Conduta em acidentes com trauma e múltiplas vítimas no departamento de saúde do Arsenal de Marinha do Rio de Janeiro (AMRJ)

Abstract

Trauma can be defined as "injury caused in a living body by the application of force or external violence; physical state resulting from this injury" and also as "physical injury caused by harmful or violent external actions or the introduction of toxic substance into the body(...)". It is often associated with automobile accidents, poisoning, injuries, fractures, burns, intoxications, drowning and others (setting "External causes"). It is an important public health problem in Brazil, being the cause of 11.45% of all deaths occurred in the country in 2018. For scenarios with five or more victims, it is considered "multiple victim accident". As up to 40% of deaths due to accidents occur in the first hour, the Pre-hospital Care Service (PHC) was established in the country and in the world, with the aim of minimizing the occurrence of deaths until the arrival of victims at the hospital. In the present work, it was identified the need to develop a protocol for trauma and multiple victim care for the Department of Health of the Navy Arsenal of Rio de Janeiro, by virtue of the high-risk activities developed in this Military Organization. Thus, this work is characterized as an exploratory research with the elaboration of an intervention protocol in the Department of Health, with the objective of reducing the time of care for trauma and multiple victims, optimizing the dynamics of the APH and increase the quality of care provided, contributing to the reduction of mortality rate in trauma-related accidents. Some actions to address this need have already been implemented in the year 2020, such as the preparation of the aforementioned Protocol and the elaboration of a training schedule for the team, in order to meet the objectives of said work. The actions will be monitored by the Department's Medical Division through the schedule of actions established in this work.