ABSTRACT
JUSTIFICATIVA E OBJETIVOS: Dor é um dos principais motivos de procura por pronto-atendimento. No entanto, nem sempre é bem avaliada, documentada e tratada. O objetivo deste estudo foi descrever o perfil epidemiológico, caracterização da dor, tratamento analgésico instituído e satisfação de pacientes atendidos no pronto-socorro (PS) de um Hospital Universitário (HC). MÉTODO: Estudo prospectivo, transversal, realizado com 309 pacientes atendidos no PS/HC da Universidade Federal do Triângulo Mineiro (UFTM). As informações foram coletadas a partir de instrumento contendo identificação, dados sócio-demográficos, avaliação de dor pela escala numérica de dor (END), prescrição de analgésicos, satisfação com a analgesia. RESULTADOS: Houve predomínio do sexo masculino, cor branca e com ensino fundamental. Média de idade 46,7 anos. Desempregados: 10% e 15% aposentados. Prevalência de dor 45,6%. Principais causas: traumatismos, dor abdominal, cefaleia, picada por animais peçonhentos, vasculopatias. Cerca de 5% dos pacientes foram atendidos com menos de 1h de dor e 40% com mais de 72h. A localização mais comum foi abdômen (25,2%) e membros inferiores (MMII) (23,4%). A dor foi intensa em dois terços dos pacientes, com intensidade média na admissão de 7,8 ± 2,1 pela END. Tempo de melhora após analgesia: menor que 30 minutos para 25% dos pacientes. Em 17,7% dos casos de dor, não houve prescrição analgésica. O analgésico mais prescrito foi a dipirona, com ou sem associação. Apenas 30% tiveram resolução da dor. Apesar destes dados, metade dos pacientes, disseram-se satisfeitos com a analgesia. CONCLUSÃO: A dor foi altamente prevalente no pronto-atendimento, pouco valorizada, mal avaliada e subtratada, com baixa resolutividade e prescrição inadequada de analgésicos.
BACKGROUND AND OBJECTIVES: Pain is s major reason for seeking emergency care. However it is not always accurately evaluated, documented and managed. This study aimed at describing the epidemiologic profile, the characterization of pain, the analgesic treatment instituted and the satisfaction of patients seen by the first aid unit (FA) of a Teaching Hospital (TH). METHOD: This is a prospective transversal study carried out with 309 patients seen by the FA/TH of the Federal University, Triângulo Mineiro (UFTM). Information was collected as from a tool with identification, socio-demographic data, pain evaluation by the pain numerical scale (PNS), analgesics prescription and satisfaction with analgesia. RESULTS: There has been predominance of Caucasian males with basic education. Mean age was 46.7 years. Unemployed were 10% and retired 15%. Pain prevalence was 45.6%. Major causes: traumas, abdominal pain, headache, bites by venomous animals and vasculopathies. Approximately 5% of patients were seen with less than 1 hour of pain and 40% with more than 72 hours. Most common sites were abdomen (25.2%) and lower limbs (MMII) (23.4%). Pain was severe in two thirds of patients, with mean intensity at admission of 7.8 ± 2.1 by PNS. Improvement time after analgesia: less than 30 minutes for 25% of patients. There has been no analgesic prescription for 17.7% of cases. Most prescribed analgesic was dipirone, with or without association. Only 30% had pain resolution. In spite of these data, half the patients reported being happy with analgesia. CONCLUSION: Pain was highly prevalent during first aid visits, was poorly valued and undertreated, with low resolution rate and inadequate analgesics prescription.
Subject(s)
Analgesia , Emergency Medical Services , Pain , PrevalenceABSTRACT
The battlefield rescuing unit of the current model is always restricted by some factors such as regional environments in wartime rescuing action and peacetime disaster relief, which can lead to failure of following and deploying action, so that wounded persons can not be rescued at the first time. Aiming at the special circumstances, a forward first-aid unit composed of five doctors and nurses should be established to give emergency medical rescue with rescuing emergent equipments and medicine packed in portable packages such as portable respiring machine, defibrillator and oxygen device at the battlefront. In this way, success rate of rescuing wounded persons would be increased obviously, while mortality rate and deformity rate would be decreased greatly.
ABSTRACT
The battlefield rescuing unit of the current model is always restricted by some factors such as regional environments in wartime rescuing action and peacetime disaster relief, which can lead to failure of following and deploying action, so that wounded persons can not be rescued at the first time. Aiming at the special circumstances, a forward first-aid unit composed of five doctors and nurses should be established to give emergency medical rescue with rescuing emergent equipments and medicine packed in portable packages such as portable respiring machine, defibrillator and oxygen device at the battlefront. In this way, success rate of rescuing wounded persons would be increased obviously, while mortality rate and deformity rate would be decreased greatly.
ABSTRACT
This paper introduces the rapid & mobile first-aid unit from brigade or regiment medical aid station,especially discusses its equipment,performance,personnel structure,and working features.The rapid & mobile first-aid unit can perform emergency operation and anti-shock treatment for the serious wounded in frontier at any moment.It meets the requirements in such aspects as fast & effective first-aid,mobile & flexible treatment,high cure rate and good practicality.
ABSTRACT
In landing phase, there would be a severe conflict between too many wounded soldiers at field and the shortage of immediate rescue. To solve that problem and according to the principle of "Keep up, Carry out, and Bring off ", a set of field portable first-aid unit has been developed to improve the rescue ratio of the field wounded soldiers.