http:\/\/www.villavicencio.org.ar\/PORTAL\/index.php?sis=2&ubq=4&scc=11&men=35<\/a><\/span><\/p>\n[\/et_pb_text][et_pb_button button_url=\u00bb\/anuario\/wp-content\/uploads\/2022\/05\/Gerber-HEMS-en-Enfermedad-vascular-aguda.pdf\u00bb url_new_window=\u00bbon\u00bb button_text=\u00bbDescargar art\u00edculo\u00bb button_alignment=\u00bbright\u00bb _builder_version=\u00bb4.16.0″ custom_button=\u00bbon\u00bb button_text_size=\u00bb12px\u00bb button_text_color=\u00bb#3cbebe\u00bb button_bg_color=\u00bbrgba(60,190,190,0.1)\u00bb button_border_width=\u00bb10px\u00bb button_border_color=\u00bbrgba(0,0,0,0)\u00bb button_border_radius=\u00bb100px\u00bb button_letter_spacing=\u00bb1px\u00bb button_font=\u00bb|700||on|||||\u00bb custom_padding=\u00bb10px|20px|10px|20px|true|true\u00bb button_letter_spacing_hover=\u00bb1px\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb button_text_size__hover_enabled=\u00bboff\u00bb button_one_text_size__hover_enabled=\u00bboff\u00bb button_two_text_size__hover_enabled=\u00bboff\u00bb button_text_color__hover_enabled=\u00bboff\u00bb button_one_text_color__hover_enabled=\u00bboff\u00bb button_two_text_color__hover_enabled=\u00bboff\u00bb button_border_width__hover_enabled=\u00bboff\u00bb button_one_border_width__hover_enabled=\u00bboff\u00bb button_two_border_width__hover_enabled=\u00bboff\u00bb button_border_color__hover_enabled=\u00bboff\u00bb button_one_border_color__hover_enabled=\u00bboff\u00bb button_two_border_color__hover_enabled=\u00bboff\u00bb button_border_radius__hover_enabled=\u00bboff\u00bb button_one_border_radius__hover_enabled=\u00bboff\u00bb button_two_border_radius__hover_enabled=\u00bboff\u00bb button_letter_spacing__hover_enabled=\u00bbon\u00bb button_letter_spacing__hover=\u00bb1px\u00bb button_one_letter_spacing__hover_enabled=\u00bboff\u00bb button_two_letter_spacing__hover_enabled=\u00bboff\u00bb button_bg_color__hover_enabled=\u00bboff\u00bb button_one_bg_color__hover_enabled=\u00bboff\u00bb button_two_bg_color__hover_enabled=\u00bboff\u00bb][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00bb1″ admin_label=\u00bbCourses\u00bb _builder_version=\u00bb4.16″ custom_padding=\u00bb1px|0px|62px|0px|false|false\u00bb locked=\u00bboff\u00bb collapsed=\u00bbon\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.16″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.16.0″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Resumen<\/h3>\n
El accidente cerebrovascular y el infarto agudo de miocardio con supradesnivel del segmento ST, son emergencias cardiovasculares que ponen en peligro la vida y requieren de una intervenci\u00f3n inmediata en un centro terap\u00e9utico apropiado.
La disminuci\u00f3n en los tiempos de respuesta y traslado, impresionar\u00eda tener mejores resultados en cuanto a mortalidad y secuelas a largo plazo.<\/p>\n
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Palabras clave<\/h3>\n
Aeroevacuaci\u00f3n, emergencias m\u00e9dicas en helic\u00f3ptero, enfermedad cardiovascular.<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=\u00bb4.17.4″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb hover_enabled=\u00bb0″ text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb sticky_enabled=\u00bb0″]<\/p>\n
Helicopter medical emergency service (HEMS) in acute vascular disease.<\/h2>\nResponse time in acute vascular disease.<\/h3>\n
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Abstract<\/h3>\n
Stroke and ST-segment elevation myocardial infarction are life-threatening cardiovascular emergencies and require immediate intervention in an appropriate therapeutic centre.
The decrease in response and transfer times would appear to have better results in terms of mortality and long-term sequelae.<\/p>\n
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Keywords<\/h3>\n
Aeromedical evacuation, HEMS, cardiovascular disease.<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=\u00bb4.16.0″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Introducci\u00f3n<\/h3>\n
El accidente cerebrovascular y el infarto agudo de miocardio con supradesnivel del segmento ST, son emergencias cardiovasculares que ponen en peligro la vida y requieren de una intervenci\u00f3n inmediata en un centro terap\u00e9utico apropiado.1<\/sup><\/p>\n[\/et_pb_text][et_pb_text _builder_version=\u00bb4.16.0″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Objetivos<\/h3>\n
El objetivo de este reporte es describir la experiencia de un sistema de helic\u00f3pteros de los servicios de emergencias m\u00e9dicas (HEMS) en la asistencia de pacientes con patolog\u00eda cardiovascular aguda.<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=\u00bb4.16.0″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Material o poblaci\u00f3n y m\u00e9todos<\/h3>\n
Se analizaron las operaciones a\u00e9reas realizadas por UTV Aeroemergencias de la ciudad de Rosario, Santa Fe, Argentina desde marzo de 2018 a septiembre de 2020. Se realizaron 434 vuelos sobre el \u00e1rea de cobertura. Cinco de ellos fueron c\u00f3digos rojos de enfermedad vascular aguda (Tabla 1). Dos pacientes con accidente cerebrovascular agudo isqu\u00e9mico y 3 pacientes con infarto agudo de miocardio con elevaci\u00f3n del segmento ST. Estos pacientes, despu\u00e9s de las operaciones de rescate m\u00e9dico por parte de la tripulaci\u00f3n del HEMS, fueron transportados en helic\u00f3ptero hacia el hospital de referencia.<\/p>\n
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Resultados<\/h3>\n
La duraci\u00f3n m\u00e1xima de las operaciones HEMS, desde la activaci\u00f3n hasta el traslado de los pacientes al hospital, no superaron los 70 minutos, siendo la menor de 20 minutos y la mayor de 70 minutos. La distancia recorrida fue de 243 kil\u00f3metros para el m\u00e1s alejado y de 70 kil\u00f3metros para el m\u00e1s cercano.
Todos los pacientes derivados con HEMS reportaron s\u00edntomas de enfermedad vascular aguda y llegaron al centro m\u00e9dico con la posibilidad de implementar terapia trombol\u00edtica o angioplastia seg\u00fan correspondiese.
En la Tabla 1 se muestran las caracter\u00edsticas de los traslados. Se consider\u00f3 tiempo paciente al tiempo desde que HEMS tom\u00f3 contacto con el paciente hasta que se ubic\u00f3 en la sala de cateterismo o unidad de cuidados cr\u00edticos seg\u00fan correspondiese.<\/p>\n
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Discusi\u00f3n<\/h3>\n
El uso del helic\u00f3ptero ha sido propuesto como medio para transportar enfermos que requieren una r\u00e1pida atenci\u00f3n por la criticidad de su enfermedad. En muchas ciudades del mundo se cuenta con este tipo de servicio y se ha mostrado su efectividad para reducir los tiempos de traslado, especialmente en \u00e1reas donde las distancias no son muy grandes y el desplazamiento terrestre se ve dificultado por alguna raz\u00f3n.2-7<\/sup>\u00a0 Desde hace unos a\u00f1os, hemos implementado el primer servicio de emergencia m\u00e9dica en helic\u00f3ptero en la provincia de Santa Fe, el cual cuenta con un m\u00e9dico especialista a bordo. El citado da cobertura a la ciudad de Rosario y \u00e1reas aleda\u00f1as. En el presente informe queda registrada la efectividad para\u00a0 la transferencia de pacientes con s\u00edntomas de enfermedad vascular aguda, lo cual asegura la reducci\u00f3n de los tiempos de isquemia y reperfusi\u00f3n.<\/p>\n[\/et_pb_text][et_pb_text _builder_version=\u00bb4.16.0″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Conclusiones<\/h3>\n
El uso de HEMS en la ciudad de Rosario y \u00e1rea de cobertura, en el caso de pacientes con s\u00edntomas de enfermedad vascular aguda, asegura una asistencia r\u00e1pida y profesional en el lugar de la emergencia m\u00e9dica, as\u00ed como un transporte seguro a centros especializados, acortando los tiempos de respuesta e ingreso a las unidades dentro del per\u00edodo de ventana, para el tratamiento m\u00e1s adecuado.<\/p>\n
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Conflicto de intereses<\/h3>\n
Todos los autores trabajamos en la empresa UTV Aeroemergencias.<\/p>\n
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Agradecimientos<\/h3>\n
Todos los autores agradecen a la empresa UTV Aeroemergencias.<\/p>\n
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FIGURAS<\/p>\n
Figuras<\/h2>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00bb1″ admin_label=\u00bbCourses\u00bb _builder_version=\u00bb4.16″ custom_padding=\u00bb1px|0px|62px|0px|false|false\u00bb locked=\u00bboff\u00bb collapsed=\u00bbon\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.16″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.16.0″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb12px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Bibliograf\u00eda<\/h3>\n
1.\tLeira EC, Stilley JD, Schnell T, Audebert HJ, Adams HP Jr. Helicopter transportation in the era of thrombectomy: The next frontier for acute stroke treatment and research. Eur Stroke J. 2016[citado 17\/10\/2021]1:171-79. Disponible en: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6301237\/
\n 2.\tRzonca P, Galazkowski R, Podgorski M. Role of Polish medical air rescue in the national medical rescue system. Disaster Emerg Med J. 2017;2:64-68.
\n 3.\tMitchell AD, Tallon JM, Sealy B. Air versus ground transport of major trauma patients to a tertiary trauma centre: a province-wide comparison using TRISS analysis. Can J Surg. 2007[citado 17\/10\/2021]50:129-33. Disponible en: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2384270\/
\n 4.\tChipp E, Warner RM, McGill DJ, Moiemen NS. Air ambulance transfer of adult patients to a UK regional burns centre: Who needs to fly?.Burns. 2010[citado 17\/10\/2021]36:1201-07. Disponible en: https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0305417910001555?via%3Dihub
\n 5.\tHenry TD, Sharkey SW, Burke MN, Chavez IJ, Graham KJ, Henry CR, Lips DL, Madison JD, Menssen KM, Mooney MR, Newell MC, Pedersen WR, Poulose AK, Traverse JH, Unger BT, Wang YL, Larson DM. A regional system to provide timely access to percutaneous coronary intervention for ST-elevation myocardial infarction. Circulation. 2007; 116:721-8.
\n 6.\tFunder KS, Rasmussen LS, Lohse N, Hesselfeldt R, Siersma V, Gyllenborg J, Wulffeld S, Hendriksen OM, Lippert FK, Steinmetz J. The impact of a physician-staffed helicopter on outcome in patients admitted to a stroke unit: a prospective observational study. Scand J Trauma Resusc Emerg Med. 2017[citado 17\/10\/2021]25:18. Disponible en: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5322627\/
\n 7.\tHutton CF, Fleming J, Youngquist S, Hutton KC, Heiser DM, Barton ED. Stroke and Helicopter Emergency Medical Service Transports: An Analysis of 25,332 Patients. Air Med J. 2015[citado 17\/10\/2021]34:348-56. Disponible en: https:\/\/www.airmedicaljournal.com\/article\/S1067-991X(15)00179-0\/fulltext[\/et_pb_text][et_pb_text _builder_version=\u00bb4.16″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"
El accidente cerebrovascular y el infarto agudo de miocardio con supradesnivel del segmento ST, son emergencias cardiovasculares que ponen en peligro la vida y requieren de una intervenci\u00f3n inmediata en un centro terap\u00e9utico apropiado.
\nLa disminuci\u00f3n en los tiempos de respuesta y traslado, impresionar\u00eda tener mejores resultados en cuanto a mortalidad y secuelas a largo plazo<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[15,3],"tags":[18],"class_list":["post-806","post","type-post","status-publish","format-standard","hentry","category-15","category-articulos-originales-29","tag-anuario-29-2022"],"_links":{"self":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts\/806","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/comments?post=806"}],"version-history":[{"count":8,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts\/806\/revisions"}],"predecessor-version":[{"id":947,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts\/806\/revisions\/947"}],"wp:attachment":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/media?parent=806"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/categories?post=806"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/tags?post=806"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}