Author(s): Mota, Mauro ; Cunha, Madalena ; Santos, Eduardo ; Figueiredo, Ândrea ; Silva, Márcio ; Campos, Rui ; Reis Santos, Margarida
Date: 2021
Persistent ID: http://hdl.handle.net/10400.26/37590
Origin: Escola Superior de Enfermagem do Porto
Subject(s): Wounds and injuries; Trauma severity indices; Health impact assessment; Nursing care
Abstract 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.
