martes, 8 de marzo de 2011

Social Media: Medical Social Networking


Social Media: Barbara Ficarra on FOX News Live Talks About Medical Social Networking

Wednesday, March 2, 2011 21:21
By Barbara Ficarra, RN, BSN, MPA
Social networking and health care
Part One
Medical Professionals are using social media, such as Facebook, Twitterand You Tube to engage patients in their health.
They are using it to provide accurate information to help educate patients and to help empower them to be proactive and take charge of their health.
I joined Dr. Marc Siegel, host of FOX NEWS  to talk about how medical professionals and patients are using social networking.

Thank you to FOX NEWS for focusing on this hot topic.  I’m grateful I was given the opportunity to talk briefly about social media and health care.
In Part Two I will write a Q&A on Social Media:  Medical Social Networking.  I will give examples of medical professionals and hospitals engaging in social media, useful health sites and online communities for patients and more.
Your turn
We would love to hear from both medical professionals and patients.  How do you engage in social media?  Patients, what communities do you use?  Please share your experience with us.
As always, thank you for your time.
[Please note:  I'd like to give proper credit to Gary Schwitzer's website mentioned in the clip - it is HealthNewsReview.org, an excellent resource for journalists and consumers.]

Social Media: Medical Social Networking – Part 2

Monday, March 7, 2011 18:10
By Barbara Ficarra, RN, BSN, MPA
Medical Professionals Engaging in Social Media
A Comprehensive Guide
Part Two
I wish we had more time; the edited segment is 6 minutes and 17 seconds.
Social Media and Medical Professionals
In this post, “Social Media: Medical Social Networking – Part 2,” I give examples of medical professionals and hospitals engaging in social media, useful health sites and online communities for patients and more.
Below, I answer the questions:
  • HOW ARE MEDICAL PROFESSIONALS USING SOCIAL MEDIA TO IMPROVE PATIENT CARE?
  • ARE HOSPITALS EMBRACING SOCIAL MEDIA?
  • WHY ARE PATIENTS SO RECEPTIVE TO SOCIAL MEDIA?
  • WHY DO PATIENTS ENGAGE IN HEALTH COMMUNITIES AND WHAT KINDS OF COMMUNITIES ARE OUT THERE FOR PATIENTS LOOKING FOR SUPPORT?
  • WHAT IS THE BEST ADVICE FOR PATIENTS TO GET THE MOST OUT OF THEIR HEALTH CARE?
Social Media is a powerful and phenomenal platform to educate patients.  Social Media can help raise awareness of health issues and it offers a forum to collaborate and connect.
Social Media gives a voice to patients and it allows for the conversation to get started with their doctors and other health care professionals.
Health information is communicated in real-time and in a transparent style. Health Care is about the patient, the most important member of the health care team.  Patients want accurate, trustworthy and transparent health information.  Social media allows doctors and other health professionals to engage and share information.
Social Media is all about connection, collaboration, community, respect and patient engagement and empowerment.
Twitter offers an opportunity for doctors to provide instant feedback, faster than they can even from blogging.  This can range from providing updates on surgery, which Detroit’s Henry Ford Hospital has done, to giving opinions on the latest, breaking studies.  Twitter can provide more transparency to what goes on in the physician’s world, and allow both patients and other doctors to interact with one another in a quick, convenient way. -Kevin Pho, MD

Q&A on Social Media:  Medical Social Networking


HOW ARE MEDICAL PROFESSIONALS USING SOCIAL MEDIA TO IMPROVE PATIENT CARE?

Some medical professionals are using social media, such as Facebook, Twitter, You Tube, and Blogs to connect with patients to share trusted and accurate health information and to empower patients to be proactive in their health.  Others use it to simply collaborate with colleagues by exchanging journal articles and some medical professionals use it to “brand” their practice or highlight their latest book.
There are outstanding doctors, nurses and other health professionals using social media.
To find out which doctors, nurses and other health professionals are using twitter you can find a comprehensive list of stellar health professionals at Mashableand  OrganizedWisdom.  From dermatologists to endocrinologists to nurses, life coaches to health IT experts to health communicators and patient advocates; OrganizedWisdom lists these great groups of professionals plus many others.
Additionally, Dr. Val Jones, founder of Better Health network highlights anoutstanding group of health professionals’ blogs.
Doctors, Nurses and Other Health Professionals (Only a few of the many outstanding medical professionals-in no particular order)-
Additionally, Sean Gardner (@2morrowknight), Joyce Cherrier (@JoyceCherrier) and Sung Lee (@Sung_H_Lee) are great folks who tweet and retweet about health.

ARE HOSPITALS EMBRACING SOCIAL MEDIA?

Doctors, nurses and other health professionals aren’t the only ones using social media, some hospitals are embracing this powerful platform.
Hospitals
PR firm Burson-Marsteller studied the 100 largest companies in the Fortune 500 list and found that 79% of them use TwitterFacebook,YouTube or corporate blogs to communicate with customers and other stakeholders…Twitter is the most popular platform that the companies use; two-thirds of the Fortune 100 have at least one Twitter account. –Mashable
Big companies have a message to share and health care professionals can tap into what these fortune 500 companies are doing and learn from them.  Medical professionals have a message to share as well—whether it’s sharing a blog post, communicating late breaking health news or simply sharing health information that can help improve lives or raise awareness; social media taps into the lightning fast world of real-time information.
If you’re wondering what hospitals are engaging in social media, Ed Bennett, web manager at the University of Maryland Medical Center (UMMC) complied acomprehensive list, the Hospital Social Network List.
U.S. Hospitals that use Social Networking tools updated on January 23, 2011
The list is comprised of 906 Hospitals in total:
  • 448 YouTube Channels
  • 719 Facebook pages
  • 674 Twitter Accounts
  • 439 LinkedIn Accounts
  • 693 Four Square
  • 106 Blogs
3,087 Hospital Social Networking Sites
It’s easy to find hospitals by state that use TwitterFacebookYou Tube,BlogsLinkedin, and Foursquare.
For example, since I’m located in New York, I’m curious about which hospitals engage in social networking.  According to Bennett’s list, there are 95 hospitals that are on the cutting-edge using social media to engage their patients.  45 of those are on You Tube, 85 are on FaceBook, 52 are on Twitter, 66 are on Linkedin, 79 use Foursquare, and 5 of these hospitals have blogs.  When you click “New York” you will come across the comprehensive list of hospitals engaging in social media.  I am surprised that there are not more hospitals with blogs.
The main reason that hospitals are engaging in social networking is because “they are doing it for the same reason most organizations get involved in social media; a desire to stay connected with their audiences,” says Ed Bennett in an email response.  He added, “For hospitals that includes patients, physicians, researchers, and other health care professionals.  They are using it to exchange information, promote best practices and be responsive to any issues that may arise.”
Since social media is such a powerful platform for hospitals to share information, why are hospitals not engaging in social media?   “The primary reason is resources,” said Bennett.  “Most of the hospitals doing social media are larger facilities. They have the resources and communications staff to do a good job with social media.”
After reviewing the list of hospitals that engage in social media, I was surprised to find that many hospitals are not using blogs; “staff and resources are the main factor” said Bennett.  “It takes time to write and manage a blog.”   Bennett encourages hospitals to begin with the popular social media channels such as Facebook and Twitter since they are easier to start using. “But even a small presence is important. The public is seeking reliable health information, and hospitals are in a unique position to provide accurate guidance.”

WHY ARE PATIENTS SO RECEPTIVE TO SOCIAL MEDIA?

Patients are receptive to Social Media because today’s patients are smart and technology savvy.
Today’s patients are empowered and they are known as the “e-patient”— Dave deBronkart, (e-patient Dave) diagnosed with advanced kidney cancer quickly became engaged in the internet searching desperately for health information and support. He became an empowered and engaged patient surrounding himself with invaluable information and support.
Patients are using the internet to gather health information.  In fact, in a Pew Internet Study, 60% of e-patients, access social media related to health.
Patients want a relationship with their doctors and health care providers.  They don’t want to be told what to do; instead they want to work together with their providers to develop a plan that meets their needs.
I asked Dave about his experience as an e-patient. “I joined the online health communities and found affirmation that I was indeed at the right hospital, and I obtained firsthand experiences from other patients learning what they went through.” Enthusiastically and adamantly he said, “People search for information about everything else, why wouldn’t they search for health information to try to help themselves in a crisis.”

WHY DO PATIENTS ENGAGE IN HEALTH COMMUNITIES AND WHAT KINDS OF COMMUNITIES ARE OUT THERE FOR PATIENTS LOOKING FOR SUPPORT?

The reasons health consumers engage in health communities are simple.
They are looking for emotional and informational support. By engaging in online health communities many people find the emotional support they are looking for. They find reassurance from other people going through the same experience.
They can collaborate and share information. They gather health information from various sites to help them gain knowledge.
A couple communities are Inspire.com and PatientsLikeMe.com.
What does being part of the community at inspire.com achieve for patients?  “We surveyed our members and asked them what they most value from participating in Inspire,” said Brian Loew, CEO and co-founder. “The two leading answers were almost a tie. The first is emotional support members provide one another, and the second is practical support regarding how to deal with aspects of their condition.”
Let us know what health communities you engage in.  Share your insightful thoughts in the comment section below.

WHAT IS THE BEST ADVICE FOR PATIENTS TO GET THE MOST OUT OF THEIR HEALTH CARE?

The best advice for patients is to be proactive in their health.  It’s important to be an empowered patient and to always take charge of your health.
Communication is critical.
Patients need to have a good relationship with their doctors and other health care providers.  They need to speak up and ask questions.
By searching online for health information, reading blogs from outstanding medical professionals, being part of patient online communities; can aid in helping patients learn the right questions to ask and to get the answers they need.
Be smart and savvy and be empowered—do your homework—research accurate and trusted sites—gather health information and talk to your doctor.
Social Media gives patients a voice and helps get the conversation started.
Bottom line
It’s important for doctors, nurses and other health professionals to understand that Google, Twitter, Facebook and other social media sites, health news and information sites and online patient community sites will not replace them. It’s simply a tool that offers additional information, and it allows the conversation to get started between health provider and patient. Doctors, nurses and other health providers need to engage in social media platforms to help educate the health consumer.
They have the power to provide accurate, reliable and truthful information. They should not shun away from the internet but embrace it and join forces with the health consumer. Partnering together is a very useful since patient empowerment and patient engagement is essential in the doctor/nurse–patient relationship.
Social Media starts the conversation, but face-to-face communication with your doctors and other health care professionals remains paramount.
If you’re still unsure about embracing social media, Phil Baumann offers a widespread list for the 140 health care uses for Twitter.
Helpful Sites for Medical Professionals and Hospitals:
A few trusted sites:
Your turn
We would love to hear from you.  Please share your insightful thoughts in the comment section below.  If you’re a medical professional, are you embracing social media?
Health Consumers and patients, how do you engage in social networking?  Is it helpful?
[Side note:  The names mentioned above are only a few of the many wonder medical and health professionals engaged in social media.]

lunes, 7 de marzo de 2011

Los Robot-Cuidadores no son bienvenidos en Japón


7 de marzo de 2011

Los Robot-Cuidadores no son bienvenidos en Japón


Robot cuidador
Japón, al igual que todos los países económicamente más desarrollados, tiene un graveproblema de envejecimiento poblacional. El número de pacientes geriátricos se multiplica cada año y al mismo tiempo la mano de obra joven se desploma, la solución nipona no podía ser otra que la de invertir en tecnología. En el caso de la sanidad, los japoneses han mostrado ya varias apuestas para que sean robots los que se encarguen de proporcionar servicios de cuidados básicos.
No sé lo que opinaran de todo esto l@s compañer@s de la blogosfera sanitaria que dedican su vida al cuidado de los enfermos. Parece que los principales implicados lo tienen claro, ancianos y enfermos japoneses se han mostrado bastante recelosos ante estas medidas. Los pacientes insisten en la necesidad del contacto humano, en lo insustituible que resulta poder entablar una conversación entre iguales y en que esto contribuye a la curación tanto o más que el propio tratamiento. De hecho, la negativa de los pacientes ya ha dejado aparcados varios proyectos muy ambiciosos.
Sin embargo los desarrolladores del proyecto argumentan que sin la ayuda de los robots el sistema sanitario nipón será insostenible en pocos años. Y aunque se han visto obligados a reorientar sus pretensiones, siguen adelante con el perfeccionamiento de algunos modelos que se encarguen, entre otros, de lavar el pelo o pasear a los enfermos.
Posiblemente este tipo de robots enfocados a tareas más sencillas, que no tengan un aspecto humanoide ayudarán a evitar el efecto inquietante que se produce entre los japoneses que han sido atendidos por robots-cuidadores. Veremos hacia donde nos llevan estas nuevas líneas de investigación.

Perdiendo la visión: glaucoma

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Perdiendo la visión: glaucoma

Publicado por Dr. Guzmán | Fecha: Martes, 1 marzo 2011No hay Comentarios









El destino me ha llevado hacia este hospital en el centro de Coyoacán, en el D.F. Paradójicamente, se le conoce como “la Ceguera”, y me pregunto qué pensará la gente cuando acude a una institución con este nombre. Será que ni lo piensan, ya que en el hospital “Dr. Luis Sánchez Bulnes” se trabaja día con día justamente para evitar esta condición. Es la Asociación para Evitar la Ceguera en México.  Aquí se ve todo tipo de enfermedad, y se atiende aproximadamente 1, 500 pacientes al día. Es un buen lugar para darse cuenta de qué es lo que aqueja más al mexicano, en cuanto a patología ocular se refiere. Y el glaucoma, figura como primera causa de ceguera irreversibleen nuestro país.
Empezaremos por definir el término: el glaucoma es una enfermedad caracterizada por pérdida progresiva de los campos visuales, debido a un daño en el nervio óptico. El nervio óptico es el cable que conecta la retina (capa del ojo donde se proyecta la imagen y se convierte en un impulso eléctrico) con la corteza cerebral (en esta última, se interpreta el estimulo visual).  Es decir, los pacientes poco a poco van perdiendo la visión periférica, hasta que sólo conservan la visión central, y ven como a través de un túnel, y al perder la visión periférica, se hacen más propensos a caídas y puede haber discapacidad importante.
¿Qué puede predisponerme a padecer Glaucoma?
Hay muchos datos que hacen que una persona sea sospechosa para glaucoma:
A)     Antecedentes en la familia. Si usted tiene algún familiar en primer grado (padres, hermanos) que padecen esta enfermedad.
B)      Anomalías en el nervio óptico. Se sospecha de glaucoma si se tiene una excavación del nervio óptico mayor a 2/3 (esto es un dato que sólo puede ser evaluado en la consulta de oftalmología)
C)      Presión intraocular elevada. Así como se mide la presión arterial, el ojo también tiene un rango de presiones normales. Si esta presión se encuentra elevada, éste es un dato que hace pensar en la posibilidad de glaucoma (Tambien es un dato que sólo puede ser evaluado en la consulta de oftalmología).
Como puede ver, para prevenir esta enfermedad es importante realizarse una consulta oftalmológica a tiempo, ya que es la única manera de saber el estado de los campos visuales y el nervio óptico. Recuerde que la visión es quizá el sentido más importante para valernos por nosotros mismos y ser independientes.
El glaucoma es una de muchas razones más para realizarnos una revisión médica anual. En LUDI incluimos una valoración oftalmológica completa (campos visuales y medición de la presión intraocular) en nuestros chequeos médicos.

Fumadoras arriesgan corazón de bebés


Fumadoras arriesgan corazón de bebés
Hallazagos en estudios sugieren que eliminar el tabaquismo antes o muy temprano en el embarazo puede prevenir estos casos
SUMEDICO
México, D.F. 7 de marzo de 2011
Recientemente, un estudio realizado en la Universidad de Michigan encontró que si la mamá está deprimida durante el embarazo, el bebé nacerá con niveles mayores de estrés, menos tono musculas y otras deficiencias conductuales y neurológicas.
Para realizar el estudio se analizó a 154 mujeres embarazadas mayores de veinte años, cuyos síntomas de depresión fueron evaluados a las semanas 28, 32 y 37 de embarazo y de nuevo al momento del parto, lo que arrojo bebés más sensibles al estrés.
Pero además, los bebés nacidos de mujeres que fuman en el primer trimestre del embarazo tienen más probabilidades de sufrir de un defecto cardiaco congénito que los de madres que no fuman, muestra un nuevo estudio.
El aumento del riesgo varió entre veinte y setenta por ciento, según el tipo de defecto. Los defectos cardiacos detectados incluían aquellos que obstruyen el flujo sanguíneo del lado derecho del corazón a los pulmones, llamados obstrucciones del tracto de salida del ventrículo derecho, y aperturas entre las cámaras superiores del corazón, conocidos como defectos septales auriculares.
Para el estudio, que aparece en la edición del 28 de febrero de la revista Pediatrics, investigadores de los Centros para el Control y la Prevención de Enfermedades (CDC) de EE. UU. analizaron datos sobre 2,525 bebés que tenían defectos cardiacos congénitos y 3,435 bebés sanos nacidos en Baltimore y Washington, D.C. entre 1981 y 1989.
Los hallazgos de este y otros estudios sugieren que eliminar el tabaquismo antes o muy temprano en el embarazo podría prevenir hasta cien casos de obstrucciones del tracto de salida del ventrículo derecho y 700 casos de defectos septales auriculares cada año en Estados Unidos, según los CDC. Tan sólo con los defectos septales auriculares se podría ahorrar hasta $16 millones al año en costos de hospital, según la agencia.
"Las mujeres que fuman y piensan quedar embarazadas deben dejar de fumar, y si ya están embarazadas, tienen que dejar de hacerlo", aseguró en un comunicado de prensa de los CDC el doctor Thomas R. Frieden, director de la agencia. "Dejar de fumar es lo más importante que una mujer puede hacer para mejorar su salud, y la de su bebé".
El doctor Adolfo Correa, ejecutivo médico del Centro Nacional de Defectos del Nacimiento y Discapacidades del Desarrollo de los CDC, apuntó que "dejar de fumar exitosamente durante el embarazo también reduce las probabilidades de complicaciones del embarazo como el parto prematuro y que el bebé tenga otras complicaciones como bajo peso al nacer".
Los defectos cardiacos congénitos, que trastornan la función cardiaca y pueden aumentar el riesgo de muerte o discapacidad a largo plazo, afectan a hasta 40 mil bebés de EU. cada año, y contribuyen a alrededor del treinta por ciento de las muertes infantiles causados por defectos congénitos.
Cada año en Estados Unidos nacen unos 2 mil 500 bebés con obstrucciones del tracto de salida del ventrículo derecho y unos 5,600 con defectos septales auriculares. En 2004, los costos hospitalarios estimados de Estados Unidos por todos los defectos cardiacos congénitos totalizó $1.4 mil millones, según los CDC. (Con informaciónde Medline Plus)

Multiple sclerosis blocked in mouse model

Public release date: 7-Mar-2011
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Contact: Michael C. Purdy
purdym@wustl.edu
314-286-0122
Washington University School of Medicine 

Multiple sclerosis blocked in mouse model

Barring immune cells from brain prevents symptoms

Scientists have blocked harmful immune cells from entering the brain in mice with a condition similar to multiple sclerosis (MS).
According to researchers from Washington University School of Medicine in St. Louis, this is important because MS is believed to be caused by misdirected immune cells that enter the brain and damage myelin, an insulating material on the branches of neurons that conduct nerve impulses.
New insights into how the brain regulates immune cell entry made the accomplishment possible. Washington University scientists had borrowed an anti-cancer drug in development by the company ChemoCentryx simply to test their theories.
"The results were so dramatic that we ended up producing early evidence that this compound might be helpful as a drug for MS," says Robyn Klein, MD, PhD, associate professor of pathology and immunology, of medicine and of neurobiology. "The harmful immune cells were unable to gain access to the brain tissue, and the mice that received the highest dosage were protected from disease."
ChemoCentryx is now testing the drug in Phase I safety trials. The study is published in The Journal of Experimental Medicine.
Klein and her colleagues discovered a chemical stairway that immune cells have to climb down to enter the brain. Immune cells that exit the blood remain along the vessels on the tissue side, climbing down from the meninges into the brain where they can then cross additional barriers and attack myelin on the branches of neurons.
"The effect of immune cell entry into the brain depends on context," Klein says. "In the case of viral infection, immune cell entry is required to clear the virus. But in autoimmune diseases like multiple sclerosis, their entry is associated with damage so we need to find ways to keep them out."
The stairway is located on the tissue side of the microvasculature, tiny vessels that carry blood into the central nervous system. The steps are made of a molecule called CXCL12 that localizes immune cells, acting like stairs that slow them down so that they can be evaluated to determine if they are allowed to enter the brain. Klein's lab previously discovered that the blood vessel cells of the microvasculature display copies of this molecule on their surfaces.
Klein also found that MS causes CXCL12 to be pulled inside blood vessel cells in humans and mice, removing the stairway's steps and the checkpoints they provide. In the new paper, she showed that blocking the internalization of the molecule prevented immune cells from getting into the brain and doing harm.
Work by another lab called Klein's attention to CXCR7, a receptor that binds to CXCL12. She showed that the receptor is made by the same cells in the microvasculature that display CXCL12. They watched the receptor take copies of CXCL12 and dump them in the cells' lysosomes, pockets for breakdown and recycling of molecules the cell no longer needs.
"After it dumps its cargo in the lysosome, the receptor can go right back to the cell surface to pull in another copy of CXCL12," Klein says. "There likely exists an equilibrium between expression and disposal of CXCL12. Some of the proteins expressed by the immune cells in MS patients affect CXCR7 expression and activity, disrupting the equilibrium and stripping the steps from this immune cell stairway we're studying."
Klein contacted researchers at ChemoCentryx, who were developing a blocker of the CXCR7 receptor as a cancer treatment. When they gave it to the mouse model of MS, immune cells stopped at the meninges.
Klein also found that immune factors could cause microvasculature cells to make more or less of CXCR7, ramping up or down the number of steps on the chemical stairway. She is currently investigating additional immune factors that impact on CXCR7 activity within the blood vessel cell. Whether a given factor promotes or suppresses the receptor may also differ depending upon what part of the brain is being considered.
"One of the biggest questions in MS has been why the location, severity and progression of disease varies so much from patient to patient," Klein says. "Getting a better understanding of how these factors regulate immune cell entry will be an important part of answering that question."
###
Cruz-Orengo L, Holman DW, Dorsey D, Zhou L, Zhang P, Wright M, McCandless EE, Patel JR, Luker GD, Littman DR, Russell JH, Klein RS. CXCR7 influences leukocyte entry into the CNS parenchyma by controlling abluminal CXCL12 abundance during autoimmunity. The Journal of Experimental Medicine, Feb. 7, 2011.
Funding from the National Institutes of Health, the National Institute of Neurological Disorders and Stroke and the National Multiple Sclerosis Society supported this research.
Washington University School of Medicine's 2,100 employed and volunteer faculty physicians also are the medical staff of Barnes-Jewish and St. Louis Children's hospitals. The School of Medicine is one of the leading medical research, teaching and patient care institutions in the nation, currently ranked fourth in the nation by U.S. News & World Report. Through its affiliations with Barnes-Jewish and St. Louis Children's hospitals, the School of Medicine is linked to BJC HealthCare.

Medical Experts Discuss Prevention and Emergency Planning and Management of Sudden Cardiac Arrest in Athletes


Medical Experts Discuss Prevention and Emergency Planning and Management of Sudden Cardiac Arrest in Athletes

As part of an ongoing effort to reduce the catastrophic athletic injuries and illnesses among athletes in New Jersey, the Athletic Trainers’ Society of New Jersey (ATSNJ) holds it 25th annual educational conference.

(Left to Right) Robb Rehberg, Eric Nusbaum and Mike Prybicien Discuss Health Care Issues
Quote startIt’s vital that comprehensive emergency planning, management and preparations are in place and that a licensed athletic trainer is on staff to ensure a timely and efficient response to sudden cardiac arrest (SCA) at sporting events and practices.Quote end
Plainsboro, NJ (PRWEB) March 5, 2011
A group of leading medical experts to in the field of catastrophic athletic injuries and illnesses presented the latest in science and practical management techniques, at the Athletic Trainers’ Society of New Jersey (ATSNJ) 25th Annual Educational Conference in Plainsboro. The ATSNJ holds the conference each year as a means to educate health care providers who play a role in the management of sports related injuries and illnesses.
While rare, sudden cardiac death (SCD) is the leading cause of death in young athletes. Approximately, 100 sudden cardiac deaths are reported in the United State each year, accounting for about one in every 200,000 high school athletes.
Christine Lawless, MD, the only physician in the United States to be dual certified in cardiology and sports medicine discussed the importance of the role that parents and athletic trainers play in the early detection of cardiac issues. According to Dr. Lawless, “good listening skills are the key to early detection and prevention of sudden cardiac death”. Chief cardiac complaints that she specifically noted were chest pain, shortness of breath, fatigue, black out spells and heart palpitations. She stated “these should always be considered cardiac complaints until proven otherwise.”
Dr. Perry Weinstock , the Director of Clinical Cardiology at Cooper University Hospital stated that “while it is impossible to prevent all sudden cardiac deaths, with proper screenings we can reduce the number of incidences.” He continued “ that if either a parent, an athletic trainer, primary health care provider or school physician has concerns after an initial health screening or because of complaints from the child, a referral to a child heart specialist, a pediatric cardiologist, is recommended.”
In the event of sudden cardiac arrest, the strongest determinate of survival is the time from cardiac arrest to defibrillation. Dr.Robb Rehberg, a professor at William Paterson University and ATSNJ Past-President, expressed the ATSNJ’s support of sports programs to prepare comprehensive guidelines for emergency planning and management of sudden cardiac arrest in athletics. “Increased training and the practicing of emergency action plans will help rescuers correctly identify sudden cardiac arrest (SCA) and prevent critical delays in beginning resuscitation.” He also emphasized that sudden cardiac arrest can happen to not only athletes but to officials, team staffs and spectators alike. “It’s vital that comprehensive emergency planning, management and preparations are in place and that a licensed athletic trainer is on staff to ensure a timely and efficient response to sudden cardiac arrest (SCA) at sporting events and practices.”
To manage SCA during athletic practices and competitions, many health-related organizations have issued management guidelines.
The ATSNJ recommends following a consensus statement that was developed with input from the following groups: American Academy of Emergency Medicine, American Academy of Pediatrics, American College of Emergency Physicians, American College of Sports Medicine, American Heart Association, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, American Osteopathic Academy for Sports Medicine, American Physical Therapy Association Sports Physical Therapy Section, National Association of Emergency Medical Service Physicians, National Association of Emergency Medical Technicians, National Athletic Trainers’ Association, National Collegiate Athletic Association, National Federation of State High School Associations, and Sudden Cardiac Arrest Association. Its key recommendations include:
1.         Emergency Preparedness 
  •     Every school, group or institution that sponsors athletic activities should have a written and structured emergency action plan (EAP).
  •     The EAP should be developed and coordinated in consultation with local EMS personnel, school public safety officials, on-site first responders and school administrators.
  •     The EAP should be specific to each individual athletic venue and encompass emergency communication, personnel, equipment and transportation to appropriate emergency facilities.
  •     The EAP should be reviewed and practiced at least annually with certified athletic trainers, team and attending physicians, athletic training students, school and institutional safety personnel, administrators and coaches.
  •     Targeted first responders should receive certified training in CPR and automated external defibrillator (AED) use.
  •     Access to early defibrillation is essential, and a target goal of less than three to five minutes from the time of collapse to the first shock is strongly recommended.
  •     Review of equipment readiness and the EAP by on-site event personnel for each athletic event is desirable.
2.         Management of Sudden Cardiac Arrest 
  •     Management begins with appropriate emergency preparedness, CPR and AED training for all likely first responders, and access to early defibrillation.
  •     Essential components of SCA management include early activation of EMS, early CPR, early defibrillation and rapid transition to advanced cardiac life support.
  •     High suspicion of SCA should be maintained for any collapsed and unresponsive athlete.
  •     SCA in athletes can be mistaken for other causes of collapse. Rescuers should be trained to recognize SCA in athletes with special focus on potential barriers to recognizing SCA including inaccurate rescuer assessment of pulse or respirations, occasional or agonal gasping and myoclonic or seizure-like activity.
  •     Young athletes who collapse shortly after being struck in the chest by a firm projectile or by contact with another player should be suspected of having SCA from a condition known as commotio cordis.
  •     Any collapsed and unresponsive athlete should be managed as a sudden cardiac arrest with application of an AED as soon as possible for rhythm analysis and defibrillation, if indicated.
  •     CPR should be provided while waiting for an AED.
  •     Interruptions in chest compressions should be minimized and CPR stopped only for rhythm analysis and shock.
  •     CPR should be resumed immediately after the first shock, beginning with chest compressions, with repeat rhythm analysis following two minutes or five cycles of CPR, or until advanced life support providers take over or the victim starts to move.
  •     Rapid access to the SCA victim should be facilitated for EMS personnel.
Rehberg also advocates that sports programs develop formal emergency action plans and practice them to best prepare themselves for emergency situations when they occur.
ABOUT THE ATHLETIC TRAINERS’ SOCIETY OF NEW JERSEY
ATSNJ, Inc. consists of licensed athletic trainers, physicians and other allied health care
professionals whose goal is to promote quality healthcare for athletes in any setting. For more information please visit http://www.atsnj.org
=
References*
1.    Hazinski MF, Markenson D, Neish S, et al. Response to cardiac arrest and selected life-threatening medical emergencies: the medical emergency response plan for schools: A statement for healthcare providers, policymakers, school administrators, and community leaders. Circulation 2004;109(2):278-91.
2.    Andersen J, Courson RW, Kleiner DM, McLoda TA. National Athletic Trainers' Association Position Statement: Emergency Planning in Athletics. J Athl Train 2002;37(1):99-104.
3.    Drezner JD, Courson RW, Roberts WO, Mosesso VN, Link MS, Maron BJ. Inter-Association Task Force Recommendation on Emergency Preparedness and Management of Sudden Cardiac Arrest in High School and College Athletic Programs: A Consensus Statement

REMI en Facebook


REMI envía todos sus contenidos gratuitamente por correo electrónico a más de 9.100 suscriptores. [Suscripción]
Noticias. Vol 11 nº 3,  marzo 2011.

REMI, en Facebook
Coincidiendo con el décimo aniversario de REMI, empezamos a tener presencia en Facebook. Accede a la siguiente página:

http://www.facebook.com/pages/REMI/10150116141980156

Si ya eres usuario de Facebook, entrarás de forma inmediata. En caso contrario tendrás que registrarte como usuario de Facebook; te recomendamos que lo hagas, si te interesa comunicarte con tus amigos o colegas.

Facebook nos permitirá mantener una comunicación continua a los más de 9.000 suscriptores de REMI, y a cualquier otra persona interesada que desee aportar sus comentarios y opiniones sobre cualquiera de los temas tratados. Cada artículo REMI se incluirá en Facebook el mismo día que se envíe por correo electrónico a los suscriptores, y allí podrá ser comentado por cualquier visitante. Ésto no solo aumentará la visibilidad de REMI entre los no suscriptores, sino que también permitirá aumentar la participación de los lectores, una vieja aspiración que hasta ahora ha sido difícil de materializar.

No hay por qué ceñirse a los temas propuestos en los artículos REMI: podemos introducir cualquier asunto que nos interese tratar, y cualquiera podrá opinar sobre el mismo.

La página de REMI en Facebook se abre para intercambiar información, opiniones y conocimientos relacionados con la asistencia al enfermo crítico. La página tiene los mismos objetivos que los de la revista, y está dirigida exclusivamente a profesionales.

Nos vemos allí. Un saludo:

Eduardo Palencia Herrejón, Ramón Díaz-Alersi, Vicente Gómez Tello
Redacción REMI
©REMI, http://remi.uninet.edu. Marzo 2011.


Juegos educatívos paa mejorar la alimentación de los niños


Health Games 
http://www.archimage.com/health-games.cfm





  • Escape From Diab

    Escape from Diab is an NIH-funded serious PC adventure in healthy eating and exercise that focuses on obesity and type 2 diabetes prevention. The game combines character-driven storytelling, 3D computer animation, and health-focused gameplay with evidence-based behavior modification theories. The story centers around five children who must get healthy enough to escape the evil King Etes. Over 60 minutes of computer animated cutscenes guide the player through goal setting, problem solving, energy balance, and other gameplay activities.
  • Nanoswarm: Invasion from Inner Space

    Nanoswarm is a role-playing PC adventure, funded by the NIH, which is designed to target obesity and type 2 diabetes in children. Nanoswarm is the story of four teenage scientists and the player, nicknamed Wings, who are must save the world from an plague that threatens the health of the global community and pilot a microscopic ship through the body of Fred, their friend who suddenly became ill from an unknown condition that threatens the health of the world. As Wings, the player must set and achieve real life goals to eat more fruit and vegetables and be physically active to win the game.
  • Comfort Zone: Prostate Cancer Treatment Options

    Comfort Zone is a web-based game, designed for the Abramson Center for the Future of Health. It gives recently diagnosed Prostate Cancer patients the ability to explore their questions and concerns about treatment options. The game uses friendly spin-the-wheel and card game mechanics, making play easy for older adult audiences. This is coupled with a complex data matrix, backed by baseline patient data and post treatment surveys. Through gameplay, patients are able to create an informed list of questions for their doctor.
  • Baylor College of Medicine: Squire's Quest! 2

    The Squire's Quest! 2 research project is the follow-up to CNRC's successful Squire's Quest! project. Eight animated characters interact with the player, a Squire, who must save the mediaeval Kingdom of Fivealot from the sneaky King Ssynster by meeting FJV goals and earning enough badges to become a Knight. Squire's Quest! 2 includes over 60 minutes of animation which guides the player through a rich storyline, ten casual games, a virtual kitchen, and FJV behavior-change components.
  • Baylor College of Medicine: Family Eats 2

    Baylor College of Medicine was funded to give the 2004 Family Eats program a face-lift to appeal to today's modern African-American mom. A new web environment complete with custom artwork and animated characters. Like its predecessor, Family Eats 2 includes educational animations, custom designed admin tools, and personal tracking for the site visitor. The program aims to address barriers busy families face when trying to plan and prepare healthy meals together.
  • National Cancer Institute: ASA24 Dietary Recall Tool

    The goal of this project was to create an engaging, user-friendly experience to replace traditional costly dietary recall interviews with a registered dietician. The software includes tutorials for respondents, an animated character guide, quick food list browsing, and back-end technology so researchers can add their own text scripts, study logo, and monitor study progress.