{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T13:17:09Z","timestamp":1793971029286,"version":"4.8.0"},"reference-count":34,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:p>OBJETIVO: Analisar a qualidade do atendimento pr\u00e9-hospitalar realizado pelas ag\u00eancias em Vit\u00f3ria-ES. M\u00c9TODOS: Estudo retrospectivo realizado nos arquivos da Liga Acad\u00eamica de Cirurgia e Atendimento ao Trauma do Esp\u00edrito Santo (Lacates) dos dados de 40 v\u00edtimas de um acidente simulado entre um \u00f4nibus e dois autom\u00f3veis. Os pacientes foram assistidos por quatro equipes: Corpo de Bombeiro Militar do Esp\u00edrito Santo, Samu 192, Guarda Municipal e Defesa Civil. A atua\u00e7\u00e3o dessas equipes foi avaliada pela Lacates, atrav\u00e9s da an\u00e1lise do check-list com orienta\u00e7\u00f5es pr\u00e9-estabelecidas para cada v\u00edtima. RESULTADO: O Corpo de Bombeiros Militar do Esp\u00edrito Santo (CBMES), que desencarcerou as v\u00edtimas, delimitou as zonas de perigo e realizou a triagem pelo m\u00e9todo START atuou corretamente em 92,5% dos casos. O Samu 192 que atendeu as v\u00edtimas pelo m\u00e9todo mnem\u00f4nico (ABCDE) no posto m\u00e9dico avan\u00e7ado agiu corretamente em 92,5% dos casos, no quesito Via A\u00e9rea; 97,5%, no Respira\u00e7\u00e3o; 92,5%, no Circula\u00e7\u00e3o; 90%, no Avalia\u00e7\u00e3o Neurol\u00f3gica; e 50%, no Exposi\u00e7\u00e3o e Controle do Ambiente. A an\u00e1lise conjunta do ABCDE mostrou que o atendimento foi correto em 42,5% dos casos. O transporte dos pacientes foi realizado corretamente em 95% dos casos. A Guarda Municipal garantiu a perviedade das avenidas para transporte dos pacientes, e a Defesa Civil coordenou eficazmente o trabalho das equipes envolvidas no posto de comando. CONCLUS\u00c3O: A triagem e o transporte foram executados satisfatoriamente, entretanto, maior aten\u00e7\u00e3o deve ser dada \u00e0 exposi\u00e7\u00e3o e prote\u00e7\u00e3o contra hipotermia das v\u00edtimas, j\u00e1 que esse item comprometeu o tratamento.<\/jats:p>","DOI":"10.1590\/s0100-69912012000300013","type":"journal-article","created":{"date-parts":[[2012,8,10]],"date-time":"2012-08-10T20:25:19Z","timestamp":1344630319000},"page":"230-237","source":"Crossref","is-referenced-by-count":15,"title":["Atendimento pr\u00e9-hospitalar \u00e0 m\u00faltiplas v\u00edtimas com trauma simulado"],"prefix":"10.1590","volume":"39","author":[{"given":"Romeo Lages","family":"Sim\u00f5es","sequence":"first","affiliation":[{"name":"Pronto-Socorro do Hospital da Pol\u00edcia Militar do Esp\u00edrito Santo, BR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caio","family":"Duarte Neto","sequence":"additional","affiliation":[{"name":"Pronto-Socorro da Santa Casa de Miseric\u00f3rdia de Vit\u00f3ria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo Sasso Benso","family":"Maciel","sequence":"additional","affiliation":[{"name":"Hospital da Pol\u00edcia Militar do Esp\u00edrito Santo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana Piotz","family":"Furtado","sequence":"additional","affiliation":[{"name":"Hospital Santa Casa de Miseric\u00f3rdia de Campinas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danilo Nagib Salom\u00e3o","family":"Paulo","sequence":"additional","affiliation":[{"name":"Santa Casa de Miseric\u00f3rdia de Vit\u00f3ria; Liga Acad\u00eamica de Cirurgia e Atendimento ao Trauma do Esp\u00edrito Santo"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"issue":"1","key":"ref1","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1590\/S0100-69912006000100003","article-title":"An\u00e1lise comparativa entre os mecanismos de trauma, as les\u00f5es e o perfil de gravidade das v\u00edtimas, em Catanduva - 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a new method of dynamic triage for victims of a catastrophic earthquake","volume":"11","author":"Benson M","year":"1996","journal-title":"Prehosp Disaster Med"},{"issue":"8","key":"ref17","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1111\/j.1553-2712.2005.tb00941.x","article-title":"Mass-casualty triage systems: a hint of science","volume":"12","author":"Cone DC","year":"2005","journal-title":"Acad Emerg Med","ISSN":"https:\/\/id.crossref.org\/issn\/1069-6563","issn-type":"print"},{"issue":"5","key":"ref18","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1016\/j.jemermed.2009.03.029","article-title":"Evaluation of medical management during a mass casualty incident exercise: an objective assessment tool to enhance direct obeservation","volume":"39","author":"Ingrassia PL","year":"2010","journal-title":"J Emerg Med","ISSN":"https:\/\/id.crossref.org\/issn\/0736-4679","issn-type":"print"},{"issue":"5","key":"ref19","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1590\/S0034-89102002000600007","article-title":"Suporte avan\u00e7ado \u00e0 vida: atendimento a v\u00edtimas de acidentes de tr\u00e2nsito","volume":"36","author":"Malvestio MAA","year":"2002","journal-title":"Rev Sa\u00fade P\u00fablica"},{"issue":"1","key":"ref20","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/cc2420","article-title":"Prehospital advanced trauma life support: how should we manage the airway, and who should do it?","volume":"8","author":"Brambrink AM","year":"2004","journal-title":"Crit Care","ISSN":"https:\/\/id.crossref.org\/issn\/0270-7462","issn-type":"print"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1111\/j.1399-6576.1997.tb05508.x","article-title":"Prehospital care, importance of early intervention on outcome","volume":"110","author":"Regel G","year":"1997","journal-title":"Acta Anaesthesiol Scand Suppl","ISSN":"https:\/\/id.crossref.org\/issn\/0515-2720","issn-type":"print"},{"issue":"6","key":"ref22","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1186\/cc1050","article-title":"Intubating trauma patients before reaching hospital - 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