Advanced life support: care provided to motor vehicle crash victims
Autor(a) principal: | |
---|---|
Data de Publicação: | 2002 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/31495 |
Resumo: | OBJECTIVE: To analyze the performance of Advanced Life Support care mode (ALS) applied to car crash victims using indicators by means of the Revised Trauma Score (RTS) in prehospital phase. METHODS: It were analyzed 643 reports of car crash victims cared by public ALS services that occurred in highways of the city of São Paulo, from April 1999 to April 2000. Time intervals assessed were: response time, on-scene time, transport time, and total time. Correct screening decision analysis considered RTS;£;11 for tertiary hospitals. Changes in RTS and its parameters were observed using the following equation: RTSfinal ;¾; RTSinitial. RESULTS AND CONCLUSIONS: Of 643 victims, 90.8% were RTS=12 and 5.2% were RTS;£;10. The response time ranged from 8 to 9 minutes, while on-scene and transport time were higher in RTS;£;10 cases. Of RTS;£;10 victims, 45.5% were correctly transported to tertiary hospitals. Screening decision misjudgments were identified. Maintenance or improvement of RTS values occurred in 98.8% of the cases. Respiratory rate was the parameter that showed better improvement followed by systolic blood pressure. |
id |
USP-23_613e3a2657c42f3590e58436a76d3270 |
---|---|
oai_identifier_str |
oai:revistas.usp.br:article/31495 |
network_acronym_str |
USP-23 |
network_name_str |
Revista de Saúde Pública |
repository_id_str |
|
spelling |
Advanced life support: care provided to motor vehicle crash victims Suporte avançado à vida: atendimento a vítimas de acidentes de trânsito Serviços médicos de emergênciaAcidentes de trânsitoSuporte avançado à vidaEmergency medical servicesAccidentstrafficAdvanced life support OBJECTIVE: To analyze the performance of Advanced Life Support care mode (ALS) applied to car crash victims using indicators by means of the Revised Trauma Score (RTS) in prehospital phase. METHODS: It were analyzed 643 reports of car crash victims cared by public ALS services that occurred in highways of the city of São Paulo, from April 1999 to April 2000. Time intervals assessed were: response time, on-scene time, transport time, and total time. Correct screening decision analysis considered RTS;£;11 for tertiary hospitals. Changes in RTS and its parameters were observed using the following equation: RTSfinal ;¾; RTSinitial. RESULTS AND CONCLUSIONS: Of 643 victims, 90.8% were RTS=12 and 5.2% were RTS;£;10. The response time ranged from 8 to 9 minutes, while on-scene and transport time were higher in RTS;£;10 cases. Of RTS;£;10 victims, 45.5% were correctly transported to tertiary hospitals. Screening decision misjudgments were identified. Maintenance or improvement of RTS values occurred in 98.8% of the cases. Respiratory rate was the parameter that showed better improvement followed by systolic blood pressure. OBJETIVO: Analisar a atuação de um modelo de Suporte Avançado à Vida (SAV), a acidentados de trânsito por meio de indicadores, considerando a pontuação do Revised Trauma Score (RTS) na fase pré-hospitalar. MÉTODOS: Análise de 643 registros de atendimento de SAV a acidentados de trânsito, ocorridos em vias expressas da cidade de São Paulo, SP, no período de abril/1999 a abril/2000. Os intervalos de tempo avaliados foram: tempo resposta, de cena, de transporte e total. A análise da decisão de triagem considerou os registros de RTS;£;11 como corretos para encaminhamento a hospitais terciários. As flutuações no RTS e parâmetros foram observadas através da equação: (RTSfinal ;¾; RTSinicial). RESULTADOS E CONCLUSÕES: Das 643 vítimas, 90,8% alcançaram RTS=12 e 5,2% obtiveram RTS;£;10. O tempo resposta variou entre 8 e 9 min, sendo o tempo de cena e de transporte maior nos casos de RTS;£;10. Das vítimas com RTS;£;10, 45,5% foram corretamente encaminhadas para hospitais terciários. Identificaram-se incorreções na triagem de vítimas. A manutenção ou melhora nos valores de RTS ocorreu em 98,8% das vítimas. A freqüência respiratória foi o parâmetro que mais apresentou melhora, seguida da pressão arterial sistólica. Universidade de São Paulo. Faculdade de Saúde Pública2002-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/.pdfhttps://www.revistas.usp.br/rsp/article/view/3149510.1590/S0034-89102002000600007Revista de Saúde Pública; Vol. 36 No. 5 (2002); 584-589 Revista de Saúde Pública; Vol. 36 Núm. 5 (2002); 584-589 Revista de Saúde Pública; v. 36 n. 5 (2002); 584-589 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/31495/33380Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessMalvestio, Marisa Aparecida AmaroSousa, Regina Márcia Cardoso de2012-07-08T13:50:19Zoai:revistas.usp.br:article/31495Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T13:50:19Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Advanced life support: care provided to motor vehicle crash victims Suporte avançado à vida: atendimento a vítimas de acidentes de trânsito |
title |
Advanced life support: care provided to motor vehicle crash victims |
spellingShingle |
Advanced life support: care provided to motor vehicle crash victims Malvestio, Marisa Aparecida Amaro Serviços médicos de emergência Acidentes de trânsito Suporte avançado à vida Emergency medical services Accidents traffic Advanced life support |
title_short |
Advanced life support: care provided to motor vehicle crash victims |
title_full |
Advanced life support: care provided to motor vehicle crash victims |
title_fullStr |
Advanced life support: care provided to motor vehicle crash victims |
title_full_unstemmed |
Advanced life support: care provided to motor vehicle crash victims |
title_sort |
Advanced life support: care provided to motor vehicle crash victims |
author |
Malvestio, Marisa Aparecida Amaro |
author_facet |
Malvestio, Marisa Aparecida Amaro Sousa, Regina Márcia Cardoso de |
author_role |
author |
author2 |
Sousa, Regina Márcia Cardoso de |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Malvestio, Marisa Aparecida Amaro Sousa, Regina Márcia Cardoso de |
dc.subject.por.fl_str_mv |
Serviços médicos de emergência Acidentes de trânsito Suporte avançado à vida Emergency medical services Accidents traffic Advanced life support |
topic |
Serviços médicos de emergência Acidentes de trânsito Suporte avançado à vida Emergency medical services Accidents traffic Advanced life support |
description |
OBJECTIVE: To analyze the performance of Advanced Life Support care mode (ALS) applied to car crash victims using indicators by means of the Revised Trauma Score (RTS) in prehospital phase. METHODS: It were analyzed 643 reports of car crash victims cared by public ALS services that occurred in highways of the city of São Paulo, from April 1999 to April 2000. Time intervals assessed were: response time, on-scene time, transport time, and total time. Correct screening decision analysis considered RTS;£;11 for tertiary hospitals. Changes in RTS and its parameters were observed using the following equation: RTSfinal ;¾; RTSinitial. RESULTS AND CONCLUSIONS: Of 643 victims, 90.8% were RTS=12 and 5.2% were RTS;£;10. The response time ranged from 8 to 9 minutes, while on-scene and transport time were higher in RTS;£;10 cases. Of RTS;£;10 victims, 45.5% were correctly transported to tertiary hospitals. Screening decision misjudgments were identified. Maintenance or improvement of RTS values occurred in 98.8% of the cases. Respiratory rate was the parameter that showed better improvement followed by systolic blood pressure. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31495 10.1590/S0034-89102002000600007 |
url |
https://www.revistas.usp.br/rsp/article/view/31495 |
identifier_str_mv |
10.1590/S0034-89102002000600007 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31495/33380 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/.pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 36 No. 5 (2002); 584-589 Revista de Saúde Pública; Vol. 36 Núm. 5 (2002); 584-589 Revista de Saúde Pública; v. 36 n. 5 (2002); 584-589 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221780561887232 |