30Jun

Geriatric care: why it is key in elderly care and what challenges it faces

June 30, 2025 equimed 165

In a world where life expectancy continues to increase, geriatric care has become a strategic priority for healthcare systems. This medical specialty, focused on providing specific care for the elderly, is today facing major challenges: the increase in chronic diseases, scarcity of resources and lack of professionals.

At the same time, this scenario opens the door to new opportunities. The incorporation of emerging technologies and the development of more personalized and comprehensive care models are revolutionizing the way our elderly are cared for. These innovations not only improve quality of life, but also offer sustainable and efficient solutions for healthcare systems.

“Geriatrics is not only a specialty of the future, but an urgent need of the present, the aging of the population is already a consolidated reality in Spain.”

_ Rafael Sánchez-Ostiz. Geriatrician and President of CEAPs.

Current state of geriatric care: limitations and urgent needs.

In recent decades, the accelerated growth of the elderly population has exposed major structural deficiencies in health systems worldwide. Geriatric care has had to adapt to a growing demand, marked by complex chronic diseases and the need for a more humane, continuous and patient-centered approach to care.

According to the World Health Organization (WHO), there are expected to be more than 2 billion people over the age of 60 in the world by 2050. This demographic change requires a profound transformation of the current healthcare model.

Main challenges of geriatric care today

1. Lack of specialized professionals

The shortage of geriatricians, nurses and therapists with specific training is one of the greatest obstacles. Many professionals do not have the necessary training to care for conditions such as frailty, polypharmacy or cognitive impairment, leading to inadequate diagnoses and inefficient treatments.

2. Limited resources and pressure on healthcare systems

Current healthcare resources are not sized for the magnitude of the aging population. This results in long waiting lists, unequal access to specialized services and fragmented care. The lack of investment in geriatrics is a problem that requires urgent attention.

3. Fragmented care models

Traditional geriatric care is often dispersed among multiple specialties without adequate coordination. This lack of integration leads to clinical errors, duplication of tests and less safe and effective care.

4. Limited innovation and technological infrastructure

The use of technology in geriatrics remains limited. Despite the potential of tools such as telemedicine, remote monitoring devices or artificial intelligence, their adoption is still low, especially in regions with fewer resources or low connectivity.

Post-pandemic geriatrics COVID-19

Five years after the state of emergency caused by the pandemic, the effects of a crisis that exposed major weaknesses in the healthcare system, especially in the area of care for the elderly, are still being felt. Nursing homes, in particular, were the epicenter of an alarming reality: the lack of integration between health and social services.

During the emergency, it became clear that the geriatric care model was in urgent need of transformation. Previous poor coordination between hospitals and nursing homes made it difficult to respond to critical situations. As a result of this experience, structural changes that have had a lasting impact were promoted.

The incorporation of geriatrics into healthcare systems was necessary and urgent before the pandemic, although it is true that the sector points out that this contributed to accelerating the process.

“The pandemic forced a change in health care in general during the whole time it lasted and, of course, many of these changes have been maintained over time; for example, in the Community of Madrid, coordination between the hospital environment and the residential homes was something punctual or anecdotal; and with the pandemic a coordinated care plan was developed that communicates the residential environment with the geriatric professionals of the hospitals and that has allowed to improve communication. Overall, we can say that geriatric care has improved, since the pandemic focused on the elderly patient as the most vulnerable, and this has made this need more visible, but there is still a long way to go.”

_ President of Semeg.

A new approach: towards more humane, technological and personalized geriatric care

The current context calls for a paradigm shift from a reactive and generalist model to a preventive, personalized and multidisciplinary one. Modern geriatric care must incorporate technology, promote teamwork and ensure continuous training of healthcare personnel.

Technological innovation is playing a transformative role:
Remote monitoring devices allow real-time monitoring of vital signs.
Telehealth and virtual consultations improve access to specialized care.
Artificial intelligence and big data help detect risks before complications occur.

In addition, the development of user-centered solutions, such as those proposed by technology startups, allows the creation of more accessible, intuitive and affordable devices and platforms for the elderly and their caregivers.

An opportunity to rethink elder care

Geriatric care is not only a medical necessity, but also a social and economic imperative. With the right approach, it is possible to offer older people a more dignified, healthy and autonomous old age. To achieve this, it is essential to move towards person-centered models of care, integrating technology, training and collaboration between all actors in the healthcare system.

Investing today in quality geriatrics is to ensure a fairer and more humane future for all.

16Jun

Connex Spot Monitor: Revolutionizing Vital Signs Monitoring with Accuracy, Security and Connectivity

June 16, 2025 equimed 162

In today’s clinical environment, where efficiency, accuracy and data security have become fundamental pillars for providing quality medical care, having intelligent tools that adapt to the needs of medical staff is more essential than ever.

In this context, the Connex Spot Monitor is positioned as an advanced, comprehensive and highly adaptable solution for vital signs monitoring.

Este dispositivo ha sido diseñado para brindar una experiencia sin complicaciones tanto para el personal clínico como para los pacientes. Su enfoque gira en torno a tres ejes fundamentales: simplicidad en el uso, seguridad en el manejo de datos y una conectividad robusta con los sistemas de historia clínica electrónica (RME).

A Comprehensive Solution for Vital Signs Monitoring

The Connex Spot Monitor goes far beyond a conventional vital signs device. Its ability to capture a complete set of physiological data in less than a minute makes it a crucial tool for improving clinical productivity and patient outcomes. Thanks to its intuitive design and vivid touch screen, the device enables fast, accurate and user-friendly interaction, even in high-demand environments.

The data it captures includes:

Blood pressure
Heart rate
Respiratory frequency
Body temperature
SpO2 (oxygen saturation)
Height, weight and BMI
Early warning scores (EWS)

These parameters are essential not only for the initial assessment of the patient’s condition, but also for continuous monitoring to detect subtle changes that could indicate clinical deterioration.

Simplicity: User-Friendly Technology

One of the most outstanding features of the Connex Spot Monitor is its design focused on ease of use. The color touch interface allows healthcare professionals to navigate intuitive menus and record data in record time, without the need for lengthy technical training. This simplicity reduces the possibility of human error during the data collection process, resulting in more reliable care.

Vital data capture can be performed on an ad hoc or interval basis, adapting to different clinical scenarios such as emergency rooms, intensive care units, general rooms and outpatient clinics.

Real-Time Medical Accuracy

In time-critical clinical settings, accurate data is imperative. The Connex Spot incorporates SureBP technology® , which allows blood pressure to be measured in just 15 seconds, even when the patient is on the move, maintaining accuracy without compromising patient comfort.

Blood pressure averaging provides a more complete and reliable picture of the patient’s hemodynamic status, which is key to identifying cases of hypertension with greater certainty. This approach reduces false positives and improves the quality of clinical decisions.

The device also offers a choice of industry-leading thermometers, such as the SureTemp® Plus and the Braun ThermoScan® PRO 6000, providing flexibility and accuracy in temperature measurement.

For pulse oximetry, the Connex Spot offers compatibility with recognized brands such as Masimo®, Nellcor® and Nonin® , global leaders in SpO2 measurement. In addition, Masimo® RRp® technology allows respiratory rate to be measured directly from the oximeter signal, without the need for additional sensors, simplifying the process and reducing the risk of cross-infection.

Security: Military Level Data Protection

Protecting patient data is a critical concern in today’s digital world. The Connex Spot is equipped with advanced security features that meet the highest healthcare industry standards and are approved by the U.S. Department of Defense (DoD). These features include:

Data encryption
Single Sign-On (SSO)
Integration with authentication platforms such as Imprivata®
Secure authentication between devices and servers

These security measures ensure that patient data is protected against unauthorized access, while simplifying legitimate access by authorized personnel. This allows for a perfect balance between protection and operational efficiency.

Total Connectivity: From Patient to RME in Seconds

One of the greatest benefits of the Connex Spot Monitor is its ability to send collected data directly to the facility’s Electronic Medical Record (EMR) system. Thanks to its multiple connectivity options-WiFi®, Ethernet, Bluetooth® or Bluetooth Low Energy-the device can be seamlessly integrated into the existing technology infrastructure.

This integration eliminates the need for manual transcription of data, reducing human error and improving the accuracy of clinical information. By avoiding duplication of tasks, healthcare professionals can devote more time to patient care.

Connectivity facilitates remote monitoring and real-time analysis by multidisciplinary teams, fostering faster and more informed decision making.

Workflow Customization and Adaptability

Every clinical environment is unique and has specific needs. The Connex Spot Monitor responds to this reality by offering a highly adaptable design, both in terms of hardware and software. Customizable options include:

Wall mounting or mobile support
Selection of thermometers and oximeters
Integration with medical scales such as Scale-Tronix®, Detecto®, Health o meter® and SECA®.
Modification of workflows to record additional observations and vital sign modifiers

This flexibility ensures that the monitor can be easily integrated into a variety of medical departments, from emergency rooms to outpatient clinics to long-term care facilities.

Early Detection of Patient Impairment

The incorporation of early warning scores (EWS) is one of the most innovative aspects of the Connex Spot. This functionality enables the identification of patterns that could indicate clinical deterioration before obvious signs become apparent. Using automated algorithms and predefined clinical rules, the monitor helps to prioritize care and trigger preventive interventions in a timely manner.

This not only improves clinical outcomes, but also reduces the number of complications, prolonged hospitalizations and costs associated with preventable adverse events.

An Ally in Improving the Quality of Care

The quality of care depends not only on the expertise of the medical team, but also on the tools at their disposal. Connex Spot represents a significant evolution in the way vital signs are managed, facilitating decision-making based on objective, real-time data.

Thanks to its multiple strengths – accuracy, connectivity, simplicity of use, personalization, security and adaptability – this device becomes a strategic ally for any medical institution seeking to improve its standards of care.

Connex Spot Monitor Benefits Summary

Feature	Benefit
Intuitive touch screen	User-friendly interface, ideal for clinical staff of all levels
BP measurement with SureBP®	Fast and accurate results even with patient movement
High precision oximetry	Compatible with Masimo®, Nellcor® and Nonin®.®
Reliable temperature capture	Choice between SureTemp® Plus and Braun ThermoScan®
Versatile connectivity	WiFi, Ethernet, Bluetooth standard and Low Energy
RME Integration	Elimination of transcription errors, data available instantly
Encryption and authentication	DoD-approved military-grade security
Modular and adaptable design	Customized assembly, compatible with multiple workflows
Early detection with EWS	Improved clinical intervention and risk reduction

Connex Spot, Beyond a Vital Signs Monitor

The Connex Spot Monitor is not simply a device for capturing vital signs; it is an intelligent platform that integrates seamlessly into the modern clinical ecosystem. It delivers the right data at the right time, strengthens the security of patient information and improves the efficiency of healthcare teams.

Whether in high complexity hospitals, private clinics or primary care centers, the Connex Spot is the ideal solution for those institutions looking for state-of-the-art technology with a patient-centered approach.

23Apr

The impact of technology on elderly care: a revolution in the geriatric sector

April 23, 2025 equimed 164

The aging population is one of the greatest social and health challenges of the 21st century. According to data from the National Institute of Statistics (INE, 2022), in Spain there are more than 3.2 million people with disabilities or limitations in their daily lives, of whom 677,300 are over 80 years old. This reality raises the urgent need to rethink care systems and commit to more efficient, personalized, and sustainable models. In this context, technology has become a great ally.

The World Health Organization (WHO), in its World Report on Ageing and Health (2015), defines healthy ageing as the process of promoting and maintaining functional capacity that enables well-being in old age. However, not all older people age under equal conditions. Many face risks of frailty, dependence, and isolation. This is where technology can make a difference.

Aware of this situation, the WHO has promoted the Global Action Plan on Dementia Response 2017-2025, which proposes a comprehensive approach that includes not only people with dementia but also their caregivers, highlighting research and innovation as fundamental pillars.

Technology at the service of care: an unstoppable transformation

In recent decades, advances in digital technologies have completely transformed the way we live and care for ourselves. The integration of tools such as artificial intelligence, robotics, telemedicine, and smart devices in the geriatric field is redefining care models.

1. Artificial Intelligence: detection, prediction, and personalization

Artificial intelligence (AI) is no longer science fiction. Its ability to process large volumes of data in real time enables the development of predictive systems that detect health risks, monitor chronic diseases, and assist in clinical decision-making. In geriatric care, AI is applied for:

Early diagnosis (e.g., early detection of Alzheimer’s disease).
Analysis of behavior patterns to prevent falls or disorientation.
Personalization of treatments and care based on patient profiles.

In addition, AI integrated into mobile applications and health platforms has opened the door to self-management of health by users themselves.

2. Comprehensive Person-Centered Care (AICP): humanism and technology

Technology cannot, and should not, replace human interaction. That is why it must always be implemented within the framework of Comprehensive Person-Centered Care (AICP), which prioritizes individual values, preferences, and needs.

In nursing homes, new technologies allow for:

Learn about each resident’s life history (apps such as Envita4).
Design personalized therapeutic activities.
Promote social interaction with tools such as interactive tablets (Yeti tablets) or virtual reality.
Maintain ties with family members by sharing important moments or reporting changes in health status.

The Connex Spot Monitor (CSM) from Equimed is a modern, easy-to-use tool designed for fast and accurate patient monitoring, especially for older adults. Its main features include:

Quick and secure login: One-click login, compatible with systems such as Imprivata®.
Blood pressure in just 15 seconds: Thanks to SureBP® technology
More accurate measurements: Averages results for better detection of hypertension.
Integrated thermometers: Compatible with SureTemp® Plus and Braun ThermoScan® PRO 6000.
Blood oxygen measurement (SpO2): With Masimo®, Nellcor®, or Nonin® SpoO2 sensors.
Respiratory rate: Uses Masimo® RRp® technology, no additional sensors required.
Easy connection to clinical system (EMR): Via Wi-Fi, Ethernet®, Bluetooth®, or Bluetooth Low Energy.
Automatic entry of height, weight, and BMI: With scales such as SECA.
Early alerts: Helps detect potential patient complications early.
All-in-one: Captures all vital signs in less than a minute, from a clear and easy-to-use touchscreen.
Adaptable design: Adapts to the needs of the medical center with different configurations.

The CSM Monitor is a practical, fast, and reliable solution to improve patient care and facilitate the work of medical staff.

3. Telemedicine: healthcare without barriers

Telemedicine has established itself as an essential tool, especially in the wake of the pandemic. In geriatrics, it enables:

Virtual consultations without the need to travel.
Monitoring of chronic diseases.
Coordination between healthcare centers and nursing homes.
Electronic prescription and renewal of treatments.

Several studies have shown that online interventions improve cognition, mental health, and quality of life in older adults.

4. Robotics and home automation: digital caregivers

Robotics is revolutionizing elder care through two main types of solutions:

Service robots: they help with household chores, medication reminders, and mobility.
Companion or therapeutic robots: they improve mood, stimulate cognition, and combat loneliness.

These robots are already being used successfully with people with Alzheimer’s disease, helping with sensory stimulation and social participation. Therapeutic robotics represents a high value-added solution to the increasing demand for care.

Home automation, meanwhile, allows elements of the home such as lights, blinds, and climate control systems to be automated, facilitating the autonomy of older people and providing comfort and safety.

5. Smart devices: health at your fingertips

Wearables, such as watches, bracelets, or sensors integrated into clothing or footwear, allow continuous monitoring of parameters such as heart rate, blood pressure, glucose levels, and sleep quality. These devices:

Promote self-care.
Synchronize with apps and medical centers.
Alert you to anomalies or falls.

In addition, virtual assistants such as Alexa are also present in many homes, helping to manage appointments, remind you to take medication, or simply entertain you.

One of the greatest desires of older people is to grow old in their own homes, surrounded by their memories and routines. Thanks to technology, this is now possible.

This model not only improves quality of life, but also reduces healthcare costs and relieves pressure on public healthcare systems. However, for it to be viable, it is essential to guarantee internet access, digital literacy, and respect for privacy.

6. Remaining challenges: the digital divide and privacy

Despite progress, there is still a significant digital divide that particularly affects older women, people with low levels of education, and residents of rural areas. Digital inclusion is key to ensuring that technology leaves no one behind.

It is also essential to guarantee data protection and digital security. Systems must respect the dignity and privacy of older people, avoiding any kind of vulnerability.

Benefits and future of technological care

The benefits of integrating technology into geriatric care are numerous:

Greater autonomy and independence.
Improved quality and speed of care.
Reduction in unnecessary hospitalizations.
Prevention of risks and emergencies.
Promotion of active and healthy aging.

Public health also benefits “Technologies make it possible to monitor the emergence of outbreaks, promote healthy habits, and better manage healthcare resources. Tools such as electronic health records and big data systems improve coordination between services and avoid duplication.”

Technology is here to stay, and in the field of geriatrics, its impact is profound and transformative. From artificial intelligence to robotics, telemedicine, and smart devices, we are witnessing a revolution that puts older people at the center of the care system.

However, this change will only be effective if equitable access is guaranteed, privacy is respected, and a human approach is always maintained. The combination of technological innovation with the Person-Centered Comprehensive Care model offers us the possibility of building a fairer, more humane, and more connected future for our older people.

07Apr

What is an electrocardiogram and why is it important for your heart health?

April 7, 2025 equimed 160

The heart is one of the most vital organs in our body, as it is responsible for pumping the blood that carries oxygen and nutrients to all tissues. However, the proper functioning of the heart depends on a series of electrical signals that allow its different parts to contract at the right time. To verify whether these signals are working properly, a test called an electrocardiogram (ECG) is used.

In this article, we will explore what an electrocardiogram is, how it is performed, what it is used for, what its results can mean, and why it is an essential tool in the diagnosis and monitoring of heart disease.

What is an electrocardiogram (ECG)?

An electrocardiogram (ECG) is a simple, quick and non-invasive medical test that allows you to record the electrical activity of your heart. Each time the heart beats, an electrical signal is generated that travels through its four chambers, causing them to contract and pump blood throughout the body.

This process of contraction and relaxation of the heart chambers is controlled by electrical impulses originating in an area called the sinoatrial node (the heart’s natural pacemaker). These electrical signals can be captured and recorded by electrodes placed on the skin, and the results obtained are represented by a series of wavy lines.

Through this recording, physicians can analyze how the heartbeat is occurring, whether the rhythm is regular or irregular, and whether the electrical signal is following the proper path through the heart. In addition, an ECG can detect problems with the strength and timing of electrical signals, which is crucial for identifying various heart diseases.

How is an electrocardiogram performed?

Performing an electrocardiogram is a relatively simple procedure.

The process usually involves the following steps:

1. Preparation

The patient lies on a stretcher and small adhesive electrodes are placed on various parts of the body, such as the arms, legs and chest. In some cases, the physician may lightly shave the skin in the area of the electrodes to ensure that they adhere properly.

2. Placement of the electrodes

The electrodes are attached to wires that are connected to a machine that records the electrical activity of the heart.

3. Recording of cardiac activity

While the patient remains at rest and quiet, the machine captures the heart’s electrical signals, creating a graphic or visual representation of the electrical activity.

This procedure usually takes no more than 10 minutes.

4. Analysis of the results

Once the ECG is performed, the results are given to the physician for interpretation. This analysis can help detect possible cardiac problems.

What is the electrocardiogram used for?

The electrocardiogram is a crucial tool in cardiovascular medicine, as it helps to diagnose a wide variety of heart problems, including:

Arrhythmias
Heart rhythm disorders, either very fast (tachycardia) or very slow (bradycardia).

Cardiomyopathy
Diseases that affect the heart muscle, hindering the heart’s ability to pump blood properly.

Coronary artery disease
These conditions can cause blockages in the blood vessels that supply blood to the heart.

Myocardial infarction (heart attack)
An ECG can detect signs of a recent heart attack or even previous attacks that had not been identified.

Heart failure
A condition in which the heart cannot pump enough blood to meet the body’s needs.

Heart valve diseases
Affect the heart valves, which can disrupt proper blood flow.

Congenital heart defects
Heart problems present from birth that can be identified through an ECG.

When is it recommended to perform an electrocardiogram?

An electrocardiogram is recommended primarily when the patient has symptoms that may be related to heart problems.

Some of these symptoms include:

Chest pain: Chest pain is one of the most common symptoms of a possible heart problem.
Irregular or rapid heartbeat: A heart that beats too fast, irregularly or erratically may be an indication of arrhythmias.
Shortness of breath: Shortness of breath may be associated with heart disease that affects the heart’s ability to pump blood.
Dizziness or fainting: These episodes may occur when blood flow to the brain is impaired.
Unexplained fatigue: Extreme tiredness may be a sign that the heart is not working efficiently.
Reduced ability to exercise: If a patient experiences difficulty in previously unproblematic physical activities, an ECG may be necessary.

In addition, the electrocardiogram may be useful in the following cases:

To monitor the health status of the heart prior to surgery.
In patients with a family history of heart disease.
If the patient has conditions such as diabetes, which increase the risk of developing heart disease.

What are the risks of electrocardiography?

Electrocardiography is a completely safe and noninvasive procedure. It does not require the use of needles or the administration of medication, which minimizes the risk of side effects. Some people may experience slight skin irritation after the electrodes are removed, but this usually disappears quickly.

It is important to clarify that the ECG does not involve any type of electrical shock to the body. It simply records the natural electrical activity of the heart, so there is no risk of electric shock to the patient.

What do the results of the electrocardiogram mean?

Electrocardiogram results are presented as a series of waves representing different times of the heart’s electrical activity. A normal ECG shows a constant pattern indicating that the heart is beating regularly and efficiently.

If the ECG reveals that there are irregularities in the waves, this could indicate several health problems, such as:

Arrhythmias: If the heartbeat is irregular or out of place.
Conduction problems: When electrical signals do not travel properly through the heart.
Myocardial infarction: Signs suggesting that the patient has suffered a heart attack.
Cardiac hypertrophy: An enlargement of the heart or its chambers, which may be a sign of heart failure.

In the event that abnormal results are detected, the physician may recommend additional tests to make a more accurate diagnosis and determine the appropriate treatment.

“The electrocardiogram is an essential tool for evaluating the health of the heart. Through a simple, noninvasive test, physicians can obtain valuable information about the rhythm, rate and timing of the heartbeat, allowing them to identify a wide range of cardiovascular problems. If you have symptoms that suggest a heart problem or are at risk of developing heart disease, an ECG can be one of the first steps to early diagnosis and appropriate treatment.“

21Mar

Tensiometers: what are they, what role do they have in hypertension and what types are there?

March 21, 2023 equimed 75

Regular blood pressure measurement with sphygmomanometers is essential for the detection of arterial hypertension and accurate long-term monitoring of blood pressure.

These devices, whether manual or digital, are the most commonly used to measure blood pressure, and each has its own advantages and disadvantages.

In this article, we are going to learn more about high blood pressure, how to detect it, what blood pressure monitors and sphygmomanometers are, and the most modern devices on the market to measure blood pressure.

What is hypertension?

Arterial hypertension is a chronic disease characterized by a sustained elevation of blood pressure above the values considered normal.

This condition affects a large number of people around the world and is considered one of the main risk factors for cardiovascular diseases such as heart attacks, cerebrovascular diseases and chronic kidney disease.

High blood pressure is a condition in which blood pressure is higher than what is considered normal.

Blood pressure is measured in millimeters of mercury (mmHg) and is expressed in two values: the systolic value (the pressure when the heart contracts) and the diastolic value (the pressure when the heart relaxes between contractions). Normal blood pressure is almost always between diastolic (90/60 mmHg) and systolic (120/80 mmHg).

When blood pressure rises above these values, a person is considered to have high blood pressure. In general, arterial hypertension is considered when blood pressure values are above 140/90 mmHg in three or more measurements taken at different times.

Accurate monitoring of arterial hypertension with blood pressure monitors

Measuring blood pressure regularly and long-term over time allows us to accurately monitor arterial hypertension.

This can be done in the doctor’s office, at home, or by ambulatory blood pressure monitoring (ABPM).

ABPM is a technique that allows blood pressure to be measured throughout the day and all night, while the person performs their usual activities . To perform it, an automatic blood pressure monitor is placed on a bracelet that is worn on the arm for 24 hours.

The blood pressure monitor automatically inflates the cuff from time to time (usually every 15-30 minutes during the day and every 30-60 minutes at night) and records blood pressure.

This is a very useful technique because it can help identify blood pressure patterns and detect possible changes in blood pressure at different times of the day.

How to detect arterial hypertension: the sphygmomanometer

The detection of high blood pressure is done by measuring blood pressure .

This process is performed with a device called a tensiometer or sphygmomanometer, which can be manual or digital. Thus, it is a medical instrument that is used to indirectly measure blood pressure; this measurement is normally made in mm Hg.

Differences between manual and digital blood pressure monitors

Manual sphygmomanometers have a cuff that is placed around the arm and inflated with a rubber bulb.

A stethoscope is used to listen to sounds from the brachial artery in the elbow while air is slowly released from the cuff. Automatic sphygmomanometers, on the other hand, work with an inflatable cuff that is placed around the arm. The cuff is automatically inflated and blood pressure is measured electronically. The results are displayed on a digital screen.

Types of blood pressure monitor

In the market we can find several types but the most common are manual and digital / automatic.

Manual sphygmomanometers: mercury and aneroid

Manual sphygmomanometers can be mercury or aneroid.

As their own name indicates, they use mercury to measure blood pressure . It is the most traditional sphygmomanometer and the one with the highest precision without the need to calibrate it, but its use is declining due to the environmental and health risks associated with this heavy metal.
Aneroid or analog sphygmomanometers use an aneroid capsule to measure blood pressure with a needle that is pushed by internal springs. These sphygmomanometers also require the use of a stethoscope in order to listen to the patient’s pulse.

In both cases, they have the disadvantage that they only work correctly with the appropriate cuff for each patient, so the same cuff cannot be used for a child as for an adult. In addition, they need training and technical training for a correct measurement of blood pressure.

Digital blood pressure monitors

Digital sphygmomanometers can be:

Arm.They are more accurate and are commonly used in medical settings.
Wrist. They are more portable and may be more convenient for long-term monitoring at home.

They work in the same way: the cuff inflates and deflates automatically and shows the results obtained on its screen.

Also called an oscillometric, the digital sphygmomanometer makes oscillometric measurements, so the use of a stethoscope is not necessary.

These devices to measure blood pressure electronically are very easy to use and that is why they have become popular in homes.

Digital sphygmomanometers are not affected by surrounding noise, speeding up blood pressure measurements without complications in emergency settings and with a high number of patients.

Equimed digital blood pressure monitors

At Equimed we work with various digital sphygmomanometer equipment .

Our devices feature fast, accurate reading capture with the same enhanced Sure BP technology found in Welch Allyn vital signs devices.

Blood pressure cuff digital ProBP™ 2000

With this blood pressure monitor, just press a button for fast blood pressure readings, thanks to SureBP® technology and FlexiPort® push-fit cuff connectors.

ProBP™ 2000 is compatible with ECOCUFF cuffs , single-patient cuffs that allow up to 100 measurements per patient. They also help prevent cross contamination.

Features

Display Elements
Liquid crystal display (LCD) displays systolic blood pressure (mmHg), diastolic blood pressure (mmHg), pulse rate (bpm) and heartbeat while taking blood pressure measurements, excess alert motion, alarm priority and battery charge level.

Accuracy with SureBP Technology
Our inflation-based algorithm is used in all Welch Allyn vital signs equipment, helping healthcare professionals in any setting take fast, accurate, automated blood pressure readings.

FlexiPort Blood Pressure Cuff Technology
They are available in various sizes to accommodate a wider range of patient populations.

Reliable, fast and comfortable
Allows healthcare professionals full confidence in the results, with a 97% completion rate in the presence of motion. It captures readings in approximately 20 seconds and these blood pressure readings are taken more comfortably during inflation.

Blood pressure cuff digital Connex ProBP 3400

This blood pressure monitor also captures fast, accurate readings, right from the palm of your hand, with the same enhanced SureBP technology found in Welch Allyn vital signs devices.

Plus, it connects to the EMR medical record system, both via Bluetooth wireless technology (optional) and USB connections, reducing documentation errors and improving efficiency.

Its compact design facilitates its transport and the capture of readings either in rounds or in triage, obtaining reliable readings and minimizing error codes, even with the presence of movement or a weak pulse.

“These digital sphygmomanometers make it easier and more confident to take blood pressure readings from these digital devices, a smart choice for clinicians in any setting.”

17Feb

Holter recorders and the importance of electrocardiograms

February 17, 2023 equimed 78

In this article, we are going to learn about one of the fundamental elements in cardiology, the Holter, and the characteristics of one of the most advanced and innovative Holter recorders on the market: the H12+ Holter recorder.

Frequently, in certain pathologies such as arrhythmias, palpitations or fainting, the patient does not have symptoms when they go to the hospital. That is why knowing how your heart behaves throughout a whole day or more can provide us with very useful information.

In this sense, the Holter is crucial: it allows us to keep track of the heart’s activity for 24 hours and record on a device all the heartbeats during this time.

What is Holter

The Holter is an invention of the biophysicist Norman J. Holter that answers the question: How to know how the heart behaves during any given day, while we do our daily activities?

Specifically, it is a small electronic device that records and stores the patient’s electrocardiogram. That is, it records the heart rhythm, so it is used to detect or determine the risk of irregular heartbeats (arrhythmias).

This medical device allows continuous recording of cardiac activity (electrocardiogram) or also of blood pressure figures for a long period of time, usually 24 hours.

How can monitoring be?

According to the devices and monitoring, we find:

1. Continuous monitoring devices
They collect electrical activity continuously for 24, 48 or 72 hours.

2. Intermittent monitoring devices
They collect the electrical activity of the heart only when activated by the patient.

When to use the Holter?

The Holter ECG is basically used for the study of arrhythmias, bradycardia, coronary disease and extrasystoles .

The main indications for ambulatory monitoring, which is usually 24 hours, are:

When it is suspected that there may be some type of arrhythmia that appears temporarily and is not detected at the time of performing an electrocardiogram. Example: irregular heartbeat, dizziness, or loss of consciousness.
Palpitations and tachycardia of origin that is not well typified.
When you want to know if they have any episodes of lack of blood supply to the heart throughout the day.
Dizziness, fainting, or syncope without a specific cause.
Chest pain at rest or during exercise without stress ECG findings.
Control of implanted pacemakers and ICDs.
Evaluation of anti-arrhythmic and anti-anginal drugs.
In patients who receive a specific treatment, to check if it is effective in controlling changes in rhythm or heart rate or episodes of lack of irrigation.

Does it have side effects? Is it annoying?

No. This device does not emit radiation and cannot cause cramps or electric shocks.

How does a cardiac holter work?

It consists of placing electrodes on the chest that are connected to a small device (Holter).

The device records the heart rate during the programmed time or during the period activated by the patient.

Then, what is recorded is transferred to a computer that identifies possible cardiac alterations produced during the recording period. This allows cardiologists to have very useful information about heart rate, rhythm disturbances, and possible disorders due to coronary flow disturbances.

In this case, it is vital that during the time that the patient is monitored he maintains his daily routine without limitations, since the objective is to see how the heart behaves during its normal activity.

The H12+ digital Holter recorder

At Equimed we have extensive experience in the distribution of medical equipment and its consumables , betting from our beginnings on cutting-edge technology from the leading brands in the medical, clinical and surgical sector. And Holter devices, led by the H12+ digital Holter recorder , are no exception.

Features

Weighing just 125g, compact and lightweight, the H12+ digital Holter recorder is designed to help improve the patient experience .

This device allows you to continuously record 48 hours of high-fidelity 12-lead ECG data on every beat, all on a Secure Digital (SD) memory card with a capacity of up to 48 hours on a single AA alkaline battery.

Plus, our patented LeadForm patient cable helps maximize comfort, and a full graphic display lets you preview ECG waveforms during patient connection.

Among its characteristics , they also highlight:

Entering the digital patient ID

To enable unique identification of each recording. No external input devices are needed to enter IDs.

High-resolution pacemaker detection

The sampling rate of 32,000 samples per second per channel offers accurate detection of pacemaker spikes.

High fidelity recordings

Bandwidth between 0.05 and 300 improves clinical results thanks to an advanced algorithm (ST segment, QT/QTc interval and analysis). These recordings are quickly imported and analyzed into the HScribe Holter analysis system, which provides sophisticated review and powerful editing tools to ensure quality and accurate reporting.

VERITAS Analysis

The H12+ recorder is compatible with the HScribe holter analysis system, which integrates VERITAS signal processing and analysis functions.

Digital Holter Recorder H3+™

In addition to the H12+ digital Holter recorder, at Equimed we also have the H3+ digital Holter recorder , which offers three-channel recording with a standard pacemaker spike detection function.

In addition, it allows you to generate a continuous record of up to two days with only one AAA battery. This stands out for:

The H3+™ Holter recorder is compatible with the HScribe Holter Analysis System , which integrates best-in-class VERITAS signal processing and analysis capabilities. Thus, recordings are quickly imported and analyzed in this analysis system.

Weighing just 28 grams, the H3+ digital Holter recorder is small and light , offering great comfort for patients. Offers 3-channel recording with standard pacemaker spike detection function; In addition, it allows you to generate a continuous record of up to two days with only one AAA battery.

23Jan

Guide to learn about hearing examination and otoscopes

January 23, 2023 equimed 131

Otoscopes are essential medical devices for auditory examination, that essential medical procedure to assess hearing function and detect pathologies in the ear.

It is a safe and non-invasive procedure used to determine a person’s hearing level and detect any problems in the ear.

In this sense, there are several tests and pathologies of the auditory examination, each one with a specific focus on the evaluation of the auditory function.

One of the most common tests is audiometry, which measures a person’s ability to hear sounds of different pitches and volumes.

Impedance testing is another test used to assess eardrum function and the ear’s ability to transmit sounds. Tympanometry is a procedure that uses a small device to measure the mobility of the eardrum.

And finally, otoscopy is a basic examination that uses the otoscope so that the doctor can examine the patient’s ear efficiently.

In this article we are going to learn more about what otoscopes are, as well as their features, the types that exist and which one to choose .

What is an otoscope

An otoscope is a light beam medical instrument used to examine the ear. That is to say: a device that helps to visualize and examine the condition of the ear canal and eardrum.

Through this examination, we can find out the cause of some symptoms such as pain, a feeling of fullness in the ear or hearing loss.

It is a device widely used by general practitioners and otolaryngologists.

There are different types of otoscopes, each with specific characteristics and used in different clinical situations.

Types of otoscopes and their characteristics

With this device, the different structures of the auditory system and in particular the external canal of the eardrum are analyzed. Now, there are different types of otoscopes:

1. Halogen otoscopes
They are the most common. In the halogen otoscope, the bulb is in the head and focuses the light directly into the canal. It features a variety of interchangeable inspection tips. The otoscope’s lens allows the inside of the ear to be seen, while the light illuminates the area so the doctor can see any problems.

2. Fiber optic otoscopes
These are similar to halogen otoscopes, but have a mechanism that automatically adjusts the illumination according to the darkness of the ear canal. This helps minimize eye strain and improve exam accuracy. Also, your field of vision is completely clear and the lighting is excellent, with no shadows or reflections. The light source is located in the handle and not in the head.

3. Video otoscopes
These are the most advanced and are used to provide a real-time image of the ear with great efficiency. These instruments include a camera and monitor to allow better visualization of the ear canal. This is especially useful in cases where a detailed evaluation of the ear is required, such as when there are infections or injuries. By having a large HD screen, the field of vision is increased in addition to offering additional comfort at the visual level. Some even allow you to record the viewing.

4. LED Otoscope
In them the power of the light is much higher since it is of the LED type. They also guarantee low consumption, great autonomy, and it is not necessary to charge the battery frequently.

Medical advances in otoscopes

As for medical advances in otoscopes, the development of video and LED lighting technologies have enabled otoscopes to provide sharper and more detailed images of the ear.

In addition, wireless and smartphone-connected otoscopes have entered the healthcare sector with great force, allowing physicians to share images with other healthcare professionals and track patient visits. This helps improve collaboration between clinicians and increases diagnostic accuracy.

Technological advances have also enabled the development of digital otoscopes, which use image sensors to capture images of the ear and store them in a database for later review. This is especially useful for following a patient’s progress over time and detecting any changes in ear health.

Finally, the introduction of fiberoptic otoscopes, which use a fiberoptic light beam to illuminate the ear, allow for a safer and more efficient procedure than traditional otoscopes, since they do not emit heat and do not require an external power source.

Equimed otoscopes

At Equimed we distribute medical equipment and its consumables, betting on cutting-edge technology from the leading brands in the medical, clinical and surgical sector. And otoscopes are no exception.

As we said, examining the structure of the ears is a temporary but critical part of the physical examination. That’s why we’ve listened to countless providers and redesigned our otoscopes to improve examinations.

In this way, we have two of the most advanced otoscopes on the market: the MacroView Plus otoscope and the 3.5V diagnostic otoscope.

MacroView Plus Otoscope

The new MacroView Plus otoscope features bright, long-lasting white LED technology , maintaining illumination for the duration of one battery charge without changing color when dimmed.

Redesigned with a familiar shape and feel, with a viewing area 3 times larger compared to the view of a standard otoscope, its features include:

LumiView Clear: With our new Welch Allyn LumiView Clear single use clear optical specula, we can enjoy views up to 8 times brighter than those seen through a black ear specula.

Switch from optical to digital: By adding the Welch Allyn Examiner SmartBracket we can transform an optical examination to digital, thanks to the possibility of capturing photos and videos.

3.5V diagnostic otoscope

This high-quality traditional otoscope , with a variety of illumination options, features HPX halogen illumination and fiber optics at the distal end for easy examination. Of its characteristics we highlight:

Fiber Optic: Projects cool light to the distal tip, without reflections or obstructions, for optimal visualization of the tympanic membrane.
Wide angle lens: Allows instrumentation under optical magnification. It is available with a SureColor LED or HPX halogen (high pressure xenon) bulb.
Sealed system: For pneumatic otoscopy and the diagnosis of otitis media.

Hearing examination is an essential medical procedure to assess hearing function and detect pathologies in the ear. To carry it out successfully, otoscopes are crucial and have undergone significant advances in terms of technology and connectivity . These advances have allowed for better precision in the diagnosis and treatment of ear pathologies and greater efficiency in medical practice.

02Dec

Transformation of digital visualization in ophthalmological examinations

December 2, 2022 equimed 89

Ophthalmology has been adopting new technologies in many fields of study and research. Technological advances in this field of health progress almost daily. And as a result of this, today we can count on, among other things, the visual digitization of ophthalmological examinations.

We want to talk about all of this in this post.

What is an ophthalmoscope

Along with optotypes and the slit lamp, the ophthalmoscope is the basic instrument of the ophthalmologist.

Specifically, the ophthalmoscope is a medical instrument, made up of several lenses and mirrors, which allows us to directly examine the retina. Its elements illuminate the interior of the eye through the pupil and the crystalline lens, managing to see the normal and pathological conditions of the fundus.

What is the ophthalmological examination?

Sight is one of the most important senses. However, specialists agree that it is one of the least cared for and reviewed, since most people only go to the optician and/or ophthalmologist when they have some discomfort or vision problem. In fact, a good part of the population has never had an ophthalmological examination.

In ophthalmological check-ups, the medical specialist performs a series of tests to check the health of the eyes, such as:

Visual acuity test
It is the most common to check how our eyesight is based on the smallest letters that we can read at a certain distance.

Anterior Pole Slit Lamp Biomicroscopic Examination
To explore the most anterior areas of the eye such as the cornea, iris, conjunctiva, anterior chamber, and palpebral structures.

Examination of the fundus of the eye with dilation of the pupils
It allows diagnosing ocular problems such as retinal detachment, retinal thrombosis or age-related macular degeneration.

Tonometry
To measure the pressure or tension in the eye. It is a key test to detect possible glaucoma.

Visual field test
Very specific and sporadic, it is performed above all to monitor patients with glaucoma.

What is looked for with an ophthalmoscopy?

With ophthalmoscopy we seek to know the state of vision, detecting identifiable alterations or diseases through tests such as those mentioned below:

Retinopathies
hemorrhages
ocular melanomas
abnormal pigmentations
new blood vessels
macular degeneration
optic nerve problems
Retinal detachment

Types of ophthalmoscopes

With the technological evolution, and after the gradual improvements made to the ophthalmoscope, two types of ophthalmoscope arose: direct and indirect.

Direct ophthalmoscope

It is the best known. It is a small device, even portable, that the doctor puts right in front of his eye, and approaches the patient’s eye to examine it. The light is reflected at a right angle and is projected through the iris illuminating the retina, being able to magnify the image of the eye up to 15 times. The image is viewed directly, without inverting. With it, small areas of the retina can be examined more easily.

Indirect ophthalmoscope

It is a kind of lighted helmet with two visors. In this way, the specialist has his hands free to be able to hold different lenses during the examination. An indirect and inverted image of the eye is achieved. And although it is heavier and difficult to handle, it is possible to see the retina better since by using both eyes we obtain a three-dimensional image, and with a much wider field.

How is the ophthalmoscope used?

Thanks to the emitted light, we are able to visualize the fundus of the eye, which is why this procedure must be done in a dimly lit or dimly lit room.

When performing ophthalmoscopy, the patient has to look at a fixed point on the wall. The health professional will aim the ophthalmoscope at the eye. Thus, he will be able to explore the different parts that make up the interior of the eyeball. Typically, the procedure can take five to ten minutes.

Ophthalmology: from the optical to the digital

Ophthalmology has become another of the sectors that has benefited the most from the advancement of digital technologies . And it is that as mobile technology advances, ophthalmologists can offer better care to patients, for example with telemedicine consultations for a better workflow, more personalized attention and a better experience.

In addition to telehealth, digital innovations and research are transforming ophthalmology. Some of them are:

The evolution of machine vision
Retinal implants with chips or stem cells
intraocular telescope
Cortical or brain implants
Gene therapy
Optogenetics
3D printing
nanotechnology
silicon artificial retinas
Digitization of ophthalmology

Smartphone and app-based digitized ophthalmic imaging systems have boosted ophthalmology and its accessibility, making it easier for ophthalmologists to improve patients’ vision and preserve their sight, and helping them diagnose keratoconus, improve visual acuity, and treat glaucoma.

In this way, one of the great technological advances in the field of Ophthalmology is the digitalization of processes. What do we mean specifically ? To be able to go, with these devices, from the optical to the digital in a few clicks, thus expanding their capabilities. For example, through applications such as iExaminer Pro we can capture and send images of the eyes and ears for follow-up, trend analysis and easy consultation with specialists. With digitized ophthalmoscopes, we can instantly capture both photos and videos, store them and consult them whenever we want.

In addition, at Equimed we have two of the devices that are already digitized to take this field to a new level : the PanOptic Plus ophthalmoscope and the 3.5V coaxial ophthalmoscope.

Digitized ophthalmology devices: features and benefits

The act of examining the structure of the eyes and ears is a critical process in the physical examination. For this reason, it is mandatory to innovate and investigate to redesign devices such as otoscopes and ophthalmoscopes and thus be able to improve examinations.

The device that results from this cutting-edge technological innovation is the Welch Allyn PanOptic Plus ophthalmoscope , to which we can add the Welch Allyn iExaminer SmartBracket, equipped with our iExaminer app, and transform optical examination to digital to capture photos and videos. This patented Welch Allyn coaxial viewing system makes ophthalmoscopy easier, providing easier access of light to the eye, a wider field of view, and reduced reflections compared to standard ophthalmoscopes.

PanOptic Plus Oftalmoscope

This state-of-the-art wide-view ophthalmoscope is equipped with long -life LED lamps and DuraShock technology , is compatible with 3.5V power sources or the Lithium-Ion Plus Power Controller for increased efficiency, and among its features stand out:

20x Viewing Area
A 20x larger viewing area compared to that seen through a standard ophthalmoscope.

Quick Eye Alignment
This alignment technology helps direct the patient’s gaze and achieve better optic disc alignment.

Long-lasting LED illumination
Reduces the need for lamp replacement.

Experts in medical equipment

At Equimed we have a large team of experts in ophthalmoscopy and other elements of medical equipment . If you need more information and personalized advice, do not hesitate to contact us.

17Oct

The NEWS scale: what it is, how it works and its benefits

October 17, 2022 equimed 83

The NEWS scale measures the physiological parameters that classify the patient’s risk for adverse outcomes in the intrahospital setting.

Origin and meaning of the NEWS system

The taking of vital signs in patients and the use of scales for triage is a trend present in many health systems. This is a highly relevant activity because of the information it offers us about the hemodynamic status of the patient.

These scales have been especially valued in the United Kingdom, where numerous scales for the detection and assessment of acutely ill patients began to be created. First they were called EWS or “ Early Warning Scores ”, and when the process was standardized, in 2012 the Royal College of Physicians created a system called the National Early Warning Score ( NEWS ), led by the National Health System (NHS) and aimed at Adults over 16 years of age.

Its objective currently remains the same: to maintain periodic information on the patient ‘s physiological and mental state in order to detect in advance the risk of physiological deterioration. As? Standardizing the monitoring registration process and patient management to obtain an early , timeless and competent detection of the acute patient or in the process of deterioration.

News 2, the most up-to-date version

NEWS2 is the latest and most current version of the National Early Warning Score (NEWS), first standardized in 2012 and updated to NEWS2 in December 2017. This new update was intended to

Specify how the NEWS can be used to detect patients with sepsis and high risk of clinically worsening.
Emphasize that a score of 5 or more is the threshold that should be used as a clinical alert.
Improve the recording of the use and the scores for the saturations of patients with hypercapnic respiratory failure.

For its part, NEWS2 is scheduled to be reviewed in 2023.

What does the News scale measure?

The NEWS is based on a simple aggregate scoring system in which physiological measurements, already recorded in routine practice, are assigned a score when patients present or are being monitored in hospital. Six physiological parameters form the basis of the scoring system:

Respiratory rate (RR)
Oxygen saturation (SpO2)
Temperature
Systolic blood pressure (SBP)
Heart rate (HR)
Conscience level

Each of these indicators has certain thresholds/parameters to which values from 0 to 3 are assigned depending on the variation of the values obtained and a sum of this aggregate is made to calculate the NEWS.

In this way, the NEWS is classified into different degrees of risk:

LOW RISK (score of 0-4)
MEDIUM-LOW RISK (score of 3 in some parameter)
MEDIUM RISK (score of 5-6)
HIGH RISK (score of 7 or more).

Depending on the rating, a degree of risk is assigned and, consequently, a monitoring frequency and a maximum time for a clinical response.

What does the result of the NEWS scale tell us?

Based on the scoring result, the report provides recommendations on the frequency of monitoring, the urgency of clinical review, and the competency requirements of the medical team necessary to carry out an immediate response and with specific interventions.

The result is also a very clear indicator of the importance of guaranteeing that immediate response teams are available 24/7/365, especially in hospitals that care for serious or critical patients, focusing on their decisive role in the first minutes of arrival of the patient in the emergency room.

Benefits of the NEWS scale

As we said, the fundamental objective of these NEWS scales was to facilitate the recognition and management of acutely ill patients who suffered a deterioration in their vital signs, since this is related to a better prognosis, lower costs , etc.

At the same time, it was created to identify, by means of an objective score, the so-called “early warning points” (EWS), that is, those manifestations based on clinical parameters in the patient that can be useful to help determine their state of severity, and the need to undergo immediate clinical interventions.

However, the creation of the NEWS as a standardized scale provides many other advantages:

Facilitate the movement of health personnel between different hospital centers.
Reduce errors.
At present, this scale has become a useful tool for the emergency physician since it has been established as a useful tool to carry out the initial triage.
Its simplicity, since it does not need laboratory tests or others that require a lot of time.
You only need the necessary instruments to calculate it -in addition to clinical judgment- such as a blood pressure monitor, thermometer, pulse oximeter and a stethoscope.
A great immediacy to assess the patient.
And thanks to this score , it is much easier to recognize those patients who are in a potential risk situation.
Prompt recognition makes the chances of treatment success much higher, and the chances of adverse events (cardiorespiratory arrest, admission to the ICU, death…) are lower.

Practical cases

The success of this scale has been demonstrated in numerous studies . Currently, there is evidence that this score should be used to assess exacerbations in acute patients, in prehospital evaluation (in emergency services), to monitor the clinical status of patients in hospitals, nursing homes, to warn of possible deterioration in hospitalized patients and in departments. There are also studies that have evaluated other scales such as the qSOFA scale, although this offers worse results.

At present and after its update to its second version, numerous publications worldwide and various clinical studies have advocated its use, especially focused on emergency services, finding, at the same time, clinical importance in relation to the prognosis of seriously ill patients. through its application from the prehospital setting.

In Spain, this study from the University of Córdoba stands out, on the validation of the “National Early Warning Score 2” (NEWS 2) scale adapted to the Spanish environment , for the early detection of patients at risk of deterioration in emergency services.

Their conclusion is very clear: the NEWS2 scale, after the translation and validation process into Spanish, has proven to be a valid scale for use in the triage consultation of hospital emergency services . In the study setting, the psychometric properties of the NEWS2 scale adapted to Spanish are adequate and have a high predictive capacity to detect adverse events and hospital admissions.

Therefore, the NEWS2 scale adapted to Spanish is presented as a useful triage support tool that can increase or improve the safety of patients in the emergency department and, consequently, the quality of care.

Conclusion

The EWS aims to provide a clinical response by alerting any abnormality in physiological parameters when they are considered to be outside the set range.

The NEWS scale is an effective system for the prevention of mortality, sepsis, hospital cardiac arrest, and a great help in making decisions about the patient’s needs.

In turn, it is a notable predictor in all settings, including primary, hospital, and pre-hospital care. Its impact on nursing is also very positive, since it allows an increase in the autonomous role with the support of this objective tool.

Therefore, with the NEWS system we achieve a globalized categorization in the monitoring of the aforementioned basic physiological parameters.

The best hospital equipment as accompaniment

To prolong the success of the NEWS scale and help in decision-making, it is necessary to have the best medical equipment , the most modern and advanced technology from the leading brands in the medical, clinical and surgical sector.

Connex^®Spot Monitor

Especially with regard to the monitoring of vital signs, at Equimed we bet on Connex Spot Monitor, a comprehensive monitoring system from basic capture of vital signs up to the early warning score and interval or continuous monitoring.

Connex^®Vital Signs Monitor

Or the Connex Vital Signs Monitor , a simple solution for continuous, interval and spot check monitoring, designed to make it easy to capture a patient’s vital signs.

If you want more information about monitoring systems, or request a personalized quote, do not hesitate to contact Equimed.

22Sep

The medical team and the importance of cardiopulmonary resuscitation (CPR)

September 22, 2022 equimed 105

When someone around us suffers an accident, choking with loss of consciousness, or any other event that leaves them without breathing or a pulse, it is convenient to know how to perform cardiopulmonary resuscitation. And in hospitals, high-quality CPR and defibrillator medical equipment are especially important.

Measurement, training, and optimal operation of defibrillation and CPR systems have a direct impact on any CPR. Thanks to these devices, knowing if CPR is being performed correctly is easier than ever, which results in survival rates that can double or even triple. Today, we want to talk about CPR, what it consists of and what is the most cutting-edge medical equipment on the market for everything related to cardiopulmonary resuscitation.

What is CPR?

Cardiopulmonary Resuscitation (CPR) is an emergency maneuver that consists of applying rhythmic pressure on the chest of a person who has suffered a cardiorespiratory arrest so that oxygen can continue to reach their vital organs.

Therefore, CPR or cardiopulmonary resuscitation is an emergency life-saving procedure that is performed when someone has stopped breathing or the heart has stopped beating.

When does this happen? Usually after a medical emergency such as electric shock, heart attack, or drowning. In fact, there are numerous reasons why a person can suffer a cardiorespiratory arrest (CPA), from a myocardial infarction or other cardiac, neurological or pulmonary pathologies, to drowning, hypothermia or trauma.

More details of RCP

CPR is a combination of rescue breathing and chest compressions. On the one hand, mouth-to-mouth respiration supplies oxygen to the person’s lungs, while chest compressions keep oxygenated blood circulating until breathing and heart palpitations can be restored.

CPR techniques vary slightly depending on the age or size of the person, and we find different techniques for adults and children who have reached puberty, children from 1 year of age to the onset of puberty, and infants (younger babies -1 year old).

What can happen if we do not perform CPR on time?

If blood flow stops, permanent brain damage or death can occur within minutes. Therefore, it is very important that circulation and breathing be maintained until qualified medical help arrives.

In any case, if the witnesses know how to act correctly and quickly, it is possible to save the life of the person affected, since according to the Spanish Cardiopulmonary Resuscitation Council (CERCP) , if the intervention is carried out within the first 3-4 minutes after the stop heart disease, the chances of survival of the affected person can be increased by more than 50%. This ultimately means that if more people were able to perform CPR, 15-20% more lives would be saved every year in Europe alone.

The CERCP data also indicate that in Spain each year there are some 50,000 cardiac arrests –of which 30,000 would occur outside the hospital setting–, which causes around 45,000 deaths per year. And for every minute that resuscitation of the patient is delayed, their chances of surviving the event decrease by 10%.

Types of CPR

As is known, anyone can practice basic CPR, which is the one that is performed in the first minutes of a cardiorespiratory arrest. It is something that the entire population should know about. However, there is another type of CPR: high-quality CPR.

What is high quality CPR?

Cardiopulmonary resuscitation has a direct effect on the outcomes of patients with sudden cardiac arrest or other complications. However, the effectiveness of CPR is often compromised by a lack of standard procedures. Thus, variations in ventilation and chest compressions can mean the difference between life and death.

Quality CPR (cardiopulmonary resuscitation) is a fundamental intervention, and the one that most influences survival from CPA (cardiorespiratory arrest). The American Heart Association (AHA) highlights high-quality CPR and early defibrillation as the main factors that increase the chances of survival from cardiac arrest.

High-quality CPR means applying compressions at the correct depth and rate, making sure not to rest on your chest, and keeping interruptions to an absolute minimum.

In this regard, the AHA has developed specific resuscitation guidelines to address the need for consistent high-quality CPR.

Basic criteria

Quality CPR in adults, children and infants is based on 5 basic criteria.

Compression depth: at least 5-6 cm and 1/3 of the anteroposterior diameter of the thorax in children and infants.
Ventilation speed: <10 / minute.
Compression speed: from 100 to 120 per minute.
Do not remain supported on the chest and avoid excessive ventilation (the goal is 8 to 10 breaths/minute).
Allow expansion

How to improve the application of CPR?

For CPR to be of high quality , it is necessary to be able to monitor it with state-of-the-art technology, which offers real-time feedback and subsequent information to continue improving the overall functioning of the system.

This becomes more palpable than ever in the devices used by health personnel or that we can find in educational centers, sports centers, etc. And that is precisely Equimed ‘s commitment : systems, both inside and outside the hospital, focused on improving the quality of CPR to double the chances of survival.

And it is that through better monitoring, training and systems to improve the quality of CPR, we can have a significant impact on survival from cardiac arrest and get closer to a more optimal result.

The most advanced CPR medical equipment

80% of in-hospital cardiac arrests present with a non-shockable rhythm . That’s why it’s vitally important that defibrillators don’t just deliver a shock.

Regardless of whether the rhythm is shockable or not, 100% of patients will require CPR, and the better the CPR, the better the results . Survival depends on compressions being fast (but not too fast) and deep (but not too deep), with complete release, minimal interruptions, and adequate ventilation.

At Equimed we have the best medical equipment for any eventuality . As is the case with the need to perform high-quality CPR. For this, we have:

CPR monitors with defibrillator

ZOLL AED^®3

The ZOLL AED 3 defibrillator leads the way with Real CPR Help technology, which provides real-time information to guide rescuers in performing high-quality CPR.

ZOLL AED 3^®BLS

The ZOLL AED 3 BLS offers high-quality support for the resuscitation of adult and pediatric patients with sudden cardiac arrest.

ZOLL R Series^®

ZOLL R Series defibrillators and monitors, meanwhile, feature easy-to-use technology that helps deliver high-quality CPR. With the R Series ALS and R Series Plus, it is guaranteed to meet the needs of all healthcare providers, whether they are trained to provide basic life support or advanced life support, as well as all patients, from children to adults.

CPR Resuscitators

ZOLL AutoPulse^®

The ZOLL AutoPulse Resuscitation System , which automates CPR when you need it most. One study showed that the ZOLL AutoPulse can be donned in as little as 14 seconds and can reduce CPR interruptions by more than 85% compared to manual CPR.

This device provides individualized compression to each person; compresses the patient’s chest cavity by 20%. And it’s the only mechanical CPR system to show significant clinical benefits in comparative human studies.

Ventilators

ZOLL Z Vent^®

The ZOLL Z Vent has been designed for full hospital use throughout the entire care process, making it the perfect portable ventilator. It provides advanced ventilation to patients during all stages of care—from the ED to the ICU to recovery rooms—with optimal portability and ease.

CPR transfer monitors with defibrillator

ZOLL X Series^®

The Zoll X Series CPR Transfer Monitor with Defibrillator is indicated for adult, pediatric, and neonatal patients.

Designed for the transfer of patients throughout the hospital, it includes a constant monitor, CPR monitor, defibrillator/cardioversion and pacemaker. If the patient suffers cardiac arrest during transport, we will also need a defibrillator and real-time information. And that’s what this compact device offers.

If you want more information about CPR equipment, or ask us for a personalized quote, do not hesitate to contact Equimed.

“Geriatrics is not only a specialty of the future, but an urgent need of the present, the aging of the population is already a consolidated reality in Spain.”

Current state of geriatric care: limitations and urgent needs.

Main challenges of geriatric care today

1. Lack of specialized professionals

2. Limited resources and pressure on healthcare systems

3. Fragmented care models

4. Limited innovation and technological infrastructure

Post-pandemic geriatrics COVID-19

A new approach: towards more humane, technological and personalized geriatric care

An opportunity to rethink elder care

Investing today in quality geriatrics is to ensure a fairer and more humane future for all.

In today’s clinical environment, where efficiency, accuracy and data security have become fundamental pillars for providing quality medical care, having intelligent tools that adapt to the needs of medical staff is more essential than ever.

In this context, the Connex Spot Monitor is positioned as an advanced, comprehensive and highly adaptable solution for vital signs monitoring.

A Comprehensive Solution for Vital Signs Monitoring

Simplicity: User-Friendly Technology

Real-Time Medical Accuracy

Blood pressure averaging provides a more complete and reliable picture of the patient’s hemodynamic status, which is key to identifying cases of hypertension with greater certainty. This approach reduces false positives and improves the quality of clinical decisions.

Security: Military Level Data Protection

Total Connectivity: From Patient to RME in Seconds

Connectivity facilitates remote monitoring and real-time analysis by multidisciplinary teams, fostering faster and more informed decision making.

Workflow Customization and Adaptability

This flexibility ensures that the monitor can be easily integrated into a variety of medical departments, from emergency rooms to outpatient clinics to long-term care facilities.

Early Detection of Patient Impairment

An Ally in Improving the Quality of Care

Connex Spot Monitor Benefits Summary

Connex Spot, Beyond a Vital Signs Monitor

Technology at the service of care: an unstoppable transformation

1. Artificial Intelligence: detection, prediction, and personalization

2. Comprehensive Person-Centered Care (AICP): humanism and technology

3. Telemedicine: healthcare without barriers

4. Robotics and home automation: digital caregivers

5. Smart devices: health at your fingertips

6. Remaining challenges: the digital divide and privacy

Benefits and future of technological care

Public health also benefits “Technologies make it possible to monitor the emergence of outbreaks, promote healthy habits, and better manage healthcare resources. Tools such as electronic health records and big data systems improve coordination between services and avoid duplication.”

What is an electrocardiogram (ECG)?

How is an electrocardiogram performed?

1. Preparation

2. Placement of the electrodes

3. Recording of cardiac activity

4. Analysis of the results

What is the electrocardiogram used for?

When is it recommended to perform an electrocardiogram?

What are the risks of electrocardiography?

What do the results of the electrocardiogram mean?

Regular blood pressure measurement with sphygmomanometers is essential for the detection of arterial hypertension and accurate long-term monitoring of blood pressure.

What is hypertension?

Accurate monitoring of arterial hypertension with blood pressure monitors

How to detect arterial hypertension: the sphygmomanometer

Differences between manual and digital blood pressure monitors

Types of blood pressure monitor

Manual sphygmomanometers: mercury and aneroid

Digital blood pressure monitors

Equimed digital blood pressure monitors

Features

“These digital sphygmomanometers make it easier and more confident to take blood pressure readings from these digital devices, a smart choice for clinicians in any setting.”

In this article, we are going to learn about one of the fundamental elements in cardiology, the Holter, and the characteristics of one of the most advanced and innovative Holter recorders on the market: the H12+ Holter recorder.

What is Holter

How can monitoring be?

When to use the Holter?

Does it have side effects? Is it annoying?

How does a cardiac holter work?

Features

Entering the digital patient ID

High-resolution pacemaker detection

High fidelity recordings

VERITAS Analysis

Otoscopes are essential medical devices for auditory examination, that essential medical procedure to assess hearing function and detect pathologies in the ear.

What is an otoscope

Types of otoscopes and their characteristics

Medical advances in otoscopes

Equimed otoscopes

Ophthalmology has been adopting new technologies in many fields of study and research. Technological advances in this field of health progress almost daily. And as a result of this, today we can count on, among other things, the visual digitization of ophthalmological examinations.

What is an ophthalmoscope

What is the ophthalmological examination?

What is looked for with an ophthalmoscopy?

Types of ophthalmoscopes

How is the ophthalmoscope used?

Ophthalmology: from the optical to the digital

Smartphone and app-based digitized ophthalmic imaging systems have boosted ophthalmology and its accessibility, making it easier for ophthalmologists to improve patients’ vision and preserve their sight, and helping them diagnose keratoconus, improve visual acuity, and treat glaucoma.

ZOLL AED^®3

ZOLL AED 3^®BLS

ZOLL R Series^®

ZOLL AutoPulse^®

ZOLL Z Vent^®

ZOLL X Series^®