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BACKGROUND: The classification of the heart rate in emergencies requires electrocardiography or monitor, so cellular technology could be a more accessible alternative. The prompt classification of the rhythm in the Emergency department can save lives. OBJECTIVE: To evaluate the accuracy of the electrocardiographic readings obtained with a conventional vs cellular electrocardiogram. MATERIALS AND METHODS: Prospective cohort study, conducted at the Emergency Medical Service of Culiacan Civil Hospital, Mexico. 12 lead electrocardiography and cellular electrocardiography were performed on all patients who requested medical attention from November 2018 to January 2019. They were classified according to the rhythm reported and then compare the rhythms by type of electrocardiogram. RESULTS: One-hundred patients were analyzed, 48 men and 52 women; aged between 20 and 90 years with an average of 39.4 ± 2.0 years. Three independent cardiologists determined rhythm, characteristics of the segments and overall diagnostic impression and among them the value of general Kappa was 0.81 (p = .000). 100% N95 concordance (p = 0.00) for the detection of rhythm with wireless cellular electrocardiography, finding no difference with the standard that is the 12-lead electrocardiogram. CONCLUSIONS: The electrocardiography of a shunt using a cardiochip is capable of clinically meaningful recording and translating the heart rate. [ABSTRACT FROM AUTHOR]

OBJECTIVE: To determine the correlation of triage by levels at entering to emergency room and the reclassification of triage according to the diagnosis of emergency discharge. MATERIAL AND METHOD: An observational, descriptive and crosssectional study, done at Hospital Angeles Clínica Londres, Mexico City. Patients older tan 18 years who assisted to the emergency room of Clinica Londres from January to February 2016 were included. RESULTS: There were included 144 patients. About the frequency of levels at entering 4% of patients were classified as orange color, 56% to yellow, 33 to green and 7% to blue. At discharge 4% was classified as red, 22% as orange, 28% as yellow, 21 as green and 25% as blue. CONCLUSIONS: There was no correlation of triage at entering by levels with reclassification of triage at discharge, with proves the null hypothesis. According to levels of triage at entering and discharge we found a subclassification of 100% of level I (red), 80% of level II (orange), 50% of level III (yellow), 37% of level IV (green) and 72% of level V (blue). [ABSTRACT FROM AUTHOR]

Background: Obesity represents the main cause of morbidity and mortality worldwide. At the emergency room, the obese patient acquires significance due to the possibility of having different clinical presentation,requiring an increased number of complementary tests and displaying unequal evolution. Objective: To assess the difference in clinical presentation, evaluation and evolution of acute abdominal pain between in obese patients. Material and method: A retrospective, analytic and comparative study was done with patients who presented with acute abdominal pain, from February 2009 to January 2011. Differences on clinical presentation, radiologic complementary studies, and different outcomes as surgery, admission to ICU and death were evaluated. Consistency between initial and final diagnosis was also analyzed. Results: There were included 594 patients (68% female), 81 were obese. There was a difference on hemoglobin (14.7 ± 1.6 vs 14.3 ± 1.8 mg/ dL) and GGT (101 ± 145 vs 55.9 ± 104 U/L, p=0.05), no differences were found on diagnostic imaging tests; CT 49% vs 44% (p=0.32), abdominal ultrasound 47% vs 42% (p=0.42), and abdominal radiography 28% on both groups (p=0.42). There was surgical resolution in 28% of both groups (p=0.99), with no difference found on UCI admission (1.2% vs 1.6%, p=0.82) or death (0% vs 0.8%, p=0.43). There was poor correlation between initial and final diagnosis on obese patients (Kappa 0.319 vs -0.02). Conclusion: At the emergency service, obese patients with acute abdominal pain exhibit poor correlation between initial and final diagnosis. However, clinical presentation and evaluation was the same in obese and non-obese patients. [ABSTRACT FROM AUTHOR]

Background: The cell phone is a distractor when combined use and performing other tasks, interrupting the mental processes; in our country there are no studies that report if causing distraction during medical care in an emergency department. Objective: To determine if the cell phone is a distraction in medical care in the adult emergency department. Materials and Methods: Cross-sectional study was translated and adapted into Spanish the survey; 2010 Survey on Cell Phone Use While Performing Cardiopulmonary Bypass, the universe of study was medical staff, nurses and interns assigned to adult emergency department. All participants gave informed consent. Surveys were emptied an Excel data sheet and performed descriptive and inferential statistics for data analysis, further assessed the reliability of the instrument. Results: 90% had used his cell phone occasionally for medical care in the emergency department, 40% have used particularly sending text messages. 60% said not to use it as not being beneicial. 73% agree that cell phone use is associated with medical errors or distractions, while 36% say they can be used for the care of a patient with good judgment and common sense. Conclusion: The cell phone is a distraction factor for emergency personnel during patient care. [ABSTRACT FROM AUTHOR]