Severe hemorrhage handling protocol: use of intraoperative blood recovery in the emergency trauma setting

Describe the process of construction and validation of the Protocol for the Management and Handling of Severe Hemorrhage in Trauma, combined with the technique of Intraoperative Blood Recovery in an emergency scenario, by Trauma Nurses, in patients with thoracoabdominal trauma and risk of shock. Methodological study based on the Appraisal of Guidelines for Research & Evaluation, in two stages: narrative review for content construction; construct validation by a panel of judges Nurses and Physicians who are experts in Emergency, Anesthesiology, Hemotherapy and Surgery, using a factor analysis by Pearson's Coefficient of Variation and homogeneity of the opinions of the judges. Ethical aspects were respected under opinion Nº. 2,685,577. It was evident as the content of the Protocol: Phases of the Protocol; Nursing Diagnoses and Interventions; Recommendations and procedures for Intraoperative Blood Recovery; role of the Trauma Nurse in managing the MHEG Protocol. It was identified that all domains evaluated showed suitability above the proposed, scoring above 91%. All judges responded that they would recommend the use of the Protocol. It is concluded that the Protocol was considered valid with broad agreement on its applicability as a technology for assistance care management in the handling of severe hemorrhage in multisystem trauma.