Nursing Care For Patients With Multiple Trauma In Mobile Prehospital Emergency Care

Abstract

Introduction: Multiple trauma requires immediate assessment, rapid clinical decisions, and coordinated care in mobile prehospital services, where nurses perform clinical, managerial, and educational duties. Objective: To analyze nursing care for patients with multiple trauma in mobile prehospital care, focusing on nursing diagnoses and interventions, clinical protocols, professional challenges, and continuing education. Materials and methods: An integrative literature review was conducted using the Scientific Electronic Library Online, the Virtual Health Library, and Google Scholar. Full-text publications in Portuguese issued between 2021 and July 2026 were eligible. Of 11,441 records identified, 13 publications were included in the descriptive and thematic synthesis. Results: The sample comprised eight journal articles, two book chapters, and three academic papers. Nursing practice included XABCDE-based primary assessment, hemorrhage control, airway management, ventilatory support, monitoring, immobilization, hypothermia prevention, hemodynamic stabilization, communication, and team coordination. The most frequently reported nursing diagnoses were acute pain, impaired physical mobility, impaired skin and tissue integrity, ineffective breathing pattern, and impaired gas exchange. Limited resources, workload, interference at the scene, and the need for continuous professional development were the main challenges. Conclusion: Integrating the Nursing Process, clinical protocols, clinical judgment, and continuing education supports organized and safe care. However, the heterogeneity of the evidence and the predominance of review studies require cautious interpretation.