Introduction: In recent years, the use of drones in health emergencies has increased. Among their main benefits are avoiding endangering rescuers, travelling long distances in a short time, or contacting victims in risky situations; but despite their multiple advantages, their use has not been fully demonstrated.Study Objective: This study aims to identify the available evidence on the use of drones in emergency health care compared to traditional health care.Methods: Systematic review of the literature was conducted. Search protocols were developed to locate studies that met the established selection criteria. Six experimental or quasi-experimental studies with high methodological quality published from the beginning of indexing until 2020 were included.Results: Drones covered a significantly larger area than other traditional tracking methods and were very useful for performing preliminary triage, determining needs, and knowing the scene prior to the arrival of rescuers. In addition, drones reduced the time required to locate the victim.Conclusions: Drones are an element to be taken into account when attending health emergencies as they significantly improve the distance travelled to locate accident victims, have the possibility of performing triage prior to the arrival of the health care units, and improve the time and quality of the care provided.

The use of drones for triage in mass-casualty incidents has recently emerged as a promising technology. However, there is no triage system specifically adapted to a remote usage. Our study aimed to develop a remote triage procedure using drones. The research was performed in three stages: literature review, the development of a remote triage algorithm using drones and evaluation of the algorithm by experts. Qualitative synthesis and the calculation of content validity ratios were done to achieve the Aerial Remote Triage System. This algorithm assesses (in this order): major bleeding, walking, consciousness and signs of life; and then classify the injured people into several priority categories: priority 1 (red), priority 2 (yellow), priority 3 (green) and priority * (violet). It includes the possibility to indicate save-living interventions to injured people and bystanders, like the compression of bleeding injuries or the adoption of the recovery position. The Aerial Remote Triage System may be a useful way to perform triage by drone in complex emergencies when it is difficult to access to the scene due to physical, chemical or biological risks.

To know the primary care nurses' difficulties to promote advance care planning process with patients in the end of life. Phenomenological qualitative methodology. Health Management Area North of Jaén. Primary care nurses. Purposive sampling. Fourteen in-depth interviews were conducted until the speeches saturation. Content analysis in four steps: transcription, coding, obtaining results and conclusions verification. Supported whit the software Nvivo 8. Triangulation of results between researchers. Professionals' difficulties: Lack of knowledge about the topic, lack of communication skills, lack of experience and presence of negative emotions. In the health institution lack of time and interference with other professionals is a barrier. Also the patient's attitude and the family are identified as an obstacle because few people speak about the end of life. Finally, our society prevents open discussion about issues related to death. Professional learning about advanced care planning, training in communication skills and emotional education are necessary. Health managers should consider the fact that early interventions for planning health decisions require training, time and continued attention. If a cultural change does not happen, an evasive way to face the end of life will persist.

Project-based learning (PBL) is a teaching methodology that allows students to acquire knowledge and competencies through the completion of projects that respond to real-life problems. The aims of this study were to evaluate the acquisition of knowledge of students of the Aging Nursing subject through a PBL-based intervention and determine the degree of student satisfaction with the use of this methodology. A mixed, quasi-experimental, pre–post study was conducted without a control group using an educational intervention based on PBL and descriptive phenomenology with content analysis of the experiences reported after it. A knowledge questionnaire about nursing homes was administered before the start of the intervention. After using PBL to carry out the subject project, the same knowledge questionnaire and an ad hoc questionnaire on satisfaction, assessment, and improvement aspects were administered. In total, 111 nursing students participated. The difference in knowledge after the educational intervention was significant. The mean pre-intervention score was 5.56, SD 1.50, and the mean post-intervention score was 7.14, SD 1.59, (p = 0.001). In total, 74% of the students stated that they were very satisfied with the use of this methodology. The students had a positive perspective on the process of acquiring knowledge that PBL allows. The students improved their knowledge about the planning and management of nursing homes with the use of the project-based learning teaching methodology. They were very satisfied with said activity. Teachers must be adequately trained for the correct implementation of this teaching methodology. This study was not registered.

To describe palliative care needs, case and palliative complexity, frailty, prognosis, and other relevant clinical variables in complex chronic patients (CCPs) attended in Primary Care in Andalusia. Descriptive, cross-sectional, multicentre study. SITE: Primary care centres in the eight provinces of Andalusia. 179 CCPs randomly selected by case management nurses trained in the use of assessment tools. Sociodemographic and clinical variables were collected, and validated tools were applied: NECPAL-ICO-CCOMS© for palliative needs, Frágil-VIG for frailty, ICCa for case complexity, IDC-Pal for palliative complexity, and the PROFUND and PPI indices to estimate prognosis. The mean age was 80.59 (±9.764) years, and 54.7% were women. Forty-two point five per cent met NECPAL criteria for advanced PCC. The mean frailty was 0.37 (±0.166). Forty-one point three per cent were classified as complex cases (ICCa) and 26.3% presented high palliative complexity (IDC-Pal). The one-year mortality risk was 45-50% (PROFUND), with an estimated mean survival of 135days (PPI). Statistically significant differences (P≤0,05) were found in tool scores by sex, presence of cognitive impairment, and caregiver availability. Significant correlations were observed between frailty, complexity, and prognosis. A high proportion of CCPs in Primary Care in Andalusia present palliative needs, frailty, and clinical and social complexity, with a limited life expectancy. These findings evidence the need for systematic comprehensive assessments to identify early patients requiring specific palliative care and to optimize the use of health and social care resources.

The use of drones for the triage of victims in mass-casualty incidents has recently emerged as a promising technology. However, there is not a triage system really adapted to a remote usage. The objective of our study was to develop a remote triage procedure using drones. The research was performed in three stages: literature review, development of a remote triage algorithm using drones and evaluation of the algorithm by experts. A qualitative synthesis and the calculation of content validity ratios were done to achieve the Aerial Remote Triage System. The system assesses first major bleeding, second walking, third conscious (awake) and fourth sign of life; and classify the victims inside priority categories: priority 1 (red), priority 2 (yellow), priority 3 (green) and priority * (violet). It includes the possibility to indicate save-living interventions to victims and bystanders, like the compression of bleeding injuries or the recovery position. The Aerial Remote Triage System is valid in complex health emergencies when it is difficult or impossible an immediate access to the scene due to physical, chemical or biological risks. It can be useful to know vital information about the emergencies.