Controle de hemorragia em pacientes politraumatizados no atendimento pré-hospitalar: utilização de novas tecnologias

Abstract

Trauma is, without a doubt, one of the main causes of death in the world and hemorrhages are the main causes of preventable deaths in trauma. Currently, there are a variety of devices and protocols that help in the identification and control of hemorrhages, such as: tourniquets, Israeli bandages, combat gases, tranexamic acid, volume replacement, among others. The general objective was to analyze, through specialized literature, the use of hemorrhage protocols in pre-hospital care for trauma victims. The study was carried out through an integrative literature review according to scientific articles published in the BVS and PUBMED databases. The main results showed the importance of volume resuscitation with blood products, the early use of tranexamic acid, the rapid transfer of the victim to the hospital as well as the use of protocols such as Stop the bleed, PHTLS and ATLS. At the end of the work, it is concluded that it is extremely important that professionals who work in pre-hospital care are always up to date and trained in new technologies and protocol updates. It is necessary to carry out more scientific research on the appropriate management of patients with exsanguinating hemorrhages to justify greater investment in technology and materials for pre-hospital care professionals. [resumo fornecido pelo autor]