Percepção dos profissionais de saúde acerca da ocorrência e prevenção de acidentes com socorristas do Serviço de Atendimento Móvel de Urgência (SAMU)

A Organização Mundial da Saúde (OMS) menciona como uma das principais causas de morte por trauma no mundo as decorrentes de acidentes de trânsito. O aumento de acidentes em vias públicas e rodovias exige o aprimoramento de ações dos socorristas, que expõem suas vidas, ficando constantemente expostos a situações inseguras, seja dentro da ambulância em movimento ou quando estão atendendo no local do incidente. Este estudo objetivou identificar a percepção dos profissionais de saúde acerca da ocorrência e prevenção de acidentes com socorristas do SAMU Maringá. Trata-se de um estudo quali-quantitativo exploratório. A pesquisa ocorreu através de aplicação de questionário realizada com profissionais atuantes no SAMU Maringá. Os resultados demonstraram a necessidade de intervenções prioritárias que garantam: a educação continuada a fim de adequar a conduta dos socorristas, conscientização da população e otimização da sinalização garantida pelo atendimento mínimo com 03 socorristas e com materiais sinalizadores adequados. Esta pesquisa permitiu identificar a percepção da equipe de profissionais atuantes no SAMU M/SNNP sobre os possíveis fatores promotores de acidentes com equipes de socorristas indicando a necessidade de uma sinalização e isolamento adequados das cenas de acidentes e treinamento permanente no sentido de proteção da equipe de socorristas durante o atendimento pré-hospitalar em vias públicas.The World Health Organization (WHO) mentions traffic accidents as one of the main causes of death from trauma in the world. The increase in accidents on public roads and highways requires the improvement of actions by rescuers, who expose their lives, being constantly exposed to unsafe situations, whether inside the moving ambulance or when they are attending the incident site. This study aimed to identify the perception of professionals about the occurrence and prevention of accidents with SAMU Maringá rescuers. This is an exploratory qualitative-quantitative study. The research took place through the application of a questionnaire carried out with professionals working at SAMU Maringá. The results showed the need for priority interventions that guarantee: continuing education in order to adapt the behavior of rescuers, awareness of the population and optimization of signaling guaranteed by the minimum service with 03 rescuers and with adequate signaling materials. This research allowed to identify the perception of the team of health professionals working at SAMU M/SNNP about the possible factors that promote accidents with teams of rescuers, indicating the need for adequate signaling and isolation of accident scenes and permanent training in the sense of protection of the team of rescuers during pre-hospital care on public roads

Comparative study of tissue reactivity to n-butyl-2-cyanoacrylate and nylon monofilament thread on pericranium-cutaneous flaps in rats

PURPOSE:To study the repair of pericranium-cutaneous flaps fixed with suture anchored in a skull bone tunnel or N-butyl-2-cyanoacrylate adhesive in Wistar rats with emphasis on the cellular inflammatory response and the production of types I and III collagen. METHODS:The operated region in the cephalic region of Wistar rats was removed minutes before euthanasia, fixed in formalin, and subjected to histological preparation. Slides were stained with hematoxylin-eosin and Picrosirius. Standardized counts of polymorphonuclear and mononuclear cells, fibroblasts, and macrophages were performed, and the percentages of types I and III collagen were determined. Data collection occurred on days 3, 7, 14, 21, and 45 postoperatively. A value of p<0.05 was considered statistically significant. RESULTS:Quantitative analysis of the data showed more fibroblasts in the surgical adhesive group than in the nylon monofilament thread groups (p=0.0211). Qualitative analysis showed higher reactivity in the adhesive group, with a predominance of polymorphonuclear cells from days 3-45 and macrophages from days 3-7. The amount of type I collagen exceeded 80% in the treated and control groups at the end of the experiment. CONCLUSIONS:Subperiosteal detachment triggers a cellular inflammatory response that is amplified using soft tissue fixation methods. The adhesive n-butyl-2-cyanoacrylate was more reactive than the nylon monofilament thread anchored in the skull bone tunnel.26126