1.

Introduction to emergencies and emergencies

 This document will deal with emergencies and the processes that must be carried out to
address them, the management involved and the resources needed. We will also analyze
the transfer and medical facilities if they are adequate for all the patient's needs.

We will analyze the levels of training and qualifications that medical emergency personnel
have, studying compliance with official standards and regulations in terms of health and
education, study terminology and analysis of quality control and improvement that can be
applied to the medical emergency system.

A good health care system must have a framework and a regular collection of operational
definitions for scientific and policy analysis of relevant issues.

We will check the structure and provision of medical and nursing resources of the out-of-
hospital medical emergency (SEM) systems and the Emergency Coordination Centers.
We will analyze the changes in the environment, the reaction capacity and the daily
processes that a specialist must experience.

There are several complications that can arise in a patient, due to poor practice or late
care, by the medical staff at the time of an emergency or medical emergency, so it is
vitally important that all staff be well trained, have various knowledge and the necessary
skills to be able to diagnose and effectively manage the scenarios. that may occur in your
daily life.

 There are several diagnoses that can be given to different patients in a case of medical
emergency, so a classification is necessary, for which we have a classification tool known
as "emergency triage" or emergency triage and emergencies, which is a fundamental
health care process, which is carried out in an appropriate environment, and must be
carried out by qualified and trained professionals

For this reason , medical emergencies and emergencies are currently considered one
of the main health problems, since they produce high morbidity and mortality in
numerous countries in the world. 1
Particularly, Emergency Medical Services in Ecuador have not managed to
consolidate themselves as a specialized area of the health sector and do not have
specific tools for this type of services. Prehospital care does not only represent the
rapid transportation of a patient, but also seeks to provide human and material
resources that allow procedures to be performed or medications to be administered,
in order to stabilize their clinical condition until they receive definitive specialized
assistance. 2
The medical professional who works in emergency services plays a primary role,
which is why it is very necessary that doctors be trained in a regulated manner so
that they are able to carry out their work efficiently. 3
It is very important to emphasize that the time factor is paramount in an emergency
or urgency; in addition, there must be an adequate selection of diagnostic and
therapeutic measures that lead to saving the patient's life. 4
Prehospital medicine is the fruit of the moral and ethical responsibility of society
and health professionals to help people who have suffered acute health problems, of
 varying complexity and which very often occur in high-risk scenarios for the
provider. and the patient himself. 5

 Urgent and Emergency Medicine (EMM) is broad and is based on the diagnosis and
management of acute injuries and illnesses, distinguishing the most seriously ill
from the less seriously ill, and identifying patients who need hospital admission.
Learning to multitask, triage, and care for multiple patients with heterogeneous
diseases is another feature of MUE training. 1

Medical emergencies are acute events, generally not foreseeable, that endanger the
patient's life, an organ or a function, requiring immediate attention; Fortunately, in
dental practice they are rare and of moderate magnitude. 2

When this situation takes place outside the hospital setting, it is known as a pre-
hospital emergency. 3, 5
Each patient requires initial evaluation of the scene, primary evaluation, secondary
evaluation, and reevaluation. It is important to perform ongoing reassessment so that
you can efficiently monitor and manage life-threatening disorders. 3
The objective of these rotations is to gain experience in the management of acute
presentations of diseases in each of these areas, and in the management of critically
ill patients of any age1 since the majority of these events are not a consequence of
care 2 medical position may correspond to pathological conditions that could have
occurred at any place and time. 2

All of these emergencies can and should be prevented, which is why it is important
that the doctor is aware of their severity. 4
 Know how to act in a massive emergency, revealing the factors that help solve these
problems quickly and effectively (1)

Among these factors are:

Initially, rapid evacuation to the nearest center was imposed, instead of assistance at the
place where the sudden illness or accident occurred. This phase was quickly abandoned in
most countries, as the expected results did not occur. Thus, at the end of the sixties, the
current strategy in emergency assistance began, a strategy aimed at providing a rapid
response aimed at care in the same place where the emergency occurs, transfer under
qualified assistance and admission to the hospital. most suitable according to the situation
of the victim and the operational availability of the hospitals in the area.

Secondly, we will talk about how to provide adequate care to patients who enter the
emergency area since many times the people who are caring for them only take into
account the idea of keeping them alive and that is why an in-depth study is not carried out.
. However, there are also patients who come to this area with minimal problems that
could be resolved at home without the need for medical assistance, which is why it is
important to know which patient needs to be treated first (2).
BIBLIOGRAPHY

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