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Revista de Enfermagem Referência
Print version ISSN 0874-0283On-line version ISSN 2182-2883
Abstract
MOTA, Mauro et al. Effectiveness of prehospital nursing interventions in stabilizing trauma victims. Rev. Enf. Ref. [online]. 2021, vol.serV, n.6, e20114. Epub July 28, 2021. ISSN 0874-0283. https://doi.org/10.12707/rv20114.
Background:
Trauma is a public health issue with a significant social and economic impact. However, national data on its characterization and the role of nursing in its management is still scarce.
Objective:
To assess the effectiveness of prehospital nursing interventions in stabilizing trauma victims provided by nurses of Immediate Life Support Ambulances in Portugal.
Methodology:
Observational, prospective, and descriptive-correlational study. Data were collected by nurses of the Immediate Life Support Ambulances in mainland Portugal, from 01/03/2019 to 30/04/2020, and the Azores, from 01/10/2019 to 30/04/2020. Trauma severity indices were assessed before and after the nursing interventions.
Results:
This study included 606 cases (79.4% blunt trauma; 40.8% road accidents) reported by 171 nurses. Nurses performed mostly interventions for hemodynamic support (88.9%) and non-pharmacological pain control (90.6%) of trauma victims. The nursing interventions improved the Revised Trauma Score and the Shock Index (p<0.001).
Conclusion:
Prehospital nursing interventions improve trauma victims’ clinical status.
Keywords : wounds and injuries; trauma severity indices; health impact assessment; nursing care; Portugal.