Evaluation of the polytrauma victim by the nursing staff in an emergency service of Santa Catarina - doi: 10.5020/18061230.2012.p182

Objective: To investigate the actions developed by the nursing staff of a private hospital emergency service in the southern Santa Catarina (SC), related to primary and secondary evaluation of polytrauma victims. Methods: Research of a qualitative approach, the type of case study, performed with twe...

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Detalhes bibliográficos
Autores: Mattos, Leandro Sanceverino, Silvério, Maria Regina
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2012
País:Brasil
Recursos:Universidade de Fortaleza (Unifor)
Repositorio:Revista Brasileira em Promoção da Saúde
Idioma:portugués
OAI Identifier:oai:ojs.ojs.unifor.br:article/2227
Acesso em linha:https://ojs.unifor.br/RBPS/article/view/2227
Access Level:acceso abierto
Palavra-chave:Multiple Trauma
Emergency Medical Services
Nursing
Team.
Traumatismo Múltiplo
Serviços Médicos de Emergência
Equipe de Enfermagem.
Descrição
Resumo:Objective: To investigate the actions developed by the nursing staff of a private hospital emergency service in the southern Santa Catarina (SC), related to primary and secondary evaluation of polytrauma victims. Methods: Research of a qualitative approach, the type of case study, performed with twelve nurses. Sample has been characterized as non-probabilistic intentional. Data collection has been performed using the techniques of semi-structured interview and participant observation. Data analysis has been developed using the technique of content analysis. Results: Analysis of nurses’ testimonies and the results of observation have showed that most participants comprehend the importance of adopting the ABCDE rule in primary evaluation - A (Air Way) - airway permeability with safe administration of cervical collar; B (Breathing);C (Circulation) - search for bleeding and control; D (Disability) - neurological evaluation; e E (Exposure) - patient’s body exposition seeking missed injuries - and the need of meticulous secondary evaluation of polytrauma victim. However, due to demand of urgency and agility in emergencies of this nature, the rule is not followed in a systematic way. Conclusion: It has been demonstrated the nursing staff’s concern over the following aspects: agility of service; immediate performance of examinations; communication between emergency service professionals; adequate perception of the general condition of the victim; and the reception to victim and family