array:23 [
  "pii" => "S0210569120300280"
  "issn" => "02105691"
  "doi" => "10.1016/j.medin.2020.01.003"
  "estado" => "S300"
  "fechaPublicacion" => "2020-08-01"
  "aid" => "1452"
  "copyright" => "Elsevier España, S.L.U. y SEMICYUC"
  "copyrightAnyo" => "2020"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "cor"
  "cita" => "Med Intensiva. 2020;44:392"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0210569120300358"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2020.01.010"
    "estado" => "S300"
    "fechaPublicacion" => "2020-08-01"
    "aid" => "1459"
    "copyright" => "Elsevier España, S.L.U. y SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2020;44:393"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "In reply to &#8220;Management of accidental hypothermia&#58; Narrative review&#8221;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "393"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "En respuesta a &#8220;Gesti&#243;n de la hipotermia accidental&#58; revisi&#243;n narrativa&#8221;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46;L&#46; Avellanas Chavala, M&#46; Ayala Gallardo, I&#46; Soteras Mart&#237;nez, E&#46; Subirats Bayego"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "M&#46;L&#46; Avellanas"
              "apellidos" => "Chavala"
            ]
            1 => array:2 [
              "nombre" => "M&#46; Ayala"
              "apellidos" => "Gallardo"
            ]
            2 => array:2 [
              "nombre" => "I&#46; Soteras"
              "apellidos" => "Mart&#237;nez"
            ]
            3 => array:2 [
              "nombre" => "E&#46; Subirats"
              "apellidos" => "Bayego"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569120300358?idApp=WMIE"
    "url" => "/02105691/0000004400000006/v1_202007311718/S0210569120300358/v1_202007311718/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0210569119301275"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2019.05.002"
    "estado" => "S300"
    "fechaPublicacion" => "2020-08-01"
    "aid" => "1343"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Med Intensiva. 2020;44:389-91"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 35
      "formatos" => array:2 [
        "HTML" => 14
        "PDF" => 21
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">CARTA CIENT&#205;FICA</span>"
      "titulo" => "Simulaci&#243;n cl&#237;nica en el paciente politraumatizado&#46; Aplicaci&#243;n en estudiantes de Medicina"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "389"
          "paginaFinal" => "391"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Clinical simulation in the polytraumatized patient&#46; Application in medical students"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1503
              "Ancho" => 2316
              "Tamanyo" => 199308
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluaci&#243;n de competencias en la asistencia cl&#237;nica al paciente politraumatizado&#46; La barra representa la mediana y la barra de error el rango intercuartil &#40;P25 y P75&#41;&#46;</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La prueba de los rangos con signo de Wilcoxon se emple&#243; para analizar el cambio en las competencias evaluadas&#46; El nivel de significaci&#243;n &#40;p&#41; fue menor de 0&#44;001 en todas ellas&#46;</p> <p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Hm&#46;&#58; hemodin&#225;mica&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46;A&#46; Ballesteros, M&#46; Feo Gonz&#225;lez, B&#46; Suberviola, E&#46; Mi&#241;ambres"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "M&#46;A&#46;"
              "apellidos" => "Ballesteros"
            ]
            1 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Feo Gonz&#225;lez"
            ]
            2 => array:2 [
              "nombre" => "B&#46;"
              "apellidos" => "Suberviola"
            ]
            3 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Mi&#241;ambres"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173572720300941"
        "doi" => "10.1016/j.medine.2019.05.014"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572720300941?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569119301275?idApp=WMIE"
    "url" => "/02105691/0000004400000006/v1_202007311718/S0210569119301275/v1_202007311718/es/main.assets"
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "Management of accidental hypothermia&#58; A narrative review"
    "tieneTextoCompleto" => true
    "saludo" => "Dear Editor&#58;"
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "392"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "T&#46;M&#46; Ferrer Marrero"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "T&#46;M&#46;"
            "apellidos" => "Ferrer Marrero"
            "email" => array:1 [
              0 => "tferrermarre@mcw.edu"
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Medical College of Wisconsin&#44; United States"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Gesti&#243;n de la hipotermia accidental&#58; revisi&#243;n narrativa"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In the review article &#8220;Management of accidental hypothermia&#58; A narrative review&#8221;&#44; Avellanas et al&#46; summarize the current medical literature about accidental hypothermia&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> This review article came out at a perfect timing of the year&#44; with so much needed updated information&#46; With the increase in the number of winter recreational sports&#44; the United States is receiving an estimated 35 million mountain tourists annually&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> With several winter activities combining water sports&#44; there is a need for an annual refresher on the recommendations on the management of accidental hypothermia&#44; including the management of those patients who developed hypothermia after cold water drowning&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">In their article&#44; it is emphasized that advanced life support must be started in hypothermic patients in cardiac arrest and underscores the need for a proper selection of the medical institution to transport these patients&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> Hospitals with the expertise on venoarterial extracorporeal membrane oxygenator &#40;VA-ECMO&#41; are the preferred ones as VA-ECMO is the technique of choice to treat hypothermic patients with cardiac arrest or hemodynamical instability&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> VA-ECMO improves the patient&#39;s survival without neurological impairment to up to 100&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Different from Avellanas&#8217; prior published work on accidental hypothermia&#44; the focus in this review is not to discuss the pathophysiological changes during hypothermia or the different rewarming techniques&#46; This review is in response to the two mentioned studies that revealed deficiencies in the out-of-hospital rescue team operations&#46; The deficiencies included the lack of transfers of the victims in cardiac arrest or hemodynamically unstable&#44; to equipped hospitals with VA-ECMO&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> Therefore&#44; this article highlights the out-of-hospital management and underscores the central role the rescue team plays in improving the outcomes&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">There is a discussion of extraordinary cases who survived even after prolonged immersion in cold water&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> Those discussed cases challenge the data that suggest that immersion longer than 25<span class="elsevierStyleHsp" style=""></span>min is associated with poor prognosis and could potentially be used to reconsider further resuscitative efforts&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> This review article suggest that resuscitative efforts could be applied to a broader population&#44; including those who were priorly believed to have a poor prognosis&#46; The data presented in this review article may influence future modifications to the different societies&#8217; recommendations and may continue to opening discussions about the extent of the protective properties of hypothermia&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:5 [
            0 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gesti&#243;n de la hipotermia accidental&#58; revisi&#243;n narrativa"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46;L&#46; Avellanas Chavala"
                            1 => "M&#46; Ayala Gallardo"
                            2 => "I&#46; Soteras Mart&#237;nez"
                            3 => "E&#46; Subirats Bayego"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.medin.2018.11.008"
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Intensiva"
                        "fecha" => "2019"
                        "volumen" => "43"
                        "paginaInicial" => "556"
                        "paginaFinal" => "568"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30683520"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The risk of cardiovascular events during leisure time activities at altitude"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Burtscher"
                            1 => "A&#46; Ponchia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.pcad.2010.02.008"
                      "Revista" => array:6 [
                        "tituloSerie" => "Prog Cardiovasc Dis"
                        "fecha" => "2010"
                        "volumen" => "52"
                        "paginaInicial" => "507"
                        "paginaFinal" => "511"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20417344"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The chain of survival in hypothermic circulatory arrest&#58; encouraging preliminary results when using early identification&#44; risk stratification and extracorporeal rewarming"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T&#46; Darocha"
                            1 => "S&#46; Kosinski"
                            2 => "A&#46; Jarosz"
                            3 => "D&#46; Sobczyk"
                            4 => "R&#46; Ga&#322;azkowski"
                            5 => "J&#46; Piatek"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/s13049-015-0193-0"
                      "Revista" => array:6 [
                        "tituloSerie" => "Scand J Trauma Resusc Emerg Med"
                        "fecha" => "2016"
                        "volumen" => "24"
                        "paginaInicial" => "1"
                        "paginaFinal" => "5"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26733395"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Severe hypothermia management in mountain rescue&#58; a survey study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46; Podsiadlo"
                            1 => "T&#46; Darocha"
                            2 => "S&#46; Kosinski"
                            3 => "K&#46; Sa&#322;apa"
                            4 => "M&#46; Zietkiewicz"
                            5 => "T&#46; Sanak"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1089/ham.2017.0090"
                      "Revista" => array:6 [
                        "tituloSerie" => "High Alt Med Biol"
                        "fecha" => "2017"
                        "volumen" => "18"
                        "paginaInicial" => "411"
                        "paginaFinal" => "416"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28968162"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Predicting outcome of drowning at the scene&#58; a systematic review and meta-analyses"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "L&#46; Quan"
                            1 => "J&#46;J&#46; Bierens"
                            2 => "R&#46; Lis"
                            3 => "A&#46; Rowhani-Rahbar"
                            4 => "P&#46; Morley"
                            5 => "G&#46;D&#46; Perkins"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.resuscitation.2016.04.006"
                      "Revista" => array:6 [
                        "tituloSerie" => "Resuscitation"
                        "fecha" => "2016"
                        "volumen" => "104"
                        "paginaInicial" => "63"
                        "paginaFinal" => "75"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27154004"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/02105691/0000004400000006/v1_202007311718/S0210569120300280/v1_202007311718/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "57221"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Cartas al Editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02105691/0000004400000006/v1_202007311718/S0210569120300280/v1_202007311718/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569120300280?idApp=WMIE"
]
Compartir
Información de la revista

Estadísticas

Siga este enlace para acceder al texto completo del artículo

Letter to the Editor
Management of accidental hypothermia: A narrative review
Gestión de la hipotermia accidental: revisión narrativa
T.M. Ferrer Marrero
Medical College of Wisconsin, United States
Leído
8841
Veces
se ha leído el artículo
4438
Total PDF
4403
Total HTML
Compartir estadísticas
 array:23 [
  "pii" => "S0210569120300280"
  "issn" => "02105691"
  "doi" => "10.1016/j.medin.2020.01.003"
  "estado" => "S300"
  "fechaPublicacion" => "2020-08-01"
  "aid" => "1452"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
  "copyrightAnyo" => "2020"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "cor"
  "cita" => "Med Intensiva. 2020;44:392"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0210569120300358"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2020.01.010"
    "estado" => "S300"
    "fechaPublicacion" => "2020-08-01"
    "aid" => "1459"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2020;44:393"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "In reply to &#8220;Management of accidental hypothermia&#58; Narrative review&#8221;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "393"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "En respuesta a &#8220;Gesti&#243;n de la hipotermia accidental&#58; revisi&#243;n narrativa&#8221;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46;L&#46; Avellanas Chavala, M&#46; Ayala Gallardo, I&#46; Soteras Mart&#237;nez, E&#46; Subirats Bayego"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "M&#46;L&#46; Avellanas"
              "apellidos" => "Chavala"
            ]
            1 => array:2 [
              "nombre" => "M&#46; Ayala"
              "apellidos" => "Gallardo"
            ]
            2 => array:2 [
              "nombre" => "I&#46; Soteras"
              "apellidos" => "Mart&#237;nez"
            ]
            3 => array:2 [
              "nombre" => "E&#46; Subirats"
              "apellidos" => "Bayego"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569120300358?idApp=WMIE"
    "url" => "/02105691/0000004400000006/v1_202007311718/S0210569120300358/v1_202007311718/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0210569119301275"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2019.05.002"
    "estado" => "S300"
    "fechaPublicacion" => "2020-08-01"
    "aid" => "1343"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Med Intensiva. 2020;44:389-91"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 35
      "formatos" => array:2 [
        "HTML" => 14
        "PDF" => 21
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">CARTA CIENT&#205;FICA</span>"
      "titulo" => "Simulaci&#243;n cl&#237;nica en el paciente politraumatizado&#46; Aplicaci&#243;n en estudiantes de Medicina"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "389"
          "paginaFinal" => "391"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Clinical simulation in the polytraumatized patient&#46; Application in medical students"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1503
              "Ancho" => 2316
              "Tamanyo" => 199308
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluaci&#243;n de competencias en la asistencia cl&#237;nica al paciente politraumatizado&#46; La barra representa la mediana y la barra de error el rango intercuartil &#40;P25 y P75&#41;&#46;</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La prueba de los rangos con signo de Wilcoxon se emple&#243; para analizar el cambio en las competencias evaluadas&#46; El nivel de significaci&#243;n &#40;p&#41; fue menor de 0&#44;001 en todas ellas&#46;</p> <p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Hm&#46;&#58; hemodin&#225;mica&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46;A&#46; Ballesteros, M&#46; Feo Gonz&#225;lez, B&#46; Suberviola, E&#46; Mi&#241;ambres"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "M&#46;A&#46;"
              "apellidos" => "Ballesteros"
            ]
            1 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Feo Gonz&#225;lez"
            ]
            2 => array:2 [
              "nombre" => "B&#46;"
              "apellidos" => "Suberviola"
            ]
            3 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Mi&#241;ambres"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173572720300941"
        "doi" => "10.1016/j.medine.2019.05.014"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572720300941?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569119301275?idApp=WMIE"
    "url" => "/02105691/0000004400000006/v1_202007311718/S0210569119301275/v1_202007311718/es/main.assets"
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "Management of accidental hypothermia&#58; A narrative review"
    "tieneTextoCompleto" => true
    "saludo" => "Dear Editor&#58;"
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "392"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "T&#46;M&#46; Ferrer Marrero"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "T&#46;M&#46;"
            "apellidos" => "Ferrer Marrero"
            "email" => array:1 [
              0 => "tferrermarre@mcw.edu"
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Medical College of Wisconsin&#44; United States"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Gesti&#243;n de la hipotermia accidental&#58; revisi&#243;n narrativa"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In the review article &#8220;Management of accidental hypothermia&#58; A narrative review&#8221;&#44; Avellanas et al&#46; summarize the current medical literature about accidental hypothermia&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> This review article came out at a perfect timing of the year&#44; with so much needed updated information&#46; With the increase in the number of winter recreational sports&#44; the United States is receiving an estimated 35 million mountain tourists annually&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> With several winter activities combining water sports&#44; there is a need for an annual refresher on the recommendations on the management of accidental hypothermia&#44; including the management of those patients who developed hypothermia after cold water drowning&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">In their article&#44; it is emphasized that advanced life support must be started in hypothermic patients in cardiac arrest and underscores the need for a proper selection of the medical institution to transport these patients&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> Hospitals with the expertise on venoarterial extracorporeal membrane oxygenator &#40;VA-ECMO&#41; are the preferred ones as VA-ECMO is the technique of choice to treat hypothermic patients with cardiac arrest or hemodynamical instability&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> VA-ECMO improves the patient&#39;s survival without neurological impairment to up to 100&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Different from Avellanas&#8217; prior published work on accidental hypothermia&#44; the focus in this review is not to discuss the pathophysiological changes during hypothermia or the different rewarming techniques&#46; This review is in response to the two mentioned studies that revealed deficiencies in the out-of-hospital rescue team operations&#46; The deficiencies included the lack of transfers of the victims in cardiac arrest or hemodynamically unstable&#44; to equipped hospitals with VA-ECMO&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> Therefore&#44; this article highlights the out-of-hospital management and underscores the central role the rescue team plays in improving the outcomes&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">There is a discussion of extraordinary cases who survived even after prolonged immersion in cold water&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> Those discussed cases challenge the data that suggest that immersion longer than 25<span class="elsevierStyleHsp" style=""></span>min is associated with poor prognosis and could potentially be used to reconsider further resuscitative efforts&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> This review article suggest that resuscitative efforts could be applied to a broader population&#44; including those who were priorly believed to have a poor prognosis&#46; The data presented in this review article may influence future modifications to the different societies&#8217; recommendations and may continue to opening discussions about the extent of the protective properties of hypothermia&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:5 [
            0 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gesti&#243;n de la hipotermia accidental&#58; revisi&#243;n narrativa"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46;L&#46; Avellanas Chavala"
                            1 => "M&#46; Ayala Gallardo"
                            2 => "I&#46; Soteras Mart&#237;nez"
                            3 => "E&#46; Subirats Bayego"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.medin.2018.11.008"
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Intensiva"
                        "fecha" => "2019"
                        "volumen" => "43"
                        "paginaInicial" => "556"
                        "paginaFinal" => "568"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30683520"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The risk of cardiovascular events during leisure time activities at altitude"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Burtscher"
                            1 => "A&#46; Ponchia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.pcad.2010.02.008"
                      "Revista" => array:6 [
                        "tituloSerie" => "Prog Cardiovasc Dis"
                        "fecha" => "2010"
                        "volumen" => "52"
                        "paginaInicial" => "507"
                        "paginaFinal" => "511"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20417344"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The chain of survival in hypothermic circulatory arrest&#58; encouraging preliminary results when using early identification&#44; risk stratification and extracorporeal rewarming"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T&#46; Darocha"
                            1 => "S&#46; Kosinski"
                            2 => "A&#46; Jarosz"
                            3 => "D&#46; Sobczyk"
                            4 => "R&#46; Ga&#322;azkowski"
                            5 => "J&#46; Piatek"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/s13049-015-0193-0"
                      "Revista" => array:6 [
                        "tituloSerie" => "Scand J Trauma Resusc Emerg Med"
                        "fecha" => "2016"
                        "volumen" => "24"
                        "paginaInicial" => "1"
                        "paginaFinal" => "5"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26733395"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Severe hypothermia management in mountain rescue&#58; a survey study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46; Podsiadlo"
                            1 => "T&#46; Darocha"
                            2 => "S&#46; Kosinski"
                            3 => "K&#46; Sa&#322;apa"
                            4 => "M&#46; Zietkiewicz"
                            5 => "T&#46; Sanak"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1089/ham.2017.0090"
                      "Revista" => array:6 [
                        "tituloSerie" => "High Alt Med Biol"
                        "fecha" => "2017"
                        "volumen" => "18"
                        "paginaInicial" => "411"
                        "paginaFinal" => "416"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28968162"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Predicting outcome of drowning at the scene&#58; a systematic review and meta-analyses"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "L&#46; Quan"
                            1 => "J&#46;J&#46; Bierens"
                            2 => "R&#46; Lis"
                            3 => "A&#46; Rowhani-Rahbar"
                            4 => "P&#46; Morley"
                            5 => "G&#46;D&#46; Perkins"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.resuscitation.2016.04.006"
                      "Revista" => array:6 [
                        "tituloSerie" => "Resuscitation"
                        "fecha" => "2016"
                        "volumen" => "104"
                        "paginaInicial" => "63"
                        "paginaFinal" => "75"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27154004"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/02105691/0000004400000006/v1_202007311718/S0210569120300280/v1_202007311718/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "57221"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Cartas al Editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02105691/0000004400000006/v1_202007311718/S0210569120300280/v1_202007311718/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569120300280?idApp=WMIE"
]
Información del artículo
ISSN: 02105691
Idioma original: Inglés
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Noviembre 13 15 28
2024 Octubre 74 61 135
2024 Septiembre 79 40 119
2024 Agosto 88 41 129
2024 Julio 98 29 127
2024 Junio 103 65 168
2024 Mayo 95 36 131
2024 Abril 103 45 148
2024 Marzo 98 57 155
2024 Febrero 93 43 136
2024 Enero 95 50 145
2023 Diciembre 89 52 141
2023 Noviembre 110 56 166
2023 Octubre 88 48 136
2023 Septiembre 95 57 152
2023 Agosto 127 96 223
2023 Julio 102 115 217
2023 Junio 88 75 163
2023 Mayo 110 104 214
2023 Abril 48 83 131
2023 Marzo 67 90 157
2023 Febrero 64 78 142
2023 Enero 57 72 129
2022 Diciembre 75 84 159
2022 Noviembre 75 99 174
2022 Octubre 79 93 172
2022 Septiembre 68 77 145
2022 Agosto 61 108 169
2022 Julio 57 95 152
2022 Junio 66 80 146
2022 Mayo 72 87 159
2022 Abril 87 93 180
2022 Marzo 88 112 200
2022 Febrero 100 89 189
2022 Enero 102 110 212
2021 Diciembre 91 103 194
2021 Noviembre 95 88 183
2021 Octubre 104 128 232
2021 Septiembre 59 83 142
2021 Agosto 55 73 128
2021 Julio 42 52 94
2021 Junio 48 73 121
2021 Mayo 66 120 186
2021 Abril 150 235 385
2021 Marzo 137 110 247
2021 Febrero 110 103 213
2021 Enero 121 157 278
2020 Diciembre 106 151 257
2020 Noviembre 128 176 304
2020 Octubre 53 95 148
2020 Septiembre 36 61 97
2020 Agosto 14 12 26
2020 Julio 10 9 19
2020 Junio 20 24 44
2020 Mayo 18 22 40
2020 Abril 21 22 43
2020 Marzo 1 1 2
2020 Febrero 4 5 9
Mostrar todo

Siga este enlace para acceder al texto completo del artículo

Idiomas
Medicina Intensiva
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?