Research Journal of Emergency Medicine


Research Article of Research Journal of Emergency Medicine INTERDISCIPLINARITY IN ASSISTING PATIENTS IN AN INTENSIVE CARE UNIT: A LITERATURE REVIEW Brenna Santos Batista¹*, Caroline Santana Santos², João Adriano Correia Santos³, Rodolfo Silva Oliveira4, Bianca Silva Oliveira5 UFS¹, UFS², UniAGES³, UFS4, UFS5 Objectives: To review in the literature the perception of ICU health professionals, as members of an interdisciplinary team. Methods: This is an integrative literature review, carried out between July and August 2020. The data collection took place between the years 2012 to 2020, in the electronic databases PubMed (National Library of Medicine and National Institute of Health - USA) and Scielo (Scientific Electronic Library Online), through the DeCS (health descriptors) “patient care team”, “intensive care units” and “health”, in English and Portuguese. Results: After applying the eligibility criteria for this review, 7 articles were selected, read in full. The results showed the existence of division and fragmentation of work; lack of communication between team members and users; hierarchy of power and ethical conflict within the multiprofessional team; and inadequate working conditions. Conclusion: This research made it possible to recognize the weaknesses experienced by the multiprofessional ICU team and to understand the main factors that hinder the team's work. Keywords: Intensive care unit. Patient care team. Cheers ...


Research Article of Research Journal of Emergency Medicine DEATH SURVEILLANCE IN PERNAMBUCO: ADDRESSING THE SENSITIVITY BETWEEN HOSPITAL EPIDEMIOLOGICAL SURVEILLANCE AND THE MORTALITY INFORMATION SYSTEM Janaina Larissa Santana Andrade¹*, Lucilene Rafael Aguiar², Romildo Siqueira de Assunção², Maria do Carmo Oliveira Rocha², Patricia Ismael de Carvalho² ¹Instituto Aggeu Magalhães – Fundação Oswaldo Cruz; ²Secretaria Estadual de Saúde de Pernambuco Objective: Describe the sensitivity of notification and investigation of deaths eligible in the Mortality Information System and occurred in hospitals that make up the State Hospital Epidemiological Surveillance Network of Pernambuco. Methods: Fetal, infant, maternal and women of childbearing deaths that occurred in 2015 in the 29 hospitals of the State Network VEH/PE were selected. For analysis, the notification, investigation and updating of the SIM WEB module was considered, relating the SIM bases and spreadsheets of the VEH/PE Network and sensitivity was estimated by the capture and recapture method. Results: 54,0% of the deaths in Pernambuco came from the VEH/PE Network. 80,0% of infant and maternal deaths were reported by the VEH/PE Network immediately. In the set of analyzed deaths, the capture and recapture method estimated a slight loss in capture, with a sensitivity of 99,9% for both sources of record. And, in the investigation, greater sensitivity, for the VEH/PE spreadsheet (98,6%). The SIM had a lower magnitude (2,9%) of underreporting in the collection and a higher proportion (43,3%) of underreporting in the information from the hospital investigation source in the SIM WEB module. Conclusion: These results can contribute to reducing the underreporting of capture and information on hospital investigation in the SIM WEB module and allow knowledge about the causes and circumstances that determined or favored the occurrence of death in order to analyze the avoidability, planning and evaluation of maternal and child health actions. Keywords: Public Health Surveillance, Death Certificates, Information ...


Research Article of Research Journal of Emergency Medicine HOSPITAL MORTALITY, IN URGENCY CHARACTER, DUE TO EXTERNAL CAUSES IN BRAZIL Ariele Alves de Jesus Santos1*, Ana Claudia de Souza Caldas1, Ianca Gomes Souza1, Jaqueline Novaes Amaral1, Vitoria Dias Santana1, Uanderson Silva Pirôpo2. 1Graduanda do Curso de Fisioterapia na Universidade Estadual do Sudoeste da Bahia. Jequié, Bahia, Brasil. 2Fisioterapeuta pela Universidade Estadual do Sudoeste da Bahia-UESB Mestre em Ciências da Saúde pelo programa de Pós graduação em Enfermagem e Saúde- PPGES- UESB Objective: To analyze hospital mortality, in urgency character, due to external causes in Brazil. Methods: This is a transversal, descriptive and quantitative study performed with secondary data from the Sistema de Informação Hospitalar do Sistema Único de Saúde (SIH/SUS). For data selection, external cause mortality from 2009 to 2019 was used, considering "urgency" as attendance character in the age range from 20 to 80 years or older. Besides, the variables sex, causes and regions were analyzed. Absolute and relative frequencies were calculated using Microsoft Excel® 2016 software. Results: It is observed that 67.60% (n=214,711) of deaths were due to external causes in urgency character attendance, since 71.03% (n= 150,123) were male and 28.97% (n= 64,588), female. The main deaths causes were: other external causes of accidental injuries 68.30% (n= 120,306), traffic acidentes, with 21.55% (n= 37,967) and aggressions, 10.15% (n= 17,879). As for the distribution of percentages between regions, the Southeast presented 44, 41% (n= 95,360), followed by Northeast region, with 25,00% (n= 53694); South, 16,93% (n= 36,352); Midwest, 7,12% (n= 15,294) and North, 6,52% (=14011). Conclusion: The prevalence of mortality from major external causes in urgency character presented a higher quantitative in males aged 20 to 80 years or older, and, among regions, Southeast, Northeast and South obtained a higher percentage of mortality compared to North and Midwest. Such ...


Research Article of Research Journal of Emergency Medicine THE ROLE OF THE PSYCHOLOGIST BEFORE PATIENT PAIN IN INTENSIVE CARE UNIT Ana Paula Pedrosa, Cybelle Cavalcanti Accioly, Eliane Nóbrega Albuquerque, Juliana Porto Behar, Mônica de Oliveira Osório Introduction: The Intensive Care Unit is a hospital location permeated by not very positive associations, with the multidisciplinary team having to deal with the pain, fears and anxiety of their patients daily and the demands of their families for comprehensive care and less suffering for the patient. Pain is a reaction of the patient with biopsychosocial factors involved. The team does not always act successfully in the face of the patient’s pain, using the psychologist as a mediator of this situation. Objective: to reflect on the role of the psychologist in the face of the patient’s pain in the Intensive Care Unit. Methodology: experience report. Results and discussion: In the intensive care unit, the patient is distant from his family members, without clothes, with monitoring of different equipment and people, with invasive care, which can be felt as threatening his integrity. Pain is an unpleasant sensory experience that may be associated with tissue damage or not. It is a difficult phenomenon to be measured, since it can be an emotional pain, activated by psychological components or not. Each person has a different intensity, manifestation and reaction to pain. There are pain scales that can be used as a strategy to adapt the best intervention in different contexts of illness. The psychologist in this unit acts focused on the patient, his family and team, because everyone involved may be interfering in the recovery process and in the experience of pain and in its coping. In this triad, attentive, neutral listening should be offered to provide psychological support and to facilitate the mediation of these relationships ...

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Research Journal of Emergency Medicine