Abstract
ABSTRACT The objective was to know the perception and interventions of basic support teams of the mobile emergency medical service in a situation of psychic crisis. This was a qualitative and descriptive research study conducted in the state of Santa Catarina, with four professional teams of the Basic Support Units in Mobile and Emergency Service. The data were collected from April to June of 2011, through semi-structured interviews. Collective Subject Discourse was used to organize and analyze data and to discuss the Psychosocial Paradigm. From the results, three discourses emerged with the main ideas: crisis behavior disorder and psychological instability; hallucinations and aggressiveness; intervention with physical or pharmacological restraint and referral. It is concluded that the concept of crisis is linked by professionals to the positivism of psychiatry, and pre-hospital care follows protocol measures in attending the person in mental crisis, far from the principles determined by the psychosocial paradigm.
Highlights
The Mobile Emergency Medical Services (SAMU) in Brazil is a point of care that integrates the urgency and emergency network (RUE) and the Psychosocial Care Network (RAPS)
It was decided not to present the key expression (KE) of individual discourses, since they are inserted in the DCS, represented by DSC1, DSC2, and DSC3 for differentiation
The DCS 1 represents the discourse of ten participants, DCS2 corresponds to the discourse of participants, and DCS3 corresponds to that of participants
Summary
The Mobile Emergency Medical Services (SAMU) in Brazil is a point of care that integrates the urgency and emergency network (RUE) and the Psychosocial Care Network (RAPS). 2048/GM of 05 November 2002.1-2 regulates this service that includes the psychiatric emergency care as one of its assignments. Psychosis, attempted suicide, depression and organic brain syndromes are included as psychiatric emergencies.[1]. One study[4] showed that the major symptom in psychiatric urgency is psychomotor agitation, whose cause is associated with substance abuse or clinical conditions that aggravate psychological distress. A European study showed that psychiatric emergencies account for rates of 3.7% of the total of care provided.[5] In Brazil, studies report rates of 2.4%,6 2.98%,7 5.2%,8 and 8.9%,9 of psychiatric emergency care in all pre-hospital care syndromes
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