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Guillermo Burillo-Putze

Publications and source records attributed to Guillermo Burillo-Putze.

13 recordsLinked to original sources
PubMed2004

Body packing.

Explore the source record for details and available documents.

Crime↗
PubMed2004

Accidental ecstasy poisoning in a toddler.

A child of 14 months accidentally swallowed a portion of an Ecstasy pill. Forty minutes after ingestion, he started a generalized convulsion. He also presented hyperthermia (38 degrees C), hypertension, tachycardia (130 bpm), ventricular extrasystoles, tachypnea (50 rpm), and mydriasis. At the hospital 5 hours later, the urine levels of amphetamine/metamphetamine were >16 mg/L. He was treated with general support measures and benzodiazepines intravenously and admitted to the pediatric intensive care unit. During the first 12 hours, he continued with hypertension, tachycardia, and long periods of trigeminy, without hemodynamic repercussion. He was discharged fully recovered. Gas chromatography/mass spectrometry analysis (8 hours after ingestion) showed a serum level of 3,4 methylenedioximethylamphetamine (MDMA) of 0.591 mg/L. The 3 cases described in the literature have shown a good evolution of Ecstasy poisoning in toddlers and infants, despite an initial critical situation. Regarding adults, the toddler intoxication seems to present symptoms sooner (20 to 30 minutes), having as an initial manifestation convulsions. However, great care must be taken on accidental ingestion of these attractive design pills.

Accidents, Home↗
PubMed2003

National multicentre study of acute intoxication in emergency departments of Spain.

OBJECTIVE: No studies have been published on global acute intoxication in Spanish emergency departments. We therefore designed a multicentre study to identify the epidemiology and management of intoxicated patients in Spain. METHODS: We prospectively recorded cases from 14 emergency departments during 14 randomized days between February and April 2000. We included all age groups and all kinds of acute intoxication patients (including alcohol), except food-related cases, inert foreign bodies and deaths before arrival at the emergency department. Phone calls to poison control centres and inpatients were not followed. RESULTS: A total of 419 cases were recorded, 0.66% of emergency department visits. The incidence of intoxication was higher at weekends and on Mondays (P<0.001). The mean age was 33 years (STD+/-18.10); males represented 56%, and 34.2% of patients arrived at the emergency department within the first 2 h. A total of 80% of patients were treated as outpatients, 3.7% were admitted to the intensive care unit, 6.7% were hospitalized, and 0.2% died. DISCUSSION: We recorded a slightly lower incidence than other European countries with the same epidemiological profile, except for a low incidence of acetaminophen cases. If we apply the European Association of Poisons Centres and Clinical Toxicologists gastric lavage criteria, there were an important number of unnecessary gut decontamination techniques in drug poisoning. Most patients were treated in emergency departments, without hospital admission.

Adolescent↗
PubMedDate not supplied

Transcranial oximetry as a new monitoring method for HEMS (Helicopter EMS).

INTRODUCTION: Transcranial oximetry (TCO) is a new method to measure continuous changes in brain blood oxygen saturation (rSO2) by using near-infrared spectroscopy (NIRS). To our knowledge, no studies about TCO in air medical transport have been published. METHODS: Twenty healthy volunteers (HEMS medical crew) were investigated during flight missions without patients. We measured oxygen saturation (SpO2), cardiac rate, and rSO2 with an INVOS 4100 Cerebral Oximeter at sea level and at each 1000 feet until we reached a flight level of 5000 feet. RESULTS: The oximeter did not produce any interference with medical or aeronautical equipment. Subjects' SpO2 showed a slight decrease with altitude (P < 0.010), but rSO2 remained constant (P = 0.28), with little delay in the physiological correction of SpO2 and rSO2 values. CONCLUSION: TCO may play an important role in the development of new monitoring methods for critical patients in air medical transport. Further studies with large sample sizes and patients are necessary to generalize findings.

Adult↗