El Mico Familiar Rural en la Sala de Emergencia

Tara Johnson Bruns

Resumen


Este artulo revisa la literatura mica que discute el conocimiento y las habilidades en medicina de emergencia que un mico de familia que practica en eas rurales debe poseer. Adicionalmente, un mico de emergencias comparte recomendaciones para micos de familia rurales basdose en un estudio epidemiolico que busca las principales quejas realizadas en un peque hospital en el Ecuador rural.

Objetivo:Conocer mediante una investigaci bibliogrica, los conocimientos y destrezas que un mico de familia debe poseer en las salas de emergencia en zonas rurales. .

Metodolog:Se realiza una breve revisi de la literatura mica sobre las recomendaciones para micos familiares rurales en los EEUU. Concluyendo con recomendaciones contextualizadas, para la formaci de micos familiares rurales en Ecuador.

Resultados:La revisi de la literatura indica la escasez de especialistas en emergencias, en eas rurales en los EEUU, y m a en paes como Ecuador, y el impacto que puede significar un mico de familia rural con conocimientos y destrezas para la atenci de emergencias. Algunas de esas destrezas son mencionadas para la formaci de micos familiares rurales en Ecuador incluyen: destrezas en Ecograf, competencia avanzada para liderar el soporte vital avanzado, y un conocimiento profundo del sistema de salud para saber co superar las limitaciones que presenta.

Conclusi:La falta de especialistas en emergencia en eas rurales es una realidad en varios sitios en el mundo. Una estrategia de corto plazo, es incluir en la formaci de los micos familiares, conocimientos y destrezas en la atenci de emergencias.

Summary

Thus article reviews medical literature that discusses the knowledge and skills in emergency medicine that a family physician practicing in rural areas should possess. Additionally, an emergency medicine physician shares recommendations for rural family physicians based on an epidemiologic study looking at chief complaints conducted in a small hospital in rural Ecuador.

Methodology:A brief review of the medical literature was conducted regarding recommendations for family physicians working in small emergency departments in rural hospitals in the United States. Subsequently, an experience of working in a rural hospital emergency department is shared. Finally, suggestions are made for the formation of family physicians in rural Ecuador.

Results:A review of the medical literature indicates a a shortage of residency trained emergency medicine physicians in rural United States, and the impact a well-trained rural family physician can have with knowledge and skills in emergency medicine care. Some of these skills are mentioned in the Ecuadorian context through a reflection from a rural hospital in the Northwest Pichincha province. Suggestions for the formation of rural family physicians include: ultrasound skills, advanced life support skills, a strong understanding of the healthcare system to better navigate it.

Conclusion:The shortage of residency trained emergency medicine physicians in rural areas is common worldwide. A strategy to train rural family physicians with knowledge and skills in emergency medicine exists in various countries and should be considered in Ecuador.


Palabras clave


Medicina familiar; medicina rural; emergencia

Texto completo:

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Referencias


Insitute of Medicine, The Future of Emergency Care in the United States Health System, Hospital Based Emergency Care: At the Breaking Point, The Emergency Care Workforce June, 2006, www.iom.edu

Graduate Medical Exam National Advisory Counsel report on the Number of Persons Needed to Support Specific Physician Specialties.

Graham Center One-Pager, Peterson LE et al, Family Physicians Help Meet the Emergency Care Needs of Rural America, AFP April 1, 2006, 73:7

Critical Cghallenges for Family Medicine: Delivering Emergency Medical Care Equipping Family Physicians for the 21st Century (Position Paper) http://www.aafp.org/about/policies/all/critical-challenges.html accedido 10 Mayo 2016

Acreditation Council for Graduate Medical Education. Program Requirements for Graduate Medical Education in Family Medicine. Chicago, Il (2006)

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Carter D, Ruiz E, Lappe K. Comprehensive Advanced Life Support: a course for rural emergency care teams. Minnesota Medicine Noviembre 2001. www.mmaonline.net

Johnson T, Gaus D, Herrera D. Emergency Department of a Rural Hospital in Ecuador. Western Journal of Emergency Medicine. 17:1, (2016): 66-72.

Duke, T and Cheema B. Paediatric emergency and acute care in resource poor settings. Journal of Paediatrics and Child Health. 52 (2016): 221-226.

Casaletto JJ, Wadman MC, Ankel FK, Bourne CL. Emergency medicine rural rotations: A program directors guide. Annals of Emergency Medicine. 61:5, (2013): 578-584.

Stolz LA, Muruganandan KM, Bisanzo MC, et al. Point-of-care ultrasound education for non-physician clinicians in a resource-limited emergency department. Tropical medicine and international health. 10:8, (2015): 1067-1072.

Sippel S, Muruganandan K, Levin A, Shah S. Review article: Use of ultrasound in the developing world. International Journal of Emergency Medicine. 4:72, (2011): 1-11.

Menser TL, Radcliff TA, Schuller KA. Implementing a medical screening and referral program for rural emergency departments. The Journal of Rural Health. 31 (2015): 126-134.




DOI: http://dx.doi.org/10.23936/pfr.v0i3.162

DOI (VER EN L͍NEA): http://dx.doi.org/10.23936/pfr.v0i3.162.g225

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