PRO-Trauma: Protocolo para promoção do conforto às vítimas de trauma imobilizadas

Mauro Mota, Madalena Cunha, Margarida Reis Santos

Resumo


Objetivo: Apresentar o protocolo de um estudo que procura desenvolver uma escala para avaliação do desconforto provocado pela imobilização nas vítimas de trauma e um modelo de maca eficaz na imobilização da vítima de trauma em desenvolvimento. Método: Realizar-se-ão quatro estudos sequenciais: Estudo descritivo, exploratório de abordagem quantitativa para avaliar o grau de desconforto provocado pela imobilização na maca de vácuo e/ou plano duro; Estudo psicométrico para construir e validar um instrumento que permita avaliar o desconforto provocado pela imobilização na maca de vácuo e plano duro; Construção da ImoConfort Mattress para imobilização e transporte de vítimas; e Ensaio clínico randomizado para avaliar a eficácia da ImoConfort Mattress quanto ao conforto, imobilização, aquecimento e controlo da trepidação/vibração provocada pelo transporte. Considerações finais: A criação de um instrumento que monitorize o desconforto durante o socorro e transporte com imobilização, contribuirá para melhorar o tratamento implementado às vítimas de trauma. Espera-se que a ImoConfort Mattress contribua para a melhoria da qualidade da assistência clínica durante o socorro extra-hospitalar.


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Referências


American College of Surgeons ACS. ATLS Advanced Trauma Life Support. Student Course Manual. 10 ed. Chicago: American College of Surgeons; 2019. [cited 2020 Out 12].

Pernik MN, Seidel HH, Blalock RE, Burgess AR, Horodyski M, Rechtine GR, et al. Comparison of tissue-interface pressure in healthy subjects lying on two trauma splinting devices: The vacuum mattress splint and long spine board. Injury [Internet]. 2016 [cited 2020 Out 12].;47(8):1801-5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27324323. https://doi.org/10.1016/j.injury.2016.05.018

Bruijns SR, Guly HR, Wallis LA. Effect of spinal immobilization on heart rate, blood pressure and respiratory rate. Prehosp Disaster Med [Internet]. 2013 [cited 2020 Out 12].;28(3):210-4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23522699. https://doi.org/10.1017/S1049023X13000034.

Holla M, Driessen M, Eggen TGE, Daanen RA, Hosman AJF, Verdonschot N, et al. A New Craniothoracic Mattress for Immobilization of the Cervical Spine in Critical Care Patients. J Trauma Nurs [Internet]. 2017 [cited 2020 Out 12].;24(4):261-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28692625. https://doi.org/10.1097/JTN.0000000000000302.

Baldwin KM, Ziegler SM. Pressure ulcer risk following critical traumatic injury. Adv Wound Care [Internet]. 1998 [cited 2020 Out 12].;11(4):168-73. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10326336.

Chan D, Goldberg RM, Mason J, Chan L. Backboard versus mattress splint immobilization: a comparison of symptoms generated. J Emerg Med [Internet]. 1996 [cited 2020 Out 12].;14(3):293-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8782022. https://doi.org/10.1016/0736-4679(96)00034-0.

Hamilton RS, Pons PT. The efficacy and comfort of full-body vacuum splints for cervical-spine immobilization. J Emerg Med [Internet]. 1996 [cited 2020 Out 12].;14(5):553-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8933314. https://doi.org/10.1016/s0736-4679(96)00170-9.

Etier Jr BE, Norte GE, Gleason MM, Richter DL, Pugh KF, Thomson KB, et al. A Comparison of Cervical Spine Motion After Immobilization With a Traditional Spine Board and Full-Body Vacuum-Mattress Splint. Orthop J Sports Med [Internet]. 2017 [cited 2020 Out 12].;5(12):2325967117744757. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29318167. https://doi.org/10.1177/2325967117744757.

Lundgren P, Henriksson O, Kuklane K, Holmer I, Naredi P, Bjornstig U. Validity and reliability of the Cold Discomfort Scale: a subjective judgement scale for the assessment of patient thermal state in a cold environment. J Clin Monit Comput [Internet]. 2014 [cited 2020 Out 12].;28(3):287-91. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24311022. https://doi.org/http://www.ncbi.nlm.nih.gov/pubmed/24311022.

Jensen MP. The validity and reliability of pain measures in adults with cancer. J Pain [Internet]. 2003 [cited 2020 Out 12].;4(1):2-21. Available from: http://www.ncbi.nlm.nih.gov/pubmed/14622723. https://doi.org/10.1054/jpai.2003.1.

Williamson A, Hoggart B. Pain: a review of three commonly used pain rating scales. J Clin Nurs [Internet]. 2005 [cited 2020 Out 12].;14(7):798-804. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16000093. https://doi.org/10.1111/j.1365-2702.2005.01121.x.

Ministério da Educação (PT) M. Portaria n.º 69/2019. Diário da República [Internet]. 2019(n.º 40/2019, Série I de 2019-02-26) [cited 2020 Out 12].:1428-34. Available from: https://data.dre.pt/eli/port/69/2019/02/26/p/dre/pt/html.

Alex J, Lundgren P, Henriksson O, Saveman BI. Being cold when injured in a cold environment--patients' experiences. Int Emerg Nurs. 2013 [cited 2020 Out 12].;21(1):42-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23273803. https://doi.org/10.1016/j.ienj.2011.10.006.

Kornhall DK, Martens-Nielsen J. The prehospital management of avalanche victims. J R Army Med Corps [Internet]. 2016 [cited 2020 Out 12].;162(6):406-12. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26092971. https://doi.org/10.1136/jramc-2015-000441.

Mitchell AD, Tallon JM, Sealy B. Air versus ground transport of major trauma patients to a tertiary trauma centre: a province-wide comparison using TRISS analysis. Can J Surg [Internet]. 2007 [cited 2020 Out 12].;50(2):129-33. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17550717.

Sullivent EE, Faul M, Wald MM. Reduced mortality in injured adults transported by helicopter emergency medical services. Prehosp Emerg Care [Internet]. 2011 [cited 2020 Out 12].;15(3):295-302. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21524205. https://doi.org/10.3109/10903127.2011.569849.

Taylor CB, Stevenson M, Jan S, Middleton PM, Fitzharris M, Myburgh JA. A systematic review of the costs and benefits of helicopter emergency medical services. Injury [Internet]. 2010 [cited 2020 Out 12].;41(1):10-20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19853251. https://doi.org/10.1016/j.injury.2009.09.030.

Black JJ, Ward ME, Lockey DJ. Appropriate use of helicopters to transport trauma patients from incident scene to hospital in the United Kingdom: an algorithm. Emerg Med J [Internet]. 2004 [cited 2020 Out 12].;21(3):355-61. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15107383. https://doi.org/10.1136/emj.2002.004473.

McSwain EN, Frame S, Salomone PJ. Pre Hospital Trauma Life Support. 8th ed: Jones & Bartlett Learning. 2016. [cited 2020 Out 12]. https://doi.org/

Ordem dos Médicos (Portugal) OM. Normas de Boa Prática em Trauma. Lisboa: Ordem dos Medicos [Internet]; 2009. [cited 2020 Out 12]. Available from: https://ordemdosmedicos.pt/normas-de-boa-pratica-em-trauma.

Mota M, Cunha M, Santos M, Cunha ICKO, Alves M, Marques N. Pre-Hospital Nursing Interventions: Narrative Review. Enferm. em Foco [Internet]. 2019 [cited 2020 Out 12].:10 (4): 122-8. Available from: http://revista.cofen.gov.br/index.php/enfermagem/article/view/3908. https://doi.org/10.21675/2357-707X.2019.v10.n5.3908.

Berben SA, Schoonhoven L, Meijs TH, van Vugt AB, van Grunsven PM. Prevalence and relief of pain in trauma patients in emergency medical services. Clin J Pain [Internet]. 2011 [cited 2020 Out 12].;27(7):587-92. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21505324. https://doi.org/10.1097/AJP.0b013e3182169036.

Saunders CB. Preventing secondary complications in trauma patients with implementation of a multidisciplinary mobilization team. J Trauma Nurs [Internet]. 2015 [cited 2020 Out 12].;22(3):170-5; quiz E3-4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25961483. https://doi.org/10.1097/JTN.0000000000000127.

Ottosen CI, Steinmetz J, Larsen MH, Baekgaard JS, Rasmussen LS. Patient experience of spinal immobilisation after trauma. Scand. J. Trauma, Resusc. Emerg. Med. [Internet]. 2019 [cited 2020 Out 12].;27(1):70. Available from: https://pubmed.ncbi.nlm.nih.gov/31331379/. https://doi.org/10.1186/s13049-019-0647-x.

Oosterwold JT, Sagel DC, van Grunsven PM, Holla M, de Man-van Ginkel J, Berben S. The characteristics and pre-hospital management of blunt trauma patients with suspected spinal column injuries: a retrospective observational study. Eur J Trauma Emerg Surg [Internet]. 2017 [cited 2020 Out 12].;43(4):513-24. Available from: https://link.springer.com/article/10.1007/s00068-016-0688-z. https://doi.org/10.1007/s00068-016-0688-z.

Spahn DR, Bouillon B, Cerny V, Duranteau J, Filipescu D, Hunt BJ, et al. The European guideline on management of major bleeding and coagulopathy following trauma: fifth edition. Crit Care [Internet]. 2019 [cited 2020 Out 12].;23(1):98. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30917843. https://doi.org/10.1186/s13054-019-2347-3.




DOI: https://doi.org/10.21675/2357-707X.2021.v12.n2.4529

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Licença Creative Commons
Este trabalho está licenciado com uma Licença Creative Commons - Atribuição 4.0 Internacional.