GLOBOVISION — Noticias Globovision Salud
20260806 200000 UTC
445 transcript segments
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[00:00:00] competitiveness of the region and forces companies to operate
[00:00:03] below their capacity. In this
[00:00:06] sense, he indicated that with the cuts, up to
[00:00:09] 20 working hours per week are usually lost, which generates losses
[00:00:13] in the sector. He reported that the Chamber of
[00:00:16] Commerce of Valencia is asking the authorities to
[00:00:19] establish a detailed schedule for the recovery of the national electrical system,
[00:00:23] which specifies the incorporation of
[00:00:27] new megawatts and improvements. On the
[00:00:30] other hand, he announced that they have activated the initiative "A Light for Commerce" to
[00:00:33] facilitate bank loans to the sector for the acquisition of
[00:00:37] plants and generators with financing of
[00:00:42] frequently and 70% of the cost of the equipment, with an interest of 16% and a
[00:00:46] payment period of up to 24 months.
[00:00:49] This is how the markets are behaving at
[00:00:51] this time. Gold records
[00:00:54] losses of 0.01%,
[00:00:57] trading at $4,305 per
[00:01:00] ounce. Silver has
[00:01:03] supported with what negative performance and falls 0.89%
[00:01:06] to settle at
[00:01:11] but it's always good to maintain 61.73 per ounce. Natural gas retreats
[00:01:13] 1.75%, and is located at
[00:01:16] 2.64 per BTU. In the case of
[00:01:20] crude oils, WTI rises and is located at
[00:01:23] 77.3 per barrel, while Brent
[00:01:26] trades at $82.43 per
[00:01:29] barrel. The indices, the Standard & Poor's 500
[00:01:33] marks 7,716 points and the Dow
[00:01:37] Jones registers a total of
[00:01:38] 53,979
[00:01:41] points. The Caracas Stock Exchange index rises
[00:01:45] 0.08% and is located at
[00:01:47] 5,158 points. We see
[00:01:51] the value registered for the official exchange rate.
[00:01:53] The reference exchange rate of the Central Bank of Venezuela is located at
[00:01:58] rhabdomyolysis, which is this muscle 750. 5.90 bolivars per dollar and 872.83
[00:02:02] bolivars per euro. This is how cryptocurrencies are behaving at
[00:02:06] this time. In cryptocurrencies, Bitcoin
[00:02:09] loses 0.34%,
[00:02:11] to register 64,565.
[00:02:15] Ethereum retreats
[00:02:18] 0.59% with $1,914.
[00:02:22] And Binan falls 1.36%,
[00:02:25] and now registers 593 with
[00:02:30] $34.
[00:02:30] We exalt the worship of We have reached the end of Noticias Globo Visión
[00:02:32] Economía for this afternoon. Remember, as
[00:02:35] which is also one of always, that you can expand the information through GB Bajoeconomía. Have a
[00:02:38] happy afternoon everyone, continue with Globovisión's programming. This program was
[00:02:42] extremities who
[00:02:52] presented by Venezuela,
[00:02:56] Vera territory. Next,
[00:03:17] Globovisión Salud news,
[00:03:19] an informative program with elements of language, health, sex and
[00:03:22] violence, suitable for all audiences, a
[00:03:26] nationally produced program.
[00:03:39] that
[00:03:55] Crush syndrome is a set of severe metabolic
[00:03:59] and systemic alterations that occur when a considerable
[00:04:02] muscle mass suffers prolonged compression and
[00:04:06] subsequently that pressure
[00:04:09] syndrome, we know that each person is is released. It usually occurs in situations of natural
[00:04:11] disasters such as earthquakes, landslides, structural
[00:04:15] collapses, serious traffic accidents, run-overs or people
[00:04:17] who remain immobile
[00:04:19] body was pressured by their own body after periods of
[00:04:22] unconsciousness. The key to survival lies in early and intensive
[00:04:26] intravenous fluid replacement, ideally started
[00:04:30] before removing the blunt object to
[00:04:33] protect renal function, stabilize blood pressure
[00:04:36] and prevent fatal cardiac arrhythmias.
[00:04:40] Welcome to Noticias Globo Visión
[00:04:42] Salud, 30 minutes dedicated to the well-being
[00:04:45] of the whole family. As always, Daniel J Salas greets you on behalf of the entire technical and production team that makes
[00:04:49] this space possible in your homes. As always, the
[00:04:52] well, in the hospital they have also sign language interpretation is our colleague Joshua Yanos.
[00:04:55] and trying to Today we are going to talk about this crush syndrome that we have been
[00:04:58] hearing about frequently regarding
[00:05:02] what happened
[00:05:05] after the earthquake, those people who were under the
[00:05:09] ourselves, who have always been taught that rubble. Today we are joined by Dr. Henry Fernández, trauma surgeon. Thank you for
[00:05:13] joining us and visiting. Thank you, Daniela, for the invitation, doctor. We are going to
[00:05:16] talk about this topic because it has been important, it has
[00:05:19] always existed, but we have heard about it frequently at
[00:05:23] this time due to those people who were under the rubble and who were
[00:05:26] rescued many times out of the urgency of saving a
[00:05:30] life, but it was not done in the most appropriate way either,
[00:05:33] right? Crush syndrome is a
[00:05:37] pathological entity, as is all syndrome, it is a set of
[00:05:41] signs, symptoms and pathologies that can occur at a
[00:05:44] given moment, in the context of
[00:05:47] what we experienced a month ago, we have seen it
[00:05:51] frequently, we have heard it more
[00:05:55] we doctors, who in one way or another pay attention to patients who
[00:05:58] came from
[00:06:01] suffering trauma from
[00:06:05] the earthquake there,
[00:06:08] diagnosed this pathology.
[00:06:11] Crush syndrome, as you well
[00:06:15] said, are these clinical manifestations
[00:06:17] that the patient presents, due to being
[00:06:21] subjected for several hours to this pressure from
[00:06:24] heavy objects. This naturally generates
[00:06:28] muscular trauma. When the muscle is
[00:06:31] subjected to this trauma or pressure for a
[00:06:34] prolonged time, it begins to release certain toxins and
[00:06:38] these toxins, upon entering the bloodstream,
[00:06:42] can cause systemic damage and the
[00:06:45] main damage, the main sequela we see, is the renal damage
[00:06:49] suffered by patients. Yes, this
[00:06:53] is renal damage that many people wondered if it would be
[00:06:56] sustained or if this was a process in which it could
[00:07:00] be reversed. Correct, as you said,
[00:07:03] mainly what happened to us when we
[00:07:06] started receiving patients is that we had to suspect that all
[00:07:10] these patients who had been under rubble for a
[00:07:13] prolonged time could be suffering from
[00:07:17] this syndrome. The way, as you well said,
[00:07:20] to attack it, to treat it from before
[00:07:24] rescuing them from the rubble
[00:07:26] is basically to restore the
[00:07:30] fluid part to help this kidney to
[00:07:32] function before the patient is released from the
[00:07:36] exerted pressure. Well, we trauma surgeons are
[00:07:39] in charge of the musculoskeletal
[00:07:43] injuries that these patients had,
[00:07:48] the main causes of
[00:07:50] crush syndrome. Patients with trauma in
[00:07:55] presented something called compartmental syndrome, which is
[00:07:58] that these extremities, arms,
[00:08:01] legs, when very inflamed due to some muscle
[00:08:04] injury, the pressure
[00:08:08] increases so much that since they are enclosed in a
[00:08:11] compartment, this generates muscle damage. Also,
[00:08:15] crush syndrome can occur because this pressured muscle
[00:08:19] can lose perfusion, the arrival of blood, and when the muscle
[00:08:22] begins to degrade because it is not
[00:08:26] receiving blood, the release of all these cells into
[00:08:29] the bloodstream also begins, which generates
[00:08:33] renal affection and even cardiac affections due to
[00:08:36] dehydration. And it is the combination of what makes this
[00:08:40] syndrome so complex. That's right, we are going to see the
[00:08:43] subsequent approach. Many people are still receiving treatment
[00:08:46] after this seismic event in
[00:08:50] our country. Dr. Henry Fernández continues to accompany us,
[00:08:53] trauma surgeon, so do not miss the program. If you have questions or
[00:08:57] comments, social networks @saludqu@danisala,
[00:09:00] we'll be back. Do you know what word most curbs
[00:09:04] your desire to travel?
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[00:09:43] comfortable installments. So stop crunching numbers and start
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[00:09:57] Good morning to all our
[00:10:01] dear audience, here you not only
[00:10:04] get informed, you get inspired,
[00:10:08] you start your day
[00:10:10] well. The best coffee of the
[00:10:14] week is drunk on Saturdays and
[00:10:18] Sundays. The morning has a new
[00:10:20] flavor. Between news, Saturdays and
[00:10:24] Sundays, 7:30 in the
[00:10:28] morning on Globovisión. This Saturday at 10 in the morning and
[00:10:31] 2:30 in the afternoon,
[00:10:39] Ecopráctica presents
[00:10:42] Canoabo Valley, with Potábilis, the sustainable drinking water
[00:10:46] project that improves the lives of the
[00:10:49] inhabitants. La Guadalupe, a space for sustainable tourism
[00:10:52] and
[00:10:55] Cacanoavo, the chocolate that improves the genetics of
[00:10:58] cocoa and the proposals for a better country and
[00:11:02] planet. Ecoprácticas,
[00:11:05] Saturday 10 am on Globovisión. The pathophysiology of this
[00:11:09] develops in two sequential but
[00:11:37] opposing stages: the ischemic compression phase and the reperfusion
[00:11:41] phenomenon when the weight is removed. During the
[00:11:43] compression phase, blood flow is stopped and cells are deprived of
[00:11:47] oxygen. This lack of oxygen destroys the myocyte membrane,
[00:11:51] causing the muscle fiber to collapse and accumulate high
[00:11:55] concentrations of potassium, myoglobin, lactic acid,
[00:11:58] calcium and waste enzymes inside.
[00:12:02] The most critical moment occurs during the reperfusion or
[00:12:06] release phase. When the load is removed, circulation is
[00:12:08] reestablished and acts as a vehicle that drags all these
[00:12:12] muscle toxins into the general blood, drastically
[00:12:15] reducing blood volume, causing
[00:12:18] hypovolemic shock.
[00:12:22] Thank you for continuing to tune in, we continue talking with Dr. Henry Fernández, trauma surgeon. We have some
[00:12:26] questions through social networks.
[00:12:28] Good music asks us if this crush
[00:12:32] syndrome can also affect the loss of
[00:12:35] limbs. Yes, let's remember that the
[00:12:38] main causes are this muscle
[00:12:41] damage that exists at the moment the
[00:12:44] limb is trapped, crushed. Patients who present
[00:12:48] a fracture in some extremities
[00:12:51] are not a consequence of crush syndrome,
[00:12:55] but many of the causes of this crush syndrome are severe
[00:12:58] muscle damage. When we have
[00:13:02] patients in the context of this tragedy that
[00:13:05] we are experiencing, many arrived with severely affected
[00:13:08] extremities with what I call
[00:13:12] compartmental syndrome, which is the
[00:13:15] increase in pressure within that
[00:13:19] closed muscular space, be it forearm, arm or leg,
[00:13:22] and when this compartmental syndrome
[00:13:26] is established for a long time, what
[00:13:30] is the circulation of the area decreases. Sometimes
[00:13:33] we have as a consequence a
[00:13:37] limb that has no viability and
[00:13:41] ends in amputation, of course, it was compromised
[00:13:44] for a long time, so this also affects
[00:13:47] the patient's life. Leaving it can
[00:13:51] represent the loss of life, that's right, this
[00:13:54] traumatized muscle releasing all this myoglobin
[00:13:57] that enters the blood is what affects the
[00:14:00] systemic part and all these toxins
[00:14:04] are expelled or enter the circulation
[00:14:07] product of a muscle that is no longer viable is what affects
[00:14:11] the renal part mainly, that's why sometimes the
[00:14:14] solution is to dispose of that
[00:14:17] limb that has no
[00:14:20] viability, of course, these decisions are
[00:14:23] complicated, but they are necessary in the medical field to
[00:14:26] safeguard the lives of people, this is
[00:14:30] fundamental, a person with crush
[00:14:34] different, the time they were exposed will also be
[00:14:37] determinant, but how long would hospitalizations for this cause last?
[00:14:40] Well, from the mildest cases,
[00:14:43] patients, as you say, each patient is
[00:14:46] different, but having a patient who only, because we had many
[00:14:50] admissions of patients who did not present any major injury in an
[00:14:53] extremity, but just the fact of having been a few hours
[00:14:57] under pressure,
[00:15:00] they presented crush syndrome and the
[00:15:04] only clinical manifestation they
[00:15:07] had was rhabdomyolysis, which is this muscle degradation that begins to
[00:15:11] occur. In the mildest cases, it's 24-48
[00:15:14] hours of rehydration, monitoring renal function
[00:15:20] restore this renal function, the patient was doing very well,
[00:15:23] of course, we had patients in a much more serious context who came with
[00:15:27] injured extremities who were undergoing
[00:15:30] surgeries and we even have patients who are still hospitalized today,
[00:15:34] undergoing one surgery after another,
[00:15:37] of course, the hospital stay both due to the
[00:15:40] extremity injury and the systemic part of the renal
[00:15:44] part makes their hospitalization
[00:15:47] longer. There are even patients from the most serious point of view
[00:15:50] who had to undergo dialysis. Because
[00:15:54] the muscle damage was more extensive for a
[00:15:58] longer time and if they had a more important repercussion,
[00:16:00] it's important to know this because sometimes they say well, this person had less time, this
[00:16:04] other person had more time, but this will determine many factors,
[00:16:08] age, the type of damage, the type of injury they may have suffered
[00:16:11] during the crushing process, the exposure time
[00:16:15] during this, it's not the same for a person who was rescued hours later and another who was
[00:16:18] rescued days later, so this will be fundamental.
[00:16:21] These people have to continue medical follow-ups.
[00:16:25] Yes, it is ideal to monitor
[00:16:28] renal function above all, since there
[00:16:31] was an affection of the circulatory part
[00:16:35] and the renal
[00:16:38] excretion part, but those who presented
[00:16:41] slightly milder symptoms probably won't have
[00:16:44] any long-term repercussions,
[00:16:48] vigilance, and as you well said, the
[00:16:51] initiation of treatment is ideal. There are
[00:16:55] people who were rescued adequately with treatment
[00:16:58] started before being removed from the rubble, as
[00:17:02] well as others who were removed more immediately due to the
[00:17:06] urgency of the rescue. Certain measures were not taken
[00:17:09] and that's normal in the context of a tragedy.
[00:17:13] And well, it's important to note that the approach or
[00:17:16] treatment when receiving the patient at the hospital level
[00:17:20] was multidisciplinary. As I say, while
[00:17:23] we are trauma surgeons and we focus on
[00:17:27] the extremities, the patient's context requires
[00:17:30] comprehensive medical attention, intensive care,
[00:17:33] internal medicine, nephrology for the renal part, cardiologists for any
[00:17:36] cardiac involvement that can also be generated by
[00:17:40] crush syndrome. It is attention from a
[00:17:44] multidisciplinary group, and that is also what makes
[00:17:47] the patient evolve in a better way. That's right, we are going to go to a
[00:17:51] break, Dr. Henry Fernández continues to accompany us,
[00:17:55] trauma surgeon, you know the questions or comments, we are already seeing
[00:17:59] all your greetings through social networks at
[00:18:02] @saludqub and @bsalas, we will be back.
[00:18:08] God through music, we honor
[00:18:11] the pastors and worshipers of Christian
[00:18:15] churches, we will raise the biblical
[00:18:19] word and the prayer of our Lord Jesus Christ.
[00:18:23] Feast of praise
[00:21:17] in our country we had not had a seismic
[00:21:21] culture, which would allow us to react in a
[00:21:24] different way, however the solidarity and the outpouring of
[00:21:27] help from many citizens was and is and
[00:21:31] remains present in Venezuela, for which, well,
[00:21:34] many people were rescued instantly. As we said, some in a
[00:21:37] better way and others not so much, this has also directly affected their
[00:21:40] health, but well, when we see the compensation of life or death,
[00:21:43] the benefits of having helped to rescue these people
[00:21:46] are also seen. But well, many of these people continue
[00:21:50] with specific treatments due to the crush
[00:21:54] syndrome they may have suffered during the time
[00:21:57] under the rubble and also knowing what objects
[00:22:00] they were exposed to, if they were exposed to the area only
[00:22:04] if something really compressed a specific area of the body,
[00:22:08] yes, that's right, we have patients, of course, as I
[00:22:11] told you, with specific injuries
[00:22:15] in an extremity,
[00:22:18] and this damage to
[00:22:20] that extremity, although it may seem
[00:22:24] minimal, does have an impact or
[00:22:28] does represent the triggering of all this
[00:22:31] pathology that is crush syndrome, as I
[00:22:35] also told you, there are patients who did not have
[00:22:39] a severely injured extremity and did not have
[00:22:41] fractures, but when you do the
[00:22:45] laboratory tests,
[00:22:48] degradation, and an alteration of the
[00:22:51] renal function part, were established. These were patients who remained
[00:22:55] hospitalized for all this, so patients
[00:22:58] who, no matter how well we see them when rescuing them,
[00:23:02] don't show any injury, but it's a patient who is suffering from
[00:23:05] crush syndrome and is presenting the onset of the pathology.
[00:23:08] Of course, also see the consequences for health, because many will need some type of
[00:23:11] rehabilitation, be it cardiopulmonary, or in the
[00:23:15] area of the affected limb, if they had any
[00:23:18] type of fracture, it is also important to follow up and
[00:23:22] control, and also those people with limb loss, the so-called
[00:23:26] phantom limb syndrome, which also remains there.
[00:23:29] So it is a multidisciplinary work that
[00:23:33] is currently still being carried out in our
[00:23:37] country by health personnel, that's correct, yes,
[00:23:40] unfortunately we have a percentage of patients
[00:23:44] who, as I say, remain
[00:23:48] receiving treatment, we have patients who are
[00:23:51] still hospitalized because they have to continue to be taken to the operating room for
[00:23:54] surgical cleanings, because they had complex wounds, they had
[00:23:57] open fractures, exposed to the environment
[00:24:01] where they were. Right now we have a reality, which is that we have
[00:24:04] infections of soft
[00:24:07] tissues with quite aggressive bacteria, because
[00:24:11] they were exposed to an environment that could
[00:24:14] contaminate them with anything. These are patients who are receiving
[00:24:18] attention from infectology, from the traumatology department,
[00:24:21] yes, it is a multidisciplinary
[00:24:25] work that is still maintained even after a
[00:24:28] month. We have patients who evolved satisfactorily and thank
[00:24:31] God they have already been discharged and are beginning their rehabilitation
[00:24:35] process, but there is a percentage of patients that
[00:24:39] we are still working
[00:24:41] on for their improvement and to save that
[00:24:44] limb, which is our main focus.
[00:24:48] They ask us here on social networks if the theory that many times
[00:24:51] the blows are not at the moment but over time is a reality,
[00:24:54] yes, in this case, what happens
[00:24:56] is that more than a trauma or a blow, as we might
[00:25:00] call it, is that we are under a
[00:25:04] highly significant trauma in which the entire
[00:25:09] under constant pressure, and that is what
[00:25:13] triggers the entire syndrome as such. So
[00:25:16] here it presents almost immediately
[00:25:20] because the alterations in
[00:25:23] laboratory and clinical findings are seen upon admission. That's right,
[00:25:27] doctor, well, we are also going to thank all the medical
[00:25:30] staff, also you, all the trauma surgeons who have also
[00:25:34] committed themselves to this post-earthquake process and
[00:25:37] who continue to care for these patients, in addition,
[00:25:42] seen many of these attentions, thank you, thank
[00:25:45] you on behalf of everyone to you, to all the people who have
[00:25:48] helped, doctor, how can we contact you?
[00:25:52] My social networks
[00:25:55] @doctorhenryfernández both on Instagram
[00:25:58] and any other social network and my phone number
[00:26:27] to still be helping many patients today, so I believe that
[00:26:31] the gratitude is for the whole country that
[00:26:34] human empathy is what has reigned
[00:26:38] in the face of this terrible
[00:26:40] situation, that's right, the part
[00:26:44] mantiene que nosotros al sol de hoy podamos estar ayudando todavía muchos
[00:26:48] pacientes, así que creo que el agradecimiento es para todo el país
[00:26:51] que que la parte humana es la que ha
[00:26:54] reinado ante esta terrible
[00:26:57] human, the
[00:27:00] social part, that is that person who has
[00:27:05] they have, because it is not much or little,
[00:27:08] but to give it from the heart and that these aids have gone
[00:27:12] directly to those people who have suffered and continue to suffer
[00:27:15] due to the landslide in our country, who have lost their
[00:27:19] relatives, who have been there, who have some health process that
[00:27:23] is there at this moment and these
[00:27:26] aids continue in the way they can, thanks to everyone,
[00:27:29] from medical to non-medical personnel, relief workers. To all the
[00:27:33] people who have supported and contributed their grain of sand from wherever
[00:27:37] they are and what they have to offer, thank you all. In
[00:27:41] this way, we say goodbye today, also thanking you for tuning in, for your
[00:27:44] participation as always. Our accounts
[00:27:47] @saludgion@danielajsalas. We'll see you next time.
[00:28:07] 4:27 in the afternoon, there is developing information,
[00:28:10] because the president of the National Assembly Jorge Rodríguez has posted some
[00:28:14] official photos on his social networks regarding the national
[00:28:17] dialogue that has begun. You already have it on your screens, part of the
[00:28:21] information that Jorge Rodríguez, president of the National Assembly, has posted on his
[00:28:24] social networks. I want to highlight that this process of
[00:28:28] rapprochement and dialogue between the delegation of the National Government and coordinated
[00:28:32] by Jorge Rodríguez and the opposition sector of the National Assembly
[00:28:35] 2015, headed by Dignora Figuera, has
[00:28:38] developed within this framework in two key moments, one of
[00:28:42] them being that first institutional rapprochement on June 18,
[00:28:45] 2026, where Jorge Rodríguez and Deonora Figueras held a
[00:28:48] face-to-face working meeting in the Federal Legislative
[00:28:51] Palace after Figuera's return to the country. In this
[00:28:55] preliminary meeting, the formation of that technical and political
[00:28:58] table of a parity nature was agreed upon, with the
[00:29:01] objective of establishing a joint work agenda aimed at
[00:29:04] the re-institutionalization, I wanted
[00:29:08] to say, of electoral guarantees and also the formation or
[00:29:11] formalization of the start of the dialogue in August 2026, which was the first of
[00:29:15] August this year where both parties formalized the formal start
[00:29:19] of the negotiation process after a telephone conversation
[00:29:22] and they have agreed on some other points, the people who are integrating this
[00:29:26] table as we are seeing through the screens of Globovisión, within the
[00:29:30] national government delegation is Jorge Rodríguez. as coordinator
[00:29:33] Ana María San Juan, Jorge Arriasa, América
[00:29:37] Pérez, Genesis Garbet and Pedro Infanti and within the opposition
[00:29:40] delegation is Dinora Figuera as coordinator
[00:29:43] also including Marco Aurelio Quiñones, Ramón López,
[00:29:47] Jorge Millan, Juan Miguel Mateus and Sergio Vergara,
[00:29:51] part then of the information that is developing, we do not have further details,
[00:29:54] we hope perhaps that in just minutes or in a few hours there may be
[00:29:58] some statements from the representatives of this dialogue that
[00:30:02] started today.
[00:30:03] today
[00:30:07] 4:29 minutes in the afternoon, remember that these and other pieces of information will be expanded
[00:30:11] in the next news rounds of Globovisión news.
[00:30:37] Next, Globovisión Sports news,
[00:30:40] an informative program with elements of
[00:30:43] language, health, sex and violence suitable for
[00:30:47] all audiences, a national production
[00:30:50] program.