Medicina

URI Permanente desta comunidadehttps://repositorio.cesupa.br/handle/prefix/40

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Navegando Medicina por Assunto "Acidentes"

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    Acionamento do serviço de atendimento móvel de urgência em Belém do Pará por motivos traumáticos nos meses de fevereiro e março de 2016
    (Centro Universitário do Estado do Pará, 2020) Siqueira, Ana Karolina Kalif; Pontes, Felipe Lobato; Neves, Dilma Costa de Oliveira; Siqueira, Claudia Regina Dias; http://lattes.cnpq.br/6013946222269824; http://lattes.cnpq.br/7230812534416350
    The trauma is caused by a physical agent of varied etiology, nature and extent, with the etiology of the traumatic event being the factor that guides patients or viewers to request specialized help, constituting the traumatic reasons for triggering an urgent and emergency service in a medical practice. Objective: To identify the main traumatic reasons for triggering the SAMU (acronym in portuguese for emergency mobile care service) in Belém-PA in the months of February and March 2016. Methodology: Quantitative, descriptive and exploratory document analysis, based on the records of care at SAMU in Belém do Pará. We included those with identification of the reasons for the trauma of patients treated by SAMU in the municipality of Belém, in the study period. For the present study, it was registered on the medical service's record and considered as traumatic reasons the following: collision between vehicles; fall; being run over; violence (physical, stab or firearm), burns and other accidents. The age and sex variables were used to describe the victim's profile. Because they have a small amount of records, data on occupation and education were removed from the data analysis. For the analysis of temporality, the information of the day of the week and time of the occurrence was used. The patient's evolution was limited to what was found in the victim's record at the time of care, such as death, transfer or hazing. Results: 1037 SAMU activation records were analyzed in the study period in the city of Belém-PA. 114 (11.0%) records were excluded because they did not contain the reasons for requesting the service. The age group and the gender most affected were, respectively, 20 to 59 years of age (70.6%) and males (67%). The main reasons identified were traffic accidents (52.8%), followed by falls (26.4%) and assaults (18.1%). Among traffic accidents, collisions between car and motorcycle stand out (29.2%), people falling of vehicles in motion (20.9%) and pedestrian accidents (14.8%). Regarding falls, the most common were motorcycle falls (74.5%), followed by bicycle falls (15%) and when getting on and off vehicles (11%). As for the assaults, the record with the highest occurrence was physical aggression (36.5%), followed by cold weapons (34.1%) and firearms (29.3%). The highest attendance frequency occurred in the maximum time of 10 minutes (48.1%) between the activation and the arrival of SAMU. The most frequent day of the week was on Saturday (16.3%) mainly during the night shift (29.5%). Conclusion: Proper completion of SAMU's service records is of the utmost importance, highlighting the reason for triggering the service, the profile of the victims affected and the trauma mechanism. This way more consistent financial assistance can be provided for the best initial care and arrangements for preventive measures and organization of SAMU's services.
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    Análise das condições clínicas e perfil demográfico dos pacientes politraumatizados atendidos pelo SAMU, na cidade de Belém do Pará, nos meses de fevereiro a março de 2016
    (Centro Universitário do Estado do Pará, 2020) Souza, Lais Guimarães; Dias, Lívia Miranda; Siqueira, Claudia Regina Dias; Neves, Dilma Costa de Oliveira; http://lattes.cnpq.br/7230812534416350; http://lattes.cnpq.br/6013946222269824; Cecim, Paulo Eugênio Santos; http://lattes.cnpq.br/0424267310983270; Andrade, Selma Parente Sousa; http://lattes.cnpq.br/4429392453942556
    Trauma can be caused by a physical or chemical agent, leading to consequences of varying lengths and severities, these, as well as their etiology and nature, being the factors that guide patients or viewers to seek specialized help by calling a service of urgency and emergency. Objective: This article aims to describe the incidence of clinical conditions and the demographic profile of patients treated by the Urgence Mobile Assistance Service (SAMU), for traumatic reasons, in Belém, Pará, during the months of February and March 2016. Methodology: a cross-sectional, quantitative and descriptive study, having as source the care records of SAMU of Belém. It includes only those with identification of the trauma reasons of patients treated by SAMU in Belém, during the months of February and March, and that had more than 50% of the variables of interest filled. For the present study, clinical conditions were those recorded in the SAMU services' attendance forms, such as: blood pressure, respiratory rate, level of consciousness, oxygen saturation, heart rate and body followup with injury. The age and sex variables were used to describe the victims' profile. Because they have a small amount of records, data on occupation and education were removed from the data analysis. Results: For the analysis of traumatic reasons, traffic accidents, falls, aggression and other reasons were considered. 944 records of the occurrence of accidents due to external causes were analyzed during the study period in the city of Belém, PA. As for clinical conditions, most patients had pressure values above normal (49.9%), were awake (62.4%), with oxygen saturation between 95 and 99% (52.3%), heart and respiratory rates were normal (75.6% and 47.9%, respectively) and with multiple body segments injuries (26.9%). The age group and sex most affected were, respectively, 20 to 59 years of age (71%) and males (66.9%). As for the level of consciousness, a good number of men (12.8%), aged 20 to 59 years (10%), were found to be drunk. In both sexes and in all age groups, with the exception of victims aged above 60, there was a predominance of injuries in multiple parts of the body. The most prevalent reason for activation was due to traffic accidents, which predominated in both sexes (50.8%) and in the age group of 20 to 59 years (74%). Conclusion: based on the data found, it is possible to recognize the need for actions that have an impact on the identified current reality. This reality also reinforces the need for the disclosure of preventive measures capable of reducing the number of occurrences by government authorities on education, for example, for traffic, in schools, churches, in the family. In addition to bringing information on how to improve the environmental of the bringing information on how to improve the environmental conditions of the elderly to prevent falls.