Intervenções de emergência realizadas nas vítimas de trauma de um serviço aeromédico

Abstract

Objective: to analyze emergency interventions for air medical services trauma victims, considering the time at the scene of trauma and the severity of the victims. Method: This was a descriptive, correlational and quantitative study, conducted from October of 2014 to December of 2015. Six nurses participated, completing an instrument containing emergency interventions performed in the care of victims after the occurrence of trauma. The sample consisted of 97 treatments. Results: Among the 97 for whom care was provided, peripheral venipuncture was performed in 97.94% of the cases; immobilization, including a backboard, was used in 89.70% of cases. The most commonly used medications were dipyrone in 44.33%, and ondansetron in 76.29%. The time on the scene showed signifi cance with the severity of the victims. The Glasgow Coma scores were inversely related to time on the scene. Conclusion: Further studies are necessary, focused on care protocols for trauma victims

Nurses’ responsibilities in the aerospace environment

“…A small portion of the sample were specialists in aerospace nursing, which can be attributed to the fact that specialization courses in this area are still insufficient in Brazil, considering that this is a relatively new specialty. In addition, many nurses in this area have had previous experiences in other intensive care settings, which justifies specialization courses in these areas (3,8,23) .…”

“…In addition to the academic education, the search for complementary and specific courses to perform Advanced Life Support was identified, such as the Prehospital Trauma Life Support, which qualifies professionals for trauma care, and Advanced Cardiac Life Support, which aims at the development of basic and advanced life support skills for the treatment of acute cardiovascular events (23) . The search for these courses for professional improvement in the urgent care and emergency area was also identified in a survey of nurses from a private pre-hospital care service in the interior of Rio Grande do Sul, Brazil (3) .…”

Nurse's assistance to politraumatized: integrative review / Assistência do enfermeiro ao politraumatizado: revisão integrativa / Asistencia del enfermero al politraumatizado: revisión integrada

“…Nos principais procedimentos utilizados em um atendimento aéreo pré-hospitalar, constatou-se que os mais realizados foram os cuidados com as vias respiratórias, a punção venosa periférica com reposição de volemia ou administração de medicação, ainda foram identificados a utilização de curativos compressivos, realização de sondagens e imobilização também foi frequente. Atenta-se para a participação da enfermagem em todos esses procedimentos, exigindo uma qualificação na sua realização (8) .…”

Trauma vascular na Amazônia: atualizando o desafio.

“…In the present study, 149 patients (51.7% In our previous study, lower limbs lesion were the most common, with 45.66% of the total number of patients 3 . Some authors report the increasing frequency of complex limb trauma in urban centers, probably related to the increase in vehicular traffic and in the access to firearms 2,12,16 .…”