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Congresso SIMEU VII Congresso Nazionale SIMEU Rimini Palacongressi 18-21 Novembre 2010 Corsi precongressuali 17-18 Novembre 2010 Comitati PRESIDENTE SIMEU e PRESIDENTE DEL CONGRESSO Schiraldi Fernando ORGANI DIRETTIVI SIMEU Vice Presidente Area Giovani Carbone Giorgio Noto Paola Segretario Coordinatore Area Nursing Chiesa Maurizio Gelati Luca Tesoriere Past-President Di Grande Aulo Ferrari Anna Maria Consiglieri Presidenti Onorari Arru Alberto Mengozzi Ubaldo Bellis Paolo Panegrossi Aldo Bertini Alessio Perraro Franco Coen Daniele Copetti Roberto De Iaco Fabio Evangelisti Giovanni Fabbri Andrea Ferrara Giorgio Groff Paolo Manca Salvatore Moscatelli Paolo Prevaldi Carolina Stea Francesco Susi Beniamino SEGRETERIA SCIENTIFICA Consiglio Direttivo SIMEU presso Segreteria SIMEU Via Pisani, 10 – 20124 Milano Tel. +39.02.67077483 Fax +39.02.6690117 E-mail: [email protected] www.simeu.it 3 VII CONGRESSO NAZ I ONALE SIMEU Sommario RELAZIONI .......................................................................................................................................................................Pag. 5 COMUNICAZIONI ORALI Clinical Risk Management ......................................................................................................................................Pag. 47 Imaging in Emergenza-Urgenza .............................................................................................................................Pag. 52 Telemedicina .............................................................................................................................................................Pag. 57 Emergenze-Urgenze Psichiatriche .........................................................................................................................Pag. 58 Formazione ...............................................................................................................................................................Pag. 59 Gestione del Trauma ................................................................................................................................................Pag. 67 Emergenze-Urgenze Geriatriche ............................................................................................................................Pag. 74 Percorsi Clinico Assistenziali .................................................................................................................................Pag. 76 Management delle Strutture di Emergenza-Urgenza ...........................................................................................Pag. 87 Evidence Based Nursing ..........................................................................................................................................Pag. 92 Emergenze-Urgenze Pediatriche ............................................................................................................................Pag. 93 Emergenze Tossicologiche ......................................................................................................................................Pag. 94 Emergenze-Urgenze Cardiologiche .......................................................................................................................Pag. 98 Ricerca ed Innovazioni ............................................................................................................................................Pag. 119 Emergenze-Urgenze Metaboliche ..........................................................................................................................Pag. 124 Emergenze-Urgenze Infettivologiche ....................................................................................................................Pag. 126 Medicina delle Catastrofi.........................................................................................................................................Pag. 133 Emergenza-Urgenza Territoriale ............................................................................................................................Pag. 135 Emergenze-Urgenze Gastroenterologiche ............................................................................................................Pag. 136 Emergenze Neurologiche ........................................................................................................................................Pag. 141 Emergenze Respiratorie ..........................................................................................................................................Pag. 144 POSTER Percorsi Clinico Assistenziali .................................................................................................................................Pag. 151 Ricerca ed Innovazioni ............................................................................................................................................Pag. 167 Formazione ...............................................................................................................................................................Pag. 171 Clinical Risk Management ......................................................................................................................................Pag. 173 Emergenze-Urgenze Neurologiche........................................................................................................................Pag. 177 Gestione del Trauma ................................................................................................................................................Pag. 181 Emergenze-Urgenze Respiratorie ..........................................................................................................................Pag. 189 Emergenze-Urgenze Gastroenterologiche ............................................................................................................Pag. 199 Emergenze-Urgenze Metaboliche ..........................................................................................................................Pag. 202 Evidence Based Nursing ..........................................................................................................................................Pag. 204 Emergenza-Urgenza Territoriale ............................................................................................................................Pag. 210 Telemedicina .............................................................................................................................................................Pag. 215 Emergenze-Urgenze Infettivologiche ....................................................................................................................Pag. 216 Emergenze-Urgenze Cardiologiche .......................................................................................................................Pag. 225 Medicina delle Catastrofi.........................................................................................................................................Pag. 240 Imaging in Emergenza-Urgenza .............................................................................................................................Pag. 241 Management delle Strutture di Emergenza-Urgenza ...........................................................................................Pag. 253 Emergenze-Urgenze Psichiatriche .........................................................................................................................Pag. 259 Emergenze-Urgenze Pediatriche ............................................................................................................................Pag. 262 Emergenze-Urgenze Tossicologiche ......................................................................................................................Pag. 263 4 RELAZIONI VII CONGRESSO NAZ I ONALE SIMEU RELAZIONI MISURARE IL GRADO DI SOVRAFFOLLAMENTO IN PS: IL NEDOCS 1)Photiou E.. 2)Susi B.. 3)Palenzona B.. 4)Pugliese FR. 1)Dea, Ospedale sant’’antonio, Padova, Italia 2)Dea, Policlinicotor vergata, Roma, Italia 3)Dea, ) ospedale san giacomo, Novi ligure, Italia 4)Dea, Ospedale sandro pertini, Roma, Italia L’obiettivo principale dei PS è assicurare l’accesso immediato e la stabilizzazione di tutti quei pazienti con quadri sindromici a rischio di vita od evolutivi. Il sovraffollamento, una situazione di sbilanciamento tra la richiesta per la gestione dell’emergenza e le risorse disponibili, fa diminuire drasticamente la capacità di risposta e trattamento adeguato. Gli effetti diretti sono: diminuita capacità di trattamento tempestivo ed efficace; inadeguata capacità di collocare adeguatamente i pazienti che stazionano in Pronto Soccorso. Nell’ultimo decennio la maggior parte dei PS in Italia dichiara costantemente di essere in sovraffollamento basando su criteri variegati: La difficoltà principale, quindi, è misurare in modo oggettivo e univoco il grado di sovraffollamento dei PS in Italia per poter valutare il ri- schio della risposta sanitaria in emergenza/urgenza e attivare una risposta gestionale extra ed intraospedaliera ade- guata. In Letteratura esistono 4 score per misurare il grado di sovraffollamento in PS: READI, EDWIN, NEDOCS, EDCS. Nel 2009 è stato condotto uno studio multicentrico prospettico che ha coinvolto 4 strutture ospedaliere di differenti regioni: Ospedale Sandro Pertini – Roma (300 PL; 85000 pz/anno; bacino utenza 400.000 ab.); Ospedale Sant’Antonio - Padova (120 PL; 29000 pz/anno; bacino utenza 450.000
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