RESUMO Objective: Este estudo tem por objetivo analisar as temperaturas dos transplantes renais realizados no Hospital Municipal São José, Joinville/SC, durante todo o período de isquemia fria e se essa temperatura se adéqua ao preconizado em literatura. Método: Foi realizado um trabalho prospectivo com a coleta de dados dos enxertos renais utilizados para transplante renal com órgãos de doador falecido no serviço de transplante renal do Hospital Municipal São José. Resultados: O estudo analisou que o método atual de conservação do enxerto atende parcialmente aos valores esperados para manter a temperatura preconizada. Conclusão: Importante que se mantenham estudos e análises sobre o tema para melhoria continua no armazenamento do enxerto. Objective José JoinvilleSC Joinville SC Joinville/SC literatura Método Resultados preconizada Conclusão

ABSTRACT Objective: To review the applicability of extracorporeal membrane oxygenation (ECMO) during the pre, intra and postoperative periods of patients undergoing liver transplantation. Methods: Prospective analysis based on all kidney grafts that was used for kidney transplant in the unit of kidney transplant of Hospital Municipal São José. Results: The study analyzed that the current method of graft conservation partially meets the expected values, to maintain the recommended temperature. Conclusion: It is important to maintain studies and analyzes on the subject for continuous improvement in graft storage. Objective ECMO (ECMO pre transplantation Methods José Results values temperature Conclusion storage

Abstract Background: To reduce mortality of acute myocardial infarction, medical care must be provided within the first hours of the event. Objective: To identify the “front door” to medical care of acute coronary patients and the time elapsed between patients’ admission and performance of myocardial reperfusion in the public health system of the city of Joinville, Brazil. Methods: The study was a retrospective analysis of the medical records of 112 consecutive patients diagnosed with acute myocardial infarction by coronary angiography. We identified the place of the first medical contact and calculated the time between admission to this place and admission to the referral hospital, as well as the time until coronary angiography, with or without percutaneous transluminal angioplasty. A descriptive analysis of data was made using mean and standard deviation, and a p < 0.05 was set as statistically significant. Results: Only 16 (14.3%) patients were admitted through the cardiology referral unit. Door-to-angiography time was shorter than 90 minutes in 50 (44.2%) patients and longer than 270 minutes in 39 (34.5%) patients. No statistically significant difference was observed in door-to-angiography time between patients transported directly to the referral hospital and those transferred from other health units (p<0.240). Considering the time between pain onset and angiography, only 3 (2.9%) patients may have benefited from myocardial reperfusion performed within less than 240 minutes. Conclusion: Management of patients with acute myocardial infarction is not in conformity with current guidelines for the treatment of this condition. The structure of the healthcare system should be urgently modified so that users in need of emergency services receive adequate care in accordance with local conditions.