{"id":597,"date":"2020-05-06T12:39:22","date_gmt":"2020-05-06T15:39:22","guid":{"rendered":"https:\/\/intranet.ophthal.com.br\/?page_id=597"},"modified":"2026-03-18T08:45:32","modified_gmt":"2026-03-18T11:45:32","slug":"doc-035-atendimento-de-emergencia-parada-cardio-respiratorio","status":"publish","type":"page","link":"https:\/\/intranet.ophthal.com.br\/?page_id=597","title":{"rendered":"DOC &#8211; 035 &#8211; ATENDIMENTO DE EMERG\u00caNCIA PARADA CARDIO RESPIRAT\u00d3RIO"},"content":{"rendered":"<p>&nbsp;<\/p>\n<table style=\"width: 100%; border-collapse: collapse; border-color: #000000; border-style: solid;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 272px;\"><img decoding=\"async\" class=\"wp-image-345 aligncenter\" src=\"https:\/\/intranet.ophthal.com.br\/wp-content\/uploads\/2020\/03\/5x3_logo-300x200.jpg\" alt=\"\" width=\"189\" height=\"126\" srcset=\"https:\/\/intranet.ophthal.com.br\/wp-content\/uploads\/2020\/03\/5x3_logo-300x200.jpg 300w, https:\/\/intranet.ophthal.com.br\/wp-content\/uploads\/2020\/03\/5x3_logo.jpg 591w\" sizes=\"(max-width: 189px) 100vw, 189px\" \/><\/td>\n<td style=\"width: 271px; text-align: center;\"><span style=\"font-family: 'arial black', sans-serif;\"><strong>PROTOCOLO<\/strong><\/span><\/td>\n<td style=\"width: 272px;\">\n<p style=\"text-align: center;\"><span style=\"font-family: 'arial black', sans-serif;\"><strong>PAGINA<\/strong><\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-family: 'arial black', sans-serif;\"><strong>1 DE 1<\/strong><\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table style=\"width: 100%; border-collapse: collapse; border-style: solid; border-color: #000000; height: 24px;\" border=\"1\">\n<tbody>\n<tr style=\"height: 24px;\">\n<td style=\"width: 50%; text-align: center; height: 24px;\"><span style=\"font-family: 'arial black', sans-serif;\"><strong>INSTITUCIONAL<\/strong><\/span><\/td>\n<td style=\"width: 50%; height: 24px; text-align: center;\"><span style=\"font-family: 'arial black', sans-serif;\"><strong>IMPLANTA\u00c7\u00c3O: 10\/2016<\/strong><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table style=\"width: 100%; border-collapse: collapse; border-style: solid; border-color: #000000;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 33.3333%; text-align: center;\"><span style=\"font-family: 'arial black', sans-serif;\"><strong>DOC n\u00ba 035<\/strong><\/span><\/td>\n<td style=\"width: 33.3333%; text-align: center;\"><span style=\"font-family: 'arial black', sans-serif;\"><strong>REVIS\u00c3O: n\u00ba 03 &#8211; 03\/2024<\/strong><\/span><\/td>\n<td style=\"width: 33.3333%; text-align: center;\"><span style=\"font-family: 'arial black', sans-serif;\"><strong>PR\u00d3XIMA REVIS\u00c3O: 03\/2027<\/strong><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table style=\"width: 100%; border-collapse: collapse; height: 24px;\" border=\"1\">\n<tbody>\n<tr style=\"height: 24px;\">\n<td style=\"width: 100%; text-align: center; height: 24px;\"><span style=\"font-family: 'arial black', sans-serif;\"><strong>ATENDIMENTO DE EMERG\u00caNCIA PARADA CARDIO RESPIRAT\u00d3RIO<\/strong><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong><span style=\"font-size: 16px; font-family: arial, helvetica, sans-serif;\">1.\u00a0 \u00a0Introdu\u00e7\u00e3o<\/span><\/strong><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\">\u00a0Este protocolo cl\u00ednico foi elaborado para orientar toda a equipe sobre procedimentos a serem tomados quando em situa\u00e7\u00e3o de emerg\u00eancia.<\/span><\/p>\n<p><strong><span style=\"font-size: 16px; font-family: arial, helvetica, sans-serif;\">2.\u00a0 <span style=\"font-family: arial, helvetica, sans-serif;\">Responsabilidades<\/span><\/span><\/strong><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\">Corpo Cl\u00ednico<\/span><\/p>\n<p><strong><span style=\"font-size: 16px; font-family: arial, helvetica, sans-serif;\">1.\u00a0 Conduta<\/span><\/strong><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\"><u>RECONHECIMENTO E ACIONAMENTO IMEDIATO DO SERVI\u00c7O M\u00c9DICO DE EMERG\u00caNCIA<\/u><\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\"><strong>O <\/strong><strong>profissional do setor deve reconhecer a Perda de consci\u00eancia<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\">Avalie a responsividade: Chame o paciente pelo nome!<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\">Avalie a respira\u00e7\u00e3o e pulso simultaneamente por 10 segundos.<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\">Em caso de detec\u00e7\u00e3o de aus\u00eancia de responsividade,\u00a0<strong>respira\u00e7\u00e3o (ou gasping) e pulso<\/strong>, solicite a outro profissional, de forma\u00a0<strong><u>clara<\/u><\/strong>\u00a0e\u00a0<strong><u>objetiva<\/u><\/strong>, que:<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\">Ap\u00f3s os comandos, iniciar imediatamente a Sequ\u00eancia de Atendimento C \u2013 A \u2013 B:<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\"><strong>C<\/strong>: Compress\u00f5es tor\u00e1cicas de alta qualidade;<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\"><strong>A<\/strong>: Vias a\u00e9reas \u2013 abrir vias a\u00e9reas;<\/span><\/li>\n<li><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\"><strong><u>\u00a0RCP \u00a0IMEDIATA DE ALTA QUALIDADE<\/u><\/strong><\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\"><strong><u>\u00a0<\/u><\/strong><\/span><\/p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\">Deve-se iniciar as compress\u00f5es tor\u00e1cicas e ventila\u00e7\u00e3o em todos os pacientes adultos com PCR, seja por causa card\u00edaca ou n\u00e3o card\u00edaca.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\"><strong><u>\u00a0Compress\u00f5es Tor\u00e1cicas de Alta Qualidade:<\/u><\/strong><\/span><\/p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\">Com as m\u00e3os sobre a metade inferior do esterno (regi\u00e3o hipotenar), sem flexionar os cotovelos;<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\"><strong><u>Frequ\u00eancia:<\/u><\/strong>\u00a0100 a 120 compress\u00f5es\/ minuto;<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\"><strong><u>Profundidade<\/u><\/strong>: m\u00ednima de 2 polegadas (5 cm) e m\u00e1ximo 2,4 polegadas (6 cm);<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\">Permitir retorno total do t\u00f3rax ap\u00f3s cada compress\u00e3o. N\u00e3o apoiar-se sobre o t\u00f3rax entre as compress\u00f5es;<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\">Minimizar as interrup\u00e7\u00f5es nas compress\u00f5es. N\u00e3o interromper as compress\u00f5es por mais de 10 segundos;<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\"><strong>Colocar a prancha r\u00edgida embaixo do t\u00f3rax do paciente, assim que dispon\u00edvel.<\/strong><\/span><\/li>\n<\/ul>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\"><strong>\u00a0<\/strong><\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\"><strong><u>\u00a0Rela\u00e7\u00e3o Ventila\u00e7\u00e3o-Compress\u00e3o adequada<\/u><\/strong><strong>:<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\"><strong>Sem via a\u00e9rea avan\u00e7ada:<\/strong><\/span>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\">Realizar abertura de vias a\u00e9reas;<\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14px;\">Ventila\u00e7\u00e3o numa rela\u00e7\u00e3o: 30:2, ou seja, 30 compress\u00f5es: 2 ventila\u00e7\u00f5es (at\u00e9 a garantia de uma via a\u00e9rea avan\u00e7ada).<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img decoding=\"async\" class=\"aligncenter\" src=\"href=&quot;https:\/\/intranet.ophthal.com.br\/ophthal_docs\/docs_ona\/doc035.png\" alt=\"\" width=\"899\" \/><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/intranet.ophthal.com.br\/ophthal_docs\/docs_ona\/doc035.png\" alt=\"\" width=\"509\" height=\"545\" \/><\/p>\n<p>&nbsp;<\/p>\n<table style=\"width: 100%; border-collapse: collapse; border-style: solid; border-color: #000000;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 33.3333%;\"><span style=\"font-family: 'arial black', sans-serif;\"><strong><span style=\"font-size: 8pt;\">\u00a0Elabora\u00e7\u00e3o<\/span><\/strong><\/span><br \/>\n<span style=\"font-size: 8pt; font-family: arial, helvetica, sans-serif;\">\u00a0Marcia Casagrande \u2013 Ger. Centro cirurgico<\/span><br \/>\n<span style=\"font-size: 8pt; font-family: arial, helvetica, sans-serif;\">\u00a0Ana Cristina Leal &#8211; M\u00e9dica anestesiologista.<\/span><\/td>\n<td style=\"width: 33.3333%;\"><span style=\"font-family: 'arial black', sans-serif;\"><strong><span style=\"font-size: 8pt;\">\u00a0Revis\u00e3o<\/span><\/strong><\/span><\/p>\n<p><span style=\"font-size: 8pt; font-family: arial, helvetica, sans-serif;\">\u00a0Ana Cristina Leal &#8211; M\u00e9dica anestesiologista.<\/span><\/td>\n<td style=\"width: 33.3333%;\"><span style=\"font-family: 'arial black', sans-serif;\"><strong><span style=\"font-size: 8pt;\">\u00a0Aprova\u00e7\u00e3o<\/span><\/strong><\/span><br \/>\n<span style=\"font-size: 8pt; font-family: arial, helvetica, sans-serif;\">\u00a0Rodrigo Brant &#8211; <\/span><span style=\"font-size: 8pt; font-family: arial, helvetica, sans-serif;\">S\u00f3cio diretor.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; PROTOCOLO PAGINA 1 DE 1 INSTITUCIONAL IMPLANTA\u00c7\u00c3O: 10\/2016 DOC n\u00ba 035 REVIS\u00c3O: n\u00ba 03 &#8211; 03\/2024 PR\u00d3XIMA REVIS\u00c3O: 03\/2027 ATENDIMENTO DE EMERG\u00caNCIA PARADA CARDIO RESPIRAT\u00d3RIO &nbsp; 1.\u00a0 \u00a0Introdu\u00e7\u00e3o \u00a0Este protocolo cl\u00ednico foi elaborado para orientar toda a equipe sobre procedimentos a serem tomados quando em situa\u00e7\u00e3o de emerg\u00eancia. 2.\u00a0 Responsabilidades Corpo Cl\u00ednico 1.\u00a0 Conduta [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":568,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"blank-page-with-container.php","meta":{"footnotes":""},"class_list":["post-597","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/intranet.ophthal.com.br\/index.php?rest_route=\/wp\/v2\/pages\/597","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/intranet.ophthal.com.br\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/intranet.ophthal.com.br\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/intranet.ophthal.com.br\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/intranet.ophthal.com.br\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=597"}],"version-history":[{"count":8,"href":"https:\/\/intranet.ophthal.com.br\/index.php?rest_route=\/wp\/v2\/pages\/597\/revisions"}],"predecessor-version":[{"id":2815,"href":"https:\/\/intranet.ophthal.com.br\/index.php?rest_route=\/wp\/v2\/pages\/597\/revisions\/2815"}],"up":[{"embeddable":true,"href":"https:\/\/intranet.ophthal.com.br\/index.php?rest_route=\/wp\/v2\/pages\/568"}],"wp:attachment":[{"href":"https:\/\/intranet.ophthal.com.br\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=597"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}