RN 1987 Universitat de Barcelona
PhD 2019 Universitat de Barcelona
RESEARCH, TEACHING, or OTHER INTERESTS
Advanced and Specialized Nursing, Emergency Medicine, Drug Guides, Multidisciplinary
13
Scopus Publications
Scopus Publications
Determination of prehospital biomarkers to be considered in early warning scores Vicenç Ferrés-Padró, Francesc Xavier Jiménez-Fàbrega Emergencias, 2026 Determinacin de biomarcadores prehospitalarios a considerar en las escalas de alerta temprana Determination of prehospital biomarkers to be considered in early warning scores Sr. Editor:Hemos ledo con gran inters la revisin sistemtica y metanlisis de Daz-Gonzlez et al. 1 .En nuestro conocimiento, no abundan estudios sobre la importancia del valor pronstico e impacto de los parmetros analticos o biomarcadores en las escalas predictivas del deterioro clnico aplicadas en asistencia prehospitalaria.La atencin prehospitalaria precisa de equipos multidisciplinares entrenados, por lo que estos estudios son fundamentales para la deteccin de otras situaciones tiempo dependiente.En el sistema de emergencias de Catalua, con una cobertura a ms de 8 millones de habitantes, el 82% de su actividad asistencial, es realizada por los tcnicos de emergencias de las unidades de soporte vital bsico.Por ello, nos gustara aadir ciertas consideraciones a dicha revisin al no observar como boleano, el propio trmino "biomarcador" junto sus variantes, as como excluir estudios con un biomarcador aislado.Ello quizs, haya podido sesgar los resultados y generar limitaciones.Una mayor concrecin de los biomarcadores seleccionados ayudara a comprender mejor la revisin y comparar las capacidades predictivas de los parmetros analticos aislados con los estu-
The National Early Warning Score 2 (NEWS2) in prehospital care Vicenç Ferrés-Padró, Francesc Xavier Jiménez Fàbrega Emergencias, 2025 La escala National Early Warning Score 2 (NEWS2) en la atencin prehospitalariaThe National Early Warning Score 2 (NEWS2) in prehospital care Sr. Editor:Hemos ledo con gran inters el trabajo original de
Quality indicators for acute poisoning Vicenç Ferrés‐Padró, Montserrat Amigó‐Tadín, Santiago Nogué‐Xarau Journal of Advanced Nursing, 2025 We have read with interest the manuscript “Construction of nursing-sensitive quality indicators for acute poisoning in emergency departments: an e-Delphi study” (Li et al., 2024), recently published in your journal. Exposure to toxic substances is a worldwide problem. In the case of Catalonia (Spain), with a population of 7.9 million inhabitants, poisoning accounts for 3% of prehospital emergency attendances and 1% of hospital emergency department attendances each year. Within a multi-disciplinary team involved in the care of poisoned patients, nursing staff and emergency technicians are usually the first respondents, since having the tools such as quality indicators (QIs) that are relevant, easy to record and accessible to all, can be decisive. Spain was a pioneer in proposing and developing 24 QIs in the emergency care of poisoned patients (Nogué-Xarau et al., 2006), validated by the Spanish Association of Toxicology. These indicators already included aspects measurable by nurses such as the recording of clinical constants, the administration of high concentrations of oxygen in the event of suspected carbon monoxide poisoning or the early care of patients to undergo decontamination (Amigó-Tadín et al., 2007). A new QI was recently proposed (Ferrés-Padró et al., 2021) based on the determination of capillary or venous glycaemia and which also directly involves the nursing staff. All these indicators, with their corresponding quality standard, are listed in Table 1. All this represents an opportunity to improve the care of poisoned patients, to detect risk groups, to monitor their records and to promote research in the field (Lirón-García et al., 2023; Llorens et al., 2024; Martínez-Sánchez et al., 2020). Measuring quality care remains today an essential parameter in the evaluation of any healthcare system, regardless of the level of care, as it is a professional competence and responsibility, as well as for patient safety. The few papers published in scientific literature over the last two decades have focused on developing QIs to assess the quality of general hospital and prehospital emergency care, (Borg et al., 2023; Howard et al., 2018; Pap et al., 2018), but there was a lack of specific references for patients exposed to toxics to help improve their quality of care. The use of QIs is not widespread in all European prehospital and emergency department settings. It is hoped that future prospective studies in different geographical areas, at different levels and in different care settings, as well as insights provided by authors such as Li et al., will help to provide external validation of QIs and improve the usefulness of these indicators in the emergency care of poisoned patients. All the authors have contributed to the composition of this letter to the editor. None. The authors declare no conflicts of interest.
Prehospital emergency care of patients exposed to poisoning: Assessment of epidemiological, clinical characteristics and quality of care Lidia Martínez-Sánchez, Vicenç Ferrés-Padró, Daniel Martínez-Millán, Carmen Fernández-Calabria, Montserrat Amigó-Tadín, Francesc Xavier Jiménez-Fàbrega, Santiago Nogué-Xarau Anales De Pediatria, 2020 Describir las características de los pacientes pediátricos con sospecha de intoxicación atendidos por unidades de soporte vital avanzado (SVA) y evaluar los indicadores de calidad (IC) para la atención urgente prehospitalaria de estos pacientes. Estudio observacional de los pacientes menores de 18 años con exposición a tóxicos, que fueron atendidos por una unidad de SVA del Sistema de Emergencias Médicas en Cataluña, durante un año. Se definieron criterios de clínica grave. Se evaluaron 8 IC para la atención urgente prehospitalaria de los pacientes pediátricos intoxicados. Se incluyó a 254 pacientes. La edad mediana fue de 14 años (p25-75 = 7-16), con exposición intencionada en el 50,8% de los casos. El tóxico más frecuentemente implicado fue el monóxido de carbono (CO) (33,8%). Presentó clínica de toxicidad el 48,8%, siendo grave en el 16,5%. La intencionalidad (OR 5,1; intervalo de confianza del 95%: 1,9-13,8) y el desconocimiento del tiempo transcurrido desde el contacto (OR 3,1; intervalo de confianza del 95%: 1,3-7,3) fueron factores de riesgo independientes asociados a clínica grave. Cinco IC no alcanzaron el estándar de calidad: disponibilidad de guías de actuación específicas, administración de carbón activado en pacientes seleccionados, aplicación de oxigenoterapia a la máxima concentración posible en intoxicación por CO, valoración electrocardiográfica en pacientes expuestos a sustancias cardiotóxicas y registro del conjunto mínimo de datos. Los pacientes pediátricos expuestos a tóxicos y atendidos por unidades SVA presentan características propias. Destacan la implicación del CO y de los adolescentes con intoxicaciones voluntarias. La evaluación de los IC ha sido útil para detectar puntos débiles en la calidad asistencial de estos pacientes y desarrollar estrategias de mejora. To describe the characteristics of paediatric patients with suspected poisoning treated by advanced life support (ALS) units, and to evaluate quality indicators (QI) for the prehospital emergency care of these patients. A one-year observational study of patients under 18 years of age exposed to poisoning and treated by an ALS unit of the Medical Emergency System in Catalonia. Severe clinical criteria were defined, with 8 QI being evaluated for prehospital emergency care of poisoned paediatric patients. The study included a total of 254 patients, with a median age of 14 years-old (p25-75 = 7-16), with intentional poisoning in 50.8% of cases. The most frequently involved toxic agent was carbon monoxide (CO) (33.8%). Poisoning was found in 48.8% of those patients, being serious in 16.5%. Intentionally (OR 5.1; 95% CI: 1.9-13.8) and knowledge of the time of exposure (OD 3.1; 95% CI: 1.3-7.3) were independent risk factors associated with the appearance of severe clinical symptoms. Five QI did not reach the quality standard and included, availability of specific clinical guidelines, activated charcoal administration in selected patients, oxygen therapy administration at maximum possible concentration in carbon monoxide poisoning, electrocardiographic assessment in patients exposed to cardiotoxic substances, and recording of the minimum data set. Paediatric patients attended by ALS units showed specific characteristics, highlighting the involvement of CO and adolescents with voluntary poisoning. The QI assessment was useful to detect weak points in the quality of care of these patients and to develop strategies for improvement.
Health care quality indicators and improvements to make in the prehospital care of adults exposed to carbon monoxide Emergencias, 2019
Carbon monoxide (Co) poisoning, a silent epidemic Romanian Journal of Morphology and Embryology, 2019
Experience with pulse carbon monoxide oximetry for prehospital assessment of patients exposed to smoke from fires in closed spaces in Catalonia Emergencias, 2015