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Objectives To evaluate the different policies to recognize child maltreatment in emergency departments (EDs) in Europe in order to define areas of improvement. Methods A survey was conducted on the recognition of child maltreatment in EDs in European countries with a focus on screening methods, parental risk factors, training and hospital policies. The survey was distributed through different key members from the EUSEM, REPEM and the EuSEN. A summary score based on the NICE guideline (4 questions on child characteristics, 4 questions on parental characteristics and 5 questions on hospital policy) was calculated. Results We analysed 185 completed surveys, representing 148 hospitals from 29 European countries. Of the respondents, 28.6% used a screening tool, and 31.8% had guidelines on parental risk factors. A total of 42.2% did not follow training based on child characteristics, and 57.6% did not follow training on parental characteristics. A total of 71.9% indicated that there was a need for training. 50.8% of the respondents reported a standardized policy for the detection of child maltreatment. Translating the survey results to NICE summary scores of the EDs in Europe, we found that 25.6% (34/133) met most, 22.6% (30/133) met some and 51.9% (69/133) met few of the NICE guideline recommendations. More specifically, with respect to hospital policies, 33.8% (45/133) met most, 15.0% (20/133) met some and 51.1% (68/133) met few of the NICE guideline recommendations. Conclusion There is high variability regarding policies for child maltreatment detection and only a quarter of the EDs met most of the NICE guideline recommendations for child maltreatment. There is a need for the use of screening tools, training of ED staff and implementation of local hospital policies.

This paper presents the early outcomes of the educational cooperation between two European academic associations, namely the European Federation of Medical Informatics (EFMI) and European Society of Emergency Medicine (EUSEM). Two webinars were organized in December 2019 and June 2020 to explore areas where mutual education would be beneficial for interdisciplinary cooperation to advance the digitization of emergency departments for the benefit of patients, health professionals and the health system as a whole. Preliminary findings from the analysis of these two webinars are presented and the steps for further cooperation are outlined. © 2020 The European Federation for Medical Informatics (EFMI) and IOS Press.

Se estudia la reactividad potencial de ciertos minerales opalinos, considerados como áridos reactivos frente a los álcalis del cemento Portland, mediante los siguentes métodos: a) MELC 4, 1 1-a; b) evaluación por proporciones mineralógicas y c) reactividad en superficie. El estudio de la mineralogía de las rocas opalinas, antes y después del ataque con hidróxidos alcalinos, se realizó por difracción de rayos X, microscopía óptica y electrónica de barrido. La composición elemental de los minerales y de los residuos sólidos obtenidos por evaporación de los líquidos resultantes del ataque se obtuvo mediante espectrometría de dispersión de energía de rayos X. Los métodos ensayados permiten establecer una escala de reactividad posiblemente relacionada con la textura de la roca.