Characterization of care for children by the mobile emergency care service (SAMU)

Abstract

Objective: To characterize the care of children by the Mobile Emergency Care Service (SAMU) of Londrina. Method: This is a cross-sectional, retrospective study of quantitative approach and the data were obtained through documentary analysis of the Rescue Care Reports (RAS), made available by the central medical regulation base of the regional SAMU of Londrina. The sample consisted of the care provided to children from January 1 to December 31, 2018, and excluded from the study were patients who were 12 years of age or older, care provided in another municipality, and records that did not contain mandatory information. . Results: 1,273 cases were included in the year 2018, with the highest number of occurrences in June (12.6%). On Tuesday (17.5%) and in the afternoon (32.6%) the service was most requested. Among the patients treated, 53.5% were male and most were infants (49.2%). Regarding the reason for requesting the service, 69.7% was for transfer, while 25.5% for clinical causes and 4.9% for trauma. In addition, 68.7% of the visits were provided by the Basic Life Support (SBV) team, while 30.2% by the Advanced Life Support (SAV) and 1% by the two services in support (SBV + SAV). The most common procedures were: noninvasive oxygen therapy (5%), medication (3.1%) and venous access (2.3%). Regarding the main outcomes of care, 92.1% were referred to another service, 2.7% released on site and 0.3% resulted in death. Conclusions: Transfers were the main reason for child care by SAMU, showing that often the service is used as inter-hospital transport and not as pre-hospital care.