Assistência pré-hospitalar a afecções vasculares.

Abstract

The cardiovasculars diseases (CVD) are in between the main causes of morbidity and mortality in the world, among them we can highlight the acute myocardial infarction (AMI) and the cerebrovascular accident (CVA). in Brasil, the AMI and the CVA are diseases prevalent among the occurrences attended by emergency and urgency services In the various sectors of health; Being the Mobile Emergency Service (SAMU) the gateway to these sectors, it is composed of a specialized team to assist patients presenting several pathologies, among them the CVD. The assistance offered requires agility and dexterity, based on predefined care protocols, thus making specific interventions, reducing the risk of mortality, as well as those that compromise the quality of life. The nurse is an essential member of the support provided in the Advanced Support Unit (ASU) and in the Basic Support Unit (BSU). Since it performs procedures that require the ability to take immediate decisions and provides care of greater technical complexity. Therefore, it is necessary to observe the service performed by SAMU of the city of Cuité-PB. To describe the peculiarities of the attendance to cardiovascular events prevalent in the Mobile Emergency Care Service (SAMU) in Cuité, PB. It's a descriptive transverse retrospective study, with quantitative approach of primary and secondary data, accomplished in the city of Cuité state of Paraíba, during the months from february to march of 2017. The sample is composed of 205 calls for cardiovasculars diseases accomplished by ASU (Advanced Suport Unit) and BSU (Basic Suport Unit), in the period of 2012 to 2016, on the region of coverage. The collect of data was accomplished after clarification process and consent of the secretary of health of the city, and the coordenator of (SAMU), and the individuals volunteir, obeing the resolution 446 of 2012 of the national cuncil of ethic in research. the data have been analized statisticaly with Epi info 7.2.1.0. It have been observed an important amount of cases involving IAM (acute infarct of the myocardium) and AVE (encephalic vascular accident) over 5 years of existence of this service. The average age of the population is above 65 years old for pacients of IAM with predominance among maculine sex and a little bit more elderly for the affected for AVE, 74 years old, with major prevalence among feminine sex. Most of the services have been provided in the city, mainly in the diurn hour, from 6:00 to 18:00. The two vehicle of the unit have attended the demand of attendance in a similar way, how ever the USB did it premominantly. Procedures like oxigenterapy, AVP, Cardiac monitoration, vasoactive drugs adminstration prevailing on the assistence. As destiny of the pacients, hospitalars of the region, offer the continuity of the assistance, maily on the hospital of Cuité city, Trauma-CG and Hospital João XXII CG. Noticed the SAMU as fundamental piece of the attention network on urgences and emergencies, and increasingly requested by the population, making easy the access to the same health services on the country.