Epidemiological profile of the traumatic emergencies assisted by a mobile prehospital emergency service
Abstract
Objective: To describe the epidemiological profile of the traumatic emergencies assisted by a mobile prehospital emergency service in Northeastern Brazil.Methods: Documentary and quantitative study, performed from the patients’ records of the emergencies between January and June 2014, consisting the sample of 1,960 records. A structured questionnaire to collect data was used, and the analysis was by descriptive statistics.
Results: There was predominance of Traffic Accidents (TA) – 67.7%; falls (17.1%); and perforation by firearms (6.8%). The most involved were men (76.2%), framed in the age group young adults (46.6%) and the largest number of occurrences was in the weekend (37.4%). Among them, 58.1% had mild trauma and 44.0% did not suffer polytrauma. There was neglect in relation to the annotation of the Glasgow coma scale in 39.0% of cases.
Conclusion: Among the traumatic emergencies, TA occurred mostly on Sunday, involving male young adults. One emphasizes that the negligence of professionals regarding basics notes in the patients' records are responsible for generating difficulties for the development of researches. Moreover, with regard to judicial proceedings, it is notorious that there is not documentary support concerning the provided assistance.
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References
Soares RAS, Pereira APJT, Moraes RM, Vianna RPT. Caracterização das vítimas de acidentes de trânsito atendidas pelo Serviço de Atendimento Móvel de Urgência (SAMU) no município de João Pessoa, Estado da Paraíba, Brasil, em 2010. Epidemiol Serv Saude [Internet]. 2012 [cited 2015 Mar 14]; 21(4):589-600. Available from: http://scielo.iec.pa.gov.br/pdf/ess/v21n4/v21n4a08.pdf
Mello Júnior JS, Souza TCR, Andrade FG, Castaneda L, Baptista AF, Nunes K, et al. Perfil epidemiológico de pacientes com lesão traumática do plexo braquial avaliados em um hospital universitário no Rio de Janeiro, Brasil, 2011. Rev Bras Neurol [Internet]. 2012 [cited 2015 Mar 14]; 48(3):5-8. Available from: http://files.bvs.br/upload/S/0101-8469/2012/v48n3/a3208.pdf
Malta DC, Souza ER, Silva MMA, Silva CS, Andreazzi MAR, Crespo C, et al. Vivência de violência entre escolares brasileiros: resultados da Pesquisa Nacional de Saúde do Escolar (PeNSE). Cienc Saude Coletiva [Internet]. 2010 [cited 2015 Mar 14]; 15(suppl 2): 3053-63. Available from: http://www.scielo.br/pdf/csc/v15s2/a10v15s2.pdf
Reichenheim ME, Souza ER, Moraes CL, Jorge MHPM, Silva CMFP, Minayo MCS. Violence and injuries in Brazil: the effect, progress made, and challenges ahead. Lancet [Internet]. 2011 [cited 2015 Mar 14]; 6736(11):75-89. Available from: http://ac.els-cdn.com/S0140673611600536/1-s2.0-S0140673611600536-main.pdf?_tid=b6c4dfa2-23de-11e5-91fe-00000aab0f02&
acdnat=1436187696_16edb1cfe90fb8f5dbe4f6da0f8e912e
Nunes MN, Nascimento LFC. Análise espacial de óbitos por acidentes de trânsito, antes e após a Lei Seca, nas microrregiões do estado de São Paulo. AMB Rev Assoc Med Bras [Internet]. 2012 [cited 2015 Mar 14]; 58(6):685-90. Available from: http://www.scielo.br/pdf/ramb/v58n6/v58n6a13.pdf
Di Credo PF, Felix JVC. Perfil dos pacientes atendidos em um hospital de referência ao trauma em Curitiba: implicações para a enfermagem. Cogitare Enferm [Internet]. 2012 [cited 2015 Mar 14]; 17(1):126-31. Available from: http://ojs.c3sl.ufpr.br/ojs/index.php/cogitare/article/download/26385/17578
Araújo MT, Alves M, Gazzinelli MFC, Rocha TB. Representações sociais de profissionais de unidades de pronto atendimento sobre o serviço móvel de urgência. Texto & Contexto Enferm [Internet]. 2011 [cited 2015 Mar 14]; 20(Esp):156-63. Available from: http://www.scielo.br/pdf/tce/v20nspe/v20nspea20.pdf
Newgard CD, Schmicker RH, Hedges JR, Trickett JP, Davis DP, Bulger EM, et al. Emergency medical services intervals and survival in trauma: assessment of the “golden hour” in a North American prospective cohort. Ann Emerg Med [Internet]. 2010 [cited 2015 Mar 14]; 55(3):235- 46. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3008652/pdf/nihms-257399.pdf
Silva APS, Pontes ERJC, Tognini JRF. Epidemiological profile and hospitalization costs of cases of assault with weapons among adolescents in Campo Grande, MS, Brazil. Rev Pesqui Cuid Fundam [Internet]. 2012 [cited 2015 Mar 16]; 4(3):2493-501. Available from: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/1856/pdf_583
Luz TCB, Malta DC, Sá NNB, Silva MMA, Costa MFL. Violence and accidents among older and younger adults: evidence from the Surveillance System for Violence and Accidents (VIVA), Brazil. Cad Saude Publica [Internet]. 2011 [cited 2015 Mar 16]; 27(11):2135-42. Available from: http://www.scielo.br/pdf/csp/v27n11/07.pdf
Duarte SJH, Lucena BB, Morita LHM. Atendimentos prestados pelo serviço móvel de urgência em Cuiabá, MT, Brasil. Rev Eletr Enferm [Internet]. 2011 [cited 2015 Mar 16]; 13(3):502-7. Available from: http://www.revistas.ufg.br/index.php/fen/article/view/10977/10652
Ulbrich EM, Mantovani MF, Balduino AF, Reis BK. Protocolo de enfermagem em atendimento emergencial: subsídios para o acolhimento às vítimas. Cogitare Enferm [Internet]. 2010 [cited 2015 Mar 16]; 15(2):286-92. Available from: http://ojs.c3sl.ufpr.br/ojs/index.php/cogitare/article/viewFile/17863/11655
Canova JCM, Bueno MFR, Oliver CCD, Souza LA, Belati LA, Cesarino CB, et al. Traumatismo cranioencefálico de pacientes vítimas de acidentes de motocicletas. Arq Cienc Saude. 2010; 17(1):9-14.
Nardoto EML, Diniz JMT, Cunha CEG. Perfil da vítima atendida pelo Serviço Pré-hospitalar Aéreo de Pernambuco. Rev Esc Enferm USP [Internet]. 2011 [cited 2015 Mar 16]; 45(1):237-42. Available from: http://www.scielo.br/pdf/reeusp/v45n1/33.pdf
Rezende Neta DS, Alves AKS, Leão GM, Araújo AA. Perfil das ocorrências de politrauma em condutores motociclísticos atendidos pelo SAMU de Teresina-PI. Rev Bras Enferm [Internet]. 2012 [cited 2015 Mar 16]; 65(6): 936-41. Available from: http://www.scielo.br/pdf/reben/v65n6/a08v65n6.pdf
Cocco M, Lopes MJM. Morbidade por causas externas em adolescentes de uma região do município de Porto Alegre. Rev Eletr Enferm [Internet]. 2010 [cited 2015 Mar 16]; 12(1):89-97. Available from: http://www.revistas.ufg.br/index.php/fen/article/view/9527/6594
Arnauts I, Oliveira MLF. Padrão de consumo do álcool por jovens vítimas de trauma e usuários de álcool. Rev Min Enferm [Internet]. 2012 [cited 2015 Mar 16]; 16(3):410-8. Available from: http://www.reme.org.br/artigo/detalhes/544
Gawryszewski VP. A importância das quedas no mesmo nível entre idosos no estado de São Paulo. AMB Rev Assoc Med Bras [Internet]. 2010 [cited 2015 Mar 16]; 56(2):162-7. Available from: http://www.observatorionacionaldoidoso.fiocruz.br/biblioteca/_artigos/191.pdf
Settervall CHC, Sousa RMC, Silva SCF. In-hospital mortality and the Glasgow Coma Scale in the first 72 hours after traumatic brain injury. Rev Lat Am Enfermagem [Internet]. 2011 [cited 2015 Mar 16]; 19(6):[07 telas]. Available from: http://www.scielo.br/pdf/rlae/v19n6/09.pdf
Gonçalves VCS. Trauma de extremidades. In: Souza RMC, Calil AM, Paranhos WY, Malvestio MA. Atuação no trauma: uma abordagem para a enfermagem. São Paulo: Atheneu; 2009.
Mattos LS, Silvério MR. Avaliação do indivíduo vítima de politraumatismo pela equipe de enfermagem em um serviço de emergência de Santa Catarina. Rev Bras Promoç Saude [Internet]. 2012 [cited 2015 Mar 16]; 25(2):182-91. Available from:
http://ojs.unifor.br/index.php/RBPS/article/view/2227/2452
Bezerra STF, Lemos AM, Sousa SMC, Carvalho CML, Fernandes AFC, Alves MDS. Promoção da saúde: a qualidade de vida nas práticas da enfermagem. Enferm Glob [Internet]. 2013 [cited 2015 Mar 16]; (32):270-9. Available from: http://revistas.um.es/eglobal/article/viewFile/172251/153201
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