[Procedures performed by emergency medicine residents in a Mexico City medical facility] (original) (raw)

[Aggression faced by doctors during social service in Mexico]

Gaceta médica de México, 2014

Physicians during their work activities have been exposed to suffering physical and non-physical aggression (insults, threats, sexual assaults and even murder) by patients. The frequency of such attacks has increased in recent years. The aim of this study is to identify the risk of attacks on physicians associated with the type of work place that health institutions have assigned them for their year of social service in Mexico. A cross-sectional questionnaire survey was conducted during 2012 of 371 physicians who were assigned to work in various community health centers called type "A", "B" or "C". Having worked in a work place type "C" was associated with physical aggression (OR: 2.32; 95% CI: 1.03-5.37), threats (OR: 2.64; 95% CI: 1.43-4.93), and insults (OR: 2.28; 95% CI: 1.35-3.88). The results should be interpreted with caution, but they suggest that physicians who are assigned to work in the places type "C" (where they must car...

[Use of hospital services by the aged population of Mexico City]

Salud pública de México

The purpose of this study was to determine the characteristics of hospital utilization by the elderly in three hospitals in Mexico City during 1992 and 1993. Main reason for admission, average length of stay and type of treatment received were some of the variables studied. A random sample of 820 clinical files were selected, 308 from the Instituto Nacional de la Nutrición Salvador Zubirán (INNSZ), 189 from the Hospital General Manuel Gea González (HGMGG) and 323 from the Hospital Regional Adolfo López Mateos (HRALM). The principal reasons for admission, average days spent in the hospital and type of treatment received were identified for patients 60 years and older. Univariate and bivariate analysis was performed with hypothesis test for differences between sexes. Diabetes mellitus and hypertension were the principal reasons for admission length of stay varied considerably and was the longest at the INNSZ (median: 12 days) and the shortest at the HRALM (median: 8 days). Most of the...

[Prehospital cardiac resuscitation in Queretaro, Mexico. Report of 3 cases. Importance of an integral emergency medical care system]

Archivos de cardiología de México

In Mexico, out-of-hospital cardiac arrest is a health problem that represents 33,000 to 150,000 or more deaths per year. The few existent reports show mortality as high as 100% in contrast to some international reports that show higher survival rates. In Queretaro, during the last 5 years there were no successful resuscitation cases. However, in 2012 some patients were reported to have return of spontaneous circulation. We report in this article 3 cases with return of spontaneous circulation and pulse at arrival to the hospital. Two of the patients were discharged alive, one of them with poor cerebral performance category. Community cardiopulmonary resuscitation, early defibrillation and better emergency medical system response times, are related with survival. This poorly explored health problem in Queretaro could be increased with quality and good public education, bystander assisted cardiopulmonary resuscitation, police involvement in cardiopulmonary resuscitation and defibrillat...

[Some observations on high specialty medical care in Mexico]

Gaceta médica de México

To put forth the concept of highly specialized medical care, in agreement with the nature of its practice, and evaluate the feasibility of creating a support service network. Qualitative study of the current practice and requirements for 39 selected medical specialties, using the technique of focused groups of experts in each specialty. In accordance with the "Grounded Theory", variables were systematized and categorized and then compared in order to identify relationships between categories and link them to consensus testimonial references. On the basis of the characteristics of each kind of practice, one key expert integrated and validated service portfolios. We developed an integrated a concept for highly specialize medical care with 39 operational catalogs of those diagnoses that belong to each specialty, along with catalogs of the resources required by each specialty. Highly specialized care is a desirable model for clinical practice, but does not constitute a differe...

[Out of hospital cardiac arrest events at an urban Hospital in Chile]

Revista medica de Chile, 2017

Out of hospital cardiac arrest events at an urban Hospital in Chile Background: The incidence of out of hospital cardiac arrest (OHCA) is approximately 20 to 140 per 100.000 inhabitants. International registries, based on Utstein criteria have allowed standardized reporting of OHCA profiles and outcomes in different countries. We proposed to create a local OHCA registry. Aim: To assess the quality of the information about OHCA currently recorded in medical records according to Utstein guidelines. Material and Methods: A retrospective analysis of medical records of patients arriving in the emergency room of a public hospital with OHCA during a 3-year period. Data regarding the patient characteristics, event and outcomes were analyzed. Results: During the revision period, 317 patients arrived with an OHCA. None of the medical records had complete data on items that are considered a minimum requirement by Utstein guidelines. Mean age of patients was 63 years old, 60% were men, the most common arrest rhythm was asystole (43%) and 8% of patients were discharged alive. Conclusions: Data recorded in medical records is insufficient to inform the profile of OHCA. A prospective registry is currently being implemented based on the information provided by this study. This registry should optimize reporting and data analysis.

The experience of a medical emergency team belonging to the Mexican Social Security Institute during the earthquake in Mexico in September 2017

Revista Panamericana De Salud Publica-pan American Journal of Public Health, 2018

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[The health system of Mexico]

Salud Publica De Mexico, 2011

Resumen En este trabajo se describe el sistema mexicano de salud. En la primera parte se discuten las condiciones de salud de la población mexicana, con énfasis en los padecimientos emergentes que constituyen las principales causas de muerte: diabetes, enfermedades isquémicas del corazón, padecimientos cerebrovasculares y cáncer. En la segunda parte se describe la estructura básica del sistema: las instituciones que lo conforman, la población a la que cubre, los beneficios que reciben los afiliados de las distintas instituciones, las fuentes de financiamiento del sistema, los niveles de protección financiera alcanzados, los recursos físicos, materiales y humanos con los que cuenta y las principales tareas de rectoría que desarrollan la Secretaría de Salud y otros actores. También se describen los mecanismos de participación de los ciudadanos en la vigilancia y evaluación del desempeño del sistema y su nivel de satisfacción con los servicios recibidos. La tercera parte se dedica a discutir las innovaciones más recientes y su impacto en la operación del sistema. Destaca la discusión del recién creado Sistema de Protección Social en Salud y su brazo operativo, el Seguro Popular de Salud. El trabajo concluye con un análisis de los principales retos que enfrenta en el corto y mediano plazo el sistema mexicano de salud. Palabras clave: sistema de salud; seguridad social; México Gómez-Dantés O,