masterThesis
Concordancia en la interpretación de los gases arteriales entre residentes de medicina de emergencias y el intensivista
Fecha
2011Registro en:
TEME 0019 2011
Autor
Orozco Ramírez, Luz Adriana
Institución
Resumen
Up to this moment in Colombia, it is unknown the quality of emergency medicine resident interpretation of arterial blood gases. Arterial blood gases is one of the most used laboratory at the emergency department. It is essential to evaluate high prevalence diseases like respiratory problems or sepsis. A wrong interpretacion of this exam could lead to errors in the management of critical patients. Because of that, an evaluation of the trainning of emergency medicine residentes to interpretate arterial blood gases is requierd. A prospective, cross-sectional study was undertaken, seeking a way to evaluate the concordance between the arterial blood gases interpration of the emergency medicine resident of the Rosario University with the one made by an intensive care specialist, and if their emergency medicine residency trainning influenced this results. A total of 60 arterial blood gases taken at patients who were hospitalized at the intensive care unit of Fundación Santa Fe de Bogotá were analysed looking for the concordance between residents and intensive care speacialist interpratation of the exam. The results show a moderate concordance (r 0.445 y 0.442,) in the second and third year residents (p:0,000y0,01)..(MESH: Blood Gas Análisis, Emergency Medical Services, Education, Medical, Graduate)