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The cranianas injuries that can increase of size, as hematomas and edema can cause cerebral compression that I eat consequncia promotes the increase of the intracraniana pressure (PIC). The PIC can provoke the death of the fabric cerebral for pressure and displacement of encfalo. Therefore the necessity to after control the PIC during the acute period TCE (JUNQU; BRUNA; MATAR, 2001). 2.7TRATAMENTO TCE the basic treatment to the patient victim of TCE consists of the clinical or surgical treatment. It has indication of surgical treatment in the cases where Tomografia Computadorizada (TC) in the sample the presence of hematoma and edema. As the dimension of the problem is necessary a descompressiva craniectomia. The clinical treatment consists of the basic support of life. In the initial neurological evaluation of a patient with TCE Escala de Coma de Glasgow (ECG) for its easy application must be emphasized.

How much lesser the points in the ECG, worse prognostic and greater mortality (CINTRA, 2005). The punctuation together with the neuropsicolgicos results of motor level, memory and constructive capacity, can predict the quality of life of the affected patient. The duration of the state of also eats has preditivo value on the alterations of memory (JUNQU; BRUNA; MATAR, 2001). The respiratory insufficience occurs in about 20% of the patient victims of TCE. The orotraqueal intubao is indicated to keep the prvias aerial ways and is installed the ventilation mechanics (VM) in the cases where the patient to present intracraniana hipertenso or reduction of the conscience level. The ventilatrio support has as main purpose the prevention of the hypoxaemia, keeping the satisfactory levels of oxygen in all the fabrics (CINTRA, 2005). It is of extreme importance to keep the hemodinmica stability in the TCE, being prevented hypoxaemia, keeping levels of arterial pressure, temperature and volemia.

Finally, we cannot leave to cite the strategy of ‘ ‘ transformation of equipe’ ‘ , that engloba the team concept and invites the professionals to think internally and to rethink the construction of the proper service, the work together and if to disponibilizarem for quarrels of relations of being able and to know technician of the especificidade of each profession. When approaching these two subjects, the original projects of CAPS and NAPS, we can conclude that these are one in such a way distinct and how much they are essential and the references stop assisting in them in reflections and for the construction of new experiences in the field of the mental health. Valley to cite still you would carry them 189/91 and 224/92 of the Health department, that the new services of mental health institute and regulate. As they had been references for the implantation of some new services, we perceive when analyzing the same ones, that these treat CAPS and NAPS as synonymous Would carry It 189/91 introduces two codes of NAPS/CAPS in table SIA/SUS, one for service of a turn and another one for service of two turns. Portaria 224/92 defines the NAPS/CAPS as ‘ ‘ regionalizadas local units of health/, that they count on a definite adscrita population for the local level and offer to attendance of intermediate cares between the ambulatorial regimen and the hospital internment, in one or two turns of 4 hours, for team multiprofissional’ ‘ , and that ‘ ‘ they can also consist in door of entrance of the net of services for the relative actions to the mental health, considering its characteristic of local and regionalizada unit. The referenciados patients of other services of health, the services of psychiatric urgency or egresses of hospital internment also take care of. They will have to be integrated to a net decentralized and hierarquizada of cares in health mental’ ‘.