title: [Prehospital care to multiple victims with simulated trauma].
abstract: OBJECTIVE
  To assess the quality of prehospital care agencies conducted in Vitória, capital of Espírito Santo State, Brazil.
  
  
  METHODS
  We conducted a retrospective study in the archives of the League of Academic Surgery and Trauma Care of Espírito Santo (Lacates) regarding 40 victims of a simulated crash between a bus and two cars. The patients were treated by four teams: Military Fire Department of Espírito Santo, Samu 192, County Guard and Civil Defense. The performance of these teams was evaluated by Lacates, through analysis of a check-list with pre-established guidelines for each victim.
  
  
  RESULTS
  The Fire Department of Espírito Santo (CBMES), which extricated victims, outlined the danger zones and carried out the screening by the method START, acted correctly in 92.5% of cases. The Samu 192 victims, which attended victims by the mnemonic method (ABCDE) in medical outposts, acted correctly in 92.5% of cases in the category Airway; 97.5% in breathing, 92.5% in circulation, 90% in Neurological Assessment, and 50% in the Exhibition and Environmental Control. The analysis showed that the ABCDE care was correct in 42.5% of cases. The transport of patients was performed correctly in 95% of cases. The County Guard secured the patency of the avenues for transportation of patients and Civil Defense successfully coordinated the work of teams involved in the command post.
  
  
  CONCLUSIONS
  The triage and transport of victims have been performed satisfactorily. However, more attention should be given to exposure and hypothermia protection of victims, since this item compromised treatment.
authors: Pronto-Socorro do Hospital da Polícia Militar do Espírito Santo, ES, Brasil. romeolages@hotmail.com
authors: Romeo Lages
authors: RL
authors: Simões
authors: Caio
authors: C
authors: Duarte Neto
authors: Gustavo Sasso Benso
authors: GS
authors: Maciel
authors: Tatiana Piotz
authors: TP
authors: Furtado
authors: Danilo Nagib Salomão
authors: DN
authors: Paulo
mesh_terms: D004632:Emergency Medical Services / Q000592:standards*; D006801:Humans; D016544:Patient Simulation; D011787:Quality of Health Care; D012189:Retrospective Studies; D014947:Wounds and Injuries / Q000628:therapy*