Manejo prehospitalario y su relación con la complicaciones del trauma cráneo encefálico en el Hospital General Isidro Ayora de Loja.

This investigation evaluates the relation between the prehospital management and the complications in patients with head trauma, whose objectives were to identify the brain trauma by severity, assess the prehospital management of head trauma, determine the complications of head trauma after prehospital management and estimate the ratio of prehospital management of traumatic brain injury with complications; it is a correlational study, transverse, prospective and field-made, that was done in Isidro Ayora Hospital of Loja. There were analyzed 63 patients with diagnostic of head trauma that were attended in the prehospital phase, the data used in the investigation was obtained in the 002 form in the prehospital care and in the 008 form in emergency room. The severity of mild head trauma evaluated by EEG was 52.4%. In 82.5% there was not difficulty in the rescue in the prehospital phase. In the 63.5% of cases the time used in the emergency was more than 30 minutes. The 69.8% of patients were immobilized in the prehospital phase. In the 61.9% of patients there was not used oxygen. The 63.5% arrived to emergency room with a saturation less than 90%, the 55.6% arrived with hypotension, in 82.5% it was not used fluid therapy. In the patients with low saturation and hypotension, there was a relation with a high percentage of intracranial hemorrhage 23.8% and 17.5% respectively. Prehospital Management was related with a mayor complication rate when no supplemental oxygen is used , the percentage of saturation with which they came to the Emergency Service was lower , patients Were identified with hypotension one arrival at the emergency service and the there was not fluid utilization. With this data, it should be done a guide that compile the evidence in the prehospital management of head trauma and socialize with the medical and paramedical personnel, with the objective of stablish consensus in the management of these patients. Key Words: head trauma, prehospital, complications.

• Tác giả chính: Sarango Amay, Karina Marilú (author)
• Định dạng: bachelorThesis
• Ngôn ngữ: spa
• Được phát hành: 2016
• Những chủ đề: TRAUMA CRÁNEO ENCEFÁLICO; MANEJO PREHOSPITALARIO
• Truy cập trực tuyến: http://dspace.unl.edu.ec/jspui/handle/123456789/16380