Performance of health personnel in victims of penetrating firearm wounds to prevent life-threatening complications

Abstract

OBJECTIVE: To systematize the evidence regarding the role of healthcare personnel in victims of penetrating gunshot wounds to prevent potentially fatal complications. MATERIAL AND METHODS: This is a systematic review of 10 scientific articles on the role of healthcare personnel in victims of penetrating gunshot wounds to prevent potentially fatal complications. The articles were obtained from the following databases: Pubmed, Medline, Embase, Cochrane Library, Dialnet, Scielo, and Lilacs, and were analyzed according to the GRADE scale to determine the strength and quality of the evidence. Of the 10 articles, 70% correspond to randomized clinical trials, and 30% to systematic review methodology. The countries of origin are the United States (20%), Egypt (10%), Turkey (10%), Brazil (20%), England (10%), Colombia (10%), Germany (10%), and Mexico (10%). RESULTS: Of the 10 articles reviewed, 100% (10/10) demonstrate that the actions of healthcare personnel in victims of penetrating gunshot wounds are effective in preventing potentially fatal complications. CONCLUSIONS: All 10 of the articles provide evidence that the actions of healthcare personnel in victims of penetrating gunshot wounds are effective in preventing potentially fatal complications. This highlights the importance of healthcare intervention, with different methods of care for various types of injuries in victims with such trauma, which helps initiate proper control of tissue damage and injuries, as well as preventing possible fatal complications.

Es una revisión sistemática de 10 artículos científicos sobre la actuación del personal de salud en víctimas por heridas penetrantes por arma de fuego para prevenir complicaciones potencialmente mortales, fueron obtenidos de la siguiente base de datos Pubmed, Medline, Embase, Cochrane Library, Dialnet, Scielo, y Lilacs, y analizados según la escala Grade para determinar la fuerza y calidad de la evidencia, de los 10 artículos, el 70% corresponden a estudios clínicos aleatorizados, y 30% al diseño metodológico de revisión sistemática, en conclusión los artículos evidencian que la actuación del personal de salud en las víctimas por heridas penetrantes por arma de fuego es eficaz para prevenir complicaciones potencialmente mortales; es decir, se quiere dar a conocer que una atención por parte del personal de salud es vital, con diferentes maneras de atención, en los diferentes tipos de lesiones de las víctimas con dicho trauma ayuda a iniciar un buen control del daño a los tejidos y las lesiones producidas, además que previene de posibles complicaciones mortales.