Determining factors in the care of victims of cardiorrespiratory stop for pre-hospital services

• Autor(a) principal: Lima, Patrícia de Oliveira
• Data de Publicação: 2020
• Outros Autores: Corrêa Rangel, Sirleide, Fernandes de Almeida, Herlon, Lima Miranda, Flávia, Aparecida Siqueira, Carliaine, Neves Vieira Costa, Letícia, Pimenta Pinheiro, Marcos Luciano, Sereno Velloso da Silva, Geisa
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: HU Revista (Online)
• Texto Completo: https://periodicos.ufjf.br/index.php/hurevista/article/view/27273
• topic: Emergency Medical Services; Heart Arrest; Quality of Health Care; Serviços Médicos de Emergência; Parada Cardíaca; Qualidade da Assistência à Saúde

Introduction: Despite advances in recent years related to the prevention and training of cardiopulmonary resuscitation maneuvers, there are still many deaths due to cardiopulmonary arrest, with cardiovascular diseases being the main cause of mortality and disability in Brazil and in the world. Objective: To analyze the publications regarding the determinants of the quality of care for victims of cardiorespiratory arrest in the prehospital setting. Material and Methods: Literature review with the objective of answering the question: What are the determining factors in the quality of care for the victims of cardiorespiratory arrest in the prehospital environment? As a search strategy, we used publications from 2008 to 2016, published in the databases Índice Bibliográfico Espanhol de Ciências da Saúde, Medical Literature Analysis and Retrieval System Online, portal Google Acadêmico, Scientific Electronic Library Online e Literatura Latino-Americana e do Caribe em Ciências da Saúde. Results: A total of 2096 articles were identified that, after analysis of the eligibility criteria, 14 studies were selected. The studies were classified among the extracts of the intellectual production, obtaining: 43% as evidence level 5, 36% with evidence level 4 and 21% with level 3. No studies with evidence level 2 or 1 were identified. After analysis of evidence, there were the identification and distribution of factors that interfere in the quality of care of the victim of cardiorespiratory arrest in four categories: I - physical structure, human resources, materials and equipment; II- organization of procedures and stressors; III - feelings, emotions and physical changes of the professionals involved; IV- technical / practical knowledge of the team. Conclusion: Through this review we can identify the determining factors in the care of the victim of cardiorespiratory arrest in the prehospital environment. In addition, it is hoped to offer subsidy in the updating of assistance protocols, as well as to emphasize the need for permanent education of the teams, adequacy and management of human and material resources, providing an effective and quality care.