Um doente asmático morreu na passada segunda feira a espera de socorro na Terrugem, a família acusa o INEM de lentidão na prestação do socorro.O INEM diz que não houve falhas no socorro, a fita de tempo foi :
21H48 – Pedido de socorro
21h54 - è accionada a ambulância dos Bombeiros de Sintra
21h59 - Segunda chamada de socorro, é informado que a vitima esta inconsciente sem respirar,
operador ensina manobras de SBV aos acompanhantes da vítima
22h09 - Ambulância dos Bombeiros chaga a ao local, iniciam SBV
22h04 - É accionada a VMER de Cascais
22h30 - Chega a VMER ao local
Perante essa fita de tempo, existem tempos anormais que podem ser responsáveis por um deficiente socorro, como:
- Existem 6 minutos de diferença entre o pedido de socorro e o accionamento da ambulância, um tempo demasiado excessivo e sem qualquer explicação plausível, porque até o tipo de situação da vítima era fácil de efectuar a triagem.
- Existem 16 minutos de diferença entre a chamada de socorro e o accionamento da VMER e 5 minutos de diferença entre a segunda chamada de socorro efectuada pelos familiares, que dão conta de uma paragem cardiorespiratória e o accionamento da VMER.
Numa situação de paragem cardio-respiratória cada minuto perdido corresponde, em média à perda de entre 7% a 10% da probabilidade de sobrevivência, os tempos gastos entre a chamada de socorro, o accionamento dos meios de socorro e a chegada dos meios ao local, são tempos demasiados longos para um socorro dito normal, porque se é importante ter meios especializados para o socorro, mais importante é que esses meios actuem em tempo útil a fim de salvar a vida da vítima.
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Exmo. Senhor,
Sobre a situação que refere no texto de sua autoria, importa ao Instituto Nacional de Emergência Médica (INEM) explicar o seguinte:
Pelas 21h50 do dia 4 de Agosto 2008, o Centro de Orientação de Doentes Urgentes de Lisboa e Vale do Tejo (CODU LVT), recebeu um pedido de socorro para um homem de que sentia “falta de ar”.. Foi enviada uma ambulância para o local, dos Bombeiros Voluntários de Sintra, a ambulância mais perto do local da ocorrência.
Esta foi uma chamada que teve a duração de cerca de 6 minutos, ou seja, não existiu nenhum atraso por parte do INEM. Os 6 minutos foram o tempo necessário para apurar o que se passava no local o que, apesar de V. Exa. afirmar tratar-se de uma situação de triagem fácil, assim não aconteceu. Tal deveu-se a uma falta de colaboração por parte dos contactantes, consequência do nervosismo, não explicando ao INEM quais os sinais e sintomas da vítima e, inclusive, desconhecendo a morada onde se encontravam, o que levou algum tempo em apurar.
Pelas 22h07, o CODU LVT recebeu uma nova chamada, na qual se concluiu que a vítima estava inconsciente e sem pulsação. O operador alertou que a ambulância estava a caminho, e manteve-se ao telefone com o contactante - até à chegada dos meios - explicando como fazer manobras de reanimação. Foi ainda accionada de imediato uma Viatura Médica de Emergência e Reanimação (VMER), localizada no Hospital de Cascais. Assim, a VMER foi accionada quando os sinais e sintomas da vítima assim o exigiam, até então não se haviam verificado critérios clínicos para tal.
Pelas 22h23, a VMER chegou ao local da ocorrência. Pelas 23h08, a equipa da VMER informou o CODU LVT que as manobras de Suporte Avançado de Vida (cerca de 40 minutos), foram infrutíferas e verificado o óbito.
Perante a análise dos factos concluiu-se que, em função dos sinais e sintomas clínicos apresentados pela vítima, o plano de resposta de envio de uma ambulância foi correcto. Após a recepção de novos dados do local, 8 minutos depois, informando da alteração do estado de consciência e da ausência de pulso, foram reforçados os meios para o local, accionando-se um meio diferenciado – uma VMER. Realce-se ainda para o facto de o operador ter dado as recomendações adequadas, ensinado como efectuar manobras de reanimação e instigando a sua execução.
A vida humana é para este Instituto um bem de maior valor, sendo que sempre que não se consegue evitar o fim de uma vida é, para nós, uma situação dolorosa. Todos os cidadãos são merecedores do nosso respeito e da vontade de prestar os cuidados de emergência médica de que necessitem, e todas as situações são encaradas por nós com a gravidade que exigem.
Esperando ter contribuído para um esclarecimento cabal desta situação, encontramo-nos à disposição para prestar as informações adicionais que entenda necessárias.
Melhores cumprimentos,
Ana F. S. Ros
Gabinete de Comunicação e Imagem
Instituto Nacional de Emergência Médica
Rua Almirante Barroso, 36 / 1000-013 Lisboa – Portugal
Tel. + 351 213 508 108 / Fax. + 351 213 508 183
e-mail: ana.ros@inem.pt
Internet: www.inem.pt
Existe alguma diferença nas fitas de tempo relativo a ocorrência que saíram na comunicação social e as agora apresentadas por si.
Existia a necessidade de rever o tema sobre as probabilidades de sobrevivência das vítimas em certas emergências para se defender os tempos por si defendidos, porque é tecnicamente impossível salvar alguém com triagens dessas e com accionamentos tão tardios dos meios de socorro.
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