Atendimento de trauma realizados pelo serviço de atendimento móvel de urgência

Abstract

OBJECTIVES: To know the profile of trauma care provided by the Advanced Life Support of the Mobile Emergency Care Service to assess the response time influence on trauma patients' outcomes. METHODS: This is a cross-sectional study with a descriptive design and a quantitative analytical approach. The population was comprised of trauma patients in the city of São José do Rio Preto, attended by the Advanced Support Units of the regional SAMU in the period between January 2017 and December 2020. The variables analyzed were age, gender, neighborhood, day of the week, month and year of occurrence, patient’s destination, outcome, response time, length of staying and patient’s outcome. The population sampling was non-probabilistic in sequence, and the exclusion criteria were the non-filling or partial filling of the data in the care record. RESULTS: Male victims from the 30 to 39 age group was the majority. The occurrence was concentrated on weekends in the North region of the city, in the months of September and October. The average response time was 15 minutes, being 7 minutes from the moment of the call to the commitment of the resource, and 8 minutes from the commitment of the resource to the arrival at the location of the occurrence, while the total average time of attendance was one hour. Death on the scene occurred in only 14.1% of the attendances, more prevalent on weekends. Base Hospital was the reference for trauma victims, where the mean hospitalization time was 14.7 days, and discharge was the most prevalent outcome. Advanced age was more associated with death as the most prevalent outcome was discharge. Advanced age was more associated with dead as the outcome of trauma victims and the longer time on scene was related to lower mortality. CONCLUSION: Trauma cases were mostly young adult males treated by the SAMU of São José do Rio Preto, occurring on weekends, in the north region, in the months of September and October. Mortality was higher in occurrences attended on weekends. The total time of this attendance, from activation to completion, was on average one hour, the destination of victims after assistance by the USA was in 41% the times the Base Hospital, where the outcome of the patients was discharge in 71% of cases. The average hospitalization time was 14.7 days, and there was higher mortality in the age group between 60 and 79 years. The assessment of the time of emergency care response has not showed any statistical relation with the final outcome of the victim in the hospital, but it has a allowed to observe that a longer time of assistance on the scene is associated to a lower occurrence of deat.