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Gaceta médica de México

On-line version ISSN 2696-1288Print version ISSN 0016-3813

Abstract

BORRAYO-SANCHEZ, Gabriela; FLORES-MORALES, Abelardo; SALAS-COLLADO, Leonardo  and  ALTAMIRANO-BUSTAMANTE, Myriam M.. Towards medicine of excellence in Mexico: the “Código Infarto” protocol, a view from the perspective of translational bioethics. Gac. Méd. Méx [online]. 2020, vol.156, n.5, pp.372-378.  Epub May 27, 2021. ISSN 2696-1288.  https://doi.org/10.24875/gmm.20000090.

Introduction:

Mexico is the country with the highest mortality due to ST-elevation acute myocardial infarction (STEMI), and the IMSS has therefore developed the protocol of care for emergency departments called Código Infarto (Infarction Code). In this article, aspects of translational medicine are discussed with a bioethical and comprehensive perspective.

Objective:

To analyze the Código Infarto protocol from the perspective of translational bioethics.

Method:

A problem-centered approach was carried out through reflective equilibrium (or Rawls’ method), as well as by applying the integral method for ethical discernment.

Results:

The protocol of care for emergency services Código Infarto is governed by evidence-based medicine and value-based medicine; it is guided by a principle of integrity that considers six dimensions of quality for the care of patients with STEMI.

Conclusion:

The protocol overcomes some adverse social determinants that affect STEMI medical care, reduces mortality and global economic disease burden, and develops medicine of excellence with high social reach.

Keywords : Código Infarto; Acute myocardial infarction; Translational bioethics; Ethical dilemmas.

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