DEFINITION

A medical urgency is any situation that needs an immediate medical performance.

GENERAL INFORMATION

The knowledge from which to come in case of a problem of health at home must be a basic social concept. Using the sanitary welfare services inadequately produces one of the biggest expenses of the public sanitary system that, of course, is withdrawn of the general budget. On having used inadequately these services, we are diminishing resources for the investment in such areas like the investigation and investment in better means in the attention in urgencies when it is really necessary. Also the congestion (clogging) in the first aid services that this supposes will reduce to all the possibility of being attended immediately by the technical staff of the health with all the means that we have saved previously.

The strategies of the control of the demand it must comprise services of telephone triage (attended by trained personnel and with computer databases) that excuses information about illnesses, health education, alternatives of support in groups before chronic situations, evaluations of procedures, profitability of the same ones, risks, etc... so that the health users have enough information to be able to take decisions adapted in every moment.

Once made this reflection we must see that it is possible to face several types of urgencies:

THOSE WHO NEED ATTENTION OF HOSPITABLE URGENCY

• Situations that of clear form demand an immediate therapeutic attitude:
  • Stop cardiorespiratoria
  • Cardiac Taponamiento
  • Break of a big blood glass
  • Hemorrhage intraabdominal
  • Severe difficulty to breathe
  • Important traumatism (there will be visible hemorrhage or loss of conscience)

Out of these cases, the rest they can wait a few seconds or minutes, without for it it worsening significantly the prognosis, while the diagnosis is established.

• Situations with vital danger if they are not diagnosed precozmente:
  • appendicitis
  • poisonings
  • disorientation in time spread or not recognition to relatives, etc...

THOSE WHO MUST BE ATTENDED BY OTHER RESOURCES, AMBULATORY HOW, HOME ASSISTANCE, ETC...

• Situations safely in brief term but in that the precocious diagnosis is important for the epidemiology. For it it is urgent to diagnose a tuberculosis in a hemoptisis.

• Banal situations in which the doctor must act to calm the patient and relatives, evaluating if the symptoms lack or not importance (fever, sore throat, backache, cutaneous eruption, vomiting, not intense blows without wound, inconveniences of ear, cough, diarrhea, irritability, not intense abdominal pain, conjunctivitis, constipation...)

• Social urgency. Sometimes this is the only justification of the assistance for there are no other means (not sanitary ware) of solution to a problem.

WHAT DOCTOR CAN TREAT ME?

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