Recebido em: 17/04/2015 -Aprovado em: 25/08/2015 -Disponibilizado em: 30/10/2015 RESUMO: Esta pesquisa surgiu da vivência em um Hospital de referência em Trauma, onde foi observado um grande número de pacientes com diagnóstico de traumatismo cranioencefálico e que, ao passarem um tempo demasiado longo hospitalizados, evoluíam para a traqueostomia e, em consequência, pôde-se observar seu processo de desmame e decanulação que, no âmbito do Hospital Metropolitano é realizada de forma diferenciada. Foi estudada a relação entre o tempo de desmame e decanulação da traqueostomia e o tempo de hospitalização, a presença de complicações póstraqueostomia e o protocolo de desmame de traqueostomia adotado pelo hospital. Objetivamos analisar a relação entre o tempo de hospitalização dos pacientes vítimas de traumatismo cranioencefálico e que realizaram traqueostomia e a realização do protocolo de desmame do hospital, bem como observar a incidência das complicações que podem ocorrer. Os objetivos foram alcançados mediante realização de coleta de dados em prontuários de pacientes hospitalizados no HMUE no ano de 2012. Observou-se a correlação no tempo de desmame e decanulação de traqueostomia no tempo de alta hospitalar e no tempo de hospitalização do paciente vítima de Trauma Cranioencefálico. A não padronização no processo do cuidado com a traqueostomia causa um grande desentendimento entre vários profissionais na hora de lidar com esse tipo de situação. Palavras-Chave: Trauma Craniano.Traqueostomia.Desmame.Fisioterapia.Decanulação ABSTRACT: This research arose from the experience in a Hospital's Trauma, where a large number of patients with traumatic brain injury was observed and that by spending too long a time hospitalized, progressed to tracheostomy, and consequently, we could observe your processor of decannulation that, in the Hospital Metropolitano is performed differently. We studied the relationship between the time of weaning and decannulation of tracheostomy and

The insertion of the physiotherapist in urgency and emergency units in a multidisciplinary team can support the care and treatment of patients who come to this type of service. The objective wasto identify the clinical and epidemiological profile of patients seen by physiotherapists in the emergency service of a referral hospital in trauma and burn high and medium complexity during the 90 days period and check the work of physiotherapists in this service.Observational, retrospective study with descriptive statistics which analyzed medical records of patients seen by physiotherapists in the Emergency Room of the Emergency Hospital Metropolitano and Emergency. The sample was composed of 175 patients records, most males 82.29% (144), aged 19-29 years (28.57%), coming from Belém-PA 65.14% (70), submitted to conservative medical treatment 65.14% (114). Traumatic brain injury was the most prevalent type of trauma 65.71% (115). The body region most affected by the trauma was the head 74.86% (131) and the most common mechanism of injury was the motorcycle accident 32.57% (57). The red risk rating was the most observed 62.3% (109). The respiratory therapy procedures were performed more mechanical ventilation control 88% (154) and endotracheal suctioning 60.57% (106). The fate of most of the patients were in the ICU 68.5% (120). Thus the operation of physical therapy in the emergency care sector aims to ameliorate the clinical signs and symptoms, including breathing in order to optimize the clinical treatment through behaviors such as mechanical ventilation control, tracheal suctioning , mechanical ventilation assembly, intra-hospital transport , respiratory therapy techniques. It is necessary to carry out studies to assess the impacts of these activities.

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Physiotherapists’ knowledge of brain death and maintenance of potential donors