Abstract
The trauma severity assessment and basic life support maneuvers in prehospital setting can represent to the trauma victim the opportunity of survival until his/her can get assistance in the hospital. To study external cause victims assessed in the prehospital phase by the physiologic index named Trauma Score modificado (TSm). Retrospective analyses were made of 1414 victims attended by Sistema de Atendimento Móvel às Urgências (SAMU-RESGATE-SP) in the Municipality of São Paulo during 1991. Data were gathered from prehospital data recording sheets and necropsy records. Prehospital attendance was carried out in 81.31% until 40 minutes. Non-fatal victims (83.96%) had 12 and 11 TSm scores while 53.96% of the fatal victims had 0, 1 and 2 scores. External surface (30.25%) and head/neck (20.98%) were most injured areas and 63.63% fatal victims with Injury Severity Score (ISS) > or = 16 died within first 24 hours. Comparing the fatal victims TSm and ISS scores verified that 81.20% victims with TSm score between 0 and 11 had major trauma (ISS > or = 16). Strong trends were also found out in that fatal victims with low TSm scores showed relations to the high ISS scores.
Highlights
The trauma severity assessment and basic life support maneuvers in prehospital setting can represent to the trauma victim the opportunity of survival until his/her can get assistance in the hospital
To study external cause victims assessed in the prehospital phase by the physiologic index named Trauma Score modificado (TSm)
Injury severity score (ISS) as a yardstick in assessing the severity and mortality of various abdomino-pelvic trauma hospitalized victims — a clinical visà-vis autopsy study
Summary
Departamento de Enfermagem da Universidade Federal de São Paulo – Escola Paulista de Medicina, São Paulo, SP. Estudar vítimas de causas externas avaliadas por um índice fisiológico denominado Trauma Score modificado (TSm) aplicado durante o atendimento pré-hospitalar. A possibilidade de avaliar a gravidade do trauma na fase pré-hospitalar e a importância e abrangência dos eventos traumáticos despertaram-nos o interesse em conhecer o perfil da gravidade do trauma das vítimas de acidente e violência em nosso meio, bem como observar a exatidão do índice fisiológico, utilizado pelo SAMU-RESGATE-SP, para determinar a gravidade do trauma mediante sua aplicação na fase precoce de atendimento à vítima. Foram estudadas vítimas de causa externa do Município de São Paulo, atendidas na fase pré-hospitalar pelo SAMU-RESGATE-SP, no ano de 1991, com o objetivo de caracterizar as vítimas segundo tempo utilizado para o resgate, período de sobrevida e gravidade do trauma de acordo com o. Espera-se que este estudo possa fornecer subsídios que venham a contribuir para o aprimoramento do serviço de atendimento pré-hospitalar, bem como para o planejamento de ações da equipe multiprofissional, nas áreas de prevenção, assistência, ensino e pesquisa relacionadas às vítimas de causas externas
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