[Evacuation of critical care areas due to an initial outbreak of fire in a second level hospital].

In this letter to the editor, it is exposed an initial outbreak of fire that affected a secondary care center in Córdova, Veracruz, Mexico, and, most of all, the lack of a hospital fire evacuation plan in the presence of a fire event.

Ten years of experience of the Mexican Academy of Surgery in the promotion of the next generations of researchers.

Objective: To describe the productivity of the research works presented in the Interuniversity and resident doctors Competition of the Mexican Academy of Surgery since its origin in 2010.

Method: Observational cross-sectional descriptive study in which the variables are considered: category of participation (university/resident) type of work (research, clinical case, etc.), university and institution of origin, type of presentation [poster/oral]) Descriptive statistics was used.

Academic-assistance activities registered by the graduates of the specialty of Emergency of the Regional Hospital No. 25 of the Instituto Mexicano del Seguro Social (1991-2018).

Objective: To describe the academic-assistance activities of the graduates of the specialty of emergencies in the Regional General Hospital 25 of the Mexican Institute of Social Security.

Method: Observational descriptive type study in which the 25 generations graduated from the specialty will be analyzed. The scientific, teaching and care productivity of its graduates was analyzed, as well as the subsequent training and the managerial positions held.

Prevalence of pulmonary thromboembolism in patients undergoing abdominopelvic surgery with respiratory distress.

Objective: To determine the prevalence of pulmonary thromboembolism (PET) and identify it's risk factors in patients operated on a scheduled basis, in the general surgery service from the High Specialty Medical Unit Hospital de Especialidades de Puebla, of the Mexican Social Security Institute.

Method: Descriptive, retrospective and cross sectional study of 52 patients' records with PET and pulmonary angiotomography whose indication was respiratory distress; from 2612 operated patients from November 2015 to March 2018, the sampling was not probabilistic. The statistics was descriptive, with measures of central tendency and dispersion.

Diagnostic histopathological-ultrasonographic correlation in patients categorized as BI-RADS 4.

Objective: To correlate ultrasonographic and histopathological diagnosis in patients categorized as breast imaging reporting and data system (BI-RADS) 4.

Method: Cross-sectional study, performed on patients with BI-RADS 4 (A, B or C) diagnosed by ultrasonography in the high specialty medical unit, hospital of specialties, Centro Médico Nacional General de División Manuel Ávila Camacho, of the Instituto Mexicano del Seguro Social. Age, ultrasonographic and histopathological diagnosis, menarquia, menopause, gestations, lactation, use of contraceptives and family history of breast cancer were evaluated.

[The experience of a medical emergency team belonging to the Mexican Social Security Institute during the earthquake in Mexico in September 2017Experiência de uma equipe médica de emergência do IMSS no terremoto do México em setembro de 2017].

The objective of this article is to describe the actions undertaken by the emergency medical team (EMT) of the Mexican Social Security Institute (MSSI) during the emergency caused by the earthquake of September 7, 2017 (magnitude 8.2; epicenter 133 km southwest of Pijijiapan, Chiapas, Mexico). After the initial intersectoral assessment of the emergency had been conducted, the health sector stepped in.

[Hospitales del Instituto Mexicano del Seguro Social durante los sismos de septiembre de 2017. Análisis desde la perspectiva del Programa Hospital Seguro].

Introduction: The function of hospitals during major emergency or disaster is vital. Their response capacity depends on their geographic location, adequate organization, structural safety and safety of non-structural elements. After September 2017 earthquakes, self-assessment and Safe Hospital Program assessment results were compared in disabled hospitals belonging to the Mexican Institute of Social Security.

[Tecnologías de la información en la formación de evaluadores del Programa Hospital Seguro en México].

Objetivo: Describir el proceso para la formación de evaluadores del Programa Hospital Seguro centrado en el uso de las tecnologías de la información.

MÉtodo: Estudio observacional descriptivo en el que se analiza la participación dentro del nuevo curso de evaluadores del Programa Hospital Seguro.

Resultados: Se inscribieron 1323 participantes, de los cuales aprobaron 298 (18%); la calificación media fue de 8.

[Experience in training in emergencies, Division of Special Projects in Health, Instituto Mexicano del Seguro Social].

Background: There has been interest in the Division of Special Projects in Health to offer the Instituto Mexicano del Seguro Social personnel resources for training and quality thereby respond to potential contingencies. Presented here is their experience in this field.

Objective: To describe and analyse the productivity in different training programs in emergencies and disasters developed by the Division of Special Projects in Health, Mexican Social Security Institute (IMSS).

[Surgical Medical Meetings in the Mexican Social Security Institute: 17 years of existence].

The Surgical Medical Meetings Program aims to make highly specialized medical services to the marginalized rural population. Surgical Medical Encounters highlight the experience and results of an innovative strategy characterized by continuous improvement and the desire to continue transcending health for the most vulnerable populations. During 17 years of its inception, it is interesting to describe the evolution and achievements of the program.

[Emergency and disaster response in critical care unit in the Mexican Social Security Institute: triage and evacuation].

Providing medical assistance in emergencies and disaster in advance makes the need to maintain Medical Units functional despite the disturbing phenomenon that confronts the community, but conflict occurs when the Medical Unit needs support and needs to be evacuated, especially when the evacuation of patients in a Critical Care Unit is required. In world literature there is little on this topic, and what is there usually focuses on the conversion of areas and increased ability to care for mass casualties, but not about how to evacuate if necessary, and when a wrong decision can have fatal consequences. That is why the Mexican Social Security Institute gave the task of examining these problems to a working group composed of specialists of the Institute.

[Specialized reconstructive surgery in rural zones of Mexico].

Background: The Instituto Mexicano del Seguro Social program known as Surgical Encounters was created in 1996 to provide specialized medical and surgical care to the rural and indigenous population, the most marginalized group in the country, and to provide them health care at IMSS-Oportunidades rural hospitals by volunteer personnel. The aim of this paper is to describe the organization, logistics before, during and after the Encounter and the main results of operating room procedures.

Methods: Fifty-seven Surgical Encounters had been carried out.

Terrorism in Mexico.

Even though Mexico is considered internationally as a pacifist country, its economic, social, and geopolitical characteristics during the last half of the 20th century have resulted in internal events that can be considered acts of terrorism. Most of the acts of terrorism during the last 15 years have had to do either with political movements or drug-dealing actions. After the 11 September 2001 attacks in the United States, Mexican Health Authorities have strengthened the epidemiological surveillance system.

A proposed universal medical and public health definition of terrorism.

The lack of a universally applicable definition of terrorism has confounded the understanding of terrorism since the term was first coined in 18th Century France. Although a myriad of definitions of terrorism have been advanced over the years, virtually all of these definitions have been crisis-centered, frequently reflecting the political perspectives of those who seek to define it. In this article, we deconstruct these previously used definitions of terrorism in order to reconstruct a definition of terrorism that is consequence-centered, medically relevant, and universally harmonized.