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

Abstract

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.