Research Journal of Emergency Medicine


Research Article of Research Journal of Emergency Medicine STUDENT’S EXPERIENCE AS A MEMBER IN AN INTENSIVE THERAPY LEAGUE: EXPERIENCE REPORT Bárbara Leão Barros¹*, Jéfferson Santos¹, Marina Ellen de Oliveira Barbosa¹, José César de Oliveira Cerqueira² Introduction: In an Intensive Care Unit, the nursing team needs to be qualified and endowed with technical-scientific knowledge. Many assignments such as personal and material management; patient evaluation; team supervision; decision-making, leadership and continued education, are part of the routine of an intensive care nurse. Academic practice in the hospital environment happens in a reduced way, mainly because there is still a lot of fear and insecurity from the academics, as well as from the professional nurses in accompanying them. However, when the academic practice in this environment make itself available, the students have presented a significant technical-scientific evolution, collaborating decisively in the formation of the future professional nurse. An important and nice strategy for the student to enter specific sectors, such as the Intensive Care Unit, in order to internship, is the construction of Academic Leagues. Objective: To report the experience of nursing students in the Intensive Care Unit through the Academic League. Methods: This is a report of experience based on experiences during the extracurricular practice in the Intensive Care Unit provided by the Academic League of Intensive Therapy of Arapiraca. Results: Initially we realized that, although we have specific training, technical visits and laboratory practices with professionals in the field, the academic is often afraid of the critical environment, generating a feeling of impotence towards difficult patients. This often leads to thoughts about abandoning practical experience. However, with time, what is new becomes more familiar and the insecurities begin to stop being a part of the context, consequently, the construction of the professional future begins to exist. Conclusion: It is evident that ...


Research Article of Research Journal of Emergency Medicine LIGHT TECHNOLOGY IN A HIGH-COMPLEXITY HEALTH UNIT: A MULTIPROFESSIONAL EXPERIENCE Tacyanne Bilro de Miranda1*Thatiane Guedes de Oliveira Machado2 Introduction. The Neonatal Intensive Care Unit (NICU) is marked by the hard technology and dominated by the technical language, and can become a scenario of strong emotions, conflicts and feelings for the family, settling in a hostile environment. In this context, parents experience feelings of guilt, fear, anguish, and disability. In this perspective, it is necessary to think of care strategies that use light technology in health care in hospitals of high complexity. Objective. Provide a playful moment with the mothers of babies hospitalized in the Neonatal ICU. Methods. Report of experience of the celebration of the day of the children, on October 12, 2018, carried out by the multiprofessional team of the Maternity School Januário Cicco, in the auditorium of said institution.There were jokes, children’s dances and a karaoke. Popcorn was distributed as a souvenir in the shape of a slipper with jujube, made with disposable cup, in blue and pink, depending on the sex of the baby. This memory was made by residents of the Multiprofessional Residence in Neonatal Intensivism. Results. The activity counted on the participation of 15 mothers, 1 professional and 8 residents of said service, providing teaching-service integration. Through this activity it was possible to provide a moment of integration, communication, creativity and affectivity. Both mothers and residents were able to develop their communicative and bonding skills. Conclusion. The activity revealed the importance of including playfulness in the hospital as an instrument capable of modifying unpleasant situations arising from the prolonged hospitalization process, since it proposes to care in an integrated way. The entire process, in addition to benefiting children and residents, has made the local health service more ...

Factors associated with morbidity in ICU

Review Article of Research Journal of Emergency Medicine Factors associated with morbidity in ICU AK Mohiuddin World University, Plot: 5 - 8, Avenue 6 & Lake Drive Road, Sector: 17/H, Uttara, Dhaka - 1230, Bangladesh The beginnings of caring for critically ill patients date back to Florence Nightingale’s work during the Crimean War in 1854, but the subspecialty of critical care medicine is relatively young. Many factors are hypothesized to contribute to the relatively high incidence and associated morbidity of medication errors in the ICU. The patients themselves are the most complex and critically ill in the hospital setting [1]. Critical care areas present a particular challenge with regard to medication errors. They are a dynamic environment with critically ill patients who often require rapid adaptation of ongoing management. ICUs can be error-prone settings, where even otherwise minor adverse events can lead to serious disability. By virtue of being sicker, older, and having more comorbidities, these patients are less resilient to errors. Because they require a higher intensity of care provision and may receive more medications, they may be at greater risk of iatrogenic harm. Pharmacokinetics of medications can also be altered in critically ill patients, principally through changes in volume of distribution and drug clearance. Large volume resuscitations, positive pressure ventilation, surgical procedures, systemic inflammatory response, and changes in protein binding, all common in ICU patients, affect the pharmacokinetics of many drugs. In addition, these patients are usually unable to help facilitate their own care, a problem aggravated by the volume of transfers to and from ICUs. Medication safety in ICUs might also be compromised because of the risks associated with the use of multiple medications per patient and the use of high-risk drugs associated with potentially severe adverse events [2]. Drugs used in the ICU are more likely ...

Dengue Protection and Cure: Bangladesh Perspective

Review Article of Research Journal of Emergency Medicine Dengue Protection and Cure: Bangladesh Perspective AK Mohiuddin World University, Plot: 5 - 8, Avenue 6 & Lake Drive Road, Sector: 17/H, Uttara, Dhaka - 1230, Bangladesh Up to 50-100 million infections are now estimated to occur annually in over 100 endemic countries, putting almost half of the world’s population at risk. Bangladesh is one of the countries that are affected by dengue viruses. Dengue is a viral infection caused by four types of viruses (DENV-1, DENV-2, DENV-3, DENV-4) belonging to the Flaviviridae family. These mosquitoes thrive in areas with standing water, including puddles, water tanks, containers and old tires. Lack of reliable sanitation and regular garbage collection also contribute to the spread of the mosquitoes. The disease has probably been known since the Chinese described it in 420 AD. Outbreaks are increasing although there is no human-to-human transfer, only mosquito-to-human viral transfer. Africans described “ka dinga pepo” as cramp-like seizure caused by an evil spirit. The Spanish may have changed “dinga” to dengue since it means fastidious or careful in Spanish, which describes the gait of people trying to reduce the pain of walking. With the number of patients rising, hospitals outside Dhaka are facing huge challenges to cope with the pressure, mostly due to lack of diagnosis chemicals, kits and other medical support. Keywords: Dengue protection; topical essential oils; misconceptions with Dengue; Dengue vaccines; mosquito repellents; neem oil ...

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Research Journal of Emergency Medicine