Objective: to evaluate the impact of a program on high-fidelity simulation on knowledge about sepsis and septic shock among pre-graduate medical students. Methods: A quasi-experimental study was conducted. Students received lectures on sepsis and septic shock before the simulation sessions. Two sessions were scheduled, one on sepsis due to an upper urinary tract infection (scenery A) and the second one about septic shock due to nosocomial pneumonia (scenery B). A pre-and post-test was scheduled, and a debriefing was guided by a checklist to evaluate the achievement of the learning objectives. Results: 153 students participated; the mean score of the post-test was higher than the pre-test (0.97± 0.06 vs. 0.90 ± 0.14 p<0.00). The most right topic in the pre and post-test was determining gold time in sepsis and septic shock (98% on the pre-test and 100% on the post-test). The less corr...

High fidelity simulation has emerged as an important technological method for learning and teaching in complex clinical scenarios of specialized areas, enabling to develop both technical and non-technical skills. The experience described is related to the curricular insertion of high fidelity simulation in fourth and fifth grade of undergraduate medical students (2018-2019) of the Faculty of Medicine Universidad Peruana Cayetano Heredia (UPCH) with the objective to establish diagnoses, request and interpret auxiliary tests, establish and evaluate the response to an initial treatment and establish effective communication with other health professionals, through the use of clinical scenarios with highly complex simulators, emphasizing debriefing with immediate good judgment, providing insights into the learning objectives of each case and concluding the sessions with the learning experienc...

Introducción: El sindrome hepatopulmonar (SHP) es una complicación poco frecuente de la cirrosis hepática (CH) que disminuye considerablemente la calidad de vida de las personas que la padecen. Objetivos: Determinar la prevalencia y severidad del SHP en los pacientes con CH atendidos en el Hospital Nacional Cayetano Heredia (HCH) en el periodo comprendido entre enero a diciembre del 2015. Material y métodos: Estudio transversal, con tamaño de muestra necesario para determinar la prevalencia puntual calculado en 297 pacientes. Resultados: La prevalencia del SHP fue de 0,7% y los casos identificados se clasificaron como SHP leve y severo. Conclusión: La prevalencia del SHP es muy baja en la población de pacientes con cirrosis hepática atendidos en el Hospital Nacional Cayetano Heredia.