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refactor: Fase 1 - Clean Architecture, refactorización modular y eliminación de duplicidades - ✅ Ticket 1.1: Estructura Clean Architecture en backend - ✅ Ticket 1.2: Schemas Zod compartidos - ✅ Ticket 1.3: Refactorización drugs.ts (1362 → 8 archivos modulares) - ✅ Ticket 1.4: Refactorización procedures.ts (3583 → 6 archivos modulares) - ✅ Ticket 1.5: Eliminación de duplicidades (~50 líneas) Cambios principales: - Creada estructura Clean Architecture en backend/src/ - Schemas Zod compartidos en backend/src/shared/schemas/ - Refactorización modular de drugs y procedures - Utilidades genéricas en src/utils/ (filter, validation) - Eliminados scripts obsoletos y documentación antigua - Corregidos errores: QueryClient, import test-error-handling - Build verificado y funcionando correctamente
2026-01-25 20:09:47 +00:00
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<text x="500" y="70" font-family="Arial, sans-serif" font-size="32" font-weight="bold" fill="white" text-anchor="middle">OVACE PEDIATRICA (1-8 ANOS)</text>
<!-- Diferencias con adulto -->
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<text x="500" y="165" font-family="Arial, sans-serif" font-size="18" font-weight="bold" fill="white" text-anchor="middle">MISMA TECNICA QUE ADULTO pero adaptando la FUERZA</text>
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<!-- Paso 1 -->
<rect x="100" y="230" width="800" height="100" fill="#ffc107" rx="8"/>
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<text x="150" y="290" font-family="Arial, sans-serif" font-size="24" font-weight="bold" fill="#856404" text-anchor="middle">1</text>
<text x="500" y="265" font-family="Arial, sans-serif" font-size="20" font-weight="bold" fill="#000" text-anchor="middle">RECONOCER ATRAGANTAMIENTO</text>
<text x="500" y="290" font-family="Arial, sans-serif" font-size="16" fill="#000" text-anchor="middle">Tos ineficaz, no puede hablar, cianosis</text>
<text x="500" y="315" font-family="Arial, sans-serif" font-size="16" fill="#000" text-anchor="middle">Puede estar angustiado o inconsciente</text>
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<!-- Decision -->
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<text x="500" y="430" font-family="Arial, sans-serif" font-size="18" font-weight="bold" fill="white" text-anchor="middle">PUEDE TOSER</text>
<text x="500" y="455" font-family="Arial, sans-serif" font-size="16" fill="white" text-anchor="middle">EFICAZMENTE?</text>
<!-- SI: Leve -->
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<text x="700" y="430" font-family="Arial, sans-serif" font-size="14" font-weight="bold" fill="#28a745">SI</text>
<rect x="760" y="390" width="200" height="100" fill="#d4edda" rx="8" stroke="#28a745" stroke-width="2"/>
<text x="860" y="430" font-family="Arial, sans-serif" font-size="16" font-weight="bold" fill="#155724" text-anchor="middle">LEVE</text>
<text x="860" y="455" font-family="Arial, sans-serif" font-size="14" fill="#155724" text-anchor="middle">Animar a toser</text>
<text x="860" y="475" font-family="Arial, sans-serif" font-size="14" fill="#155724" text-anchor="middle">Vigilar</text>
<!-- NO: Grave -->
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<text x="520" y="530" font-family="Arial, sans-serif" font-size="14" font-weight="bold" fill="#dc3545">NO</text>
<!-- Paso 2: 5 Golpes -->
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<text x="150" y="620" font-family="Arial, sans-serif" font-size="24" font-weight="bold" fill="#dc3545" text-anchor="middle">2</text>
<text x="500" y="590" font-family="Arial, sans-serif" font-size="20" font-weight="bold" fill="white" text-anchor="middle">5 GOLPES INTERESCAPULARES</text>
<text x="500" y="615" font-family="Arial, sans-serif" font-size="16" fill="white" text-anchor="middle">Sentar o arrodillar al nino</text>
<text x="500" y="635" font-family="Arial, sans-serif" font-size="16" fill="white" text-anchor="middle">Inclinar hacia delante</text>
<text x="500" y="655" font-family="Arial, sans-serif" font-size="16" fill="white" text-anchor="middle">Talon de mano entre omoplatos, con MENOS fuerza que adulto</text>
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<!-- Paso 3: Heimlich adaptado -->
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<text x="150" y="810" font-family="Arial, sans-serif" font-size="24" font-weight="bold" fill="#6610f2" text-anchor="middle">3</text>
<text x="500" y="745" font-family="Arial, sans-serif" font-size="22" font-weight="bold" fill="white" text-anchor="middle">5 COMPRESIONES ABDOMINALES</text>
<text x="500" y="775" font-family="Arial, sans-serif" font-size="16" fill="white" text-anchor="middle">Ponerse detras o de rodillas</text>
<text x="500" y="800" font-family="Arial, sans-serif" font-size="16" fill="white" text-anchor="middle">Puno entre ombligo y xifoides</text>
<text x="500" y="825" font-family="Arial, sans-serif" font-size="16" fill="white" text-anchor="middle">Comprimir DENTRO y ARRIBA</text>
<text x="500" y="850" font-family="Arial, sans-serif" font-size="16" fill="white" text-anchor="middle">FUERZA MODERADA (no como adulto)</text>
<text x="500" y="875" font-family="Arial, sans-serif" font-size="16" fill="white" text-anchor="middle">5 compresiones</text>
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<!-- Repetir -->
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<text x="500" y="965" font-family="Arial, sans-serif" font-size="18" font-weight="bold" fill="white" text-anchor="middle">ALTERNAR: 5 golpes + 5 abdominales hasta resolver</text>
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<text x="500" y="1040" font-family="Arial, sans-serif" font-size="15" font-weight="bold" fill="#856404" text-anchor="middle">IMPORTANTE EN NINOS</text>
<text x="500" y="1060" font-family="Arial, sans-serif" font-size="14" fill="#856404" text-anchor="middle">Si pierde consciencia: RCP (30:2). Mirar boca antes de ventilar</text>
<text x="500" y="1080" font-family="Arial, sans-serif" font-size="14" fill="#856404" text-anchor="middle">NUNCA barrer a ciegas con el dedo (empuja objeto mas adentro)</text>
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