Análise da escala revised trauma escore (rts) nas ocorrências atendidas pelo serviço de atendimento móvel de urgência (SAMU) no município de Fortaleza – CE

• Autor(a) principal: Freitas, André Alves da Silva
• Data de Publicação: 2020
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Digital da Universidade Federal Rural do Semi-Árido (RDU)
• Texto Completo: https://repositorio.ufersa.edu.br/handle/prefix/7191
• topic: Trauma; Pontuação do trauma; Validação; Trauma score; Validation; CNPQ::CIENCIAS DA SAUDE::MEDICINA

The Revisited Trauma Score (RTS) is a trauma score, classified as a physiological index, in which three parameters of the patient's vital functions are evaluated, namely: neurological evaluation by the Glasgow Coma Scale (ECG), hemodynamic evaluation by pressure systolic blood pressure (SBP) and respiratory rate (RF). The combination of these parameters provides us with an index capable of evaluating the morbidity and mortality of multiple trauma patients and directing the approach to that of the patient according to the severity of each case. GOAL. Analyze the applicability of the Revised Trauma Score (RTS) in the Brazilian scenario from data obtained from the mobile emergency care service (SAMU) in the city of Fortaleza - CE. METHODOLOGY. This study were be carried out by analyzing 150 medical records of patients treated by the SAMU team in the city of Fortaleza - CE, to collect the parameters Glasgow coma scale, respiratory rate, systolic blood pressure; in addition to the health facility to which the patient was referred. RESULTS. 150 victims treated by the SAMU team, 143 (95.33%) patients had a RTS value equal to 12, 3 (2%) equal to 11, another 3 (2%) obtained a value of 8 and only 1 (0 , 66%) patient scored 10 points on the scale; 111 (74%) were male and only 39 (26%) were female; as for the trauma mechanism, it was seen that auto-ballistic collisions, mainly between car versus motorcycle, are the main cause found (36.66%); it can be noted that the tertiary health centers received the majority of trauma victims 105 (70%), the secondary 45 (30%) and the primary health centers were not sought in any of the occurrences. CONCLUSION. It was found that the Revides Trauma Score is still not well used in the health scenario assessed by the present study.