Emergências decorrentes do trauma em pequenos animais: técnicas e manual para equipes de pronto-atendimento

Abstract

Trauma is the higher cause of death in small animals. Despite this, some literature which can be used for training people or staff in the emergency care is still unavailable. The objectives of this experiment were divided in 6 parts: 1- develop a rib retractor that can open the chest faster; 2- introduce an emergence ligament traction pericardiothomy technique; 3- a transdiaphragmatic access to introduce an thoracic tube; 4- create a program for trainment of emergency staff; 5- create a manual for trainment of trauma care staff and 6- determine the Critical Step of the Emergency Procedure (CSEP) in Veterinary Medicine. The emergency ligament traction pericardiothomy technique and the fast rib retractor for Internal Cardiac Massage promoted the decrease in the necessary time to the beginning of Internal Cardiac Massage, which can concur to outliving. The transdiaphragmatic drain introduction was ineffective, due to its low success index. The emergency staff trainment became possible with the creation of a manual, what was confirmed by the evaluations, with income upper to 85%. Finally, the CSEP were determined to the emergency procedures. It means the main step of the technique, where its main objective is reached. In this way, an important amount of time is not consume by executing tasks that are not important in that moment for the politraumatized patient.