DI FERRARI - SEVERITY INDEX IN EMERGENCY-  Autor: FERRARI.D

www.douglasferrari.com sobrati@uol.com.br

The Emergency and the Severity index is a Complex State and Relative. The emergencist must have knowledge clinical and syndromic, to establish the sequence of the Protocol SOBRATI 1-2-3  (1- Conscious; 2-Breathing; 3-Circulation). Nothing more left to known, except the Operation Vital, ie, the three systems - Neurological, Respiratory and Circulatory - to implement measures. The most important goal is to maintain and restore arterial pressure and ventilation support. Every patient should be kept in Mechanical Ventilation Assisted either invasive or non-Invasive, the dependence of Glasgow. Remember: the patient deteriorates and serious if not attended properly can collapse and display PCR. 90% of critically ill patients should be intubated. Not exceed more than 50% of the usual dose in the induction anesthetic - Good Luck - What the Wisdom Drive you" DF  *ACLS - CAD ( Circulation, Airway, Defibrillation )  * IBS ( Intensive Basic Support - SOBRATI ) 1-2-3

Sequence 1-2-3

The 1-2-3 sequence reflects the initial neurological assessment (glasgow), Breathing (Degree of Dyspnea or Apnea) and Verification Carotid Pulse (Flow Maintenance, filiform - thready or absent).

SCALE OF POINTS OF GRAVITY

Occurrence Normal Mid Moderate Advanced 1 Conscious 0 1 2 3 2 Respiration 0 1 2 3 3 Circulation 0 1 2 3

CHANCE OF DEATH AND DEGREE OF GRAVITY ( 0 a 10 PoINTS ) : For 1 Point -  add 10% of death´s chances - For 9 Pontos ( Pré-CPR) Estado Geral Regular Mau Grave Crítico Critérios PCR Pontuação 1-2 3-4 5-6 7-8 9 Chance de Óbito < 10% < 30% > 50%  > 70% > 90%

       

PC SYSTEM - CLINICAL RECORD

Paciente: RG:   ( anexar no prontuário ) 

ESCALA DE CHANCES DE ÓBITO - GRAVIDADE

Pesquisa desenvolvida pelo Instituto de Pesquisa Clínica Dr. Douglas Ferrari - "Nenhum Índice substitui a Clínica "