SAS - Centro de Emergencias Sanitarias 061 - Málaga

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Prescripción enfermera en el contexto de las urgencias y emergencia
(Enferurg, 2009-06) Valenzuela Rodríguez, Antonio J.; Cámara Anguita, Sixto; [Valenzuela Rodríguez,AJ] DCCU(Baena). Distrito Sanitario Córdoba-Sur. Servicio Andaluz de Salud (SAS). [Cámara Anguita, S] Empresa Pública de Emergencias Sanitarias (EPES 061). SP Jaén.
El área de las urgencias y emergencias, asistidas desde cualquiera de los niveles y entornos asistenciales plantea, si cabe, unos modelos de trabajo y formas en que la colaboración entre profesionales y el trabajo en Equipo hacen de la prescripción enfermera, muchas veces farmacológica, una necesidad legislada atendiendo a la mayor evidencia científica y a través de algoritmos de actuación internacionalmente aceptados. Posibilitando a la enfermera actuar acorde a estos conceptos y fuera de toda “duda y sospecha” de ilegalidad. Haciéndose necesario un consenso y desarrollo formativo y acorde a la especialización y diferenciación profesional en esta área y como argumentos que despejen cuantas dudas aún este asunto sigue encerrando sin ningún sentido y en muchos sectores.
Initial complications and factors related to prehospital mortality in acute myocardial infarction with ST segment elevation.
(BMJ Publishing Group,, 2014-07-25) Rosell-Ortiz, Fernando; Mellado-Vergel, Francisco J; Fernández-Valle, Patricia; González-Lobato, Ismael; Martínez-Lara, Manuela; Ruiz-Montero, María M; Romero-Morales, Francisco; Vivar Díaz, Itziar; García-Alcántara, Angel; García del Águila, Javier; [Rosell-Ortiz,F; Fernández-Valle,P; González-Lobato, I; Martínez-Lara,M; Ruiz-Montero,MM; Romero-Morales,F; Vivar Díaz,I; García del Águila,J] 1Empresa Pública de Emergencias Sanitarias de Andalucía. Andalusian Health Ministry, Andalucía, Spain. [Mellado-Vergel,FJ] Department of Urgencias, Hospital el Toyo, Almería, Spain. [García-Alcántara,A] Intensive Care Unit, Hospital Clínico, Málaga, Spain; Project funded by (1) Public Health Emergency Service Enterprise of Andalusia, Spain (Andalusian Public Health System, public funding). (2) A research grant from ‘Fundación Progreso y Salud’ (Andalusian Research Agency, Spain, public funding). (3) Collaboration of a limited research grant from Boehringer Ingelheim Spain.
OBJECTIVE Hospital mortality in myocardial infarction ST-elevation myocardial infarction has decreased in recent years, in contrast to prehospital mortality. Our objective was to determine initial complications and factors related to prehospital mortality in patients with acute myocardial infarction with ST segment elevation (STEMI). METHODS Observational study based on a prospective continuous register of patients of any age attended by out-of-hospital emergency teams in Andalusia between January 2006 and June 2009. This includes patients with acute coronary syndrome-like symptoms whose initial ECG showed ST elevation or presumably new left bundle branch block (LBBB). Epidemiological, prehospital data and final diagnostic were recorded. The study included all patients with STEMI on the register, without age restrictions. Forward stepwise logistic regression analysis was performed to control for confounders. RESULTS A total of 2528 patients were included, 24% were women. Mean age 63.4±13.4 years; 16.7% presented atypical clinical symptoms. Initial complications: ventricular fibrillation (VF) 8.4%, severe bradycardia 5.8%, third-degree atrial-ventricular (AV) block 2.4% and hypotension 13.5%. Fifty-two (2.1%) patients died before reaching hospital. Factors associated with prehospital mortality were female sex (OR 2.36, CI 1.28 to 4.33), atypical clinical picture (OR 2.31, CI 1.21 to 4.41), hypotension (OR 4.95, CI 2.60 to 9.20), LBBB (OR 4.29, CI 1.71 to 10.74), extensive infarction (ST elevation in ≥5 leads) (OR 2.53, CI 1.28 to 5.01) and VF (OR 2.82, CI 1.38 to 5.78). CONCLUSIONS A significant proportion of patients with STEMI present early complications in the prehospital setting, and some die before reaching hospital. Prehospital mortality was associated with female sex and atypical presentation, as pre-existing conditions, and hypotension, extensive infarction, LBBB and VF on emergency team attendance.
Adecuación de la medicación cardiovascular en los diabéticos tipo 2 de Torrejoncillo (Cáceres) según los criterios STOP/STAR.
(Elsevier, 2015-01) Baquero-Barroso, María José; Fernández Del Valle, Patricia; Palomo Cobos, Luis; Domínguez-Felipe, Francisco Javier; [Baquero-Barroso,MJ; Domínguez-Felipe,FJ] Centro de Salud de Torrejoncillo, Torejoncillo, Cáceres, España. [Fernández del Valle,P] Unidad de Investigación, Empresa Pública de Emergencias Sanitarias, Sevilla, España. [Palomo Cobos,L] Centro de Salud Zona Centro, Cáceres, España; Financiación Proyecto de Investigación DIAB06/2012 «Detección y control de factores de riesgo y complicaciones vasculares en los pacientes diabéticos de la zona de salud de Torrejoncillo(Cáceres)». Fundación para la Formación y la Investigación de los Profesionales de Salud de Extremadura.
La polimedicación se incrementa con la edad y es un motivode creciente preocupación por sus consecuencias indesea-bles. Pero, por otro lado, se necesita prevenir las frecuentescomplicaciones cardiovasculares que padecen los diabéti-cos tipo 2 (DM2), muchos de ellos ancianos, en ocasionesa˜nadiendo más medicamentos apropiados. Entre los instru-mentos para calificar la adecuación de los tratamientosadministrados, recientemente se han propuesto los deno-minados criterios STOP/STAR.
Influence of prehospital response times in the survival of trauma patients in Navarre
(Gobierno de navarra, 2016-01-01) Luque Gutierrez, M.; Lopez Rebollo, E.; [Luque Gutierrez, M.] Empresa Publ Emergencias Sanitarias Andalucia, Carretera Ronda,226-6a Planta, Almeria 04005, Spain; [Lopez Rebollo, E.] Empresa Publ Emergencias Sanitarias Andalucia, Carretera Ronda,226-6a Planta, Almeria 04005, Spain
[Use of customer relationship management to improve healthcare for citizens. The 24h Andalusian Health Service: Healthline].
(2016-02-18) Quero, Manuel; Ramos, María Belén; López, Wilfredo; Cubillas, Juan José; González, José María; Castillo, José Luis
Salud Responde (in English: Healthline) is a Health Service and Information Centre of the taxpayer-funded Andalusian Health System (AHS) that offers a Telephone Health Advisory Service called SA24h, among other services. The main objective of SA24h is to inform and advise citizens on health issues and the available health resources of the AHS. SA24h has a Customer Relationship Management information technology tool that organises information at various levels of specialization. Depending on the difficulty of the query, the citizen is attended by professionals with distinct profiles, providing a consensual response within the professionals working within Salud Responde or within other healthcare levels of the AHS. SA24h provided responses to 757,168 patient queries from late 2008 to the end of 01/12/2015. A total of 9.38% of the consultations were resolved by the non-health professionals working at Salud Responde. The remaining 84.07% were resolved by health staff. A total of 6.5% of users were referred to accident and emergency facilities while 88.77% did not need to attend their general practitioner within the next 24hours, thus avoiding unnecessary visits to health care facilities.
[Factors associated with prehospital delay in men and women with acute coronary syndrome].
(2016-04-30) Daponte-Codina, A; Bolívar-Muñoz, J; Sánchez-Cantalejo, E; Mateo-Rodríguez, I; Babio, G; Romo-Avilés, N; Rosell-Ortiz, F; Grupo de Estudio de Género Y Enfermedades Cardiovasculares (GENCAR)
To identify factors associated with prehospital delay in people who have had an acute coronary syndrome. Using a survey we studied patients admitted due to acute coronary syndrome in the 33 Andalusian public hospitals, obtaining information about different types of variables: socio-demographic, contextual,clinical, perception, action, and transportation.Multivariate logistic regression models were applied to calculate the odds ratios for the delay. Of the 1,416 patients studied, more than half had a delay of more than an hour. This is associated to distance to the hospital and means of transport: when the event occurs in the same city,using the patient's own means of transport increases the delay, odds ratio = 1.51 (1.02 to 2.23); if the distance is 1 to 25 kilometers from the hospital,there is no difference between the patient's own means of transport and an ambulance, odds ratio =1.41 and odds ratio =1.43 respectively; and when the distance exceeds 25 kilometers transport by ambulance means more delay, odds ratio = 3.13 and odds ratio = 2.20 respectively. Also, typical symptoms reduce delay amongst men but increase amongst women. Also, not caring and waiting for the resolution of symptoms, seeking health care other than a hospital or emergency services, previous clinical history, being away from home, and having an income under 1,500 euros, all increase delay. Respiratory symptoms reduce delay. Prehospital delay times do not meet health recommendations. The physical and social environment,in addition to clinical, perceptual and attitudinal factors, are associated with this delay.
EuReCa ONE-27 Nations, ONE Europe, ONE Registry: A prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe.
(2016-06-16) Gräsner, Jan-Thorsten; Lefering, Rolf; Koster, Rudolph W; Masterson, Siobhán; Böttiger, Bernd W; Herlitz, Johan; Wnent, Jan; Tjelmeland, Ingvild B M; Ortiz, Fernando Rosell; Maurer, Holger; Baubin, Michael; Mols, Pierre; Hadžibegović, Irzal; Ioannides, Marios; Škulec, Roman; Wissenberg, Mads; Salo, Ari; Hubert, Hervé; Nikolaou, Nikolaos I; Lóczi, Gerda; Svavarsdóttir, Hildigunnur; Semeraro, Federico; Wright, Peter J; Clarens, Carlo; Pijls, Ruud; Cebula, Grzegorz; Correia, Vitor Gouveia; Cimpoesu, Diana; Raffay, Violetta; Trenkler, Stefan; Markota, Andrej; Strömsöe, Anneli; Burkart, Roman; Perkins, Gavin D; Bossaert, Leo L; EuReCa ONE Collaborators
The aim of the EuReCa ONE study was to determine the incidence, process, and outcome for out of hospital cardiac arrest (OHCA) throughout Europe. This was an international, prospective, multi-centre one-month study. Patients who suffered an OHCA during October 2014 who were attended and/or treated by an Emergency Medical Service (EMS) were eligible for inclusion in the study. Data were extracted from national, regional or local registries. Data on 10,682 confirmed OHCAs from 248 regions in 27 countries, covering an estimated population of 174 million. In 7146 (66%) cases, CPR was started by a bystander or by the EMS. The incidence of CPR attempts ranged from 19.0 to 104.0 per 100,000 population per year. 1735 had ROSC on arrival at hospital (25.2%), Overall, 662/6414 (10.3%) in all cases with CPR attempted survived for at least 30 days or to hospital discharge. The results of EuReCa ONE highlight that OHCA is still a major public health problem accounting for a substantial number of deaths in Europe. EuReCa ONE very clearly demonstrates marked differences in the processes for data collection and reported outcomes following OHCA all over Europe. Using these data and analyses, different countries, regions, systems, and concepts can benchmark themselves and may learn from each other to further improve survival following one of our major health care events.
Effect of Trans-Nasal Evaporative Intra-arrest Cooling on Functional Neurologic Outcome in Out-of-Hospital Cardiac Arrest: The PRINCESS Randomized Clinical Trial.
(2019) Nordberg, Per; Taccone, Fabio Silvio; Truhlar, Anatolij; Forsberg, Sune; Hollenberg, Jacob; Jonsson, Martin; Cuny, Jerome; Goldstein, Patrick; Vermeersch, Nick; Higuet, Adeline; Jiménes, Francisco Carmona; Ortiz, Fernando Rosell; Williams, Julia; Desruelles, Didier; Creteur, Jacques; Dillenbeck, Emelie; Busche, Caroline; Busch, Hans-Jörg; Ringh, Mattias; Konrad, David; Peterson, Johan; Vincent, Jean-Louis; Svensson, Leif
Therapeutic hypothermia may increase survival with good neurologic outcome after cardiac arrest. Trans-nasal evaporative cooling is a method used to induce cooling, primarily of the brain, during cardiopulmonary resuscitation (ie, intra-arrest). To determine whether prehospital trans-nasal evaporative intra-arrest cooling improves survival with good neurologic outcome compared with cooling initiated after hospital arrival. The PRINCESS trial was an investigator-initiated, randomized, clinical, international multicenter study with blinded assessment of the outcome, performed by emergency medical services in 7 European countries from July 2010 to January 2018, with final follow-up on April 29, 2018. In total, 677 patients with bystander-witnessed out-of-hospital cardiac arrest were enrolled. Patients were randomly assigned to receive trans-nasal evaporative intra-arrest cooling (n = 343) or standard care (n = 334). Patients admitted to the hospital in both groups received systemic therapeutic hypothermia at 32°C to 34°C for 24 hours. The primary outcome was survival with good neurologic outcome, defined as Cerebral Performance Category (CPC) 1-2, at 90 days. Secondary outcomes were survival at 90 days and time to reach core body temperature less than 34°C. Among the 677 randomized patients (median age, 65 years; 172 [25%] women), 671 completed the trial. Median time to core temperature less than 34°C was 105 minutes in the intervention group vs 182 minutes in the control group (P Among patients with out-of-hospital cardiac arrest, trans-nasal evaporative intra-arrest cooling compared with usual care did not result in a statistically significant improvement in survival with good neurologic outcome at 90 days. ClinicalTrials.gov Identifier: NCT01400373.
[Use of the mobile application of Salud Responde for the optimisation of health resources].
(2019-04-17) Cubillas Mercado, Juan José; Quero Haro, Manuel; Ramos Rodriguez, Maria Belén; Ramos, Maria Isabel; Lopez, Wilfredo; Gonzalez Conejo, José Maria
Methodology of Specialist Physicians Training: From Traditional to e-Learning.
(2020-10-21) Chaves, Juan; Lorca-Marín, Antonio A; Delgado-Algarra, Emilio José
Different studies show that mixed methodology can be effective in medical training. However, there are no conclusive studies in specialist training on advanced life support (ALS). The main objective of this research is to determine if, with mixed didactic methodology, which includes e-learning, similar results are produced to face-to-face training. The method used was quasi-experimental with a focus on efficiency and evaluation at seven months, in which 114 specialist doctors participated and where the analysis of the sociodemographic and pre-test variables points to the homogeneity of the groups. The intervention consisted of e-learning training plus face-to-face workshops versus standard. The results were the performance in knowledge and technical skills in cardiac arrest scenarios, the perceived quality, and the perception of the training. There were no significant differences in immediate or deferred performance. In the degree of satisfaction, a significant difference was obtained in favour of the face-to-face group. The perception in the training itself presented similar results. The main limitations consisted of sample volume, dropping out of the deferred tests, and not evaluating the transfer or the impact. Finally, mixed methodology including e-learning in ALS courses reduced the duration of the face-to-face sessions and allowed a similar performance.
Cross-cultural adaptation and psychometric validation of a Spanish version of the revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire.
(BMJ, 2022-03-22) de Juan-Roldan, Jose Ignacio; Castillo-Jimena, Marcos; Gonzalez-Hevilla, Alba; Sanchez-Sanchez, Clara; Garcia-Ruiz, Antonio J; Gavilan-Moral, Enrique; Spanish Society of Family and Community Medicine (SEMFYC); Andalusian Society of Family and Community Medicine (SAMFYC)
Successful deprescribing depends largely on factors related to the patient. The revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire was developed with the objective of evaluating the beliefs and attitudes of older adults and caregivers towards deprescribing. The present study was designed to validate a Spanish version of the rPATD questionnaire, both the versions for older adults and for caregivers, through a qualitative validation phase and the analysis of its psychometric properties. Cross-sectional validation study. Primary care settings in Málaga (Spain). A sample of 120 subjects (60 patients with polypharmacy and 60 caregivers of patients with polypharmacy) were enrolled in the study. In the qualitative validation stage, the rPATD questionnaire was translated/back-translated and subjected to a cross-cultural adaptation to evaluate its face validity and feasibility. Next, its psychometric properties were assessed. Confirmatory factor analysis was used to evaluate construct validity. Internal consistency was determined using Cronbach's alpha test. Criterion validity through pre-established hypotheses from the Beliefs about Medicines Questionnaire (BMQ) Specific-Concerns Scale, and test-retest reliability were analysed. Confirmatory factor analysis verified the four-factor structure of the original rPATD questionnaire, with items loading into four factors: involvement, burden, appropriateness and concerns about stopping. The Cronbach's alpha coefficient of the factors ranged from 0.683 to 0.879. The burden, appropriateness and concerns about stopping factors were significantly correlated with the BMQ Specific-Concerns Score, except for the concerns about stopping factor in the older adults' version. The consistency of the items between administration times (test-retest reliability) showed weighted Cohen's kappa values ranging from moderate (>0.4) to very good (>0.8). The Spanish version of the rPATD questionnaire is a feasible, valid and reliable instrument to evaluate attitudes towards deprescribing in Spanish-speaking patients and caregivers.
Why Use Aprepitant Only as a Cough Suppressant in Lung Cancer When at Higher Doses it Could Also Exert an Antitumor Action?
(2022-05-13) Muñoz, Miguel; Muñoz, Miguel E; Morell, Ferran; Coveñas, Rafael
Proceso asistencial a la persona con riesgo de conducta suicida en emergencias prehospitalarias
(Escuela Andaluza de Salud Pública (EASP), 2023-03) De-Castro-Garcia, Susana; Petri-De-Luna, Caridad; Gomez-Izquierdo, Francisco Javier; [Castro-Garcia,S] CES 061 de Jaén; [Petri-De-Luna,C] CES 061 de Málaga; [Gomez-Izquierdo,FJ] CES 061 de Huelva; Grupo Asistencial Salud Mental CES 061
Un manejo adecuado de los pacientes con conducta suicida puede contribuir a reducir las tasas de morbilidad y mortalidad de la conducta suicida, y uno de los elementos esenciales para conseguir este manejo adecuado es la formación. La creación de protocolos para guiar y establecer consenso entre los distintos profesionales con capacidad de tomar decisiones en estas situaciones, dentro y fuera de los hospitales, mejoraría la implicación y la inclusión de estas personas en redes de salud, permitiendo su monitorización por profesionales de atención comunitaria con un punto de vista de la prevención del suicidio.
Cuidados de enfermería a mujeres que sufren violencia de género, y a sus hijos/as en el ámbito de urgencias y emergencias extrahospitalarias
(Centro de Emergencias Sanitarias, Servicio Andaluz de Salud, 2023-07-10) Castro-Navarro, Marlen; Romero-Martin, Susana; Garcia Cazalilla, Mª del Carmen; Castro-Garcia, Susana de; [Castro-Navarro, M] Centro de Emergencias Sanitarias 061, Málaga.; [Romero-Martin, S] Centro de Emergencias Sanitarias 061, Málaga.; [Garcia Cazalilla, MC] Distrito Sanitario de Atención Primaria Jaén-Jaén Sur, Jaén.; [Castro-Garcia, S] Centro de Emergencias Sanitarias 061, Jaén.; Comisión Buen Trato
La definición de violencia de género mundialmente aceptada es la de Naciones Unidas, 1993: “Todo acto de violencia basado en la pertenencia al sexo femenino, que tenga o pueda tener como resultado un daño o sufrimiento físico, sexual o psicológico para la mujer, así como la amenaza de tales actos, la coacción o la privación arbitraria de la libertad, tanto si se produce en la vida pública como en la vida privada”. En 1996, la O.M.S. lo reconoce como un grave problema de salud pública, con graves consecuencias para las mujeres, y, por ende, sobre la totalidad del sistema sanitario.2 Y en 2013 añade: que es “UN PROBLEMA DE SALUD GLOBAL DE PROPORCIONES EPIDÉMICAS”. Existen diferentes formas de violencia: violencia física, psicológica, sexual, económica, de control, ciberviolencia, etc. Suelen darse además más de un tipo simultáneamente.
Obstáculos en la enseñanza de soporte vital básico en educación secundaria: creencias y conocimiento del profesorado
(Universidad de Murcia, 2024-01-17) Chaves, Juan; Vázquez-Bernal, Bartolomé; Lorca-Marín, Antonio Alejandro; [Lorca-Martin,AA; Vazquez-Bernal,B] Centro de Emergencias Sanitarias 061, Servicio Andaluz de Salud
Este estudio tuvo como objetivo investigar las creencias y conocimientos del profesorado de secundaria sobre la enseñanza de la reanimación, dado que en España, dentro del contexto de la educación para la salud, la reanimación cardiopulmonar y el uso del desfibrilador externo (DEA) no se entrenan de manera sistemática, a pesar de la relevancia de la parada cardíaca como problema de salud. Se llevó a cabo un estudio ex post-facto con la participación de 48 profesores, definiéndose una hipótesis de complejidad en torno a cuatro categorías: conceptualización del soporte vital básico (SVB), identificación de la población diana, transposición didáctica y el papel del profesorado. Se aplicó un análisis estadístico univariante y multivariante, observándose que solo el 20% de los docentes consideraban la desfibrilación externa semiautomática como una técnica que debe incluirse en el SVB, relación que se encontró vinculada al área de conocimiento del profesorado según el análisis de regresión múltiple. Además, el 76,1% opinó que la formación en SVB debería ser obligatoria (mediana 5, IQR 1), aunque señalaron que debería ser impartida por profesionales sanitarios (mediana 5, IQR 0). En conclusión, la concepción del profesorado sobre el SVB y su enseñanza podría constituir un obstáculo para el desarrollo de estas competencias y dificultar su universalización.
Plan de Investigación, Desarrollo e innovación del Centro de Emergencias Sanitarias 061. Servicio Andaluz de Salud.
(Centro de Emergencias Sanitarias, Junta de Andalucía, 2024-12-20) Luque-Hernández, María José; Romero-Olóriz, Carlos; Péculo-Carrasco, Juan Antonio; Castro-García. Susana de; Juan-Roldán, José-Ignacio; Gallego-España, Francisco-José; Parias-Ángel, María-Nieves; Roldán-Ortega, José-Manuel; Baena-Jiménez, Rosa-María; Sanjuán-Jiménez, Rocío; [Luque-Hernandez,MJ] Centro de Emergencias Sanitarias 061 Andalucía. Servicio Andaluz de Salud. Consejería de Salud y Consumo. Junta de Andalucía.; [Romero-Olóriz,C] Centro de Emergencias Sanitarias 061 Andalucía. Servicio Andaluz de Salud. Consejería de Salud y Consumo. Junta de Andalucía.; [Péculo-Carrasco,JA] Centro de Emergencias Sanitarias 061 Andalucía. Servicio Andaluz de Salud. Consejería de Salud y Consumo. Junta de Andalucía.; [Castro-García.S] Centro de Emergencias Sanitarias 061 Andalucía. Servicio Andaluz de Salud. Consejería de Salud y Consumo. Junta de Andalucía.Centro de Emergencias Sanitarias 061 Andalucía. Servicio Andaluz de Salud. Consejería de Salud y Consumo. Junta de Andalucía.; [Juan-Roldán,JI] Centro de Emergencias Sanitarias 061 Andalucía. Servicio Andaluz de Salud. Consejería de Salud y Consumo. Junta de Andalucía.; [Gallego-España,FJ] Centro de Emergencias Sanitarias 061 Andalucía. Servicio Andaluz de Salud. Consejería de Salud y Consumo. Junta de Andalucía.; [Parias-Ángel,MN] Centro de Emergencias Sanitarias 061 Andalucía. Servicio Andaluz de Salud. Consejería de Salud y Consumo. Junta de Andalucía.; [Roldán-Ortega,JM] Centro de Emergencias Sanitarias 061 Andalucía. Servicio Andaluz de Salud. Consejería de Salud y Consumo. Junta de Andalucía.; [Baena-Jiménez,RM] Centro de Emergencias Sanitarias 061 Andalucía. Servicio Andaluz de Salud. Consejería de Salud y Consumo. Junta de Andalucía.; [Sanjuán-Jiménez,R] Centro de Emergencias Sanitarias 061 Andalucía. Servicio Andaluz de Salud. Consejería de Salud y Consumo. Junta de Andalucía.
El Centro de Emergencias Sanitarias 061 (CES061) reconoce la importancia de la investigación y la innovación para mejorar la calidad de la atención prehospitalaria, estableciendo directrices y objetivos para integrarlas en su operativa diaria. Estas actividades no solo permiten optimizar protocolos y tecnologías, sino también contribuir al avance del conocimiento en emergencias sanitarias, posicionando al centro como un referente en el sector. En este sentido, el CES061 reafirma su compromiso con la investigación y la innovación como pilares fundamentales para la mejora continua de los servicios prehospitalarios. El plan de I+D+i 2025-2030 establece una hoja de ruta centrada en la integración de nuevas tecnologías, la generación de conocimiento y la transferencia de resultados a la práctica asistencial, en alineación con los estándares europeos y nacionales en la materia. Con ello, el CES061 busca consolidarse como un referente nacional e internacional en la investigación e innovación en emergencias sanitarias y fortalecer su papel en la gestión eficiente de situaciones críticas. Este plan sigue los principios de gestión de la I+D+i de la Norma Española UNE 166002:2021, basada en la generación de conocimiento, la realización de valor, el liderazgo orientado al futuro, la dirección estratégica, la cultura innovadora, las ideas con propósito, la gestión de la incertidumbre, la adaptabilidad y el enfoque sistémico.

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