Abstract
Background and Objectives: To analyze the golden time developed by the Mobile Emergency Care Service (Samu) in Floriano, Piauí, Brazil. There are few productions that primarily emphasize the service’s response time (golden hour), crucial for students and professionals in the field, whose knowledge on the issue can lead to saving lives. Methods: This is a descriptive, documentary, and quantitative study that analyzed emergency care records for the year 2018. It is based on the survey of the variables of the golden time stages, their nature, and the duration of events, analyzed by descriptive and inferential statistics. This study met all ethical principles based on the approval opinion of the ethics committee (No. 96443518.4.0000.5660). Results: The most frequent golden time performed by Samu was 15 to 30 minutes, in 58.5% of the cases. Adult clinical urgencies and emergencies were the most common types of events (35.50%). Conclusion: The most frequent service provided by Floriano’s Samu was clinical urgencies and emergencies in adults, with a response time of 15 to 30 minutes.
Highlights
According to the Ministry of Health, pre-hospital care (PHC) is defined as the assistance provided in a first level of care to patients with acute conditions, whether they are of a clinical, traumatic or psychiatric nature, whose purpose is to provide early assistance to victims of health problems of different natures at the place of their occurrence.[2]
The transportation time to the specialized health service is an essential factor to be considered in the prognosis of the traumatized person, as it is extremely important that the PHC systems are strengthened and organized.[8]
It can be said that the time used by Floriano’s service fits the recommendations, since about 80% of the emergency cares were performed within 30 minutes, making patients more likely to have a positive prognosis.[1]
Summary
According to the Ministry of Health, pre-hospital care (PHC) is defined as the assistance provided in a first level of care to patients with acute conditions, whether they are of a clinical, traumatic or psychiatric nature, whose purpose is to provide early assistance to victims of health problems of different natures at the place of their occurrence.[2]. The PHC has predefined time intervals in order to provide greater agility in the passage between the trauma site and the hospital, including: the travel time from the base to the scene (activation of the service and arrival at the site); the on-scene interval (arrival at the site and on-site care); the travel time from the scene to the reference service (departure from the scene); and the golden time (activation of the service and arrival at the hospital) This process provides for emergency care within realistic timescales to achieve positive results in saving lives. The concept assumes that, in the first hour of effective care, the person who suffered trauma is more likely to survive than after this period.[5,6]
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