Guia assistencial para atendimento a pacientes com traumatismo cranioencefálico

Abstract

TCE is characterized as an injury resulting from internal or external physical impact with great socio-economic impact in this way, quality care is crucial to reduce morbidity and mortality rates. Objective: To prepare a nursing care guide for the treatment of adult patients suffering from traumatic brain injury in the emergency response of the General Hospital of Caixas – MA. Methods: The Medical Subject Headings (MeSH) used for database search were: craniocerebral trauma, protocols and nursing. The data collection was performed during 2015 between August and September and the studies used as references on this protocol were selected through the following criteria: published papers on periodic in the last 10 years talking about the theme, thesis and dissertations, international and national manuals related to our subject; papers published on events were not used in our study. Results: found 2872 publications available in selected databases, with 852 of MEDLINE; 743 of BDENF; 589 in SciELO; 390 in LILACS; and 297 COCHRANE. After application of the inclusion and exclusion criteria, these remaining 32 studies. Conclusion: there was the importance of using a clinical protocol for nurses to care to victims of Traumatic brain injury, because the initial care as ABCDE trauma, head elevation, electrolyte monitoring and control of hypotension significantly decrease the morbidity and mortality.