IMPORTANCE OF THE APPLICATION OF THE EXTENDED FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA (EFAST) PROTOCOL IN A TRAUMATOLOGY REFERRAL HOSPITAL IN THE SOUTHERN REGION OF RIO DE JANEIRO

Abstract

INTRODUCTION: To demonstrate the need to apply the EFAST protocol in a regional hospital of high complexity in traumatology in the South of Rio de Janeiro. Analyze the costs involved in the hospitalization and treatment of trauma patients at this hospital. METHODOS: Epidemiological, observational, and retrospective study, assessing the need for radiological or surgical interventions in the care of traumatized patients in a traumatology referral hospital. The analysis of hospitalization costs, unnecessary exams and non-therapeutic surgeries. RESULTS: No national EFAST payment table was found. There is an expenditure of 20.9% more with the unnecessary use in exams and when comparing values between the use of ultrasound as the first diagnostic method instead of computed tomography, the hospital could save 79.12% per patient. DISCUSSION: It is important to prepare your own pay table for EFAST. After data analysis, there are possible financial and therapeutic advantages of applying the EFAST protocol in the emergency department of a referral hospital in the southern region of Rio de Janeiro.