Atendimento a emergências psiquiátricas pelo CBMMA: análise da necessidade de procedimento operacional padrão

Abstract

The present study aimed to demonstrate the need for the implementation of a Standard Operating Procedure for attending to psychiatric urgencies and emergencies by the Military Fire Department of Maranhão. The ways developed to achieve this goal went through the literature review on the theme of pre-hospital care to psychiatric urgencies and emergencies, presentation of models of Standard Operating Procedures nationally and demonstration of the need for improvement in the management of these services by CBMMA. Thus, the method used for data collection was bibliographic research, through the study of the theoretical reference on the care of psychiatric patients by urgency and emergency services in Brazil. In addition, a documental research was carried out with the purpose of outlining the common aspects of the Operational Procedures practiced by the Fire Brigades in Brazil. Finally, an online questionnaire was carried out, with a form created via the Google Forms platform and sent to the military of the CBMMA, with the purpose of evaluating the psychiatric emergency care provided by the Corporation. From the data analysis it was possible to verify that the treatment of psychiatric emergencies has been based on humanized and less invasive approaches, with valorization of the dialogue, integration of the security forces and specialized medical follow-up. Moreover, it was observed that the CBMMA does not have norms or documents that guide the care of psychiatric patients. Besides, the military personnel do not have the security and adequate knowledge to act in this type of occurrence. Furthermore, the lack of training and qualification was evident as a potentiator of this problem. Finally, it was verified through this study that the development of a Standard Operating Procedure and other guidelines for the care of Psychiatric Emergencies by CBMMA can contribute to the reduction of misconduct, response time and potential failures in this assistance