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Background: Motorcycle traffic accidents represent a serious social, economic, and health problem in Brazil. Parte superior do formulário. Objective: To analyze the spatial distribution and factors associated with urban traffic accidents attended by the emergency mobile care service (SAMU) in Arapiraca, Alagoas, in 2018. Method: Ecological study including victims of urban traffic accidents that occurred in Arapiraca, Alagoas, in 2018. The sociodemographic and clinical variables were obtained from the SAMU care records. Incidence rates (IT) per 10,000 inhabitants were calculated. The spatial units adopted were the neighborhoods. Global and local Moran statistics were used in the analysis. Results: 1,296 victims were registered, with a higher incidence rate in males (TI 79.62) and in the age group 20-29 years (TI 106.52). The occurrences involving motorcycles corresponded to 85.3%. The time with the highest accident rate was between 18h00min and 20h59min (RR 6.48; 95% CI: 6.48-10.36) and the day was Saturday (RR 1.62; 95% CI: 1.46-1, 78). The spatial analysis identified priority areas on the highways (n = 172; 13.27%) and concentration in five neighborhoods (n = 433; 33.41%). Conclusion: The spatial distribution was heterogeneous, and the associated factors were male gender, young age, involving motorcycles, time between 18:00 and 20:59 on Saturdays. [ABSTRACT FROM AUTHOR]

Resumo Introdução Acidentes de trânsito envolvendo motocicletas representam um grave problema social, econômico e de saúde no Brasil. Objetivo Analisar a distribuição espacial e os fatores associados aos acidentes de trânsito urbanos atendidos pelo Serviço de Atendimento Móvel de Urgência (Samu) em Arapiraca, Alagoas, em 2018. Método Estudo ecológico incluindo vítimas de acidente de trânsito urbano ocorridos em Arapiraca, AL, em 2018. As variáveis sociodemográficas e clínicas foram obtidas das fichas de atendimento do SAMU. Foram calculadas as taxas de incidência (TI) por 10 mil habitantes. As unidades espaciais adotadas foram os bairros. As estatísticas de Moran global e local foram utilizadas na análise. Resultados Foram registradas 1.296 vítimas, com maior taxa de incidência no sexo masculino (TI 79,62/10 mil habitantes) e faixa etária 20-29 anos (TI 106,52/10 mil habitantes). As ocorrências envolvendo motocicletas corresponderam a 85,3%. O horário com maior frequência de acidentes foi entre 18h00min e 20h59min (RR 6,48; IC 95%: 6,48-10,36) e o dia, sábado (RR 1,62; IC 95%: 1,46-1,78). A análise espacial identificou áreas prioritárias nas rodovias (n = 172; 13,27%) e concentração em cinco bairros (n = 433; 33,41%). Conclusão A distribuição espacial foi heterogênea e os fatores associados foram sexo masculino, idade jovem, envolvendo motocicletas, horário noturno e no sábado.

Objective: to describe the clinical profile of men met in an emergency care unit, of the public health sector, in a city in Northeastern Brazil. Method: descriptive study, conducted through analysis of 500 records of men met in the emergency unit, in the period from January to December 2015. Results: the main complaint was pain (35.2%), stable clinical situation (90.4%), non-urgent risk classification (47.9%), without pre-existing injuries (80.2%), medical diagnosis of pain in general (22.6%), the therapy used was medication (87.4%), the case evolution was recovery-related discharge (91.6%), there was no need for referral (88.0%) and there were no records of nursing diagnoses (96.8%). Conclusion: the clinical profile of men met in a health care unit in Northeastern Brazil presents as characteristics situations of low complexity without changes in the level of hemodynamic stability and the need for other diagnostic and therapeutic resources. [ABSTRACT FROM AUTHOR]

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Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Few healthcare centers in Brazil perform thrombolytic therapy for acute ischemic stroke (AIS) patients. OBJECTIVE: The aim of this study was to describe an interinstitutional protocol for the rapid identification and thrombolytic treatment of AIS patients at a public health hospital in a large Brazilian city. METHOD: Emergency medical services (EMS) personnel evaluated 433 patients with possible stroke during a six-month period. After a standard checklist, patients with suspected AIS and symptoms onset of less than two hours were evaluated at our University Hospital (UH). RESULTS: Sixty-five (15%) patients met the checklist criteria and had a symptom onset of less than two hours, but only 50 (11%) patients were evaluated at the UH. Among them, 35 (70%) patients had ischemic stroke, 10 (20%) had hemorrhagic stroke, and 5 (10%) had other diagnoses. Of the 35 ischemic stroke patients, 15 (43%) underwent IV thrombolysis. CONCLUSION: The present study demonstrated that trained EMS workers could help to improve the rate of thrombolytic treatment in large Brazilian cities. Permanent training programs for EMS and hospital staff, with quality control and correct identification of AIS patients, should be implemented to increase appropriate thrombolytic therapy rates in Brazil.

INTRODUÇÃO: A violência na atualidade tem se comportado como um sério problema de saúde pública, e os serviços de urgência têm se constituído em porta de entrada para mulheres agredidas. Por essa razão, objetivou-se, com o presente trabalho, levantar os casos de violência contra a mulher atendidos em uma unidade de urgência no ano de 2004. MÉTODO: Estudo quantitativo, descritivo, retrospectivo, realizado em Teresina (PI), no Serviço de Pronto-Socorro do Hospital Getúlio Vargas, com amostra populacional de 100 casos selecionados por amostragem sistemática, tendo por instrumento um formulário com perguntas fechadas. RESULTADOS: A violência apresentou alta magnitude entre as mulheres usuárias dos serviços de pronto-atendimento, mas com elevada taxa de subnotificação quanto ao tipo de agressor (89%) e causas da violência sem registro (80%) CONCLUSÕES: Concluiu-se que os registros de violência foram maiores nos casos em que as mulheres apresentaram marcas físicas; foi expressivo o número de subnotificação de agressores. Finalmente, é conveniente que os profissionais que atendem mulheres vítimas da violência doméstica sejam treinados para identificar, acolher e registrar corretamente os casos de violência.INTRODUCCIÓN: La violencia en la actualidad se ha comportado como un serio problema de salud pública, y los servicios de urgencia se han constituido como puerta de entrada para las mujeres agredidas. Por lo tanto, fue objetivado, con el actual trabajo, levantar los casos de violencia contra la mujer, atendidos en una unidad de urgencia en el año de 2004. MÉTODO: Estudio cuantitativo, descriptivo, retrospectivo, realizado en Teresina (Piauí - Brasil), en el Servicio Médico de Urgencia del hospital de Getúlio Vargas, con muestra poblacional de 100 casos seleccionadas por el muestreo sistemático, teniendo por instrumento un formulario con preguntas cerradas. RESULTADOS: La violencia presentó alta magnitud entre las mujeres que usaban los servicios médicos de emergencia, pero con elevada taza de subnotificación cuanto el tipo de agresor (89%) y causas de la violencia sin registro (80%). CONCLUSIONES: Se concluye que los registros de violencia habían sido mayores en los casos donde las mujeres habían presentado marcas físicas; era expresivo el número de subnotificación de agresores. Finalmente, es conveniente que los profesionales que cuidan de las mujeres víctimas de la violencia doméstica sean entrenados para identificar, acoger y registrar correctamente los casos de violencia.INTRODUCTION: The violence in the present time has behaved as a serious problem of public health, and the urgency services have constituted itself as a door of entrance for attacked women. Therefore, it was objectified, with the present work, to raise the cases of violence against the woman who is attended in a unit of urgency in the year of 2004. METHOD: Quantitative, descriptive, retrospective study, carried through in Teresina (Piauí - Brazil), the Emergency Medical Service of the Getúlio Vargas Hospital, with population sample of 100 cases selected for systematic sampling, having for instrument a form with closed questions. RESULTS: The violence presented high dimension among the using women of the emergency medical services, but with raised tax of under notification about the type of aggressor (89%) and causes of the violence without register (80%). CONCLUSIONS: It is concluded that the violence registers had been bigger in the cases where the women had presented physical marks; the number of under notification of aggressors was expressive. Finally, it is convenient that the professionals who take care of to women victims of the domestic violence are trained to correctly identify, receive and register the violence cases.

Objective: to characterize the occurrences met by the mobile pre-hospital service. Method: this is a descriptive and cross-sectional study, using a quantitative approach. Results: among the rescue requests, the clinical type had the highest proportion (58.9%), followed by traumatic including 30.4% of the cases. With regard to clinical events, we can highlight the occurrences related to problems with the circulatory system (19.0%). The traumatic occurrences, in turn, were mostly related to accidents involving motor vehicles (38.5%). As regards the general distribution of services requested by sex, the highest percentage (50.7%) corresponded to males. Conclusion: the study shows greater care by clinical causes, which is the result of unmet needs in the public network. The occurrence of certain health problems was linked to the gender factor and temporality. [ABSTRACT FROM AUTHOR]

Copyright of Arquivos de Neuro-Psiquiatria is the property of Thieme Medical Publishing Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)