Melhoria da qualidade do atendimento a emergências em um Batalhão do Exército na Amazônia
The Amazon Jungle is a tropical forest characterized, among other aspects, by high rainfall, high temperatures and great distance from health centers. The Brazilian Army soldiers who work in this locality are exposed to risks inherent to military activity and to risks related to the characteristi...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/52685 |
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| Resumo: | The Amazon Jungle is a tropical forest characterized, among other aspects, by high
rainfall, high temperatures and great distance from health centers. The Brazilian Army soldiers
who work in this locality are exposed to risks inherent to military activity and to risks related to
the characteristics of the Jungle. In case of medical emergencies, the seriously ill soldier must
be treated with a limited number of resources and there may be difficulties in transporting him
to definitive treatment at a referral hospital. The team responsible for emergency care is made
up of health personnel, who must be able to handle critically ill patients without immediate
backup of a tertiary service. This study describes the implementation of an educational strategy
to train a health team to respond to emergencies in the 53rd Batalhão de Infantaria de Selva in
2020 and 2021. This intervention was conceived based on an improvement cycle implemented
by the team that identified the opportunity to improve training in emergencies. The educational
strategy comprised a theoretical-practical course on emergency care and a cardiopulmonary
resuscitation protocol for the service. The course lasted 10 hours/class and was applied to 18
military personnel. Dialogued theoretical classes, simulations of cardiorespiratory resuscitation
on a dummy and pre-hospital care simulations took place. The themes were chosen with the
participation of the students: cardiopulmonary resuscitation; pre-hospital care; drowning;
hypothermia; burns; accidents with venomous animals; rhabdomyolysis; use and maintenance
of equipment. The cardiopulmonary resuscitation protocol was designed, reviewed and
approved by the group. To measure content apprehension, identical pre-test and post-test were
applied. There was interest and adherence of the students and there was an absolute and
relative improvement of correct answers between the tests. This is the first description of such
a strategy in the military context and in the Amazon. The results of this study can contribute to
improving the quality of care, however, in order to measure the impact on the quality of the
service, it is necessary that the strategy be expanded and that quality indicators be monitored. |
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