{"id":1541,"date":"2017-05-01T23:42:51","date_gmt":"2017-05-02T04:42:51","guid":{"rendered":"https:\/\/imaginepediatrics.org\/telesalud-en-emergencias-pediatricas-y-cuidados-criticos\/"},"modified":"2025-02-28T19:27:38","modified_gmt":"2025-03-01T01:27:38","slug":"telesalud-en-emergencias-pediatricas-y-cuidados-criticos","status":"publish","type":"post","link":"https:\/\/www.imaginepediatrics.org\/es\/articulo-clinico\/telesalud-en-emergencias-pediatricas-y-cuidados-criticos\/","title":{"rendered":"Telesalud en Emergencias Pedi\u00e1tricas y Cuidados Cr\u00edticos"},"content":{"rendered":"\n
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Recursos<\/a> \/ Telesalud en Emergencias Pedi\u00e1tricas y Cuidados Cr\u00edticos<\/p>\n\n\n\n

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Telesalud en Emergencias Pedi\u00e1tricas y Cuidados Cr\u00edticos<\/h2><\/div>\n\n\n\n

May 1, 2017 | Alison L. Curfman; James P. Marcin<\/p>\n\n\n\n

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Pediatric Emergency and Critical Care Telemedicine Pediatric Emergency and Critical Care TelemedicineMcGraw Hill \u00b7 May 1, 2017<\/p>\n\n\n\n

INTRODUCCI\u00d3N<\/strong><\/p>\n\n\n\n

Cada uno de estos escenarios ilustra c\u00f3mo el uso de la telemedicina por parte de los m\u00e9dicos de emergencias pedi\u00e1tricas y cuidados intensivos puede abordar las disparidades en el acceso oportuno al cuidado, mejorar los resultados cl\u00ednicos y reducir los costos del cuidado m\u00e9dico, todo ello mientras mejora la calidad del cuidado brindado a los ni\u00f1os.<\/p>\n\n\n\n

ESTUDIO DE CASO 1<\/strong><\/p>\n\n\n\n

Un ni\u00f1o de 7 a\u00f1os es encontrado inconsciente en el fondo de una piscina. Los socorristas inician la reanimaci\u00f3n cardiopulmonar, y el ni\u00f1o es llevado r\u00e1pidamente al hospital m\u00e1s cercano. El m\u00e9dico de medicina interna que cubre el departamento de emergencias (ED) en este hospital de acceso cr\u00edtico tiene experiencia limitada en el cuidado de ni\u00f1os gravemente enfermos. A su llegada, el personal contin\u00faa con la reanimaci\u00f3n y activa de inmediato una consulta de tele-emergencia pedi\u00e1trica. En menos de un minuto, un m\u00e9dico de emergencias pedi\u00e1tricas del centro regional de cuidados pedi\u00e1tricos cuaternarios se conecta al lado de la cama del ni\u00f1o con telemedicina, con comunicaciones audiovisuales de alta calidad, listo para ayudar al equipo. Con la orientaci\u00f3n experta y el trabajo en equipo, la reanimaci\u00f3n tiene \u00e9xito y el ni\u00f1o es trasladado al hospital pedi\u00e1trico regional para recibir los cuidados definitivos. <\/em><\/p>\n\n\n\n

CASO PR\u00c1CTICO 2<\/strong><\/p>\n\n\n\n

Una ni\u00f1a de 4 a\u00f1os con antecedentes de asma se presenta en el departamento de emergencias de un hospital comunitario en estado de dificultad respiratoria. El m\u00e9dico administra esteroides intravenosos e inicia tratamientos respiratorios, pero queda claro que la paciente necesita ser hospitalizada y estar bajo observaci\u00f3n cercana. Anteriormente, un ni\u00f1o que necesitara albuterol continuo deb\u00eda ser transportado por varias horas al hospital de cuidados intensivos pedi\u00e1tricos (ICU) m\u00e1s cercano, pero con un programa de monitoreo remoto en marcha, el ni\u00f1o es ingresado en el hospital comunitario local con monitoreo las 24 horas, 7 d\u00edas a la semana, por un m\u00e9dico de cuidados cr\u00edticos pedi\u00e1tricos. Gracias a la colaboraci\u00f3n entre el equipo de terapeutas respiratorios, enfermeras y m\u00e9dicos y el equipo de telemedicina, el ni\u00f1o mejora y al cabo de tres d\u00edas puede irse a casa. Se evit\u00f3 un traslado costoso y arriesgado entre centros, y la paciente recibi\u00f3 cuidado pedi\u00e1trico de alta calidad en su ciudad natal, lo que proporcion\u00f3 buenos resultados y un cuidado centrado en el paciente y la familia. <\/em><\/p>\n\n\n\n

CASO PR\u00c1CTICO 3<\/strong><\/p>\n\n\n\n

Un bebe de 6 meses con una erupci\u00f3n cut\u00e1nea difusa acude a un peque\u00f1o servicio de emergencias rural. El m\u00e9dico de medicina de emergencia general ha visto muchas erupciones cut\u00e1neas, pero nunca una como esta. Por lo dem\u00e1s, el ni\u00f1o parece estar en buen estado de salud, pero el m\u00e9dico no se siente c\u00f3modo haciendo un diagn\u00f3stico. Antes, habr\u00eda trasladado al ni\u00f1o 4 horas al centro pedi\u00e1trico de referencia m\u00e1s cercano, pero con su programa de telemedicina, puede activar una consulta con un m\u00e9dico de emergencias pedi\u00e1tricas. El m\u00e9dico a distancia realiza un historial completo y un examen f\u00edsico, y es capaz de diagnosticar y tratar eficazmente al ni\u00f1o sin que el paciente salga de su ciudad natal. <\/em><\/p>\n\n\n\n

Haga clic aqu\u00ed para leer el art\u00edculo completo<\/a><\/p>\n\n\n

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Recursos \/ Telesalud en Emergencias Pedi\u00e1tricas y Cuidados Cr\u00edticos Telesalud en Emergencias Pedi\u00e1tricas y Cuidados Cr\u00edticos May 1, 2017 | Alison L. Curfman; James P. Marcin Pediatric Emergency and Critical Care Telemedicine Pediatric Emergency and Critical Care TelemedicineMcGraw Hill \u00b7 May 1, 2017 INTRODUCCI\u00d3N Cada uno de estos escenarios ilustra c\u00f3mo el uso de la […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","footnotes":""},"categories":[64],"tags":[],"class_list":["post-1541","post","type-post","status-publish","format-standard","hentry","category-articulo-clinico","FUNCTIONS-category-articulo-clinico"],"spectra_custom_meta":{"_encloseme":["1"],"rank_math_internal_links_processed":["1"],"_wpml_media_duplicate":["1"],"_wpml_media_featured":["1"],"_top_nav_excluded":[""],"_cms_nav_minihome":[""],"_last_translation_edit_mode":["translation-editor"],"_wpml_word_count":["605"],"rank_math_analytic_object_id":["235"],"rank_math_primary_category":["9"],"_uag_page_assets":["a:9:{s:3:\"css\";s:37508:\".uagb-block-4385860a.wp-block-uagb-image--layout-default figure img{box-shadow: 0px 0px 0 #00000070;}.uagb-block-4385860a.wp-block-uagb-image .wp-block-uagb-image__figure figcaption{font-style: 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