COVID-19: desafíos en la detección y triage en personas con discapacidad debido a lesión de la médula espinal

Autores: Radha Korupolu, Argyrios Stampas, Carlee Gibbons, Isaac Hernandez Jimenez, Felicia Skelton, Monica Verduzco-Gutierrez

Un brote de una nueva enfermedad por coronavirus (COVID-19) que surgió en la ciudad china de Wuhan se ha convertido rápidamente en una
pandemia global de salud pública. A partir de marzo de 2020, los Centros para el Control y la Prevención de Enfermedades (CDC) han descrito
niveles de prioridad para evaluar a pacientes con sospecha de COVID-19 e información sobre cuándo buscar atención médica. Sin embargo,
existe una escasez de orientación adicional para las personas con lesión de la médula espinal (LME) que no presentan síntomas típicos de
COVID-19 debido a fisiología alterada. Esto puede plantear desafíos con la vigilancia, la estratificación de riesgos y la gestión inicial de esta población vulnerable.

La población con LME plantea un desafío diagnóstico único en el entorno pandémico actual. D

La pronta participación de un médico capacitado en LME, ya sea en persona o virtual, al evaluar a un paciente con sintomatología nueva o que empeora se justifica y aconseja durante la pandemia de COVID-19.

En conclusión, creemos que la guía global más adecuada para las personas con LME es incluir la sintomatología atípica para los síntomas de COVID-19 y ampliar los criterios para las pruebas. Con respecto a futuras situaciones de emergencia o pandemias, podremos adaptarnos rápidamente si optimizamos las muchas lecciones aprendidas de COVID-19. Los planes de contingencia deben estar disponibles para ayudar a facilitar mejores resultados para nuestros pacientes con discapacidades.

Fuente: Spinal Cord Series and Cases (2020) 6:35 https://doi.org/10.1038/s41394-020-0284-7

10 Comments :

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    Begin these along with your elbows pointing instantly up on the ceiling to maintain the focus on the
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    Cranium crushers are an essential a part of constructing a
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    He would mix them in a 30-minute AMRAP (as many reps as possible) routine.

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    Changing workout routines once in a while is nice to prevent muscle adaptation too.
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    You Will finish this again coaching program with a lat extension utilizing a Vulken cable attachment, adopted
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    The 5-Day Outlift break up focuses on progressive overload.
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    Even four weeks for people who easily get fat would
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    Certainly, there have been actors and trainers I’ve chatted with in the past who
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    Sure, Graham made use of ice baths, saunas and sports massage to assist him
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    As a private coach and writer, Terry loves changing lives through coaching and the
    written word. In Kinesiology and is an ACSM Certified Private Coach and ISSA Licensed Strength and Conditioning Specialist.
    He enjoys taking part in music, reading, and watching films when he is not
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    To ensure your body has sufficient building blocks to support your bulk,
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    A protein shake is a convenient choice, but “real food” works just as nicely.

    The old “eat huge to get massive” mentality can result in extreme fats
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    Traditional methods usually counsel huge calorie intakes.
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    whenever you do a ton of long-distance cardio, it’s exhausting
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    The show launched on February 21, and a predictable string of rave critiques soon followed.

    Nonetheless, few individuals foresaw the onslaught of
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    Curl your hips off the bench, squeezing your abs on the high, then decrease slowly.

    If you skilled in the 1-5 rep range, focusing on compound
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    Sticking with comparable compound lifts can be great, because
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    Cardio is essential as properly as a device to extend fats loss, nevertheless it
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    Hold eating and maintain grinding, and by the time next summer season rolls round, you’ll be the largest guy on the seaside.

    Do Not waste another minute of your time looking for what to do.
    I’ve already carried out the analysis for you and created step-by-step plans that work.
    When that occurs, you end up gaining muscle, getting lean, and at all times trying a minimal of good throughout the entire process, and looking great at the finish of it.
    Proceed to monitor progress on this manner throughout the length of
    your cutting section and regulate when/if needed to ensure
    weight loss continues to occur on the best rate.

    Our bodies use this vitality to do everything, like moving,
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    On the contrary, an occasional cheat meal won’t hurt something.
    But the vast majority of your food plan should be healthy, nutrient-dense foods.
    If you’re already chubby or overweight, bulking just
    isn’t a good idea.

    References:

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