Perfil epidemiológico dos agraves traumáticos e da assistência prestada por um serviço pré-hospitalar móvel.

Abstract

Introduction: Trauma is an existing problem at the global level and is one of the main causes of morbidity and mortality worldwide. WHO (2014) says that each year, more than five million people die from these traumas, accounting for 9% of world mortality. Objective: to evaluate the epidemiological profile of traumatic injuries and the assistance provided by a mobile service. Methodology: A descriptive and documental study with a quantitative approach, conducted at the SAMU, in Cuité-PB, Brazil, in the period of December 2016. The population of this study was the attendance sheets, the sample was of the probabilistic type, being considered the significance index of 95% and sample error of 5%. The sample of this study was composed of 180 records of attendance of traumatic events. This research obeyed the precepts of Resolution 466/2012, and was approved by the Research Ethics Committee with protocol number 1,718,527.Results: Accidents more affected men 120 (67%), the most vulnerable age was 16-28 (51n-28%). The municipality of origin responsible for the highest number of occurrences was Cuité with 118 (66%). The most prevalent type of trauma was motorcycle accident 91 (51%). The use of the helmet was not frequent, 176 (98%). The highest frequency was in the afternoon, with 67 (37.2%). The injuries that caused death according to the research were the motorcycle accident with 2 (50%), perforation by white weapon with 1 (25%), and firearm drilling with 1 (25%). Release: USB 128 (71%), and USA 52 (29%). The most accomplished procedure was the peripheral venous access 124 (68%). Most of the time it was not necessary to ask for support 154 (86%). The study showed that in 110 (62%) cases the Ringer Lactate solution was used, being considered the solution with the highest infusion in this study. In the majority of victims, there was no need for drug therapy, 158 (88%). 17 (9%) required analgesics, 4 (2%) of vasoactive drugs and 1 (1%) of beta-blockers. Of all the outcomes, the Hospital de Cuité was responsible for the largest number of patients with 93 (53%), being also responsible for the greater number of stabilizations of the small, medium and severe traumatic events; There is also a death. Conclusion: It was concluded that Cuité and region need an improvement in emergency and emergency care lines. Final Considerations: In sum, this research contributed to an improvement in the discussion about the current situation in which the epidemiological profile is found.