Publicado sep 11, 2012



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Jairo Alejandro Bejarano Zuleta

Magdalena Grajales Valencia

Ana María Jiménez Fadul

Sonia Consuelo Agudelo Acosta

Atilio Moreno Carillo

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Resumen

En el servicio de urgencias de pediatría es fundamental reconocer de forma precoz los signos clínicos que indican amenaza para la vida del paciente y que se deben manejar ágil y oportunamente. Ello se constituye en un reto para el personal de salud que lo asiste, pues se requiere una valoración inicial rápida enfocada en un punto de vista fisiopatológico que analice la afectación hemodinámica y la insuficiencia respiratoria, a fin de prevenir un paro cardiorrespiratorio. Esta primera aproximación que se propone se denomina triángulo de evaluación pediátrica (TEP), basado en apariencia (aspecto general), respiración y circulación, a partir del cual se realiza un examen visual y uno auditivo en los primeros segundos de la llegada del paciente pediátrico al servicio de urgencias. Este permite una categorización del estado clínico y tomar una decisión adecuada.

Keywords

emergencia, triage rápido, triángulo de evaluación pediátrica, diagnóstico diferencial, Emergencies, rapid triage, pediatric assessment triangle, differential diagnosis,

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Cómo citar
Bejarano Zuleta, J. A., Grajales Valencia, M., Jiménez Fadul, A. M., Agudelo Acosta, S. C., & Moreno Carillo, A. (2012). Evaluación inicial del paciente pediátrico: ¿cómo se debe realizar?. Universitas Medica, 54(1), 69–78. https://doi.org/10.11144/Javeriana.umed54-1.eipp
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