Emergencias

Emergency care and patients waiting for hospital beds as a visible symptom of health care systems' overall functioning
González Armengol JJ
Waiting for admission: the emergency department's critical frontier
Carballo Cardona C
Unnecessary stays in the emergency department: a silent threat to patient safety and healthcare system efficiency
Gómez Pescoso R
Association between intensity of care and discharge destination in patients treated in the emergency department: a cohort study
Urbina A, Juvé-Udina ME, Adamuz J, González-Samartino M, Sánchez-Cabrera R and Romero-García M
To analyze the association between the intensity of care and the various discharge destinations of patients treated in the emergency department (ED) of a tertiary referral center.
Crowding, boarding, outlying, and other risky practices best avoided
Mòdol Deltell JM and Santesmases Ejarque J
Influence of length of ED stay on in-hospital mortality in a Spanish tertiary referral center
Fernández Castro I, Mayán Conesa P, Franco Álvarez M, Barba Queiruga JR, Fernández Cambeiro M and Casariego Vales E
To analyze the length of emergency department (ED) stay prior to hospital admission, its causes, and repercussions on patient health.
Prognosis and characteristics of medical helicopters-assisted out-of-hospital cardiac arrest in Galicia: a retrospective observational study
Beres O G and Iglesias Vázquez JA
Impact on safety and cost of pharmaceutical interventions in the emergency department (INTERPHAR): a standardized methodology for multicenter documentation
Ramos-Rodríguez J, Bonete-Sánchez M, Ruíz-Ramos J, Calderón-Hernanz B, Campino-Villegas A, de Lorenzo-Pinto A, García-Peláez M, García-Gutiérrez MDM, García-Martín Á, Real-Campaña JM, Ginés-Palomares A, Such-Díaz A, Vallvé-Alcón E, Alonso-Ramos H and
To design a standardized methodology for documenting pharmaceutical interventions (PIs) in hospital emergency departments (EDs), to identify the clinical situations in which they are most frequently performed, and evaluate their economic impact.
Unequal impact of respiratory syncytial virus immunization in patients attending Spanish pediatric emergency departments
Andina Martínez D, Barrueco Ramos C, Escalada Pellitero S, Ranera Málaga A, Guerra Díez JL, Gimeno-Hernández Garza V, González Arza N, Ventura Pernia J, Sánchez Tatay V, Ferrero García-Loygorri C, Miguel Lavisier B, Baños López L, Cámara Otegui A, Gijón Mediavilla M, Claret Teruel G, Antonio Alonso-Cadenas J and
. To evaluate the impact of respiratory syncytial virus (RSV) prophylaxis with nirsevimab during its 2nd year of administration and analyze the differences between the different strategies implemented across Spanish autonomous communities (ACs) during the current epidemic season.
Semisynthetic cannabinoids: the intoxication ahead
Galicia Paredes M
Open data and artificial intelligence: a window of opportunity for septic patients in emergency departments
Estella Á, Ángel Armengol de la Hoz M, Del Castillo JG and
Sepsis remains one of the leading causes of mortality in emergency departments (EDs). Despite advances in definitions and management protocols, early identification continues to be a critical challenge due to the nonspecific presentation of the disease. Early management is based on 3 fundamental pillars: source control, antibiotics, and hemodynamic resuscitation, all of which require early intervention. Tools such as the SOFA score, biomarkers (C-reactive protein, procalcitonin, lactate), and protocols like the Sepsis Code have improved detection and management. However, the clinical heterogeneity of sepsis and limitations of current models hinder their universal implementation. Artificial intelligence (AI) is emerging as a key tool to improve early detection of sepsis through the analysis of large volumes of clinical data. Open data, following FAIR principles (Findable, Accessible, Interoperable, Reusable), facilitate the development of robust and personalized algorithms, minimizing bias and enhancing scientific collaboration. Spain generates vast amounts of clinical data in its EDs but lacks a unified database. The creation of an open system with data use agreements would enable the development of predictive models specific to its population. The use of A.I. in combination with specific databases promises to improve treatment personalization, reduce mortality, and optimize resources in sepsis care, changing the current paradigm of clinical management.
A la sombra de la urgencia
Javier Montero-Pérez F
Effectiveness of a self-rotation system during paired cardiopulmonary resuscitation: a study with aquatic lifeguards
Ruibal-Lista B, Díez-Fernández P, Sánchez-Moro E and López-García S
Multi-victim incident management system with geolocation and classification for real-time decision-making: experience during triage in a simulation
García-Hernández C, Ubieto-Artur P, Asión-Suñer L and Borraz-Clares D
The importance of measuring the intensity of care provided by emergency nursing
Amigó Tadín M
Emergency department length of stay of hospitalized patients and short-term outcomes (EDEN-18 Study)
Miró Ò, Rodríguez-Cabrera M, Alquézar-Arbé A, Piñol C, Del Castillo JG, Burillo-Putze G and
To estimate the probability of adverse events based on the length of emergency department (ED) stay prior to hospitalization in patients aged > 65 treated in Spanish EDs.
Emergency care and HIV diagnosis: an opportunity that health systems cannot afford to miss
Miró Ò, Mérida D and González Del Castillo J
Noninvasive multimodal monitoring of intracranial pressure at high altitude with transcranial color-coded duplex sonography of the middle cerebral artery
Ávila-Hilari A, Maldonado Coronel F and Avellanas-Chavala ML
The National Early Warning Score 2 (NEWS2) in prehospital care
Ferrés-Padró V and Jiménez Fàbrega FX
Communications and information management in natural disasters
Muñoz Fernández JL and Casas Benavent VW
Authors reply
Pedro Cidade J, Conceição C, Nunes J and Lufinha A