Abstract
The aim of this study is to elaborate a protocol for the care of acute traumatic tissue injuries in the prehospital mobile service. An extensive search of anteriority that did not reveal the existence of such protocol in other services across the globe was carried out. Subsequently, the literature review was executed on Medline and Lilacs. Related and referenced scientific literature served as the basis for the elaboration and creation of the protocol and its flowchart. The complete protocol was then measured for expert judges with the Delphi methodology. A questionnaire (using the Likert scale) and the initial version protocol were sent by electronic means to 13 medical and nurse coordinators of all SAMU from Paraná. RESULTS: Seven experts returned completed questionnaires in the first round and five in the second round. Average required global content validation index was obtained for the validation requirements of the protocol and its flowchart. A protocol for the care of acute traumatic tissue injuries in the prehospital mobile service was developed and authenticated with the viability of routine professional use by the health professional.
Highlights
The advent of the industrial era, advanced technology, increased vehicle speed, socioeconomic conditions, poverty, and human nature itself are the factors that have contributed to the progressive increase in different types of trauma[1]
The costs and quality improvement of the initial approach are related to the level of prehospital care (PHC)
The final result of this study was a clinical protocol validated by health professionals who work directly in PHC
Summary
The advent of the industrial era, advanced technology, increased vehicle speed, socioeconomic conditions, poverty, and human nature itself are the factors that have contributed to the progressive increase in different types of trauma[1]. This rise is a public health problem due to the high associated mortality, morbidity, costs, years of potential life lost, and impact on the individual, their family, and society[2]. The costs and quality improvement of the initial approach are related to the level of prehospital care (PHC) All these factors together have a major impact on the progress of severe traumatic injury. There is no such protocol for PHC in Brazil or any other country to be used outside of hospitals
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