Optics Are The Great Favorites of Urgent Care in LV

Leaving less useful techniques such as CT with xenon (16,26), techtenium-99 , radiography or pulmonary function tests (16,25). The last point strongly de-beaten with respect to ventilation is the use of different treatment of urgent care in LV modalities with respect to oxygen therapy https://www.getready.com/urgent-care/las-vegas

Specifically with regard to the early use of hyperbaric oxygen therapy, without a standard protocol in terms of duration, frequency and intensity (26,27), and still with little evidence , for which is usually reserved for severe CO poisoning situations .

This coincides with the results of our review (14-16,20). Along the same lines of research, another widely discussed aspect is the use of fluid therapy. On this occasion, it has been found that those affected by inhalation injuries require higher volumes of replacement with crystalloid sera and / or blood products than those who suffer only skin burns (19, 26, 28), while others still reflect controversy regarding this point (23).

However, what is clearly unanimous is the need to frequently reevaluate the patient during the first 6-72 hours due to the risk of edema favored, in part, by fluid therapy. Regarding the specific knowledge about hydrogen cyanide poisoning, unequal positions have been found with respect to the administration of different antidotes.

The most repeated are sodium nitrite sodium thiosulfate and hydroxocobalamin , all of them subject to the corresponding national regulations. Although, at present it has been proven that the administration of 5 grams of hydroxocobalamin early and through intravenous access is what offers the best results in terms of effectiveness and good tolerance (12-14,16, 20,24,26,29).

But despite all the above, certain limitations have been found in this review. Among the documents located, clinical studies are lacking, and the lack of them can be assumed, in part, for ethical reasons. It is also observed that the results found have been sufficiently variable, so the conclusions obtained from this review should be analyzed with caution. It is necessary for health professionals and, specifically, nurses, to get involved in research by conducting high-quality studies, to advance the care offered for burns in the respiratory tract.

The care provided in critical urgent care in LV units has been researched and published, but it is necessary to implement specific protocols for emergency areas in terms of the specific management of patients with inhalation injuries. , we can conclude that the initial management of patients with inhalation injuries involves ensuring the airway and good ventilation, which in the most severe cases will be performed through orotracheal intubation. Currently, it is the clinic that directs the guidelines for action, but diagnostic tests such as fiberoptic bronchoscopy may modify this fact in the near future

Hyperbaric oxygen therapy is not yet supported by scientific evidence except in very specific cases, due to its difficult implementation and the harmful effects it can produce. With regard to drug treatment, early treatment requires large amounts of intravenous fluids and other substances that are being analyzed to determine their benefits. Without a doubt, intravenous hydroxocobalamin stands as the preferred antidote for cyanide inhalation poisoning in our setting. We must not forget that the results of this study must be considered with caution due to the quality of the studies used to carry it out. Conflict of interest The authors declared that they had no conflict of interest in carrying out this study.

Funding source of urgent care in LV The authors declared that they had not obtained any financial funding to carry out this research. BIBLIOGRAPHY 1. Collado CM, Pérez V, Lorente SR, Pérez FA. Epidemiological clinical characterization of burns in the elderly admitted to the Celia Sánchez Hospital. CCM, 2015; 19 (3) .2. Carrillo R, Peña CA, De la Torre T, Espinosa de los Monteros I, Rosales AO, Nava JA. Ac state