Burned patient care at the emergency service

• Autor(a) principal: Amaral, Carla
• Data de Publicação: 2016
• Outros Autores: Rabiais, Isabel, Antunes, Anabela, Francisco, Maria
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10400.14/35452
• topic: Burns; Quality; Nursing care

Introduction: The burned patient is deined as a trauma patient, who requires multidisciplinary care, since the severity of the burns go far beyond the partial or total destruction of the skin thickness, whence, can compromise several organs and, according to its severity, may lead to multiple organ failure, therefore, an early approach imposes clinical procedures and protocols based on evidence (DGS, 2012). Objectives: Standardize the interventions of burn patients in the emergency service, in order to correctly assess and proceed to prevent complications. Methods: We conducted a integrative literature review of 7 scientiic articles, in Portuguese language, in the last 5 years, which identiied a set of interventions and recommendations, according to the criteria of the CDC/HICPAC, which categorizes them based on existing scientiic data, logical reasoning, applicability and economic impact thus integrating the category IA (evidence level A, recommendation grade I). Results: The irst set of treatments done to the burned patient on care, not only includes the injuries originated by the causal agent, but also the maintenance of airway permeability, luid replacement and pain control, with the purpose to decrease the complications due to trauma. The treatment is established according to the severity of injuries from exposure, type and degree of commitment. Conclusions: An updated knowledge, allows the identiication and prevention of subtle changes that can trigger major complications, minimizing both the mortality and morbidity rates, as the longterm injuries, helping these patients to have a satisfactory life quality allowing them a social, professional and family integration.