Management of bleeding in trauma victims by Portuguese nurses in prehospital setting.

Introduction: External bleeding is the leading preventable cause of death from traumatic injuries. Implementation guidelines for its control have been associated with a significant reduction in mortality. The objectives this study were to provide characterisation trauma patients external and compare outcomes specific autonomous interventions applied by nurses prehospital care. Methods: A non-randomised prospective was conducted Immediate Life Support Ambulances Portugal, 1 March 2019 30 April 2020. Patients divided into two groups according whether controlled or not on their arrival at emergency room. Results: total 189 included (73.0% men; mean age 53.6 years). Among these patients, 140 (74.1%) had nurse’s intervention. average time assistance incident site 31.5 min. uncontrolled higher rescue (30.8 ±15.2 vs 33.7 ±13.0). Cryotherapy administered 15.9% all 93.3% arrived room (p=0.01). Discussion: Despite substantial number who keep after care, it observed that one fifth has shown be effective controlling bleeding. Failure use haemostatic agents may explain ineffective more complex Contribution Emergency Nursing Practice: current literature management scarce contradictory, especially terms provided teams led registered nurse. In addition, vary country country. This article increases awareness implemented manage Key implications nursing practice identified suggest greater fluid therapy appears harmful while cryotherapy achieved best results (control arrival). contribute review institutional algorithms training area.