing their possibility of happening. Accidents are signs warning us to take action.