Complications of ischemic cerebrovascular disease

Introducción: la enfermedad cerebrovascular (ECV) se define como la aparición súbita de signos neurológicos focales, de presunto origen vascular, que dura más de 24 horas o causa la muerte. Constituye la tercera causa de muerte en los países desarrollados después de las enfermedades cardiovasculares y neoplásicas.Objetivo: caracterizar las principales complicaciones de la enfermedad cerebrovascular isquémica.Métodos: se realizó una revisión bibliográfica, se consultaron 31 referencias bibliográficas de las bases de datos PubMed, ScIELO, Scopus y EMBASE hasta septiembre de 2021. Se utilizaron las palabras clave: “accidente cerebrovascular”, stroke, “isquemia cerebral”, “brain ischemia”, complicación, complication. Se seleccionaron 69 artículos y se exluyeron 45 por presentar errores metodológicos.Resultados: para su mejor estudio las complicaciones se dividen en neurológicas y no neurológicas, en estas últimas a su vez se encuentran dos grupos las infecciosas y las no infecciosas.Conlusiones: se concluyó que la aparición de complicaciones en muchas ocasiones ocasiona la muerte a los pacientes y dentro de ellas se destacan por su frecuencia y letalidad la hipertensión endocraneana, bronconeumonía, enfermedad tromboembólica y trastornos del medio interno.Introduction: cerebrovascular disease (CVD) is defined as the sudden appearance of focal neurological signs, of presumed vascular origin, which lasts more than 24 hours or causes death. It is the third leading cause of death in developed countries, after cardiovascular and neoplastic diseases.Objective: to characterize the main complications of ischemic cerebrovascular disease.Methods: a literature review was carried out, consulting 31 bibliographic references from the PubMed, ScIELO, Scopus and EMBASE databases up to September 2021. The following keywords were used: "cerebrovascular accident", stroke, "cerebral ischemia", "brain ischemia", complication, complication. Sixty-nine articles were selected and 45 were excluded because of methodological errors.Results: for a better study, complications were divided into neurological and non-neurological, the latter in turn divided into two groups: infectious and non-infectious.Conclusions: it was concluded that the appearance of complications on many occasions causes the death of the patients and among them, endocranial hypertension, bronchopneumonia, thromboembolic disease and disorders of the internal environment stand out due to their frequency and lethality

Complications of ischemic cerebrovascular disease

Introducción: la enfermedad cerebrovascular (ECV) se define como la aparición súbita de signos neurológicos focales, de presunto origen vascular, que dura más de 24 horas o causa la muerte. Constituye la tercera causa de muerte en los países desarrollados después de las enfermedades cardiovasculares y neoplásicas.Objetivo: caracterizar las principales complicaciones de la enfermedad cerebrovascular isquémica.Métodos: se realizó una revisión bibliográfica, se consultaron 31 referencias bibliográficas de las bases de datos PubMed, ScIELO, Scopus y EMBASE hasta septiembre de 2021. Se utilizaron las palabras clave: “accidente cerebrovascular”, stroke, “isquemia cerebral”, “brain ischemia”, complicación, complication. Se seleccionaron 69 artículos y se exluyeron 45 por presentar errores metodológicos.Resultados: para su mejor estudio las complicaciones se dividen en neurológicas y no neurológicas, en estas últimas a su vez se encuentran dos grupos las infecciosas y las no infecciosas.Conlusiones: se concluyó que la aparición de complicaciones en muchas ocasiones ocasiona la muerte a los pacientes y dentro de ellas se destacan por su frecuencia y letalidad la hipertensión endocraneana, bronconeumonía, enfermedad tromboembólica y trastornos del medio interno.Introduction: cerebrovascular disease (CVD) is defined as the sudden appearance of focal neurological signs, of presumed vascular origin, which lasts more than 24 hours or causes death. It is the third leading cause of death in developed countries, after cardiovascular and neoplastic diseases.Objective: to characterize the main complications of ischemic cerebrovascular disease.Methods: a literature review was carried out, consulting 31 bibliographic references from the PubMed, ScIELO, Scopus and EMBASE databases up to September 2021. The following keywords were used: "cerebrovascular accident", stroke, "cerebral ischemia", "brain ischemia", complication, complication. Sixty-nine articles were selected and 45 were excluded because of methodological errors.Results: for a better study, complications were divided into neurological and non-neurological, the latter in turn divided into two groups: infectious and non-infectious.Conclusions: it was concluded that the appearance of complications on many occasions causes the death of the patients and among them, endocranial hypertension, bronchopneumonia, thromboembolic disease and disorders of the internal environment stand out due to their frequency and lethality

Proposal of training in cardio-pulmonary-cerebral emergencies and resuscitation for health non-professional eyewitnesses

Foundation: assisting emergencies and cardio respiratory cerebral failure is currently a priority; when it is performed by non- professionals from the very first minutes present at the moment at the place of event, results are favorable for the patient and the society.Objective: to describe the results of a training proposal for skill development in assisting emergencies and cardio-respiratory failure, for eyewitness non-health professionals.Methods: it is a quasi-experimental study with previous and after design, developed in the Holguin City, between January and July 2018. It was designed a training proposal of 5 hours face to face course (theoretical and practical course) for teaching resuscitation. It was worked with 108 persons, to whom a diagnostic test was applied before and after the educative intervention.Results: the group was composed mainly by teenagers and adults with high school level, who did not know about the topic since they had never been trained nor had information about the topic. The intervention improved theoretical and practical knowledge about resuscitation, skills for the diagnosis and the conduct before main cardio-respiratory disturbances, which require life support.Conclusion: the training proposal for developing skills for assisting emergencies and cardio-respiratory failure was accepted by the participating people in the course. It favored the acquisition of abilities and knowledge about resuscitation.</p

Mammalia paper slips

Introduction: premature deaths due to trauma have been considered worldwide epidemics. An alternative to reduce lethality is training, not only the medical personnel but also special groups of which can respond before these events. The Project for training and research in life support in emergencies and disasters may be an academic framework to achiev it. Objective: to update for the Project, the guidelines and the teaching strategy for training in life support to the traumatized patient. Method: National Workshop with 18 experts and 6 key informers, carried out the 10th and 11th of July 2018 in Cienfuegos. Technique brain storming and nominal group, semi-structured questionnaire and previous documentary review. Results: for teaching life support to the traumatized patient in postgraduate education: objectives, didactic elements, teaching strategy, content, abilities to develop, future research, and areas for inter-institutional collaboration. A structure for a prototype course was defined for teaching this topic and the main considerations for its execution. Conclusion: academic answers for the course ¨Advanced Life Support to the traumatized patient¨ allow approaching teaching in caring traumatized patients for the medical personnel