Elena Miguel Nursing Coordinator & Trainer - Coordinadora de Enfermeria

Monday, 22 September 2014

10th Update Course for scrub nurses in Traumatology and Orthopaedic Surgery

10th Update Course for scrub nurses in Traumatology and Orthopaedic Surgery

Next update course for scrub nurses in Traumatology and Orthopaedic Surgery organised by the Spanish Traumatology and Orthopaedic Nursing Association AEETO (Asociación Española de Enfermería en Traumatología y Ortopedia) will be from 22^nd to 24^th of October 2014 in Fuenlabrada Hospital. This course is accredited by the Commission of Continuous Health Professional Training of Madrid (Comisión de Formación Continuada de los Profesionales Sanitarios de la Comunidad de Madrid, Sistema Nacional de Salud) with 4.3 Credits CFC EXP-07-AFOC-03458.8/2014.

Elena Miguel is the educational coordinator of these courses. She always seeks new topics for the nursing courses each year. During this course the participants will be able learn among others about:

Kyphoplasty
Limb replantation
Custom prosthesis (hip and knee)
Obtaining stem cells
Knee prosthesis with navigator

She expects all students to learn new knowledge and acquire new skills in this theoretical and practical course.

Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz

Monday, 15 September 2014

Artroscopia Clinica Imtra Incoma Madrid Elena Miguel Dr Enrique Galindo Andujar by imtra on SoundCloud - Hear the world’s sounds

Artroscopia Clinica Imtra Incoma Madrid Elena Miguel Dr Enrique Galindo Andujar by imtra on SoundCloud - Hear the world’s sounds

Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz

Artroplastia de cadera Imtra Incoma - Madrid Elena Miguel Poza by imtra on SoundCloud - Hear the world’s sounds

Artroplastia de cadera Imtra Incoma - Madrid Elena Miguel Poza by imtra on SoundCloud - Hear the world’s sounds

Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz

Protesis de rodilla con guias a medida Imtra Incoma Elena Miguel by imtra on SoundCloud - Hear the world’s sounds

Protesis de rodilla con guias a medida Imtra Incoma Elena Miguel Poza Enfermera Coordinadora en el Instituto Madrileño de Traumatología.

Doctor Enrique Galindo Andújar
Cirujano Ortopédico, Cirujano Traumatológico, Traumatólogo.
Tlf: (0034) 915545405
Email: info@enriquegalindo.info
Dirección: Calle Explanada 16, 28040 Madrid España
Clínica IMTRA Instituto Madrileño de Traumatología. Centro médico Incoma en Madrid en la zona de Moncloa Aravaca.

www.enriquegalindo.info/

Camara Oxigenoterapia Hiperbarica Imtra Incoma Elena Miguel by imtra on SoundCloud - Hear the world’s sounds

Camara Oxigenoterapia Hiperbarica Imtra Incoma Elena Miguel by imtra on SoundCloud - Hear the world’s sounds

Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz

Monday, 9 June 2014

Injury prevention in older age - risk reduction for senior citizens

Injury prevention in older age (over 70 years)

Leading cause of injuries in older adults

· Falls (bone fractures, joint dislocations, etc.)
· Choking
· Heatstroke
· Burns

Risk factors

The aging process causes changes in people related to normal mental and physical capacities:

· Diminution of vision;
· Degenerative joint disease (pain causes less mobility);
· Osteoporosis (progressive bone disease that is characterized by a decrease in bone mass and density);
· Decrease in strength and flexibility;
· Slowness in the posture control.

Tips to prevent injuries

Sometimes a lifestyle modification is necessary. Physical activity has to be adapted to current capacity.

It is important:

· Weight control (if there is overweight) and moderate exercise are beneficial with respect to pain and function in the knees and hips worn by aging;
· Remove clutter at home. Do not leave objects on the stairs or walkways;
· Use nightlights in the bedroom, hall and bathroom;
· Avoid loose rugs to avoid tripping;
· Use hand grip bars in the bathroom and shower area;
· A shower unit is preferable to a bathtub;
Be sure the bottom of the bath tub or shower has a non-slip surface;
· Avoid contact sports. There is more risk of injuries than in other kinds of sport;
· No standing on unstable areas (chairs, ladders, etc.);
· Balanced diet (plenty of water, fruit vitamins, vegetables, no diets high in animal protein etc.);
· Avoid going outside during the hottest hours of the day and protect yourself from the sun by using sun cream, wearing a sun hat and sun glasses and walking in the shade;
· Home care and assistance (with centralized called device, for example).

Home care and assistance

Home care is the resource system directed to help and care for people at home when they cease to be fully autonomous, for any reason (they are usually elderly).

There are three types of services:

Personal attention service;
Home care service;
Integration in the environment service.

There are also other services like:

· Telecare
· Adaptation to housing
· Meals on wheels
· Laundry at home
· Nursing or physiotherapy at home, etc.

Telecare

Telecare allows calling from home in case of emergency. The person has a button (medallion or bracelet) and a hands free system that allows communication with a control unit 24 hours a day. When the person presses the button, a care control operative contacts the user through a loudspeaker that allows communication between the two to resolve the problem, that may include sending a doctor, ambulance or firemen, as necessary.

Monday, 2 June 2014

Why is orthopaedic surgery important?

Orthopaedic surgery is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopaedic surgeons use both surgical and non-surgical treatment for musculoskeletal trauma, sports injuries, degenerative diseases, infections, tumours and congenital disorders.

Work injuries

In many jobs, workers have a lot of risks of orthopaedic injuries, for example, bone fractures caused by falling down, soft tissue injury from knocks or cuts. It is necessary to identify potential hazards and to recommend the safest way to do the job using preventive measures.

Sports injuries

Currently, the young adult likes to do sport in his free time, and it is the cause of many injuries. It is necessary to take steps to prevent injuries:

a) First of all gently stretch;

b) Warm up muscles before exercise;

c) Start the exercise with light, gentle movements at first and gradually increase resistance and speed;

d) Week by week slowly build up the intensity of exercise sessions;

e) Use proper equipment.

The most frequent injuries occurring doing sports are:

· Contusion, wound or sprain;

· Bone fractures of the radius and ulna (forearm), tibia and fibula (shin), femur (thigh) etc.;

· Tear menisci or tear anterior cruciate ligament in the knee

· Tear of rotator cuff tendon in the shoulder.

The most common sports that I see causing injuries which I receive in the IMTRA Clinic are:

· Team sports like football, rugby, basketball, volleyball and handball;

· Racket sports such as padel, tennis and squash;

· Outdoor and adventure sports including mountain biking, fell running, rafting, sailing, kayaking, hiking and climbing;

· Winter sports including skiing and snowboarding;

· Long distance, half marathon and marathon running;

· Track and filed athletics including running, long jump, high jump, hurdles, javelin and shot put;

· Gymastics and dance.

The treatment of each lesion has to be evaluated by a competent professional. Sometimes the immobilization is enough but other times it is necessary to undergo surgical treatment for example through knee arthroscopy, repair of fracture, shoulder arthroscopy, etc.

Monday, 19 May 2014

OSTEOSYNTHESIS - basic principles of osteosynthesis - screw and plate

OSTEOSYNTHESIS

Osteosynthesis is the surgical treatment of bone fractures to restore full function.

The basic principles of osteosynthesis are:

1. Restore the anatomy (reduction of fragments);

2. Establish stability (internal fixation with implants);

3. Preserve blood supply;

4. Early mobilization of the limb and patient.

Plates and screws are the most used implants in the osteosynthesis.

SCREW

A screw is a mechanical device that converts rotation into linear movement, as you rotate the screw clockwise the tip of the screw advances.

Screws are used alone or with a plate and they can be classified according to:

· Size (the size usually refers to the thread diameter);

· Design (locking head, conventional, cannulated screw, etc.);

· Function (Lag screw, plate screw, position screw);

· Characteristics (self-tapping, self-drilling, etc.);

· Application site (cortical, cancellous, bicortical).

But these terms are sometimes mixed, for example, a screw might be referred to as a 4.5mm self-tapping cortex screw.

A standard bone screw consists of head, core, thread and tip.

PLATES

Plates can be classified according to:

· Design (third tubular plate, DCP-dynamic compression plate-; LCDCP-low contact dynamic compression plate-; LCP-locking compression plate-);

· Function (Compression, Protection (also called neutralization), buttress, tension band and bridging).

The instruments necessary for the implantation of all these implants (drills, taps, guides, countersink, depth gauge, screwdrivers, etc) must be in perfect condition (sterilized, sharp, etc.).

The scrub nurse has to know instrumentation and the different techniques. Protocols about all of them are useful and training is very important.