Avaliação e transporte da criança traumatizada

Abstract

Suggested citation: Schvartsman C, Carrera R, Abramovici S. Initial assessment and transportation of an injured child. J Pediatr (Rio J). 2005;81(5 Suppl):S223-S229. AbstractObjectives: Since trauma has a great impact on mortality and preventable morbidity among children and adolescents, in addition to its social consequences, the aim of this study is to evaluate peculiarities regarding prehospital, in-hospital, and interhospital assessment of injured pediatric patients. Sources of data:The Cochrane database was searched for systematic reviews and controlled trials, the MEDLINE and LILACS databases were used for the last 5 years, and review of older reference sections in significant publications using trauma, pediatric trauma, primary survey, secondary survey, in-hospital assessment, prehospital and transportation as keywords.Summary of the findings: There are different strategies that constitute the systematic assessment of the injured pediatric patient. Nevertheless, almost all strategies involve knowing the peculiarities about the pediatric population, with regard to age, to the growth and development process, and finally, to the minimally acceptable and available resources. Conclusions:The most important principle is to do no further harm. If the peculiarities about airway maintenance, ventilation, circulation with hemorrhage control, disability, exposure up to secondary survey and preparation of prehospital and interhospital transportation are properly taken care of, better results will certainly be obtained.J Pediatr (Rio J). 2005;81(5 Suppl):S223-S229: Trauma, pediatric trauma, primary survey, secondary survey, inhospital assessment, prehospital and interhospital transportation.

Segurança para crescer

“…2012 tomando as devidas precauções de acordo com as necessidades de cada fase do crescimento e desenvolvimento da criança. No tocante aos primeiros socorros, Schvartsman et al (2005) preconiza que a atenção pré-hospitalar resume-se à abordagem inicial, com controle das vias aéreas, ventilação, controle circulatório, imobilização adequada e encaminhamento para a unidade hospitalar destinada.…”

Avaliação do indivíduo vítima de politraumatismo pela equipe de enfermagem em um serviço de emergência de Santa Catarina

“…No serviço hospitalar a avaliação inicial do indivíduo politraumatizado é realizada na emergência, visando ao estabelecimento do equilíbrio fisiológico da vítima, através da identificação e tratamento das lesões. Tal avaliação, denominada de exame primário, é seguida pela identificação de outras lesões (exame secundário) e das orientações para o tratamento definitivo (cuidados definitivos) (12) .…”

O pediatra e as causas externas de morbimortalidade

“…44 It describes the prehospital and in-hospital care step-by-step, as well as the many possibilities for transportation. As the Brazilian Department of Health works to implement the Emergency Transport Service (SAMU), the article underscores the need to train professionals and provide continued training for teams of pediatricians who would be a reference for more complex cases.…”