logo
 
INTERNATIONAL INVENTION JOURNAL OF MEDICINE AND MEDICAL SCIENCES (IIJMMS)
 
 Other Journals
International Invention Journal of Medicine and Medical Sciences (IIJMMS)
International Invention Journal of Engineering Science and Technology (IIJEST)
International Invention Journal of Food Science and Technology (IIJFST)
International Invention Journal of Art and Social Science (IIJASS)
Click to see the full List here

 

Alexandre et al  

Full Length Research Paper

Nursing Conduct for Major Trauma Patients: Initial Care Provided at the Red Zone of an Emergency Department

 

Ana Carla Silva Alexandre1*; Josemir Rocha Silva2; Wilson Barboza Oliveira3; Jhenyff de Barros Remigio Limeira4; Leonardo Silva da Costa4; Valdeilson Lima de Oliveira5; Silvana Cavalcanti dos Santos6; Robervam de Moura Pedroza6; Juliane da Silva Pereira7; Cláudia Sorelle Cavalcanti de Santana8; Valquíria Farias Bezerra Barbosa9

1DSc in Health Sciences, Department of Nursing, Federal Institute of Education, Science and Technology of Pernambuco, Campus Pesqueira. Br-232, Pesqueira, Pernambuco, Brazil
2BSN, Emergency nurse at Mestre Vitalino Hospital, SAMU.
3BSN, Emergency nurse, Federal University of Alagoas Hospital – UFAL.
4Nursing undergraduate student, Federal Institute of Education, Science and Technology of Pernambuco, Campus Pesqueira.
5BSN, Emergency nurse, Nursing Department, Arcoverde School of Health.
6MSc in Collective Health, Department of Nursing, Federal Institute of Education, Science and Technology of Pernambuco, Campus Pesqueira.
7BSN, Collaborative Researcher, Health Care and Promotion Research Group, Federal Institute of Education, Science and Technology of Pernambuco, Campus Pesqueira.
8BSN, Public Health nurse, Collaborative Researcher, Health Care and Promotion Research Group, Federal Institute of Education, Science and Technology of Pernambuco, Campus Pesqueira.
9DSc in Human Sciences, Department of Nursing, Federal Institute of Education, Science and Technology of Pernambuco, Campus Pesqueira.

 

Corresponding author email: anacarlasalexandre@hotmail.com

Received March 15, 2018; Accepted April 4, 2018

 

ABSTRACT
The main objective of this study was to identify nursing procedures in the initial care of multiple-trauma patients. A cross-sectional and quantitative research was carried out with 12 nurses at a trauma-reference hospital in May of 2014. Data were collected through the verification of the nurses' activities, provided to the trauma patient in the emergency room. The results showed that only 33.3% of the professionals are urgency and emergency specialists. Most of the nursing cares occurred incompletely at the initial evaluation, according to the international trauma protocol. None of the professionals performed cardiac monitoring in the victim; there was neither evaluation nor recording of the level of consciousness. In addition, only 41.7% of the nursing cares were immediate. The nurses’ fragility regarding the approach to the victim with traumatic injuries as well as the difficulty to follow international protocols recommended for such situation was noticed. Therefore, it was suggested to improve technical-scientific knowledge in order to reduce deaths and secondary injuries resulting from external causes..


Keywords: 
Emergencies; Multiple trauma; Nursing assessment; Nursing care; Wounds and injuries.

 

[View Full Article - PDF]