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						<section class="elementor-section elementor-top-section elementor-element elementor-element-f98aea7 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="f98aea7" data-element_type="section" data-e-type="section">
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									<p class="myjustify">Las principales características de los ritmos electrocardiográficos que se pueden identificar en un paro cardíaco. </p><p class="myjustify">Cuando una persona está en situación de paro cardíaco (su corazón se detiene y no hay respiración), <strong>solo existen 4 (cuatro) ritmos de paro</strong> que se pueden identificar en el electrocardiograma y son los siguientes:</p><script async src="https://pagead2.googlesyndication.com/pagead/js/adsbygoogle.js?client=ca-pub-4254951495333536" 
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</script><ul><li>Fibrilación Ventricular</li><li>Taquicardia Ventricular sin pulso </li><li>Actividad Eléctrica sin pulso </li><li>Asistolia</li></ul>								</div>
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									<p>Características de cada uno de los cuatro ritmos de paro:</p><h2 id="fibrilacion-ventricular"><strong>Fibrilación Ventricular</strong></h2><p>Empecemos por describir la Fibrilación Ventricular. </p><p class="myjustify">Usualmente, la Fibrilación Ventricular o FV es el ritmo de paro más frecuente en pacientes que presentan a enfermedad coronaria. Este ritmo generalmente degenera en asistolia, de manera que después de 5 minutos de evolución sin tratamiento en menos de la mitad de las víctimas se comprueba su presencia. </p><p class="myjustify">Es de vital importancia el poder realizar una desfibrilación precoz, ya que se ha comprobado supervivencia inmediata superior al 80 % cuando la FV o Fibrilación Ventricular es presenciada y la desfibrilación es instantánea, caso contrario sucede cuando no se detecta y no se realiza desfibrilación temprana.</p><p class="myjustify">La imagen de una FV o<strong> Fibrilación Ventricular</strong> en el registro electrocardiográfico es algo parecido a lo siguiente: </p><div class="wp-block-image"><figure class="aligncenter size-full"><img class="wp-image-10154" src="https://i0.wp.com/2evs.co/wp-content/uploads/2023/02/fibrilacion_ventricular.jpg?resize=332%2C124&#038;ssl=1" sizes="(max-width: 332px) 100vw, 332px" srcset="https://2evs.co/wp-content/uploads/2023/02/fibrilacion_ventricular.jpg 332w, https://2evs.co/wp-content/uploads/2023/02/fibrilacion_ventricular-150x56.jpg 150w, https://2evs.co/wp-content/uploads/2023/02/fibrilacion_ventricular-120x45.jpg 120w, https://2evs.co/wp-content/uploads/2023/02/fibrilacion_ventricular-310x116.jpg 310w" alt="Imagen de una FV o Fibrilación Ventricular en el registro electrocardiográfico" width="332" height="124" /><figcaption class="wp-element-caption">Fibrilación Ventricular (FV)</figcaption></figure></div>								</div>
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									<h2 id="taquicardia-ventricular-sin-pulso"><strong>Taquicardia Ventricular sin pulso</strong></h2><p><strong>La Taquicardia Ventricular sin pulso</strong> o <strong>TVSP </strong>es una alteración del ritmo cardíaco ocasionado por estímulos eléctricos anormales, lo que causa que el corazón lata más rápido de 100 o más por minuto, sin sincronía con las cavidades superiores (aurículas), lo que conlleva al corazón a no bombear la cantidad suficiente de sangre para los requerimientos del organismo y de allí la ausencia de pulso. </p><p>La <strong>Taquicardia Ventricular sin pulso</strong> suele ocurrir en personas con cardiopatías previas, como un infarto del miocardio.</p><p class="myjustify">La <strong>Taquicardia Ventricular sin pulso</strong> o <strong>TVSP </strong>tiene dos presentaciones: </p><ol><li>Taquicardia Ventricular sin pulso monomórfica (complejos QRS de igual forma, imagen de arriba) </li></ol><ol start="2"><li>Taquicardia Ventricular sin pulso polimórfica (complejos QRS de diferente forma, también llamada Torsades de Pointe o Taquicardia de Puntas Torcidas).</li></ol><p class="myjustify">La imagen de una Taquicardia Ventricular sin pulso monomórfica en el registro electrocardiográfico es algo parecido a lo siguiente: </p><div class="wp-block-image"><figure class="aligncenter size-full"><img class="wp-image-10156" src="https://i0.wp.com/2evs.co/wp-content/uploads/2023/02/taquicardia_ventricular_sin_pulso.jpg?resize=394%2C115&#038;ssl=1" sizes="(max-width: 394px) 100vw, 394px" srcset="https://2evs.co/wp-content/uploads/2023/02/taquicardia_ventricular_sin_pulso.jpg 394w, https://2evs.co/wp-content/uploads/2023/02/taquicardia_ventricular_sin_pulso-150x44.jpg 150w, https://2evs.co/wp-content/uploads/2023/02/taquicardia_ventricular_sin_pulso-120x35.jpg 120w, https://2evs.co/wp-content/uploads/2023/02/taquicardia_ventricular_sin_pulso-310x90.jpg 310w" alt="Imagen de una Taquicardia Ventricular sin pulso monomórfica en el registro electrocardiográfico" width="394" height="115" /><figcaption class="wp-element-caption">Taquicardia Ventricular sin pulso monomórfica</figcaption></figure></div>								</div>
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									<p class="myjustify">La imagen de una Taquicardia Ventricular sin pulso polimórfica en el registro electrocardiográfico es algo parecido a lo siguiente: </p><div class="wp-block-image"><figure class="aligncenter size-full"><img class="wp-image-10157" src="https://i0.wp.com/2evs.co/wp-content/uploads/2023/02/taquicardia_ventricular_sin_pulso_polimorfica.jpg?resize=493%2C101&#038;ssl=1" sizes="(max-width: 493px) 100vw, 493px" srcset="https://2evs.co/wp-content/uploads/2023/02/taquicardia_ventricular_sin_pulso_polimorfica.jpg 493w, https://2evs.co/wp-content/uploads/2023/02/taquicardia_ventricular_sin_pulso_polimorfica-460x94.jpg 460w, https://2evs.co/wp-content/uploads/2023/02/taquicardia_ventricular_sin_pulso_polimorfica-150x31.jpg 150w, https://2evs.co/wp-content/uploads/2023/02/taquicardia_ventricular_sin_pulso_polimorfica-120x25.jpg 120w, https://2evs.co/wp-content/uploads/2023/02/taquicardia_ventricular_sin_pulso_polimorfica-310x64.jpg 310w" alt="Imagen de una Taquicardia Ventricular sin pulso polimórfica en el registro electrocardiográfico" width="493" height="101" /><figcaption class="wp-element-caption">Taquicardia Ventricular sin pulso polimórfica</figcaption></figure></div>								</div>
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									<h2 id="actividad-electrica-sin-pulso"><strong>Actividad Eléctrica sin pulso</strong> </h2><p class="myjustify">La <strong>Actividad Eléctrica sin pulso</strong> o <strong>AESP </strong>se define como la presencia de actividad eléctrica cardíaca organizada, que no produce actividad mecánica (contracción del corazón), carencia de pulso arterial central o una PAS <; 60 mmHg. </p><p class="myjustify">La <strong>Actividad Eléctrica sin pulso</strong> o <strong>AESP</strong> tiene muy mal pronóstico, excepto, en pacientes que ocurre de manera pasajera luego de la desfibrilación o es ocasionada por una causa rápidamente corregible. Es por esto la importancia de diagnosticar y tratar sus posibles causas, como hipovolemia, hipoxia, neumotórax a tensión, taponamiento cardiaco, alteraciones electrolíticas y del equilibrio ácido-base, intoxicación por fármacos, hipotermia, infarto agudo de miocardio y embolismo pulmonar masivo.</p><p class="myjustify">La <strong>Actividad Eléctrica sin pulso</strong> o <strong>AESP </strong>puede incluir cualquier forma de onda sin pulso con excepción de Fibrilación Ventricular, Taquicardia Ventricular sin pulso o Asistolia.</p><p class="myjustify">La imagen que te compartimos a continuación, es uno de los muchos ejemplos de imágenes que pueden corresponder a <strong>Actividad Eléctrica sin pulso</strong>:</p><div class="wp-block-image"><figure class="aligncenter"><img src="https://lh6.googleusercontent.com/VVI3TIp8g5cW_vXQ8clrzLmbJOL1M0KTCig0-NOHKrZpJMdC81tERS7WNl84mvBGeETZOE9bRw4xTVMBerP5CbT-gYjJ4fpUFUHKHVOpeCMcfs7LzCJSKEwxzfB4b6ZCLATjZJURa1UiBCv8EECYSA" alt="Actividad Eléctrica sin pulso" /><figcaption class="wp-element-caption">Actividad Eléctrica sin pulso</figcaption></figure></div>								</div>
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									<h2><strong>Asistolia </strong></h2><p class="myjustify">La Asistolia es una línea isoeléctrica y es causa de 1/4 de los paros cardiorrespiratorios en pacientes hospitalizados, sin embargo, se encuentra frecuentemente como evolución natural de la <strong>Fibrilación Ventricular</strong> no tratada. </p><p class="myjustify">Lamentablemente, su respuesta al manejo inicial es mucho peor que la de una Fibrilación Ventricular cuando es causada por enfermedad cardiaca, presentando una supervivencia menor de un 5%. Las tasas de supervivencias pueden mejorar cuando se presenta asociada a hipotermia, ahogamiento, intoxicación medicamentosa, bloqueo A-V completo por afectación trifascicular, bradicardia extrema, o cuando se trata de un fenómeno pasajero luego de la desfibrilación de una Fibrilación Ventricular. </p><p class="myjustify">En el trazado electrocardiográfico, se puede ver un movimiento sutil alejándose de la línea de base, pero no hay actividad eléctrica cardíaca perceptible. Es importante asegurarse siempre que este trazado no sea causado por un error, por ende, es necesario realizar lo siguiente:</p><ul><li>Verificar que los parches tengan un buen contacto con la persona.</li><li>Inspeccionar que los cables estén conectados.</li><li>Evaluar que la ganancia que muestra el trazado electrocardiográfico esté configurada correctamente.</li><li>Comprobar la conexión a la energía eléctrica</li></ul><p class="myjustify">La imagen de una <strong>Asistolia </strong>en el registro electrocardiográfico es algo parecido a lo siguiente:</p><div class="wp-block-image"><figure class="aligncenter size-full"><img class="wp-image-10158" src="https://i0.wp.com/2evs.co/wp-content/uploads/2023/02/asistolia.jpg?resize=296%2C147&#038;ssl=1" sizes="(max-width: 296px) 100vw, 296px" srcset="https://2evs.co/wp-content/uploads/2023/02/asistolia.jpg 296w, https://2evs.co/wp-content/uploads/2023/02/asistolia-150x74.jpg 150w, https://2evs.co/wp-content/uploads/2023/02/asistolia-120x60.jpg 120w" alt="Imagen de una Asistolia en el registro electrocardiográfico" width="296" height="147" /><figcaption class="wp-element-caption">Asistolia</figcaption></figure></div>								</div>
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									<p>En relación con los cuatro ritmos de paro cardíaco, estos se clasifican en <strong>ritmos desfibrilables</strong> (Fibrilación Ventricular y Taquicardia Ventricular sin pulso) y <strong>ritmos no desfibrilables</strong> (Actividad Eléctrica sin pulso y Asistolia), en otras palabras, los <strong>ritmos desfibrilables</strong> son los que se desfibrilan con un desfibrilador (equipo biomédico) y los <strong>ritmos no desfibrilables</strong> son los que no se desfibrilan </p>								</div>
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							<h4>Prevención en Salud Proactiva</h4> 
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							<p>Paula Rojas Hormazábal</p> 
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							<p>Nuestra misión es proteger la vida y la salud de las personas, con enfoque en el entorno laboral. A través de programas especializados en primeros auxilios y maniobras críticas (RCP, DEA, SVB y Heimlich), educamos y capacitamos a personas y equipos para responder con seguridad ante emergencias. Además, garantizamos la continuidad y el bienestar organizacional mediante una gestión de riesgos alineada con la Ley 16.744 y los más altos estándares ISO.</p><div class="fa2752738c61f2593e5755f4d15b4d9c" data-index="2" style="float: none; margin:0px 0 0px 0; text-align:center;">
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<div class="col-md-4 col-sm-6 col-xs-12 pt-cv-content-item pt-cv-1-col" ><div class='pt-cv-ifield'><a href="https://prevencionsaludproactiv.com/2022/08/06/carro-de-paro-o-reanimacion/" class="_blank pt-cv-href-thumbnail pt-cv-thumb-default" target="_blank" ><img width="300" height="300" src="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/08/carro-rojo.jpg?fit=300%2C300&;ssl=1" class="pt-cv-thumbnail" alt="" srcset="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/08/carro-rojo.jpg?w=600&;ssl=1 600w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/08/carro-rojo.jpg?resize=300%2C300&;ssl=1 300w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/08/carro-rojo.jpg?resize=150%2C150&;ssl=1 150w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/08/carro-rojo.jpg?resize=100%2C100&;ssl=1 100w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/08/carro-rojo.jpg?resize=75%2C75&;ssl=1 75w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/08/carro-rojo.jpg?resize=400%2C400&;ssl=1 400w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/08/carro-rojo.jpg?resize=200%2C200&;ssl=1 200w" sizes="(max-width: 300px) 100vw, 300px" /></a>
<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/08/06/carro-de-paro-o-reanimacion/" class="_blank" target="_blank" >Carro de Paro o Reanimación</a></h4>
<div class="pt-cv-content">El carro rojo, de paro o de reanimación es una unidad ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2022/08/06/carro-de-paro-o-reanimacion/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
<div class="col-md-4 col-sm-6 col-xs-12 pt-cv-content-item pt-cv-1-col" ><div class='pt-cv-ifield'><a href="https://prevencionsaludproactiv.com/2022/05/12/rcp-en-tiempos-de-covid-19/" class="_blank pt-cv-href-thumbnail pt-cv-thumb-default" target="_blank" ><img width="300" height="200" src="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/05/RCP-COVID.jpg?fit=300%2C200&;ssl=1" class="pt-cv-thumbnail" alt="" srcset="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/05/RCP-COVID.jpg?w=5472&;ssl=1 5472w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/05/RCP-COVID.jpg?resize=300%2C200&;ssl=1 300w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/05/RCP-COVID.jpg?resize=1024%2C683&;ssl=1 1024w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/05/RCP-COVID.jpg?resize=150%2C100&;ssl=1 150w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/05/RCP-COVID.jpg?resize=768%2C512&;ssl=1 768w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/05/RCP-COVID.jpg?resize=100%2C67&;ssl=1 100w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/05/RCP-COVID.jpg?resize=1536%2C1024&;ssl=1 1536w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/05/RCP-COVID.jpg?resize=2048%2C1365&;ssl=1 2048w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/05/RCP-COVID.jpg?resize=1140%2C760&;ssl=1 1140w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/05/RCP-COVID.jpg?resize=1200%2C800&;ssl=1 1200w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/05/RCP-COVID.jpg?resize=600%2C400&;ssl=1 600w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/05/RCP-COVID.jpg?w=1280&;ssl=1 1280w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/05/RCP-COVID.jpg?w=1920&;ssl=1 1920w" sizes="(max-width: 300px) 100vw, 300px" /></a>
<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/05/12/rcp-en-tiempos-de-covid-19/" class="_blank" target="_blank" >RCP en Tiempos de COVID-19</a></h4>
<div class="pt-cv-content">REALIZAR RCP El paro cardíaco es una alteración eléctrica del ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2022/05/12/rcp-en-tiempos-de-covid-19/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
<div class="col-md-4 col-sm-6 col-xs-12 pt-cv-content-item pt-cv-1-col" ><div class='pt-cv-ifield'><a href="https://prevencionsaludproactiv.com/2022/02/25/tendinitis-2/" class="_blank pt-cv-href-thumbnail pt-cv-thumb-default" target="_blank" ><img width="300" height="128" src="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/02/tendones-de-las-manos-1.jpg?fit=300%2C128&;ssl=1" class="pt-cv-thumbnail" alt="" srcset="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/02/tendones-de-las-manos-1.jpg?w=870&;ssl=1 870w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/02/tendones-de-las-manos-1.jpg?resize=300%2C128&;ssl=1 300w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/02/tendones-de-las-manos-1.jpg?resize=150%2C64&;ssl=1 150w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/02/tendones-de-las-manos-1.jpg?resize=768%2C327&;ssl=1 768w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/02/tendones-de-las-manos-1.jpg?resize=100%2C43&;ssl=1 100w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/02/tendones-de-las-manos-1.jpg?resize=600%2C255&;ssl=1 600w" sizes="(max-width: 300px) 100vw, 300px" /></a>
<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/25/tendinitis-2/" class="_blank" target="_blank" >Tendinitis</a></h4>
<div class="pt-cv-content">La tendinitis es una afección médica que se produce por ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2022/02/25/tendinitis-2/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/superficies-de-trabajo/" class="_blank" target="_blank" >Superficies de Trabajo</a></h4>
<div class="pt-cv-content">CHARLA DE 5 MINUTOS Personas que han visualizado la charla ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2022/02/24/superficies-de-trabajo/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/riesgo-electrico/" class="_blank" target="_blank" >Riesgo Eléctrico</a></h4>
<div class="pt-cv-content">Los riesgos eléctricos son situaciones en las que existe la ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2022/02/24/riesgo-electrico/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/primeros-auxilios-2/" class="_blank" target="_blank" >Primeros Auxilios</a></h4>
<div class="pt-cv-content">CHARLA DE 5 MINUTOS Personas que han visualizado la charla ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2022/02/24/primeros-auxilios-2/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/20/rcp-solo-con-las-manos/" class="_blank" target="_blank" >RCP Solo con las Manos</a></h4>
<div class="pt-cv-content">CHARLA DE 5 MINUTOS La reanimación cardiopulmonar (RCP) es una ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2022/02/20/rcp-solo-con-las-manos/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/01/18/maniobra-de-heimlich-charla-de-seguridad/" class="_blank" target="_blank" >Maniobra de Heimlich</a></h4>
<div class="pt-cv-content">Maniobra de Heimlich en casos de atragantamiento La Maniobra de ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2022/01/18/maniobra-de-heimlich-charla-de-seguridad/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/12/22/aspectos-destacados-de-actualizacion-en-primeros-auxilios-aha/" class="_blank" target="_blank" >Aspectos Destacados de Actualización en Primeros Auxilios AHA</a></h4>
<div class="pt-cv-content">Actualizaciones AHA Actualización detallada para primeros auxilios del 2020 de ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2021/12/22/aspectos-destacados-de-actualizacion-en-primeros-auxilios-aha/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/02/01/fractura/" class="_blank" target="_blank" >Fracturas</a></h4>
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Ritmos de Paro Cardíaco
