INTERNATIONAL ARCHIVES OF MEDICINE SECTION: TRAUMATOLOGY & ORTHOPEDICS ISSN: 1755-7682 International Medical Society http://imedicalsociety.org 1 2016 Vol. 9 No. 261 doi: 10.3823/2132 © Under License of Creative Commons Attribution 3.0 License This article is available at: www.intarchmed.com and www.medbrary.com Multiple Trauma Patient Safety in the Emergency Care: Scoping Review REVIEW Andréa Tayse de Lima Gomes 1 , Flávia Barreto Tavares Chiavone 2 , Manacés dos Santos Bezerril 3 , Larissa de Lima Ferreira 2 , Micheline da Fonseca Silva 1 , Alcides Viana de Lima Neto 4 , Viviane Euzébia Pereira Santos 5 1 Nurse, Master degree student by the Graduate Program in Nursing of the Federal University of Rio Grande do Norte. Scholarship CAPES/DS. Natal, Rio Grande do Norte, Brazil. 2 Nursing Student at the Federal University of Rio Grande do Norte. Scholarship CNPq. Natal, Rio Grande do Norte, Brazil. 3 Nursing Student at the Federal University of Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil. 4 Nurse, Master degree student by the Graduate Program of the Federal University of Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil. 5 Nurse. Ph.D. in Nursing. Graduate and Post-Graduate Professor in Nursing at the Federal University of Rio Grande do Norte. Scholarship of Research Productivity CNPq (PQ2 2016-2019). Natal, Rio Grande do Norte, Brazil. Contact information: Andréa Tayse de Lima Gomes. Address: 76 Severino Soares St., Dix- Sept Rosado, Natal, Rio Grande do Norte, Brazil. ZIP CODE: 59.052-450. andrea.tlgomes@gmail.com Keywords Multiple Trauma; Nursing; Patient Safety; Emergencies. Abstract Background: To summarize the scientifc evidence on the infuence of safe nursing care to multiple trauma patients in the emergency care. Methods: Scoping review using the strategy P (Population) C (Con- cept) C (Context) and performed in the online databases: PubMed, Cumulative Index to Nursing and Allied Health Literature, Scopus and Web of Science, in June 2016. Results: The sample was composed of 43 articles, with most of them being descriptive (n=35; 81.4%), quantitative approach (n=32; 74.4%), level of evidence 4 (n=35; 81.4%) and recommendation grade A (n=40; 93.0%). The structure pointed to the availability of equipment for performing imaging and laboratory functioning (n=18; 41.9%). The process highlighted the completion of the screening in the emergency department (n=20; 46.5%). The result showed the great waiting time of patients to treatment (n=4; 9.3%) and dissatis- faction of professionals regarding the care provided and the working conditions (n=4; 9.3%). Conclusions: The triad structure-process-result of the emergency services have problems able to compromise the security of critically ill patients.