Google Cloud Speech-to-Text API (Chirp) + Gemini 2.5 Flash Non-Thinking. Treat it as a searchable index of what was broadcast, not a quotation record.
00:00:00competitiveness of the region and forces companies to operate
00:00:03below their capacity. In this
00:00:06sense, he indicated that with the cuts, up to
00:00:0920 working hours per week are usually lost, which generates losses
00:00:13in the sector. He reported that the Chamber of
00:00:16Commerce of Valencia is asking the authorities to
00:00:19establish a detailed schedule for the recovery of the national electrical system,
00:00:23which specifies the incorporation of
00:00:27new megawatts and improvements. On the
00:00:30other hand, he announced that they have activated the initiative "A Light for Commerce" to
00:00:33facilitate bank loans to the sector for the acquisition of
00:00:37plants and generators with financing of
00:00:42frequently and 70% of the cost of the equipment, with an interest of 16% and a
00:00:46payment period of up to 24 months.
00:00:49This is how the markets are behaving at
00:00:51this time. Gold records
00:00:54losses of 0.01%,
00:00:57trading at $4,305 per
00:01:00ounce. Silver has
00:01:03supported with what negative performance and falls 0.89%
00:01:06to settle at
00:01:11but it's always good to maintain 61.73 per ounce. Natural gas retreats
00:01:131.75%, and is located at
00:01:162.64 per BTU. In the case of
00:01:20crude oils, WTI rises and is located at
00:01:2377.3 per barrel, while Brent
00:01:26trades at $82.43 per
00:01:29barrel. The indices, the Standard & Poor's 500
00:01:33marks 7,716 points and the Dow
00:01:37Jones registers a total of
00:01:3853,979
00:01:41points. The Caracas Stock Exchange index rises
00:01:450.08% and is located at
00:01:475,158 points. We see
00:01:51the value registered for the official exchange rate.
00:01:53The reference exchange rate of the Central Bank of Venezuela is located at
00:01:58rhabdomyolysis, which is this muscle 750. 5.90 bolivars per dollar and 872.83
00:02:02bolivars per euro. This is how cryptocurrencies are behaving at
00:02:06this time. In cryptocurrencies, Bitcoin
00:02:09loses 0.34%,
00:02:11to register 64,565.
00:02:15Ethereum retreats
00:02:180.59% with $1,914.
00:02:22And Binan falls 1.36%,
00:02:25and now registers 593 with
00:02:30$34.
00:02:30We exalt the worship of We have reached the end of Noticias Globo Visión
00:02:32Economía for this afternoon. Remember, as
00:02:35which is also one of always, that you can expand the information through GB Bajoeconomía. Have a
00:02:38happy afternoon everyone, continue with Globovisión's programming. This program was
00:02:42extremities who
00:02:52presented by Venezuela,
00:02:56Vera territory. Next,
00:03:17Globovisión Salud news,
00:03:19an informative program with elements of language, health, sex and
00:03:22violence, suitable for all audiences, a
00:03:26nationally produced program.
00:03:39that
00:03:55Crush syndrome is a set of severe metabolic
00:03:59and systemic alterations that occur when a considerable
00:04:02muscle mass suffers prolonged compression and
00:04:06subsequently that pressure
00:04:09syndrome, we know that each person is is released. It usually occurs in situations of natural
00:04:11disasters such as earthquakes, landslides, structural
00:04:15collapses, serious traffic accidents, run-overs or people
00:04:17who remain immobile
00:04:19body was pressured by their own body after periods of
00:04:22unconsciousness. The key to survival lies in early and intensive
00:04:26intravenous fluid replacement, ideally started
00:04:30before removing the blunt object to
00:04:33protect renal function, stabilize blood pressure
00:04:36and prevent fatal cardiac arrhythmias.
00:04:40Welcome to Noticias Globo Visión
00:04:42Salud, 30 minutes dedicated to the well-being
00:04:45of the whole family. As always, Daniel J Salas greets you on behalf of the entire technical and production team that makes
00:04:49this space possible in your homes. As always, the
00:04:52well, in the hospital they have also sign language interpretation is our colleague Joshua Yanos.
00:04:55and trying to Today we are going to talk about this crush syndrome that we have been
00:04:58hearing about frequently regarding
00:05:02what happened
00:05:05after the earthquake, those people who were under the
00:05:09ourselves, who have always been taught that rubble. Today we are joined by Dr. Henry Fernández, trauma surgeon. Thank you for
00:05:13joining us and visiting. Thank you, Daniela, for the invitation, doctor. We are going to
00:05:16talk about this topic because it has been important, it has
00:05:19always existed, but we have heard about it frequently at
00:05:23this time due to those people who were under the rubble and who were
00:05:26rescued many times out of the urgency of saving a
00:05:30life, but it was not done in the most appropriate way either,
00:05:33right? Crush syndrome is a
00:05:37pathological entity, as is all syndrome, it is a set of
00:05:41signs, symptoms and pathologies that can occur at a
00:05:44given moment, in the context of
00:05:47what we experienced a month ago, we have seen it
00:05:51frequently, we have heard it more
00:05:55we doctors, who in one way or another pay attention to patients who
00:05:58came from
00:06:01suffering trauma from
00:06:05the earthquake there,
00:06:08diagnosed this pathology.
00:06:11Crush syndrome, as you well
00:06:15said, are these clinical manifestations
00:06:17that the patient presents, due to being
00:06:21subjected for several hours to this pressure from
00:06:24heavy objects. This naturally generates
00:06:28muscular trauma. When the muscle is
00:06:31subjected to this trauma or pressure for a
00:06:34prolonged time, it begins to release certain toxins and
00:06:38these toxins, upon entering the bloodstream,
00:06:42can cause systemic damage and the
00:06:45main damage, the main sequela we see, is the renal damage
00:06:49suffered by patients. Yes, this
00:06:53is renal damage that many people wondered if it would be
00:06:56sustained or if this was a process in which it could
00:07:00be reversed. Correct, as you said,
00:07:03mainly what happened to us when we
00:07:06started receiving patients is that we had to suspect that all
00:07:10these patients who had been under rubble for a
00:07:13prolonged time could be suffering from
00:07:17this syndrome. The way, as you well said,
00:07:20to attack it, to treat it from before
00:07:24rescuing them from the rubble
00:07:26is basically to restore the
00:07:30fluid part to help this kidney to
00:07:32function before the patient is released from the
00:07:36exerted pressure. Well, we trauma surgeons are
00:07:39in charge of the musculoskeletal
00:07:43injuries that these patients had,
00:07:48the main causes of
00:07:50crush syndrome. Patients with trauma in
00:07:55presented something called compartmental syndrome, which is
00:07:58that these extremities, arms,
00:08:01legs, when very inflamed due to some muscle
00:08:04injury, the pressure
00:08:08increases so much that since they are enclosed in a
00:08:11compartment, this generates muscle damage. Also,
00:08:15crush syndrome can occur because this pressured muscle
00:08:19can lose perfusion, the arrival of blood, and when the muscle
00:08:22begins to degrade because it is not
00:08:26receiving blood, the release of all these cells into
00:08:29the bloodstream also begins, which generates
00:08:33renal affection and even cardiac affections due to
00:08:36dehydration. And it is the combination of what makes this
00:08:40syndrome so complex. That's right, we are going to see the
00:08:43subsequent approach. Many people are still receiving treatment
00:08:46after this seismic event in
00:08:50our country. Dr. Henry Fernández continues to accompany us,
00:08:53trauma surgeon, so do not miss the program. If you have questions or
00:08:57comments, social networks @saludqu@danisala,
00:09:00we'll be back. Do you know what word most curbs
00:09:04your desire to travel?
00:09:06Budget. Well,
00:09:36starting today, let's forget about it. At Venett
00:09:39Tour, you can travel all over Venezuela by paying for your trip in
00:09:43comfortable installments. So stop crunching numbers and start
00:09:46packing your bags. The Gran Sabana, the eastern beaches or
00:09:50the Andes are waiting for you. At
00:09:53Venetur, live Venezuela your way.
00:09:57Good morning to all our
00:10:01dear audience, here you not only
00:10:04get informed, you get inspired,
00:10:08you start your day
00:10:10well. The best coffee of the
00:10:14week is drunk on Saturdays and
00:10:18Sundays. The morning has a new
00:10:20flavor. Between news, Saturdays and
00:10:24Sundays, 7:30 in the
00:10:28morning on Globovisión. This Saturday at 10 in the morning and
00:10:312:30 in the afternoon,
00:10:39Ecopráctica presents
00:10:42Canoabo Valley, with Potábilis, the sustainable drinking water
00:10:46project that improves the lives of the
00:10:49inhabitants. La Guadalupe, a space for sustainable tourism
00:10:52and
00:10:55Cacanoavo, the chocolate that improves the genetics of
00:10:58cocoa and the proposals for a better country and
00:11:02planet. Ecoprácticas,
00:11:05Saturday 10 am on Globovisión. The pathophysiology of this
00:11:09develops in two sequential but
00:11:37opposing stages: the ischemic compression phase and the reperfusion
00:11:41phenomenon when the weight is removed. During the
00:11:43compression phase, blood flow is stopped and cells are deprived of
00:11:47oxygen. This lack of oxygen destroys the myocyte membrane,
00:11:51causing the muscle fiber to collapse and accumulate high
00:11:55concentrations of potassium, myoglobin, lactic acid,
00:11:58calcium and waste enzymes inside.
00:12:02The most critical moment occurs during the reperfusion or
00:12:06release phase. When the load is removed, circulation is
00:12:08reestablished and acts as a vehicle that drags all these
00:12:12muscle toxins into the general blood, drastically
00:12:15reducing blood volume, causing
00:12:18hypovolemic shock.
00:12:22Thank you for continuing to tune in, we continue talking with Dr. Henry Fernández, trauma surgeon. We have some
00:12:26questions through social networks.
00:12:28Good music asks us if this crush
00:12:32syndrome can also affect the loss of
00:12:35limbs. Yes, let's remember that the
00:12:38main causes are this muscle
00:12:41damage that exists at the moment the
00:12:44limb is trapped, crushed. Patients who present
00:12:48a fracture in some extremities
00:12:51are not a consequence of crush syndrome,
00:12:55but many of the causes of this crush syndrome are severe
00:12:58muscle damage. When we have
00:13:02patients in the context of this tragedy that
00:13:05we are experiencing, many arrived with severely affected
00:13:08extremities with what I call
00:13:12compartmental syndrome, which is the
00:13:15increase in pressure within that
00:13:19closed muscular space, be it forearm, arm or leg,
00:13:22and when this compartmental syndrome
00:13:26is established for a long time, what
00:13:30is the circulation of the area decreases. Sometimes
00:13:33we have as a consequence a
00:13:37limb that has no viability and
00:13:41ends in amputation, of course, it was compromised
00:13:44for a long time, so this also affects
00:13:47the patient's life. Leaving it can
00:13:51represent the loss of life, that's right, this
00:13:54traumatized muscle releasing all this myoglobin
00:13:57that enters the blood is what affects the
00:14:00systemic part and all these toxins
00:14:04are expelled or enter the circulation
00:14:07product of a muscle that is no longer viable is what affects
00:14:11the renal part mainly, that's why sometimes the
00:14:14solution is to dispose of that
00:14:17limb that has no
00:14:20viability, of course, these decisions are
00:14:23complicated, but they are necessary in the medical field to
00:14:26safeguard the lives of people, this is
00:14:30fundamental, a person with crush
00:14:34different, the time they were exposed will also be
00:14:37determinant, but how long would hospitalizations for this cause last?
00:14:40Well, from the mildest cases,
00:14:43patients, as you say, each patient is
00:14:46different, but having a patient who only, because we had many
00:14:50admissions of patients who did not present any major injury in an
00:14:53extremity, but just the fact of having been a few hours
00:14:57under pressure,
00:15:00they presented crush syndrome and the
00:15:04only clinical manifestation they
00:15:07had was rhabdomyolysis, which is this muscle degradation that begins to
00:15:11occur. In the mildest cases, it's 24-48
00:15:14hours of rehydration, monitoring renal function
00:15:20restore this renal function, the patient was doing very well,
00:15:23of course, we had patients in a much more serious context who came with
00:15:27injured extremities who were undergoing
00:15:30surgeries and we even have patients who are still hospitalized today,
00:15:34undergoing one surgery after another,
00:15:37of course, the hospital stay both due to the
00:15:40extremity injury and the systemic part of the renal
00:15:44part makes their hospitalization
00:15:47longer. There are even patients from the most serious point of view
00:15:50who had to undergo dialysis. Because
00:15:54the muscle damage was more extensive for a
00:15:58longer time and if they had a more important repercussion,
00:16:00it's important to know this because sometimes they say well, this person had less time, this
00:16:04other person had more time, but this will determine many factors,
00:16:08age, the type of damage, the type of injury they may have suffered
00:16:11during the crushing process, the exposure time
00:16:15during this, it's not the same for a person who was rescued hours later and another who was
00:16:18rescued days later, so this will be fundamental.
00:16:21These people have to continue medical follow-ups.
00:16:25Yes, it is ideal to monitor
00:16:28renal function above all, since there
00:16:31was an affection of the circulatory part
00:16:35and the renal
00:16:38excretion part, but those who presented
00:16:41slightly milder symptoms probably won't have
00:16:44any long-term repercussions,
00:16:48vigilance, and as you well said, the
00:16:51initiation of treatment is ideal. There are
00:16:55people who were rescued adequately with treatment
00:16:58started before being removed from the rubble, as
00:17:02well as others who were removed more immediately due to the
00:17:06urgency of the rescue. Certain measures were not taken
00:17:09and that's normal in the context of a tragedy.
00:17:13And well, it's important to note that the approach or
00:17:16treatment when receiving the patient at the hospital level
00:17:20was multidisciplinary. As I say, while
00:17:23we are trauma surgeons and we focus on
00:17:27the extremities, the patient's context requires
00:17:30comprehensive medical attention, intensive care,
00:17:33internal medicine, nephrology for the renal part, cardiologists for any
00:17:36cardiac involvement that can also be generated by
00:17:40crush syndrome. It is attention from a
00:17:44multidisciplinary group, and that is also what makes
00:17:47the patient evolve in a better way. That's right, we are going to go to a
00:17:51break, Dr. Henry Fernández continues to accompany us,
00:17:55trauma surgeon, you know the questions or comments, we are already seeing
00:17:59all your greetings through social networks at
00:18:02@saludqub and @bsalas, we will be back.
00:18:08God through music, we honor
00:18:11the pastors and worshipers of Christian
00:18:15churches, we will raise the biblical
00:18:19word and the prayer of our Lord Jesus Christ.
00:18:23Feast of praise
00:21:17in our country we had not had a seismic
00:21:21culture, which would allow us to react in a
00:21:24different way, however the solidarity and the outpouring of
00:21:27help from many citizens was and is and
00:21:31remains present in Venezuela, for which, well,
00:21:34many people were rescued instantly. As we said, some in a
00:21:37better way and others not so much, this has also directly affected their
00:21:40health, but well, when we see the compensation of life or death,
00:21:43the benefits of having helped to rescue these people
00:21:46are also seen. But well, many of these people continue
00:21:50with specific treatments due to the crush
00:21:54syndrome they may have suffered during the time
00:21:57under the rubble and also knowing what objects
00:22:00they were exposed to, if they were exposed to the area only
00:22:04if something really compressed a specific area of the body,
00:22:08yes, that's right, we have patients, of course, as I
00:22:11told you, with specific injuries
00:22:15in an extremity,
00:22:18and this damage to
00:22:20that extremity, although it may seem
00:22:24minimal, does have an impact or
00:22:28does represent the triggering of all this
00:22:31pathology that is crush syndrome, as I
00:22:35also told you, there are patients who did not have
00:22:39a severely injured extremity and did not have
00:22:41fractures, but when you do the
00:22:45laboratory tests,
00:22:48degradation, and an alteration of the
00:22:51renal function part, were established. These were patients who remained
00:22:55hospitalized for all this, so patients
00:22:58who, no matter how well we see them when rescuing them,
00:23:02don't show any injury, but it's a patient who is suffering from
00:23:05crush syndrome and is presenting the onset of the pathology.
00:23:08Of course, also see the consequences for health, because many will need some type of
00:23:11rehabilitation, be it cardiopulmonary, or in the
00:23:15area of the affected limb, if they had any
00:23:18type of fracture, it is also important to follow up and
00:23:22control, and also those people with limb loss, the so-called
00:23:26phantom limb syndrome, which also remains there.
00:23:29So it is a multidisciplinary work that
00:23:33is currently still being carried out in our
00:23:37country by health personnel, that's correct, yes,
00:23:40unfortunately we have a percentage of patients
00:23:44who, as I say, remain
00:23:48receiving treatment, we have patients who are
00:23:51still hospitalized because they have to continue to be taken to the operating room for
00:23:54surgical cleanings, because they had complex wounds, they had
00:23:57open fractures, exposed to the environment
00:24:01where they were. Right now we have a reality, which is that we have
00:24:04infections of soft
00:24:07tissues with quite aggressive bacteria, because
00:24:11they were exposed to an environment that could
00:24:14contaminate them with anything. These are patients who are receiving
00:24:18attention from infectology, from the traumatology department,
00:24:21yes, it is a multidisciplinary
00:24:25work that is still maintained even after a
00:24:28month. We have patients who evolved satisfactorily and thank
00:24:31God they have already been discharged and are beginning their rehabilitation
00:24:35process, but there is a percentage of patients that
00:24:39we are still working
00:24:41on for their improvement and to save that
00:24:44limb, which is our main focus.
00:24:48They ask us here on social networks if the theory that many times
00:24:51the blows are not at the moment but over time is a reality,
00:24:54yes, in this case, what happens
00:24:56is that more than a trauma or a blow, as we might
00:25:00call it, is that we are under a
00:25:04highly significant trauma in which the entire
00:25:09under constant pressure, and that is what
00:25:13triggers the entire syndrome as such. So
00:25:16here it presents almost immediately
00:25:20because the alterations in
00:25:23laboratory and clinical findings are seen upon admission. That's right,
00:25:27doctor, well, we are also going to thank all the medical
00:25:30staff, also you, all the trauma surgeons who have also
00:25:34committed themselves to this post-earthquake process and
00:25:37who continue to care for these patients, in addition,
00:25:42seen many of these attentions, thank you, thank
00:25:45you on behalf of everyone to you, to all the people who have
00:25:48helped, doctor, how can we contact you?
00:25:52My social networks
00:25:55@doctorhenryfernández both on Instagram
00:25:58and any other social network and my phone number
00:26:27to still be helping many patients today, so I believe that
00:26:31the gratitude is for the whole country that
00:26:34human empathy is what has reigned
00:26:38in the face of this terrible
00:26:40situation, that's right, the part
00:26:44mantiene que nosotros al sol de hoy podamos estar ayudando todavía muchos
00:26:48pacientes, así que creo que el agradecimiento es para todo el país
00:26:51que que la parte humana es la que ha
00:26:54reinado ante esta terrible
00:26:57human, the
00:27:00social part, that is that person who has
00:27:05they have, because it is not much or little,
00:27:08but to give it from the heart and that these aids have gone
00:27:12directly to those people who have suffered and continue to suffer
00:27:15due to the landslide in our country, who have lost their
00:27:19relatives, who have been there, who have some health process that
00:27:23is there at this moment and these
00:27:26aids continue in the way they can, thanks to everyone,
00:27:29from medical to non-medical personnel, relief workers. To all the
00:27:33people who have supported and contributed their grain of sand from wherever
00:27:37they are and what they have to offer, thank you all. In
00:27:41this way, we say goodbye today, also thanking you for tuning in, for your
00:27:44participation as always. Our accounts
00:27:47@saludgion@danielajsalas. We'll see you next time.
00:28:074:27 in the afternoon, there is developing information,
00:28:10because the president of the National Assembly Jorge Rodríguez has posted some
00:28:14official photos on his social networks regarding the national
00:28:17dialogue that has begun. You already have it on your screens, part of the
00:28:21information that Jorge Rodríguez, president of the National Assembly, has posted on his
00:28:24social networks. I want to highlight that this process of
00:28:28rapprochement and dialogue between the delegation of the National Government and coordinated
00:28:32by Jorge Rodríguez and the opposition sector of the National Assembly
00:28:352015, headed by Dignora Figuera, has
00:28:38developed within this framework in two key moments, one of
00:28:42them being that first institutional rapprochement on June 18,
00:28:452026, where Jorge Rodríguez and Deonora Figueras held a
00:28:48face-to-face working meeting in the Federal Legislative
00:28:51Palace after Figuera's return to the country. In this
00:28:55preliminary meeting, the formation of that technical and political
00:28:58table of a parity nature was agreed upon, with the
00:29:01objective of establishing a joint work agenda aimed at
00:29:04the re-institutionalization, I wanted
00:29:08to say, of electoral guarantees and also the formation or
00:29:11formalization of the start of the dialogue in August 2026, which was the first of
00:29:15August this year where both parties formalized the formal start
00:29:19of the negotiation process after a telephone conversation
00:29:22and they have agreed on some other points, the people who are integrating this
00:29:26table as we are seeing through the screens of Globovisión, within the
00:29:30national government delegation is Jorge Rodríguez. as coordinator
00:29:33Ana María San Juan, Jorge Arriasa, América
00:29:37Pérez, Genesis Garbet and Pedro Infanti and within the opposition
00:29:40delegation is Dinora Figuera as coordinator
00:29:43also including Marco Aurelio Quiñones, Ramón López,
00:29:47Jorge Millan, Juan Miguel Mateus and Sergio Vergara,
00:29:51part then of the information that is developing, we do not have further details,
00:29:54we hope perhaps that in just minutes or in a few hours there may be
00:29:58some statements from the representatives of this dialogue that
00:30:02started today.
00:30:03today
00:30:074:29 minutes in the afternoon, remember that these and other pieces of information will be expanded
00:30:11in the next news rounds of Globovisión news.
00:30:37Next, Globovisión Sports news,
00:30:40an informative program with elements of
00:30:43language, health, sex and violence suitable for
00:30:47all audiences, a national production
00:30:50program.