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class="blank _1"> </span>A<span class="blank _1"> </span>Ç<span class="blank _1"> </span>Ã<span class="blank _1"> </span>O<span class="blank _1"> </span> <span class="blank _1"> </span>C<span class="blank _1"> </span>O<span class="blank _1"> </span>M<span class="blank _1"> </span> <span class="blank _1"> </span>P<span class="blank _1"> </span>R<span class="blank _1"> </span>E<span class="blank _1"> </span>S<span class="blank _1"> </span>S<span class="blank _1"> </span>Ã<span class="blank _1"> </span>O<span class="blank _1"> </span> <span class="blank _1"> </span>P<span class="blank _1"> </span>O<span class="blank _1"> </span>S<span class="blank _1"> </span>I<span class="blank _1"> </span>T<span class="blank _1"> </span>I<span class="blank _1"> </span>V<span class="blank _1"> </span>A<span class="blank _1"> </span> <span class="blank _1"> </span>(<span class="blank _1"> </span>B<span class="blank _1"> </span>O<span class="blank _1"> </span>L<span class="blank _1"> </span>S<span class="blank _1"> </span>A<span class="blank _1"> </span>-<span class="blank _1"> </span>V<span class="blank _1"> </span>Á<span class="blank _1"> </span>L<span class="blank _1"> </span>V<span class="blank _1"> </span>U<span class="blank _1"> </span>L<span class="blank _1"> </span>A<span class="blank _1"> </span>-</div><div class="t m0 x9 ha y15 ff6 fs5 fc5 sc0 ls0 ws5">M<span class="blank"> </span>Á<span class="blank"> </span>S<span class="blank"> </span>C<span class="blank"> </span>A<span class="blank"> </span>R<span class="blank"> </span>A<span class="blank"> </span>)</div><div class="t m0 x6 h9 y16 ff5 fs3 fc5 sc0 ls0 ws6">66<span class="blank"> </span><span class="ff6 fs4 ws0 v2">F<span class="blank _2"> </span>A<span class="blank _2"> </span>R<span class="blank _2"> </span>M<span class="blank _2"> </span>A<span class="blank _2"> </span>C<span class="blank _2"> </span>O<span class="blank _2"> </span>L<span class="blank _2"> </span>O<span class="blank _2"> </span>G<span class="blank _2"> </span>I<span class="blank _2"> </span>A<span class="blank _2"> </span> <span class="blank _2"> </span>(<span class="blank _2"> </span>T<span class="blank _2"> </span>A<span class="blank _2"> </span>B<span class="blank _2"> </span>E<span class="blank _2"> </span>L<span class="blank _2"> </span>A<span class="blank _2"> </span>S<span class="blank _2"> </span>)</span></div><div class="t m0 x9 ha y17 ff6 fs5 fc5 sc0 ls0 ws0">6<span class="blank _1"> </span>6<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>A<span class="blank _1"> </span>M<span class="blank _1"> </span>I<span class="blank _1"> </span>N<span class="blank _1"> </span>A<span class="blank _1"> </span>S<span class="blank _1"> </span> <span class="blank _1"> </span>V<span class="blank _1"> </span>A<span class="blank _1"> </span>S<span class="blank _1"> </span>O<span class="blank _1"> </span>A<span class="blank _1"> </span>T<span class="blank _1"> </span>I<span class="blank _1"> </span>V<span class="blank _1"> </span>A<span class="blank _1"> </span>S</div><div class="t m0 x9 ha y18 ff6 fs5 fc5 sc0 ls0 ws0">7<span class="blank _1"> </span>1<span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>I<span class="blank _1"> </span>O<span class="blank _1"> </span>T</div><div class="t m0 x9 ha y19 ff6 fs5 fc5 sc0 ls0 ws0">7<span class="blank _1"> </span>7<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>A<span class="blank _1"> </span>R<span class="blank _1"> </span>R<span class="blank _1"> </span>I<span class="blank _1"> </span>T<span class="blank _1"> </span>M<span class="blank _1"> </span>I<span class="blank _1"> </span>A<span class="blank _1"> </span>S</div><div class="t m0 x9 ha y1a ff6 fs5 fc5 sc0 ls0 ws0">8<span class="blank _1"> </span>2<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span>S<span class="blank _1"> </span>C<span class="blank _1"> </span>A</div><div class="t m0 x9 ha y1b ff6 fs5 fc5 sc0 ls0 ws0">8<span class="blank _1"> </span>8<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>T<span class="blank _1"> </span>V<span class="blank _1"> </span>P<span class="blank _1"> </span> <span class="blank _1"> </span>E<span class="blank _1"> </span> <span class="blank _1"> </span>T<span class="blank _1"> </span>E<span class="blank _1"> </span>P</div><div class="t m0 x9 ha y1c ff6 fs5 fc5 sc0 ls0 ws0">8<span class="blank _1"> </span>9<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>E<span class="blank _1"> </span>A<span class="blank _1"> </span>P</div><div class="t m0 x9 ha y1d ff6 fs5 fc5 sc0 ls0 ws0">9<span class="blank _1"> </span>2<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>A<span class="blank _1"> </span>S<span class="blank _1"> </span>M<span class="blank _1"> </span>A</div><div class="t m0 x9 ha y1e ff6 fs5 fc5 sc0 ls0 ws0">9<span class="blank _1"> </span>8<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>D<span class="blank _1"> </span>P<span class="blank _1"> </span>O<span class="blank _1"> </span>C</div><div class="t m0 x9 ha y1f ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>0<span class="blank _1"> </span>5<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>H<span class="blank _1"> </span>E<span class="blank _1"> </span>M<span class="blank _1"> </span>O<span class="blank _1"> </span>R<span class="blank _1"> </span>R<span class="blank _1"> </span>A<span class="blank _1"> </span>G<span class="blank _1"> </span>I<span class="blank _1"> </span>A<span class="blank _1"> </span> <span class="blank _1"> </span>D<span class="blank _1"> </span>I<span class="blank _1"> </span>G<span class="blank _1"> </span>E<span class="blank _1"> </span>S<span class="blank _1"> </span>T<span class="blank _1"> </span>I<span class="blank _1"> </span>V<span class="blank _1"> </span>A</div><div class="t m0 x9 ha y20 ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>0<span class="blank _1"> </span>8<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>C<span class="blank _1"> </span>E<span class="blank _1"> </span>T<span class="blank _1"> </span>O<span class="blank _1"> </span>A<span class="blank _1"> </span>C<span class="blank _1"> </span>I<span class="blank _1"> </span>D<span class="blank _1"> </span>O<span class="blank _1"> </span>S<span class="blank _1"> </span>E</div><div class="t m0 x9 ha y21 ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>1<span class="blank _1"> </span>0<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>A<span class="blank _1"> </span>T<span class="blank _1"> </span>B</div><div class="t m0 x9 ha y22 ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>1<span class="blank _1"> </span>3<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>A<span class="blank _1"> </span>N<span class="blank _1"> </span>A<span class="blank _1"> </span>L<span class="blank _1"> </span>G<span class="blank _1"> </span>É<span class="blank _1"> </span>S<span class="blank _1"> </span>I<span class="blank _1"> </span>C<span class="blank _1"> </span>O<span class="blank _1"> </span>S</div><div class="t m0 x9 ha y23 ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>2<span class="blank _1"> </span>2<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>V<span class="blank _1"> </span>I<span class="blank _1"> </span>T<span class="blank _1"> </span>A<span class="blank _1"> </span>M<span class="blank _1"> </span>I<span class="blank _1"> </span>N<span class="blank _1"> </span>A<span class="blank _1"> </span>S<span class="blank _1"> </span> <span class="blank _1"> </span>E<span class="blank _1"> </span> <span class="blank _1"> </span>M<span class="blank _1"> </span>I<span class="blank _1"> </span>N<span class="blank _1"> </span>E<span class="blank _1"> </span>R<span class="blank _1"> </span>A<span class="blank _1"> </span>I<span class="blank _1"> </span>S</div><div class="t m0 x9 ha y24 ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>2<span class="blank _1"> </span>4<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>H<span class="blank _1"> </span>E<span class="blank _1"> </span>M<span class="blank _1"> </span>O<span class="blank _1"> </span>C<span class="blank _1"> </span>O<span class="blank _1"> </span>M<span class="blank _1"> </span>P<span class="blank _1"> </span>O<span class="blank _1"> </span>N<span class="blank _1"> </span>E<span class="blank _1"> </span>N<span class="blank _1"> </span>T<span class="blank _1"> </span>E<span class="blank _1"> </span>S</div><div class="t m0 x9 ha y25 ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>3<span class="blank _1"> </span>0<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>E<span class="blank _1"> </span>N<span class="blank _1"> </span>C<span class="blank _1"> </span>E<span class="blank _1"> </span>F<span class="blank _1"> </span>A<span class="blank _1"> </span>L<span class="blank _1"> </span>O<span class="blank _1"> </span>P<span class="blank _1"> </span>A<span class="blank _1"> </span>T<span class="blank _1"> </span>I<span class="blank _1"> </span>A<span class="blank _1"> </span> <span class="blank _1"> </span>H<span class="blank _1"> </span>E<span class="blank _1"> </span>P<span class="blank _1"> </span>Á<span class="blank _1"> </span>T<span class="blank _1"> </span>I<span class="blank _1"> </span>C<span class="blank _1"> </span>A</div><div class="t m0 x9 ha y26 ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>3<span class="blank _1"> </span>1<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>A<span class="blank _1"> </span>L<span class="blank _1"> </span>B<span class="blank _1"> </span>U<span class="blank _1"> </span>M<span class="blank _1"> </span>I<span class="blank _1"> </span>N<span class="blank _1"> </span>A</div><div class="t m0 x9 ha y27 ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>3<span class="blank _1"> </span>2<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>C<span class="blank _1"> </span>Ó<span class="blank _1"> </span>L<span class="blank _1"> </span>I<span class="blank _1"> </span>C<span class="blank _1"> </span>A<span class="blank _1"> </span> <span class="blank _1"> </span>N<span class="blank _1"> </span>E<span class="blank _1"> </span>F<span class="blank _1"> </span>R<span class="blank _1"> </span>É<span class="blank _1"> </span>T<span class="blank _1"> </span>I<span class="blank _1"> </span>C<span class="blank _1"> </span>A</div><div class="t m0 x9 ha y28 ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>3<span class="blank _1"> </span>8<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>E<span class="blank _1"> </span>N<span class="blank _1"> </span>X<span class="blank _1"> </span>A<span class="blank _1"> </span>Q<span class="blank _1"> </span>U<span class="blank _1"> </span>E<span class="blank _1"> </span>C<span class="blank _1"> </span>A</div><div class="t m0 x9 ha y29 ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>4<span class="blank _1"> </span>5<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>C<span class="blank _1"> </span>R<span class="blank _1"> </span>I<span class="blank _1"> </span>S<span class="blank _1"> </span>E<span class="blank _1"> </span> <span class="blank _1"> </span>C<span class="blank _1"> </span>O<span class="blank _1"> </span>N<span class="blank _1"> </span>V<span class="blank _1"> </span>U<span class="blank _1"> </span>L<span class="blank _1"> </span>S<span class="blank _1"> </span>I<span class="blank _1"> </span>V<span class="blank _1"> </span>A</div><div class="t m0 x9 ha y2a ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>4<span class="blank _1"> </span>8<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>H<span class="blank _1"> </span>I<span class="blank _1"> </span>P<span class="blank _1"> </span>E<span class="blank _1"> </span>R<span class="blank _1"> </span>T<span class="blank _1"> </span>E<span class="blank _1"> </span>N<span class="blank _1"> </span>S<span class="blank _1"> </span>Ã<span class="blank _1"> </span>O<span class="blank _1"> </span> <span class="blank _1"> </span>I<span class="blank _1"> </span>N<span class="blank _1"> </span>T<span class="blank _1"> </span>R<span class="blank _1"> </span>A<span class="blank _1"> </span>C<span class="blank _1"> </span>R<span class="blank _1"> </span>A<span class="blank _1"> </span>N<span class="blank _1"> </span>I<span class="blank _1"> </span>A<span class="blank _1"> </span>N<span class="blank _1"> </span>A</div><div class="t m0 x9 ha y2b ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>4<span class="blank _1"> </span>9<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>D<span class="blank _1"> </span>I<span class="blank _1"> </span>S<span class="blank _1"> </span>T<span class="blank _1"> </span>Ú<span class="blank _1"> </span>R<span class="blank _1"> </span>B<span class="blank _1"> </span>I<span class="blank _1"> </span>O<span class="blank _1"> </span>S<span class="blank _1"> </span> <span class="blank _1"> </span>D<span class="blank _1"> </span>O<span class="blank _1"> </span> <span class="blank _1"> </span>K</div><div class="t m0 x9 ha y2c ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>5<span class="blank _1"> </span>4<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>D<span class="blank _1"> </span>I<span class="blank _1"> </span>S<span class="blank _1"> </span>T<span class="blank _1"> </span>Ú<span class="blank _1"> </span>R<span class="blank _1"> </span>B<span class="blank _1"> </span>I<span class="blank _1"> </span>O<span class="blank _1"> </span>S<span class="blank _1"> </span> <span class="blank _1"> </span>D<span class="blank _1"> </span>O<span class="blank _1"> </span> <span class="blank _1"> </span>N<span class="blank _1"> </span>A</div><div class="t m0 x9 ha y2d ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>5<span class="blank _1"> </span>6<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>D<span class="blank _1"> </span>I<span class="blank _1"> </span>S<span class="blank _1"> </span>T<span class="blank _1"> </span>Ú<span class="blank _1"> </span>R<span class="blank _1"> </span>B<span class="blank _1"> </span>I<span class="blank _1"> </span>O<span class="blank _1"> </span>S<span class="blank _1"> </span> <span class="blank _1"> </span>D<span class="blank _1"> </span>O<span class="blank _1"> </span> <span class="blank _1"> </span>C<span class="blank _1"> </span>A</div><div class="t m0 x9 ha y2e ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>5<span class="blank _1"> </span>8<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>H<span class="blank _1"> </span>I<span class="blank _1"> </span>P<span class="blank _1"> </span>O<span class="blank _1"> </span>M<span class="blank _1"> </span>A<span class="blank _1"> </span>G<span class="blank _1"> </span>N<span class="blank _1"> </span>E<span class="blank _1"> </span>S<span class="blank _1"> </span>E<span class="blank _1"> </span>M<span class="blank _1"> </span>I<span class="blank _1"> </span>A</div><div class="t m0 x9 ha y2f ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>5<span class="blank _1"> </span>8<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>C<span class="blank _1"> </span>O<span class="blank _1"> </span>N<span class="blank _1"> </span>S<span class="blank _1"> </span>T<span class="blank _1"> </span>I<span class="blank _1"> </span>P<span class="blank _1"> </span>A<span class="blank _1"> </span>Ç<span class="blank _1"> </span>Ã<span class="blank _1"> </span>O</div><div class="t m0 x9 ha y30 ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>6<span class="blank _1"> </span>0<span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>D<span class="blank _1"> </span>I<span class="blank _1"> </span>A<span class="blank _1"> </span>R<span class="blank _1"> </span>R<span class="blank _1"> </span>E<span class="blank _1"> </span>I<span class="blank _1"> </span>A</div><div class="t m0 x9 ha y31 ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>6<span class="blank _1"> </span>2<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>O<span class="blank _1"> </span>T<span class="blank _1"> </span>I<span class="blank _1"> </span>T<span class="blank _1"> </span>E</div><div class="t m0 x9 ha y32 ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>6<span class="blank _1"> </span>5<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>S<span class="blank _1"> </span>I<span class="blank _1"> </span>N<span class="blank _1"> </span>U<span class="blank _1"> </span>S<span class="blank _1"> </span>I<span class="blank _1"> </span>T<span class="blank _1"> </span>E</div><div class="t m0 x9 ha y33 ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>6<span class="blank _1"> </span>9<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>C<span class="blank _1"> </span>O<span class="blank _1"> </span>N<span class="blank _1"> </span>J<span class="blank _1"> </span>U<span class="blank _1"> </span>N<span class="blank _1"> </span>T<span class="blank _1"> </span>I<span class="blank _1"> </span>V<span class="blank _1"> </span>I<span class="blank _1"> </span>T<span class="blank _1"> </span>E</div><div class="t m0 x9 ha y34 ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>7<span class="blank _1"> </span>0<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>H<span class="blank _1"> </span>E<span class="blank _1"> </span>R<span class="blank _1"> </span>P<span class="blank _1"> </span>E<span class="blank _1"> </span>S</div><div class="t m0 x9 ha y35 ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>7<span class="blank _1"> </span>0<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>S<span class="blank _1"> </span>Í<span class="blank _1"> </span>F<span class="blank _1"> </span>I<span class="blank _1"> </span>L<span class="blank _1"> </span>I<span class="blank _1"> </span>S</div><div class="t m0 x9 ha y36 ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>7<span class="blank _1"> </span>1<span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>C<span class="blank _1"> </span>O<span class="blank _1"> </span>R<span class="blank _1"> </span>R<span class="blank _1"> </span>I<span class="blank _1"> </span>M<span class="blank _1"> </span>E<span class="blank _1"> </span>N<span class="blank _1"> </span>T<span class="blank _1"> </span>O<span class="blank _1"> </span> <span class="blank _1"> </span>V<span class="blank _1"> </span>A<span class="blank _1"> </span>G<span class="blank _1"> </span>I<span class="blank _1"> </span>N<span class="blank _1"> </span>A<span class="blank _1"> </span>L</div><div class="t m0 x9 ha y37 ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>7<span class="blank _1"> </span>5<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>U<span class="blank _1"> </span>R<span class="blank _1"> </span>E<span class="blank _1"> </span>T<span class="blank _1"> </span>R<span class="blank _1"> </span>I<span class="blank _1"> </span>T<span class="blank _1"> </span>E<span class="blank _1"> </span>S</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,-6.630030]}"></div></div> <div id="pf4" class="pf w1 h5" data-page-no="4"><div class="pc pc4 w1 h5"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w2 h6" alt="" src="https://files.passeidireto.com/c43c8745-7ffc-45e7-a4ae-2e9625d0ee3d/bg4.png"><div class="c x0 y38 w1 hb"><div class="t m1 x5 h8 y39 ff5 fs2 fc1 sc0 ls0 ws1">Í<span class="blank"> </span>N<span class="blank"> </span>D<span class="blank"> </span>I<span class="blank"> </span>C<span class="blank"> </span>E</div><div class="t m0 xa ha y3a ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>7<span class="blank _1"> </span>7<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>L<span class="blank _1"> </span>O<span class="blank _1"> </span>M<span class="blank _1"> </span>B<span class="blank _1"> </span>A<span class="blank _1"> </span>L<span class="blank _1"> </span>G<span class="blank _1"> </span>I<span class="blank _1"> </span>A<span class="blank _1"> </span>S</div><div class="t m0 xa ha y3b ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>8<span class="blank _1"> </span>0<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>A<span class="blank _1"> </span>N<span class="blank _1"> </span>A<span class="blank _1"> </span>F<span class="blank _1"> </span>I<span class="blank _1"> </span>L<span class="blank _1"> </span>A<span class="blank _1"> </span>X<span class="blank _1"> </span>I<span class="blank _1"> </span>A<span class="blank _1"> </span> <span class="blank _1"> </span>E<span class="blank _1"> </span> <span class="blank _1"> </span>A<span class="blank _1"> </span>L<span class="blank _1"> </span>E<span class="blank _1"> </span>R<span class="blank _1"> </span>G<span class="blank _1"> </span>I<span class="blank _1"> </span>A<span class="blank _1"> </span>S</div><div class="t m0 xa ha y3c ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>8<span class="blank _1"> </span>5<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>I<span class="blank _1"> </span>N<span class="blank _1"> </span>T<span class="blank _1"> </span>O<span class="blank _1"> </span>X<span class="blank _1"> </span>I<span class="blank _1"> </span>C<span class="blank _1"> </span>A<span class="blank _1"> </span>Ç<span class="blank _1"> </span>Õ<span class="blank _1"> </span>E<span class="blank _1"> </span>S</div><div class="t m0 xa ha y3d ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>8<span class="blank _1"> </span>9<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>V<span class="blank _1"> </span>E<span class="blank _1"> </span>R<span class="blank _1"> </span>T<span class="blank _1"> </span>I<span class="blank _1"> </span>G<span class="blank _1"> </span>E<span class="blank _1"> </span>M</div><div class="t m0 xa ha y3e ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>9<span class="blank _1"> </span>0<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>P<span class="blank _1"> </span>S<span class="blank _1"> </span>I<span class="blank _1"> </span>Q<span class="blank _1"> </span>U<span class="blank _1"> </span>I<span class="blank _1"> </span>A<span class="blank _1"> </span>T<span class="blank _1"> </span>R<span class="blank _1"> </span>I<span class="blank _1"> </span>A</div><div class="t m0 xa ha y3f ff6 fs5 fc5 sc0 ls0 ws0">1<span class="blank _1"> </span>9<span class="blank _1"> </span>9<span class="blank _1"> </span> <span class="blank _1"> </span>-<span class="blank _1"> </span> <span class="blank _1"> </span>P<span class="blank _1"> </span>E<span class="blank _1"> </span>D<span class="blank _1"> </span>I<span class="blank _1"> </span>A<span class="blank _1"> </span>T<span class="blank _1"> </span>R<span class="blank _1"> </span>I<span class="blank _1"> </span>A</div><div class="t m0 x6 h9 y40 ff5 fs3 fc5 sc0 ls0 ws7">240<span class="blank"> </span><span class="ff6 fs4 ws8 v3">R<span class="blank"> </span>E<span class="blank"> </span>F<span class="blank"> </span>E<span class="blank"> </span>R<span class="blank"> </span>Ê<span class="blank"> </span>N<span class="blank"> </span>C<span class="blank"> </span>I<span class="blank"> </span>A<span class="blank"> </span>S</span></div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,-6.630030]}"></div></div> <div id="pf5" class="pf w3 hc" data-page-no="5"><div class="pc pc5 w3 hc"><img fetchpriority="low" loading="lazy" class="bi x0 y41 w0 hd" alt="" src="https://files.passeidireto.com/c43c8745-7ffc-45e7-a4ae-2e9625d0ee3d/bg5.png"><div class="c x0 y0 w4 hc"><div class="t m0 xb he y42 ff7 fs6 fc0 sc0 ls0 ws0"> </div><div class="t m0 xc he y43 ff7 fs6 fc0 sc0 ls0 ws0"> </div></div><div class="c xc y44 w5 hf"><div class="t m0 xd he y45 ff7 fs6 fc1 sc0 ls0 ws0"><span class="fc2 sc0">1</span><span class="fc2 sc0"> </span></div></div><div class="c xb y46 w6 h10"><div class="t m0 xe h11 y47 ff8 fs7 fc0 sc0 ls0 ws0"><span class="fc2 sc0">G</span>ustav<span class="fc2 sc0">o Urzê</span><span class="fc2 sc0">d</span><span class="fc2 sc0">a</span><span class="fc2 sc0"> V</span><span class="fc2 sc0">itór</span><span class="fc2 sc0">ia</span><span class="fc2 sc0"> </span></div></div><div class="c x0 y0 w4 hc"><div class="t m0 xf h12 y48 ff9 fs8 fc0 sc1 ls0 ws0">EMERGÊNCIAS<span class="blank _3"></span> </div><div class="t m0 x10 h13 y49 ff9 fs9 fc0 sc1 ls0 ws0">PRINCIPAIS EMERGÊNCIAS<span class="blank _3"> </span> </div><div class="t m0 xb h14 y4a ff8 fsa fc0 sc0 ls0 ws0"> </div><div class="t m0 xb h14 y4b ff8 fsa fc0 sc0 ls0 ws0"> </div><div class="t m0 xb h14 y4c ff8 fsa fc0 sc0 ls0 ws0">- Avaliação Inicial <span class="blank _4"></span>e SBV: </div><div class="t m0 xb h15 y4d ffa fs7 fc0 sc0 ls0 ws0">Avaliação inicial: </div><div class="t m0 x11 h11 y4e ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ls1 ws0"> <span class="ff8 ls0">Urgência e Emergência: </span></span></div><div class="t m0 x12 h15 y4f ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Urgência: Risco de vida de 12 a 24 horas (não é eminente). </span></div><div class="t m0 x12 h15 y50 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Emergência: <span class="blank _1"> </span>Maior <span class="blank _1"> </span>risco <span class="blank _1"> </span>(risco <span class="blank _1"> </span>iminente <span class="blank _1"> </span>de <span class="blank _1"> </span>óbito <span class="blank _1"> </span>de <span class="blank _1"> </span>minutos <span class="blank _1"> </span>a<span class="blank _4"></span> </span></div><div class="t m0 x13 h15 y51 ffa fs7 fc0 sc0 ls0 ws0">horas). </div><div class="t m0 x11 h11 y52 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ls1 ws0"> <span class="ff8 ls0">Triagem ou classificação de risco: </span></span></div><div class="t m0 x12 h15 y53 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Manchester <span class="ls2 wsb">(m</span>a<span class="blank _3"> </span>is usada no Brasil <span class="ffd fs6 wsc">\u2192</span> escala de cores). </span></div><div class="t m0 x12 h15 y54 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>ESI (EUA). </span></div><div class="t m0 x12 h15 y55 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>ATS (Austrália). </span></div><div class="t m0 x12 h15 y56 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>CTAS (Canadá). </span></div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf6" class="pf w3 hc" data-page-no="6"><div class="pc pc6 w3 hc"><img fetchpriority="low" loading="lazy" class="bi x14 y41 w7 h16" alt="" src="https://files.passeidireto.com/c43c8745-7ffc-45e7-a4ae-2e9625d0ee3d/bg6.png"><div class="c x0 y0 w4 hc"><div class="t m0 xb he y42 ff7 fs6 fc0 sc0 ls0 ws0"> </div><div class="t m0 xc he y43 ff7 fs6 fc0 sc0 ls0 ws0"> </div></div><div class="c xc y44 w5 hf"><div class="t m0 xd he y45 ff7 fs6 fc1 sc0 ls0 ws0">2 </div></div><div class="c xb y46 w6 h10"><div class="t m0 xe h11 y47 ff8 fs7 fc0 sc0 ls0 ws0">Gustavo Urzêda Vitória </div></div><div class="c x0 y0 w4 hc"><div class="t m0 xb h15 y57 ffa fs7 fc0 sc0 ls0 ws0"> </div><div class="t m0 x11 h11 y58 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ls1 ws0"> <span class="ff8 ls0">Exame clínico: </span></span></div><div class="t m0 x12 h15 y59 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Tempo é crucial <span class="ffd ls3">\u2192</span> o exame clínico precisa ser feito em minutos. </span></div><div class="t m0 x12 h15 y5a ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Deve ser objetivo mais não negligente, </span></div><div class="t m0 x12 h15 y5b ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"><span class="fc2 sc0"> </span><span class="blank _5"> </span>Anamnese: </span></div><div class="t m0 x15 h15 y5c ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>O que trouxe ao serviço? </span></div><div class="t m0 x15 h15 y5d ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Sintomas <span class="blank _7"> </span></span><span class="ls3">\u2192<span class="ffa ls0 ws0"> <span class="blank _7"> </span>duraçã<span class="blank _4"></span>o, <span class="blank _7"> </span>ocorrência <span class="blank _7"> </span>anterior <span class="blank _8"> </span>e <span class="blank _8"> </span>fatores </span></span></div><div class="t m0 x16 h15 y5e ffa fs7 fc0 sc0 ls0 ws0">associados. </div><div class="t m0 x15 h15 y5f ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Caracterizar <span class="blank _9"> </span>bem <span class="blank _9"> </span>dor <span class="blank _1"> </span>e <span class="blank _9"> </span>dispneia <span class="blank _9"> </span></span><span class="ls3">\u2192<span class="ffa ls0 ws0"> <span class="blank _9"> </span>principais <span class="blank _9"> </span>sintomas <span class="blank _9"> </span>do </span></span></div><div class="t m0 x16 h15 y60 ffa fs7 fc0 sc0 ls0 ws0">pronto socorro (PS). </div><div class="t m0 x15 h15 y61 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Antecedentes pessoais e familiares relacionados. </span></div><div class="t m0 x15 h15 y62 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Medicações em uso. </span></div><div class="t m0 x15 h15 y63 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Tratamentos regulares. </span></div><div class="t m0 x15 h15 y64 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Exames complementares. </span></div><div class="t m0 x15 h15 y65 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Hábitos de vida relacionados. </span></div><div class="t m0 x12 h15 y66 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"><span class="fc2 sc0"> </span><span class="blank _5"> </span>Exam<span class="fc2 sc0">e</span><span class="fc2 sc0"> </span>físico: </span></div></div><div class="c x14 y67 w8 h10"><div class="t m0 x17 h11 y47 ff8 fs7 fc0 sc0 ls0 ws0">Segmentos: </div></div><div class="c x18 y67 w9 h10"><div class="t m0 x17 h11 y47 ff8 fs7 fc0 sc0 ls0 ws0">O que deve ser avaliado: </div></div><div class="c x14 y68 w8 h17"><div class="t m0 x17 h11 y69 ff8 fs7 fc0 sc0 ls0 ws0">Aspectos gerais </div></div><div class="c x18 y68 w9 h17"><div class="t m0 x19 h15 y6a ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Sinais de desidratação. </span></div><div class="t m0 x19 h15 y6b ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Cianose. </span></div><div class="t m0 x19 h15 y6c ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Mucosas. </span></div><div class="t m0 x19 h15 y6d ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Diaforese. </span></div><div class="t m0 x19 h15 y6e ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Marcha. </span></div><div class="t m0 x19 h15 y6f ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Fala. </span></div></div><div class="c x14 y70 w8 h18"><div class="t m0 x17 h11 y71 ff8 fs7 fc0 sc0 ls0 ws0">Cardiovascular mínimo </div></div><div class="c x18 y70 w9 h18"><div class="t m0 x19 h15 y72 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Ausculta <span class="blank _a"></span>rápidas <span class="blank _a"></span>nos <span class="blank _a"></span>4 <span class="blank _a"></span>focos </span></div><div class="t m0 x1a h15 y73 ffa fs7 fc0 sc0 ls0 ws0">principais: </div><div class="t m0 x1b h15 y74 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Ritmo. </span></div><div class="t m0 x1b h15 y75 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Frequência. </span></div><div class="t m0 x1b h15 y76 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Sopros. </span></div><div class="t m0 x1b h15 y77 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Bulhas <span class="blank _b"> </span>(fonese <span class="blank _b"> </span>e </span></div><div class="t m0 x3 h15 y78 ffa fs7 fc0 sc0 ls0 ws0">quantidade. </div><div class="t m0 x19 h15 y79 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Perfusão. </span></div><div class="t m0 x19 h15 y47 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Pulsos. </span></div></div><div class="c x14 y7a w8 h19"><div class="t m0 x17 h11 y7b ff8 fs7 fc0 sc0 ls0 ws0">Pulmonar mínimo </div></div><div class="c x18 y7a w9 h19"><div class="t m0 x19 h15 y7c ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Ausculta <span class="blank _c"> </span>em <span class="blank _c"> </span>8 <span class="blank _c"> </span>campos<span class="blank _4"></span> </span></div><div class="t m0 x1a h15 y7d ffa fs7 fc0 sc0 ls0 ws0">(anteriores <span class="blank _d"> </span>e <span class="blank _d"> </span>poste<span class="blank _4"></span>riores </div><div class="t m0 x1a h15 y7e ffa fs7 fc0 sc0 ls0 ws0">principalmente). </div><div class="t m0 x19 h15 y76 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Uso <span class="blank _e"> </span>de <span class="blank _e"> </span>musculatura </span></div><div class="t m0 x1a h15 y77 ffa fs7 fc0 sc0 ls0 ws0">acessória. </div><div class="t m0 x19 h15 y7f ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Sinais <span class="blank _f"> </span>de <span class="blank _f"> </span>insuficiência </span></div><div class="t m0 x1a h15 y79 ffa fs7 fc0 sc0 ls0 ws0">respiratória. </div><div class="t m0 x19 h15 y47 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Tiragem. </span></div></div><div class="c x14 y80 w8 h1a"><div class="t m0 x17 h11 y81 ff8 fs7 fc0 sc0 ls0 ws0">Abdominal mínimo </div></div><div class="c x18 y80 w9 h1a"><div class="t m0 x19 h15 y82 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Avaliar <span class="blank _10"> </span>regiões <span class="blank _10"> </span>e <span class="blank _10"> </span>pontos </span></div><div class="t m0 x1a h15 y83 ffa fs7 fc0 sc0 ls0 ws0">dolorosos. </div><div class="t m0 x19 h15 y84 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Peritonismo. </span></div><div class="t m0 x19 h15 y85 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Massas <span class="blank _11"> </span>e/ou </span></div><div class="t m0 x1a h15 y47 ffa fs7 fc0 sc0 ls0 ws0">visceromegalias. </div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf7" class="pf w3 hc" data-page-no="7"><div class="pc pc7 w3 hc"><img fetchpriority="low" loading="lazy" class="bi x14 y41 w7 h16" alt="" src="https://files.passeidireto.com/c43c8745-7ffc-45e7-a4ae-2e9625d0ee3d/bg7.png"><div class="c x0 y0 w4 hc"><div class="t m0 xb he y42 ff7 fs6 fc0 sc0 ls0 ws0"> </div><div class="t m0 xc he y43 ff7 fs6 fc0 sc0 ls0 ws0"> </div></div><div class="c xc y44 w5 hf"><div class="t m0 xd he y45 ff7 fs6 fc1 sc0 ls0 ws0">3 </div></div><div class="c xb y46 w6 h10"><div class="t m0 xe h11 y47 ff8 fs7 fc0 sc0 ls0 ws0">Gustavo Urzêda Vitória </div></div><div class="c x18 y86 w9 h1b"><div class="t m0 x19 h15 y47 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Ruídos hidroaéreos. </span></div></div><div class="c x14 y87 w8 h1c"><div class="t m0 x17 h11 y88 ff8 fs7 fc0 sc0 ls0 ws0">Neurológico mínimo </div></div><div class="c x18 y87 w9 h1c"><div class="t m0 x19 h15 y89 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Nível <span class="blank _a"></span>d<span class="blank _3"> </span>e <span class="blank _a"></span>consciência <span class="blank _4"></span>(escala<span class="blank _4"></span> </span></div><div class="t m0 x1a h15 y8a ffa fs7 fc0 sc0 ls0 ws0">de Glasgow). </div><div class="t m0 x19 h15 y8b ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Déficits <span class="blank _12"> </span>motores <span class="blank _12"> </span>e/ou </span></div><div class="t m0 x1a h15 y8c ffa fs7 fc0 sc0 ls0 ws0">sensitivos <span class="blank _13"> </span>(localizar <span class="blank _14"> </span>e </div><div class="t m0 x1a h15 y8d ffa fs7 fc0 sc0 ls0 ws0">comparar). </div><div class="t m0 x19 h15 y8e ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Pupilas. </span></div><div class="t m0 x19 h15 y79 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Sinais de meningismo. </span></div><div class="t m0 x19 h15 y47 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Simetria. </span></div></div><div class="c x14 y8f w8 h1d"><div class="t m0 x17 h11 y90 ff8 fs7 fc0 sc0 ls0 ws0">Membros </div></div><div class="c x18 y8f w9 h1d"><div class="t m0 x19 h15 y91 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Edema </span></div><div class="t m0 x1b h15 y92 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Quente ou frio. </span></div><div class="t m0 x1b h15 y93 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Localização. </span></div><div class="t m0 x1b h15 y94 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Intensidade. </span></div><div class="t m0 x1b h15 y7f ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Fatores associados. </span></div><div class="t m0 x19 h15 y85 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Empastamento <span class="blank _15"> </span>de </span></div><div class="t m0 x1a h15 y47 ffa fs7 fc0 sc0 ls0 ws0">panturrilha. </div></div><div class="c x14 y95 w8 h1e"><div class="t m0 x17 h11 y96 ff8 fs7 fc0 sc0 ls0 ws0">Sinais vitais </div></div><div class="c x18 y95 w9 h1e"><div class="t m0 x19 h15 y97 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Frequência cardíaca (FC). </span></div><div class="t m0 x19 h15 y8a ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Frequência <span class="blank _16"> </span>respiratória </span></div><div class="t m0 x1a h15 y98 ffa fs7 fc0 sc0 ls0 ws0">(FR). </div><div class="t m0 x19 h15 y8c ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Pressão arterial (PA). </span></div><div class="t m0 x19 h15 y99 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Saturação <span class="blank _17"> </span>de <span class="blank _17"> </span>oxigênio </span></div><div class="t m0 x1a h15 y8e ffa fs7 fc0 sc0 ls0 ws0">periférica (SatO2). </div><div class="t m0 x19 h15 y79 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Escala de Glasgow. </span></div><div class="t m0 x19 h15 y47 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Glicemia capilar (HGT). </span></div></div><div class="c x0 y0 w4 hc"><div class="t m0 x11 h11 y9a ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ls1 ws0"> <span class="ff8 ls0">Situações de alto risco: </span></span></div><div class="t m0 x12 h15 y9b ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Precordialgia <span class="blank"> </span>ou <span class="blank"> </span>dor <span class="blank"> </span>torácica <span class="blank"> </span><span class="ffd ws9">\u2192</span> <span class="blank"> </span>várias <span class="blank"> </span>causas <span class="blank"> </span>com <span class="blank"> </span>diferentes </span></div><div class="t m0 x13 h11 y9c ffa fs7 fc0 sc0 ls0 ws0">níveis de risco e de prioridade.<span class="ff8"> </span></div><div class="t m0 x12 h11 y9d ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Febre com suspeita de neutropenia ou imunossupressão.<span class="ff8"> </span></span></div><div class="t m0 x12 h11 y9e ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Obstrução de veias aéreas.<span class="ff8"> </span></span></div><div class="t m0 x12 h11 y9f ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Alterações neurológicas súbitas:<span class="ff8"> </span></span></div><div class="t m0 x15 h11 ya0 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Déficit motor.<span class="ff8"> </span></span></div><div class="t m0 x15 h11 ya1 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Afasia.<span class="ff8"> </span></span></div><div class="t m0 x15 h11 ya2 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Convulsão.<span class="ff8"> </span></span></div><div class="t m0 x15 h11 ya3 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Delirium.<span class="ff8"> </span></span></div><div class="t m0 x15 h15 ya4 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Rebaixamento <span class="blank _1"> </span>d<span class="blank _4"></span>o <span class="blank _3"> </span>n<span class="blank _3"> </span>ível <span class="blank _3"> </span>de <span class="blank _1"> </span>consciência <span class="blank _1"> </span>(q<span class="blank _4"></span>ueda <span class="blank _3"> </span>m<span class="blank _3"> </span>aior <span class="blank _3"> </span>que <span class="blank _3"> </span>2 </span></div><div class="t m0 x16 h11 ya5 ffa fs7 fc0 sc0 ls0 ws0">pontos na escala de Glasgow).<span class="ff8"> </span></div><div class="t m0 x12 h11 ya6 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Intoxicação aguda.<span class="ff8"> </span></span></div><div class="t m0 x12 h11 ya7 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Hematêmese, enterorragia ou hemoptise.<span class="ff8"> </span></span></div><div class="t m0 x12 h11 ya8 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Dor intensa.<span class="ff8"> </span></span></div><div class="t m0 x12 h11 ya9 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Instabilidade hemodinâmica.<span class="ff8"> </span></span></div><div class="t m0 x12 h11 yaa ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Alterações marcantes dos sinais vitais:<span class="ff8"> </span></span></div><div class="t m0 x15 h11 yab ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>FR > 36 ou < 8 irm ou uso de musculatura acessória.<span class="ff8"> </span></span></div><div class="t m0 x15 h11 yac ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>SatO2 < 90%.<span class="ff8"> </span></span></div><div class="t m0 x15 h11 yad ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>FC > 120 ou < 40 bpm.<span class="ff8"> </span></span></div><div class="t m0 x15 h11 yae ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>PAS < 90 mmHg.<span class="ff8"> </span></span></div><div class="t m0 x15 h11 yaf ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>TEC > 5 segundos (perfusão capilar).<span class="ff8"> </span></span></div><div class="t m0 x11 h11 yb0 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ls1 ws0"> <span class="ff8 ls0">Avaliação do paciente de alto risco: </span></span></div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf8" class="pf w3 hc" data-page-no="8"><div class="pc pc8 w3 hc"><img fetchpriority="low" loading="lazy" class="bi xb y41 wa h16" alt="" src="https://files.passeidireto.com/c43c8745-7ffc-45e7-a4ae-2e9625d0ee3d/bg8.png"><div class="c x0 y0 w4 hc"><div class="t m0 xb he y42 ff7 fs6 fc0 sc0 ls0 ws0"> </div><div class="t m0 xc he y43 ff7 fs6 fc0 sc0 ls0 ws0"> </div></div><div class="c xc y44 w5 hf"><div class="t m0 xd he y45 ff7 fs6 fc1 sc0 ls0 ws0">4 </div></div><div class="c xb y46 w6 h10"><div class="t m0 xe h11 y47 ff8 fs7 fc0 sc0 ls0 ws0">Gustavo Urzêda Vitória </div></div><div class="c x0 y0 w4 hc"><div class="t m0 x12 h15 y57 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Prioridade <span class="blank _18"> </span><span class="ffd ls3">\u2192</span> <span class="blank _18"> </span>sala <span class="blank _18"> </span>d<span class="blank _4"></span>e </span></div><div class="t m0 x13 h11 yb1 ffa fs7 fc0 sc0 ls0 wsd">emergência.<span class="ff8 ws0"> </span></div><div class="t m0 x12 h11 yb2 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>MOV:<span class="ff8"> </span></span></div><div class="t m0 x15 h11 yb3 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls5 ws0"> </span><span class="ff8 ls0 wsd">M<span class="ffa ws0">onitorização <span class="blank _19"> </span>dos </span></span></div><div class="t m0 x16 h11 yb4 ffa fs7 fc0 sc0 ls0 ws0">sinais vitais.<span class="ff8"> </span></div><div class="t m0 x15 h15 yb5 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Avaliar <span class="blank _9"> </span>necessidade <span class="blank _1"> </span>de </span></div><div class="t m0 x16 h11 yb6 ff8 fs7 fc0 sc0 ls4">O<span class="ffa ls0 wsd">xigenioterapia.</span><span class="ls0 ws0"> </span></div><div class="t m0 x15 h11 yb7 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Acesso <span class="blank _9"> </span><span class="ff8 ls6">V</span>enosos <span class="blank _9"> </span>para <span class="blank _9"> </span>colher </span></div><div class="t m0 x16 h15 yb8 ffa fs7 fc0 sc0 ls0 ws0">amostras <span class="blank _1a"> </span>de <span class="blank _1a"> </span>sangue <span class="blank _1a"> </span>e <span class="blank _1a"> </span>administrar </div><div class="t m0 x16 h11 yb9 ffa fs7 fc0 sc0 ls0 wsd">medicamentos.<span class="ff8 ws0"> </span></div><div class="t m0 x12 h15 yba ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>O <span class="blank _1b"> </span>MOV <span class="blank _1b"> </span>acontece </span></div><div class="t m0 x13 h15 ybb ffa fs7 fc0 sc0 ls0 ws0">simultaneamente <span class="blank _9"> </span>a <span class="blank _9"> </span>avaliação </div><div class="t m0 x13 h11 ybc ffa fs7 fc0 sc0 ls0 ws0">clínica. <span class="ff8"> </span></div><div class="t m0 xb h15 ybd ffa fs7 fc0 sc0 ls6 wse">SBV:<span class="ls0 ws0"> </span></div><div class="t m0 x11 h11 ybe ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ls1 ws0"> <span class="ff8 ls0">Introdução: </span></span></div><div class="t m0 x12 h15 ybf ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>A <span class="blank _1c"> </span>cada <span class="blank _1c"> </span>5 <span class="blank _1c"> </span>anos <span class="blank _1c"> </span>as <span class="blank _1c"> </span>dir<span class="blank _4"></span>etrizes <span class="blank _1c"> </span>são <span class="blank _1c"> </span>atualizadas <span class="blank _1d"> </span><span class="ffd ls3">\u2192</span> <span class="blank _1c"> </span>Brasil <span class="blank _1c"> </span>segue <span class="blank _1c"> </span>as </span></div><div class="t m0 x13 h11 yc0 ffa fs7 fc0 sc0 ls0 ws0">recomendações <span class="blank _a"></span>americanas <span class="blank _1e"></span>da <span class="blank _1e"></span>American <span class="blank _a"></span>Heart <span class="blank _1e"></span>Association <span class="blank _a"></span>(AHA).<span class="ff8"> </span></div><div class="t m0 x12 h11 yc1 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"><span class="fc2 sc0"> </span><span class="blank _5"> </span>Diretr<span class="fc2 sc0">iz</span><span class="fc2 sc0"> </span>de 2010:<span class="ff8"> </span></span></div><div class="t m0 x15 h11 yc2 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Elos da sobrevivência:<span class="ff8"> </span></span></div><div class="t m0 x1c h11 yc3 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Reconhecimento e acionamento da emergência.<span class="ff8"> </span></span></div><div class="t m0 x1c h11 yc4 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Compressões torácicas.<span class="ff8"> </span></span></div><div class="t m0 x1c h11 y55 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Desfibrilação.<span class="ff8"> </span></span></div><div class="t m0 x1c h11 yc5 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Chegada do suporte avançado.<span class="ff8"> </span></span></div><div class="t m0 x1c h11 yc6 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Cuidados pós-parada.<span class="ff8"> </span></span></div><div class="t m0 xb h11 yc7 ff8 fs7 fc0 sc0 ls0 ws0"> </div><div class="t m0 x15 h15 yc8 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>ABCDE: </span></div><div class="t m0 x1c h15 yc9 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>A: Vias aéreas com controle cervical. </span></div><div class="t m0 x1c h15 yca ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>B: Ventilação e oxigenação adequadas. </span></div><div class="t m0 x1c h15 ycb ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>C: Circulação com controle de hemorragia. </span></div><div class="t m0 x1c h15 ycc ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>D: Estado neurológico. </span></div><div class="t m0 x1c h15 ycd ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>E: Exposição com controle de temperatura. </span></div><div class="t m0 x12 h15 yce ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"><span class="fc2 sc0"> </span><span class="blank _5"> </span>Diretr<span class="fc2 sc0">iz</span><span class="fc2 sc0"> </span>de 2015: </span></div><div class="t m0 x15 h15 ycf ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>CAB: </span></div><div class="t m0 x1c h15 yd0 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>C: Compressões. </span></div><div class="t m0 x1c h15 yd1 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>A: Vias aéreas. </span></div><div class="t m0 x1c h15 yd2 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>B: Respiração. </span></div><div class="t m0 x1c h15 yd3 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Sem <span class="blank _1"> </span>circulação <span class="blank _1"> </span>não <span class="blank _1"> </span>há <span class="blank _1"> </span>necessidade <span class="blank _1"> </span>de <span class="blank _1"> </span>ventilar, <span class="blank _1"> </span>por </span></div><div class="t m0 x1d h15 yd4 ffa fs7 fc0 sc0 ls0 ws0">isso as compressões torácicas vêm primeiro. </div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf9" class="pf w3 hc" data-page-no="9"><div class="pc pc9 w3 hc"><img fetchpriority="low" loading="lazy" class="bi x1e y41 wb h16" alt="" src="https://files.passeidireto.com/c43c8745-7ffc-45e7-a4ae-2e9625d0ee3d/bg9.png"><div class="c x0 y0 w4 hc"><div class="t m0 xb he y42 ff7 fs6 fc0 sc0 ls0 ws0"> </div><div class="t m0 xc he y43 ff7 fs6 fc0 sc0 ls0 ws0"> </div></div><div class="c xc y44 w5 hf"><div class="t m0 xd he y45 ff7 fs6 fc1 sc0 ls0 ws0">5 </div></div><div class="c xb y46 w6 h10"><div class="t m0 xe h11 y47 ff8 fs7 fc0 sc0 ls0 ws0">Gustavo Urzêda Vitória </div></div><div class="c x0 y0 w4 hc"><div class="t m0 x12 h15 y86 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ls7 ws0"><span class="fc2 sc0"> </span><span class="ls0 wsd v0">Diretr<span class="fc2 sc0">iz</span></span><span class="ls4"><span class="fc2 sc0"> </span><span class="ls0 v0">de 2020:<span class="v0"> </span></span></span></span></div><div class="t m0 x15 h15 yd5 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Elos: </span></div><div class="t m0 x12 h15 yd6 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Maioria <span class="blank _1f"> </span>das <span class="blank _1f"> </span>paradas <span class="blank _1f"> </span>ocorre<span class="blank _4"></span> <span class="blank _1f"> </span>em <span class="blank _1f"> </span>ambiente <span class="blank _1f"> </span>extra-hospitalar <span class="blank _1f"> </span><span class="ffd ws9">\u2192</span> </span></div><div class="t m0 x13 h11 yd7 ffa fs7 fc0 sc0 ls0 ws0">importância de treinar a população em geral.<span class="ff8"> </span></div><div class="t m0 x12 h15 yd8 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Maioria <span class="blank _9"> </span>das <span class="blank _9"> </span>paradas <span class="blank _2"> </span>ocorre <span class="blank _9"> </span>por <span class="blank _9"> </span>doença <span class="blank _9"> </span>co<span class="blank _3"> </span>ro<span class="blank _4"></span>nariana <span class="blank _1c"> </span><span class="ffd ls3">\u2192</span> <span class="blank _9"> </span>fibrilação </span></div><div class="t m0 x13 h11 yd9 ffa fs7 fc0 sc0 ls0 wsd">ventricular.<span class="ff8 ws0"> </span></div><div class="t m0 x12 h11 yda ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Relação entre tempo e as consequências geradas:<span class="ff8"> </span></span></div><div class="t m0 x15 h11 ydb ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>10 segundos sem batimentos: perda da cons<span class="blank _4"></span>ciência.<span class="blank _3"> </span><span class="ff8"> </span></span></div><div class="t m0 x15 h11 ydc ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>4 minutos sem intervenção: morte neuronal.<span class="ff8"> </span></span></div><div class="t m0 x15 h11 ydd ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>10 minutos sem intervenção: óbito.<span class="ff8"> </span></span></div><div class="t m0 x12 h11 yde ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Desfibrilação precoce tem mais benefícios.<span class="ff8"> </span></span></div><div class="t m0 x15 h11 ydf ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Fases da Parada Cardíaca:<span class="ff8"> </span></span></div><div class="t m0 x1c h15 ye0 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Elétrica: <span class="blank _2"> </span>0 <span class="blank _1c"> </span><span class="ffe ls8">\u2013</span> <span class="blank _2"> </span>5 <span class="blank _2"> </span>minu<span class="blank _3"> </span>tos, <span class="blank _2"> </span>melhor <span class="blank _2"> </span>hora <span class="blank _1c"> </span>para <span class="blank _2"> </span>chocar <span class="blank _2"> </span>o </span></div><div class="t m0 x1d h11 ye1 ffa fs7 fc0 sc0 ls0 wsd">paciente.<span class="ff8 ws0"> </span></div><div class="t m0 x1c h15 ye2 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Circulatória: <span class="blank _20"> </span>5 <span class="blank _20"> </span><span class="ffe wsd">\u2013</span> <span class="blank _20"> </span>10 <span class="blank _20"> </span>minutos, <span class="blank _20"> </span>recomenda-se <span class="blank _20"> </span>n<span class="blank _4"></span>o </span></div><div class="t m0 x1d h15 ye3 ffa fs7 fc0 sc0 ls0 ws0">mínimo <span class="blank _9"> </span>2 <span class="blank _2"> </span>minutos <span class="blank _9"> </span>d<span class="blank _3"> </span>e <span class="blank _9"> </span>ressuscitação <span class="blank _9"> </span>ca<span class="blank _3"> </span>rdiopulmonar </div><div class="t m0 x1d h11 ye4 ffa fs7 fc0 sc0 ls0 ws0">(RCP) antes de desfibrilar.<span class="ff8"> </span></div><div class="t m0 x1c h15 ye5 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _6"> </span>Metabólica: > 10 <span class="blank _4"></span>minutos, suporte avançado, <span class="blank _4"></span>como a </span></div><div class="t m0 x1d h15 ye6 ffa fs7 fc0 sc0 ls0 ws0">técnica <span class="blank _9"> </span>de <span class="blank _2"> </span>indução <span class="blank _9"> </span>de <span class="blank _9"> </span>h<span class="blank _3"> </span>ipotermia, <span class="blank _9"> </span>caso <span class="blank _9"> </span>a <span class="blank _2"> </span>RCP <span class="blank _9"> </span>não </div><div class="t m0 x1d h11 ye7 ffa fs7 fc0 sc0 ls0 ws0">tenha tido sucesso.<span class="ff8"> </span></div><div class="t m0 x12 h15 ye8 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Morte <span class="blank _21"> </span>súbita: <span class="blank _21"> </span>síncope <span class="blank"> </span>+ <span class="blank _21"> </span>parad<span class="blank _3"> </span>a <span class="blank"> </span>cardiorrespiratória <span class="blank _21"> </span>(PCR; <span class="blank _21"> </span>sem </span></div><div class="t m0 x13 h11 ye9 ffa fs7 fc0 sc0 ls0 ws0">pulsos, FC e movimentos respiratório<span class="blank _3"> </span>s).<span class="ff8"> </span></div><div class="t m0 x15 h15 yea ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Causas: <span class="blank _13"> </span>traumas, <span class="blank _13"> </span>afogamentos, <span class="blank _14"> </span>enga<span class="blank _3"> </span>sgamentos,<span class="blank _4"></span> </span></div><div class="t m0 x16 h11 yeb ffa fs7 fc0 sc0 ls0 ws0">eletrocussão, etc.<span class="ff8"> </span></div><div class="t m0 x12 h15 yec ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Ritmos <span class="blank _0"> </span>chocáveis: <span class="blank _1d"> </span>fib<span class="blank _3"> </span>ril<span class="blank _4"></span>ação <span class="blank _0"> </span>ventricular <span class="blank _0"> </span>e <span class="blank _1d"> </span>taquicard<span class="blank _3"> </span>ia <span class="blank _1d"> </span>ventricular </span></div><div class="t m0 x13 h11 yed ffa fs7 fc0 sc0 ls0 ws0">sem pulso.<span class="ff8"> </span></div><div class="t m0 x12 h15 yee ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Ritmos <span class="blank _1d"> </span>não <span class="blank _1d"> </span>chocáveis: <span class="blank _1d"> </span>assisto<span class="blank _3"> </span>lia <span class="blank _1c"> </span>e <span class="blank _1d"> </span>a<span class="blank _3"> </span>tividade <span class="blank _1c"> </span>elét<span class="blank _3"> </span>rica <span class="blank _1c"> </span>sem <span class="blank _1d"> </span>pulso </span></div><div class="t m0 x13 h11 yef ffa fs7 fc0 sc0 ls0 ws0">(AESP). <span class="ff8"> </span></div><div class="t m0 x11 h11 yf0 ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ls1 ws0"> <span class="ff8 ls0">Passos: </span></span></div><div class="t m0 x12 h11 yf1 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ls7 ws0"><span class="fc2 sc0"> </span><span class="ls8 wsf">1º</span><span class="ls0">: Garantir a segurança (sua, da equipe e do paciente).<span class="ff8"> </span></span></span></div><div class="t m0 x12 h11 yf2 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ls7 ws0"><span class="fc2 sc0"> </span><span class="ls8 wsf">2º</span><span class="ls0">: Checar responsividade do paciente (chacoalhar e ch<span class="blank _4"></span>amar).<span class="blank _3"> </span><span class="ff8"> </span></span></span></div><div class="t m0 x12 h11 yf3 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ls7 ws0"><span class="fc2 sc0"> </span><span class="ls8 wsf">3º</span><span class="ls0">: Checar movimentos respiratórios.<span class="ff8"> </span></span></span></div><div class="t m0 x12 h11 yf4 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ls7 ws0"><span class="fc2 sc0"> </span><span class="ls8 wsf">4º</span><span class="ls0">: Chamar ajuda/atendimento de urgência e emergência.<span class="ff8"> </span></span></span></div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pfa" class="pf w3 hc" data-page-no="a"><div class="pc pca w3 hc"><img fetchpriority="low" loading="lazy" class="bi x1f y41 wc h16" alt="" src="https://files.passeidireto.com/c43c8745-7ffc-45e7-a4ae-2e9625d0ee3d/bga.png"><div class="c x0 y0 w4 hc"><div class="t m0 xb he y42 ff7 fs6 fc0 sc0 ls0 ws0"> </div><div class="t m0 xc he y43 ff7 fs6 fc0 sc0 ls0 ws0"> </div></div><div class="c xc y44 w5 hf"><div class="t m0 xd he y45 ff7 fs6 fc1 sc0 ls0 ws0">6 </div></div><div class="c xb y46 w6 h10"><div class="t m0 xe h11 y47 ff8 fs7 fc0 sc0 ls0 ws0">Gustavo Urzêda Vitória </div></div><div class="c x0 y0 w4 hc"><div class="t m0 x12 h15 y86 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ls7 ws0"><span class="fc2 sc0"> </span><span class="ls8 wsf v0">5º</span><span class="ls0">: <span class="blank _0"> </span>Posicionar <span class="blank _0"> </span>o<span class="blank _3"> </span> <span class="blank _0"> </span>paciente <span class="blank _0"> </span>preferencialmente <span class="blank _0"> </span>em <span class="blank _22"> </span>uma <span class="blank _0"> </span>superfície </span></span></div><div class="t m0 x13 h11 yd5 ffa fs7 fc0 sc0 ls0 wsd">rígida.<span class="ff8 ws0"> </span></div><div class="t m0 x12 h15 yf5 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ls7 ws0"><span class="fc2 sc0"> </span><span class="ls8 wsf">6º</span><span class="ls0">: <span class="blank _23"> </span>Checar <span class="blank _23"> </span>o <span class="blank _23"> </span>pulso <span class="blank _23"> </span>central <span class="blank _23"> </span>(carotídeo <span class="blank _23"> </span>ou <span class="blank _23"> </span>femoral) <span class="blank _1f"> </span>p<span class="blank _3"> </span>or <span class="blank _1f"> </span>5<span class="blank _3"> </span>-10 </span></span></div><div class="t m0 x13 h11 yf6 ffa fs7 fc0 sc0 ls6 wse">segundos.<span class="ff8 ls0 ws0"> </span></div><div class="t m0 x12 h11 yf7 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ls7 ws0"><span class="fc2 sc0"> </span><span class="ls8 wsf">7º</span><span class="ls0">: Começar as compressões torácicas.<span class="ff8"> </span></span></span></div><div class="t m0 x15 h15 yf8 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Posicionar-se <span class="blank _24"> </span>lateralmente <span class="blank _25"> </span>ao </span></div><div class="t m0 x16 h11 yf9 ffa fs7 fc0 sc0 ls0 wsd">paciente.<span class="ff8 ws0"> </span></div><div class="t m0 x15 h15 yfa ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Pressionar <span class="blank _1c"> </span>a <span class="blank _1c"> </span>eminência <span class="blank _1c"> </span>hipotenar </span></div><div class="t m0 x16 h15 yfb ffa fs7 fc0 sc0 ls0 ws0">no <span class="blank _1"> </span>terço <span class="blank _1"> </span>inferior <span class="blank _1"> </span>do<span class="blank _3"> </span> <span class="blank _1"> </span>esterno <span class="blank _1"> </span>com <span class="blank _1"> </span>a </div><div class="t m0 x16 h11 yfc ffa fs7 fc0 sc0 ls0 ws0">linha mamilar.<span class="ff8"> </span></div><div class="t m0 x15 h15 yfd ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Cotovelos <span class="blank"> </span>eretos <span class="blank"> </span>s<span class="blank _4"></span>empre <span class="blank"> </span><span class="ffd ws9">\u2192</span> <span class="blank"> </span>não </span></div><div class="t m0 x16 h15 yd6 ffa fs7 fc0 sc0 ls0 ws0">podem <span class="blank _23"> </span>ser <span class="blank _23"> </span>dobrados <span class="blank _23"> </span>durante <span class="blank _23"> </span>a </div><div class="t m0 x16 h11 yd7 ffa fs7 fc0 sc0 ls0 wsd">manobra.<span class="ff8 ws0"> </span></div><div class="t m0 x15 h11 yd8 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Mínimo de 100 compressões/minuto.<span class="ff8"> </span></span></div><div class="t m0 x15 h11 yfe ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Comprimir cerca de 5 cm de profundidade.<span class="ff8"> </span></span></div><div class="t m0 x15 h11 yff ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Permita o retorno total do tórax.<span class="ff8"> </span></span></div><div class="t m0 x15 h11 y100 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>30 compressões para 2 ventilações.<span class="ff8"> </span></span></div><div class="t m0 x15 h11 ydc ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Minimize as interrupções (máximo 10 segundos).<span class="ff8"> </span></span></div><div class="t m0 x15 h11 ydd ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Trocar de massageador de 2 em 2 minutos, se possível.<span class="ff8"> </span></span></div><div class="t m0 x12 h11 y101 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ls7 ws0"><span class="fc2 sc0"> </span><span class="ls8 wsf">8º</span><span class="ls4">: <span class="ls0 wsd">Ventilação:<span class="ff8 ws0"> </span></span></span></span></div><div class="t m0 x15 h15 y102 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Sem <span class="blank _26"> </span>dispositivos <span class="blank _12"> </span>d<span class="blank _3"> </span>isponíveis: <span class="blank _12"> </span>só </span></div><div class="t m0 x16 h15 y103 ffa fs7 fc0 sc0 ls0 ws0">compressões <span class="blank _21"> </span>até<span class="blank _3"> </span> <span class="blank _21"> </span>chegar <span class="blank _27"> </span>ajuda <span class="blank _21"> </span>o<span class="blank _3"> </span>u <span class="blank _21"> </span>pode </div><div class="t m0 x16 h15 y104 ffa fs7 fc0 sc0 ls0 ws0">fazer <span class="blank _28"> </span>boca-a-boca, <span class="blank _28"> </span>caso <span class="blank _28"> </span>se <span class="blank _29"> </span>sinta </div><div class="t m0 x16 h11 y105 ffa fs7 fc0 sc0 ls0 ws0">suficientemente seguro para isso.<span class="ff8"> </span></div><div class="t m0 x15 h15 y106 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Bolsa <span class="blank _1"> </span><span class="ffe ls8">\u2013</span> <span class="blank _1"> </span>Válvula <span class="blank _1"> </span><span class="ffe wsd">\u2013</span> <span class="blank _1"> </span>Máscara <span class="blank _1"> </span>(AMBU): <span class="blank _1"> </span>forma </span></div><div class="t m0 x16 h15 y107 ffa fs7 fc0 sc0 ls0 ws0">um <span class="blank _1"> </span>anel <span class="blank _3"> </span>com <span class="blank _3"> </span>os <span class="blank _1"> </span>dedos <span class="blank _1"> </span>indicador <span class="blank _3"> </span>e <span class="blank _1"> </span>pol<span class="blank _4"></span>egar </div><div class="t m0 x16 h15 y108 ffa fs7 fc0 sc0 ls0 ws0">para <span class="blank _9"> </span>fir<span class="blank _4"></span>mar <span class="blank _1"> </span>a <span class="blank _9"> </span>AMBU, <span class="blank _1"> </span>com <span class="blank _1"> </span>os <span class="blank _1"> </span>demais <span class="blank _1"> </span>fa<span class="blank _3"> </span>z <span class="blank _1"> </span>a </div><div class="t m0 x16 h15 y109 ffa fs7 fc0 sc0 ls0 ws0">manobra <span class="blank _1"> </span>de <span class="blank _9"> </span>elevação <span class="blank _1"> </span>do <span class="blank _1"> </span>mento, <span class="blank _1"> </span>enquanto </div><div class="t m0 x16 h11 y10a ffe fs7 fc0 sc0 ls0 ws0">a outra mão \u201cbombeia\u201d o ar ambiente<span class="ffa wsd">.</span><span class="ff8"> </span></div><div class="t m0 x20 h15 y10b ffb fs7 fc0 sc0 ls0 ws9">\u2022<span class="ffa ws0"> <span class="blank _10"> </span>Pode <span class="blank _9"> </span>ser <span class="blank _9"> </span>usado <span class="blank _9"> </span>a <span class="blank _9"> </span>cânula <span class="blank _9"> </span>de <span class="blank _9"> </span>intubação <span class="blank _9"> </span>para <span class="blank _9"> </span>abrir <span class="blank _9"> </span>a </span></div><div class="t m0 x1d h15 y10c ffa fs7 fc0 sc0 ls0 ws0">via <span class="blank _8"> </span>aérea <span class="blank _8"> </span><span class="ffd ls3">\u2192</span> <span class="blank _5"> </span>o<span class="blank _3"> </span> <span class="blank _8"> </span>ta<span class="blank _4"></span>manho <span class="blank _8"> </span>da <span class="blank _8"> </span>cânula <span class="blank _8"> </span>i<span class="blank _4"></span>deal <span class="blank _8"> </span>é<span class="blank _4"></span> </div><div class="t m0 x1d h15 y10d ffa fs7 fc0 sc0 ls0 ws0">correspondente <span class="blank _4"></span>a distâ<span class="blank _4"></span>ncia entre <span class="blank _4"></span>o <span class="blank _4"></span>lóbulo <span class="blank _4"></span>da <span class="blank _4"></span>orelha <span class="blank _a"></span>e </div><div class="t m0 x1d h11 y10e ffa fs7 fc0 sc0 ls0 ws0">a rima labial.<span class="ff8"> </span></div><div class="t m0 x21 h15 y10f ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Insere <span class="blank _1"> </span>no <span class="blank _1"> </span>palato <span class="blank _3"> </span>d<span class="blank _3"> </span>uro <span class="blank _1"> </span>e <span class="blank _3"> </span>g<span class="blank _3"> </span>ira </span></div><div class="t m0 x22 h11 y110 ffa fs7 fc0 sc0 ls6 ws0">180° OU<span class="ff8 ls0"> </span></div><div class="t m0 x21 h15 y111 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ws0"> <span class="blank _5"> </span>Insere <span class="blank _27"> </span>na <span class="blank _2a"> </span>mucosa <span class="blank _27"> </span>jugal <span class="blank _2a"> </span>e </span></div><div class="t m0 x22 h11 y112 ffa fs7 fc0 sc0 ls0 ws0">gira 90°. <span class="ff8"> </span></div><div class="t m0 x15 h15 y113 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Queda <span class="blank"> </span>da <span class="blank"> </span>língua <span class="blank"> </span>é <span class="blank"> </span>um<span class="blank _3"> </span>a <span class="blank"> </span>das <span class="blank"> </span>principais </span></div><div class="t m0 x16 h15 y114 ffa fs7 fc0 sc0 ls0 ws0">causas <span class="blank _2b"> </span>de <span class="blank _2b"> </span>obstrução <span class="blank _2b"> </span>no <span class="blank _2b"> </span>p<span class="blank _4"></span>aciente </div><div class="t m0 x16 h11 y115 ffa fs7 fc0 sc0 ls0 ws0">inconsciente. <span class="ff8"> </span></div><div class="t m0 x15 h15 y116 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Expansão <span class="blank _1"> </span>torácica <span class="blank _3"> </span>é <span class="blank _1"> </span>o <span class="blank _3"> </span>parâmetro <span class="blank _1"> </span>para <span class="blank _3"> </span>ventilação <span class="blank _1"> </span>correta <span class="blank _3"> </span>e </span></div><div class="t m0 x16 h11 y117 ffa fs7 fc0 sc0 ls0 ws0">bem sucedida.<span class="ff8"> </span></div><div class="t m0 x12 h11 y118 ffc fs7 fc0 sc0 ls0 wsa">o<span class="ffa ls7 ws0"><span class="fc2 sc0"> </span><span class="ls8 wsf">9º</span><span class="ls4">: <span class="ls0 wsd">Desfibrilador:<span class="ff8 ws0"> </span></span></span></span></div><div class="t m0 x15 h11 y119 ffd fs7 fc0 sc0 ls4">\u25aa<span class="ffa ls0 ws0"> <span class="blank _6"> </span>Pode ser o DEA (automático).<span class="ff8"> </span></span></div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div>
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