NPunto

8

Authors: Herrador Corredero-Sánchez, S

Introduction: Compartment syndrome is defined as the elevation of tissue pressure above 30mmHg in a compartment, a predecessor situation of crush syndrome, which is defined as post-traumatic rhabdomyolysis with systemic alteration, associated with acute renal failure. Objetive: Understand what compartment and crush syndrome is, its main difference and know the main actions at the prehospital level, to avoid short and long- term complications. Methodology: Bibliographic review. Different sources were used such as: Medline, Scielo, Google scholar, Dialnet. Articles in Spanish and English were selected, according to inclusión criteria. Develoment: Compartment syndrome is a fairly frequent pathology in situations such as earthquakes, accidents in crowds of people or any situation that involves crushing of the patient, where the time of action is a fundamental factor. Being clear about the initial assessment in the field (based on the ABCDE) and giving timely treatment to these patients, in addition to controlling the affected limb or area of the body, is not easy at the pre-hospital level, but it will be what determines the survival of these patients Conclusions: In order to carry out a good pre-hospital response to a CS, we must be clear about the protocol for dealing with said pathology. Having good up-to-date knowledge and knowing the pathology, in addition to keeping in mind that time is a fundamental factor in our actions, will significantly improve the percentage of deaths from SA.

19

Authors: Membiela Zafra, M

Currently, society is not very aware of the pelvic floor. In fact, many women do not discover it until they become pregnant. Weakness of the pelvic floor can lead to dysfunctions such as urinary or faecal incontinence, dyspareunia, pelvic organ prolapse or pain, among others. The demand for attention to urogynaecological problems has increased in recent years, both in young and older women who are looking for a solution to their problem. In addition, the demand from pregnant women and even those without symptoms is increasingly common. Obstetric physiotherapy will contribute to strengthening the pregnant woman, and more specifically the pelvic floor, reducing perineal injuries and pain and improving the quality of life. It acts both before pregnancy and during gestation, childbirth and postpartum. Likewise, each woman is different from the rest, so the treatment will have to be adapted individually. To do this, a qualified and specialised physiotherapist will be needed, who on certain occasions will work together with a multidisciplinary team. However, it is a field where there is much to study, so research is encouraged to evolve in the knowledge and treatment of this area.

24

Authors: García Jorge, M.D

Musculoskeletal disorders ( MSD ) encompass more than 150 diagnoses of the locomotor system as listed in the ICF (International Classification of Diseases). They affect muscles, bones, joints, and associated tissues such as tendons and ligaments. They are involving pain, usually persistent, and limited movement, the skill and the functional capabilities. They can debut at any time in life, but mainly occur from adolescence to old age. Its prevalence and its effects are expected to increase with the aging of the world population and the increased prevalence of risk factors for noncommunicable diseases, especially in low- and middle-income countries . In 2017 they were the second cause of disability in the world (they caused 16% of the years lived with disability) and low back pain continues to be the most common reason for disability since the first measurements were made in 1990. Between 20% and 33% of people have a muscle disorder that causes pain. Some of these conditions require specific care or surgical, but many can be treated in primary care centers by basic interventions nonpharmacological as physical activity, weight or psychotherapy, sometimes combined s with drug treatment.