Abstract
Emergency services are patients first contact with hospitals. The first Physiotherapy service in this area began at Hospital SaoPaulo - UNIFESP in 2007. The work of physiotherapists in this sector provides an efficient and faster help, reducing intubation time, mechanicalventilation; respiratory complications, reducing the time of hospital internment. The objective of this study was to evaluate the frequencyof physiotherapeutic care in emergency unity of a public hospital, to analyze procedures carried through, the profile of cared patients, andthe time of permanence in the sector as well as patients evolution. It was a prospective, transversal and observational study carried throughfrom May to June /2009, in which the patients who entered in the Service of Emergency of Sao Paulo Hospital - UNIFESP with pulmonary andcardiovascular problems were observed. This study was approved by the Ethics and Research Committee of University Center Sao Camilo, Process054/09. 192 patients were evaluated with an average age of 65 (18) years, being 51% female; the most frequent diagnostic was precordialgiain 35 (18%) cases, pneumonia in 29 (15%) cases and congestive cardiac failure in 20 (10%) cases. Most patients (64%) remained less 24-hourin the emergency room. From the 192 patients, 109 (57%) had physiotherapeutic care, 77 patients (40%) needed oxigenotherapy, 24 (12.5%)invasive mechanical ventilation, 34 (18%) had not used invasive ventilation, 50 patients (26%) had received respiratory physiotherapy, 83 (43%)had not been submitted to physiotherapy and 30 (15.5%) had been submitted to orotracheal intubation. As regards evolution, we observe that35% had been transferred to the ICU, 29% for the infirmary, 25% were discharged from the hospital and 11% died. Considering these data wemay conclude that physiotherapeutic care in emergency sectors is still rare, although there is a great demand of patients with serious respiratoryand cardiovascular problems that may benefit from this specialty, making it an important area to be explored.
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