{"id":1402,"date":"2026-05-24T12:00:00","date_gmt":"2026-05-24T15:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1402"},"modified":"2026-05-24T12:00:00","modified_gmt":"2026-05-24T15:00:00","slug":"pgrss-pronto-socorro-upa-politrauma-rcp-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/pgrss-pronto-socorro-upa-politrauma-rcp-rss\/","title":{"rendered":"PGRSS pronto-socorro UPA \u2014 politrauma RCP"},"content":{"rendered":"<h2>Por que pronto-socorro\/UPA tem perfil de alt\u00edssima intensidade<\/h2>\n<p>Pronto-socorro hospitalar + UPA 24h s\u00e3o <strong>geradores volum\u00e9tricos m\u00e1ximos<\/strong> de RSS por procedimento ambulatorial: <strong>politrauma (acidente automobil\u00edstico, ferimento arma fogo)<\/strong> + <strong>transfus\u00e3o emerg\u00eancia (bolsa O- universal)<\/strong> + <strong>RCP (massagem + intuba\u00e7\u00e3o + DEA)<\/strong> + <strong>intuba\u00e7\u00e3o r\u00e1pida (RSI)<\/strong> + <strong>acesso vascular emergencial (intra\u00f3sseo + central)<\/strong> + <strong>suspeita HIV\/HepB\/HepC<\/strong> + <strong>toxicol\u00f3gico inconsciente<\/strong>. Volume <strong>muito alto<\/strong> + <strong>triagem Manchester<\/strong> + <strong>paciente desconhecido + LGPD emergencial<\/strong>. Opera sob RDC 222 + Portaria GM\/MS 1.601\/2011 (UPA) + RDC 36\/2013 + Lei 12.871\/2013 + Resolu\u00e7\u00e3o CFM 1.451\/1995 + Diretrizes SBAIT + LGPD art. 11 emerg\u00eancia.<\/p>\n<h2>Tabela 5 fluxos<\/h2>\n<table>\n<thead>\n<tr>\n<th>Fluxo<\/th>\n<th>Grupo<\/th>\n<th>Volume mensal<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Material politrauma (gaze + curativo + tubo tor\u00e1cico)<\/td>\n<td>A1 risco aumentado + E<\/td>\n<td>30-100 kg<\/td>\n<\/tr>\n<tr>\n<td>Bolsa transfus\u00e3o emerg\u00eancia usada\/desprezada<\/td>\n<td>A1 risco aumentado<\/td>\n<td>5-15 kg<\/td>\n<\/tr>\n<tr>\n<td>Material RCP (paddle DEA + m\u00e1scara + tubo orotraqueal)<\/td>\n<td>A1 risco aumentado<\/td>\n<td>5-15 kg<\/td>\n<\/tr>\n<tr>\n<td>Frasco controlado emerg\u00eancia (midazolam, fentanil, succinil)<\/td>\n<td>B (controlado Portaria 344)<\/td>\n<td>2-5 kg<\/td>\n<\/tr>\n<tr>\n<td>EPI pronto-socorro (avental imperme\u00e1vel, \u00f3culos, m\u00e1scara N95)<\/td>\n<td>A1 baixa<\/td>\n<td>10-25 kg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>50-150 kg\/m\u00eas<\/strong> (UPA pequena) \u2192 <strong>200-500 kg\/m\u00eas<\/strong> (PS hospital grande).<\/p>\n<h2>Cap\u00edtulo cadeia choque + transfus\u00e3o emerg\u00eancia<\/h2>\n<p>Politrauma com choque hemorr\u00e1gico exige protocolo:<\/p>\n<ul>\n<li>Triagem Manchester \u22642 min<\/li>\n<li>Acesso vascular 18G ou intra\u00f3sseo \u22645 min<\/li>\n<li>Bolsa O- universal \u226410 min sem tipagem (RDC 34)<\/li>\n<li>Transfus\u00e3o massiva 1:1:1 (concentrado:plasma:plaqueta)<\/li>\n<li>Bolsa rejeitada\/usada A1 RA cadeia rastre\u00e1vel<\/li>\n<li>Comunica\u00e7\u00e3o SAMU + SUS + DataSUS<\/li>\n<li>Notifica\u00e7\u00e3o SINAN obrigat\u00f3ria ferimento arma de fogo<\/li>\n<li>Cadeia evid\u00eancia IML se suspeita criminal<\/li>\n<li>Em paciente desconhecido (LGPD art. 11 base legal vital)<\/li>\n<\/ul>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 UPA tipo I (5-25 mil hab):<\/strong> R$ 4-9k\/m\u00eas. Setup R$ 25-50k.<\/p>\n<p><strong>Perfil 2 \u2014 UPA tipo II\/III (25-300 mil hab):<\/strong> R$ 9-25k\/m\u00eas. Setup R$ 50-120k.<\/p>\n<p><strong>Perfil 3 \u2014 PS hospital terci\u00e1rio (>300k hab):<\/strong> R$ 25-80k\/m\u00eas. Setup R$ 120-350k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>Bolsa transfus\u00e3o emerg\u00eancia saco branco \u2014 A1 RA + cadeia DataSUS<\/li>\n<li>Material RCP D \u2014 paddle + m\u00e1scara contam saliva A1 RA<\/li>\n<li>Sem 344 controlado \u2014 auto + perda credenciamento SAMU<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o pronto-socorro\/UPA<\/a><\/strong> \u2014 cap\u00edtulo politrauma + transfus\u00e3o + LGPD emerg\u00eancia.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de pronto-socorro\/UPA: politrauma, transfus\u00e3o emerg\u00eancia, RCP, intuba\u00e7\u00e3o, perfurocortantes.<\/p>\n","protected":false},"author":3,"featured_media":1401,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2330,2328,22,2329],"class_list":["post-1402","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-politrauma","tag-pronto-socorro","tag-rdc-222","tag-upa"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1402","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=1402"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1402\/revisions"}],"predecessor-version":[{"id":3940,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1402\/revisions\/3940"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1401"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1402"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1402"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1402"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}