%0 Journal Article
%T Diagn¨®stico de la p¨¦rdida breve del conocimiento en la atenci¨®n primaria a tropas Diagnosis of the brief loss of consciousness in primary health care by the physician attending troops
%A Ferm¨ªn Morera M¨¦ndez
%A Luisa Paz Send¨ªn
%A Ra¨²l Gonz¨¢lez Torres
%A Tania Arrieta Hern¨¢ndez
%J Revista Cubana de Medicina Militar
%D 2006
%I ECIMED
%X La p¨¦rdida breve del conocimiento (PBC) constituye un frecuente y dif¨ªcil problema que debe enfrentar el m¨¦dico tanto en los cuerpos de guardia como en la atenci¨®n a las tropas. Demanda del m¨¦dico un conocimiento de sus causas y de los mecanismos fisiopatol¨®gicos que provocan dicha perdida, por lo que se revisaron sus causas m¨¢s frecuentes. Se clasificaron las PBC teniendo en cuenta la presencia o no de ca¨ªda, se describen las caracter¨ªsticas cl¨ªnicas y la frecuencia de los s¨ªncopes, las crisis epil¨¦pticas, las crisis psic¨®genas, como causa de la PBC as¨ª como su repercusi¨®n en las tropas. Es necesario el manejo cl¨ªnico de las PBC por los m¨¦dicos de atenci¨®n primaria a las tropas con un alto grado de efectividad lo que evitar¨¢ un manejo inadecuado de estos pacientes. Brief loss of consciounsness (BLC) is a frequent and difficult problem physicians face at the emergency department and when they work with troops. As the physician should know its causes and the pathophysiological mechanisms provoking such loss, the most frequent causes were reviewed. BLCs were classified taking into account if there had been a fall or not. The clinical features and the frequency of syncopes, epileptic and psychogenic seizures were described as a cause of BLC, as well as their repercussion on the troops. The clinical management of BLC with a high degree of effectiveness by physicians attending troops at the primary health care level is necessary to avoid an inappropriate management of these patients.
%K P¨¦rdida breve del conocimiento
%K s¨ªncope
%K crisis epil¨¦pticas
%K Brief loss of consciousness
%K syncope
%K epileptic seizures
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572006000100009