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Paramedic ptsd

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https://www.readbyqxmd.com/read/29805778/dissociative-symptoms-mediate-the-relation-between-ptsd-symptoms-and-functional-impairment-in-a-sample-of-military-members-veterans-and-first-responders-with-ptsd
#1
Jenna E Boyd, Alina Protopopescu, Charlene O'Connor, Richard W J Neufeld, Rakesh Jetly, Heather K Hood, Ruth A Lanius, Margaret C McKinnon
Background : Posttraumatic Stress Disorder (PTSD) is associated with significant functional impairment in important areas, including interpersonal relationships and occupational or educational roles. Preliminary evidence suggests that the dissociative subtype of PTSD (PTSD+DS), characterized by marked symptoms of depersonalization and derealization, is associated with increased functional impairment and disease severity, including among military members and veterans diagnosed with PTSD. Similarly, first responders (e...
2018: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/29651735/coroners-and-ptsd-treatment-implications
#2
REVIEW
Raymond B Flannery, Thomas Greenhalgh
Experimental studies have documented the development of posttraumatic stress disorder (PTSD) in first responders. These studies have routinely included police, firefighters, and paramedics. However, there is another group of first responders that are at risk for PTSD but that has received less research attention. This group is comprised of coroners. This paper reviewed the published data concerning coroners and PTSD and outlined various treatments for addressing coronial PTSD. The findings, the differing treatments, and a detailed methodological inquiry are presented...
April 13, 2018: Psychiatric Quarterly
https://www.readbyqxmd.com/read/29566981/anxiety-related-psychopathology-and-chronic-pain-comorbidity-among-public-safety-personnel
#3
R N Carleton, T O Afifi, T Taillieu, S Turner, R El-Gabalawy, J Sareen, G J G Asmundson
Canadian Public Safety Personnel (PSP; e.g., correctional service officers, dispatchers, firefighters, paramedics, police officers) regularly experience potentially traumatic, painful, and injurious events. Such exposures increase risk for developing mental disorders and chronic pain, which both involve substantial personal and social costs. The interrelationship between mental disorders and chronic pain is well-established, and both can be mutually maintaining; accordingly, understanding the relationship between mental health and chronic pain among PSP is important for improving health care...
April 2018: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28747237/mental-health-care-utilisation-among-internally-displaced-persons-in-ukraine-results-from-a-nation-wide-survey
#4
B Roberts, N Makhashvili, J Javakhishvili, A Karachevskyy, N Kharchenko, M Shpiker, E Richardson
Aims There are an estimated 1.5 million internally displaced persons (IDPs) in Ukraine because of the armed conflict in the east of the country. The aim of this paper is to examine utilisation patterns of mental health and psychosocial support (MHPSS) care among IDPs in Ukraine. METHODS: A cross-sectional survey design was used. Data were collected from 2203 adult IDPs throughout Ukraine between March and May 2016. Data on mental health care utilisation were collected, along with outcomes including post-traumatic stress disorder (PTSD), depression and anxiety...
July 27, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/28689046/post-admission-outcomes-of-participants-in-the-paramedic-trial-a-cluster-randomised-trial-of-mechanical-or-manual-chest-compressions
#5
RANDOMIZED CONTROLLED TRIAL
C Ji, R Lall, T Quinn, C Kaye, K Haywood, J Horton, V Gordon, C D Deakin, H Pocock, A Carson, M Smyth, N Rees, K Han, S Byers, S Brace-McDonnell, S Gates, G D Perkins
BACKGROUND: The PARAMEDIC cluster randomised trial evaluated the LUCAS mechanical chest compression device, and did not find evidence that use of mechanical chest compression led to an improvement in survival at 30 days. This paper reports patient outcomes from admission to hospital to 12 months after randomisation. METHODS: Information about hospital length of stay and intensive care management was obtained through linkage with Hospital Episode Statistics and the Intensive Care National Audit and Research Centre...
September 2017: Resuscitation
https://www.readbyqxmd.com/read/28619858/ptsd-acute-stress-performance-and-decision-making-in-emergency-service-workers
#6
Cheryl Regehr, Vicki R LeBlanc
Despite research identifying high levels of stress and traumatic stress symptoms among those in the emergency services, the impact of these symptoms on performance and hence public safety remains uncertain. This review paper discusses a program of research that has examined the effects of prior critical incident exposure, acute stress, and current post-traumatic symptoms on the performance and decision-making during an acutely stressful event among police officers, police communicators, paramedics and child protection workers...
June 2017: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/28445653/describing-the-mental-health-profile-of-first-responders-a-systematic-review-formula-see-text
#7
REVIEW
Sara Jones
BACKGROUND: First responders (FRs) are responsible for providing multiple services during various critical events. Considering the frequency, nature, and intensity of duty-related traumatic exposures, the cumulative impact on FRs' mental health is of paramount importance. OBJECTIVES: The purpose of this systematic review was to describe how duty-related trauma exposure can affect the comprehensive mental health profile of FRs, including firefighters, emergency medical technicians, and paramedics...
May 2017: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/28383472/battlefield-pain-management-a-view-of-17-years-in-israel-defense-forces
#8
Avi Benov, Margaux M Salas, Helit Nakar, Ben Antebi, Bader Tarif, Avraham Yitzhak, Elon Glassberg
BACKGROUND: Pain control in trauma is an integral part of treatment in combat casualty care (CCC). More soldiers injured on the battlefield will need analgesics for pain than those who will need lifesaving interventions (LSI). It has been shown that early treatment of pain improves outcomes after traumatic injury, whereas inadequate treatment leads to higher rates of PTSD. The purpose of this article is to report the Israel Defense Forces Medical Corps (IDF-MC) experience with point of injury (POI) use of analgesia...
July 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27871770/ptsd-in-those-who-care-for-the-injured
#9
Kevin Luftman, Jayson Aydelotte, Kevin Rix, Sadia Ali, Katherine Houck, Thomas B Coopwood, Pedro Teixeira, Alex Eastman, Brian Eastridge, Carlos V R Brown, Matthew Davis
BACKGROUND: Post Traumatic Stress Disorder (PTSD) has become a focus for the care of trauma victims, but the incidence of PTSD in those who care for injured patients has not been well studied. Our hypothesis was that a significant proportion of health care providers involved with trauma care are at risk of developing PTSD. METHODS: A system-wide survey was applied using a modified version of the Primary Care PTSD Screen [PC-PTSD], a validated PTSD screening tool currently being used by the VA to screen veterans for PTSD...
February 2017: Injury
https://www.readbyqxmd.com/read/27348599/a-prospective-study-of-pre-trauma-risk-factors-for-post-traumatic-stress-disorder-and-depression
#10
J Wild, K V Smith, E Thompson, F Béar, M J J Lommen, A Ehlers
BACKGROUND: It is unclear which potentially modifiable risk factors best predict post-trauma psychiatric disorders. We aimed to identify pre-trauma risk factors for post-traumatic stress disorder (PTSD) or major depression (MD) that could be targeted with resilience interventions. METHOD: Newly recruited paramedics (n = 453) were assessed for history of mental disorders with structured clinical interviews within the first week of their paramedic training and completed self-report measures to assess hypothesized predictors...
September 2016: Psychological Medicine
https://www.readbyqxmd.com/read/26719976/a-systematic-review-of-suicidal-thoughts-and-behaviors-among-police-officers-firefighters-emts-and-paramedics
#11
REVIEW
Ian H Stanley, Melanie A Hom, Thomas E Joiner
First responders-police officers, firefighters, emergency medical technicians (EMTs), and paramedics-experience significant job-related stressors and exposures that may confer increased risk for mental health morbidities (e.g., posttraumatic stress disorder [PTSD], suicidal thoughts and behaviors) and hastened mortality (e.g., death by suicide). Inherent in these occupations, however, are also factors (e.g., camaraderie, pre-enlistment screening) that may inoculate against the development or maintenance of psychiatric conditions...
March 2016: Clinical Psychology Review
https://www.readbyqxmd.com/read/26281820/risk-factors-for-posttraumatic-stress-disorder-in-polish-paramedics-a-pilot-study
#12
Beata Rybojad, Anna Aftyka, Michalina Baran, Patryk Rzońca
BACKGROUND: Working as a paramedic carries the risk of witnessing events and personal experiences associated with emergency life-threatening circumstances that may result in symptoms associated with posttraumatic stress. This problem is well known but still underestimated. OBJECTIVES: The specific study objectives were to 1) assess the influence of sociodemographic and occupational factors on posttraumatic stress disorder (PTSD) among paramedics, and 2) suggest preventive strategies in this population...
February 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25215089/post-traumatic-stress-disorder-among-paramedic-and-hospital-emergency-personnel-in-south-east-iran
#13
Sedigheh Iranmanesh, Batool Tirgari, Hojat Sheikh Bardsiri
BACKGROUND: Paramedic and emergency personnel may encounter directly many events that threat their own wellbeing during their daily work. This study was conducted to examine the prevalence rate of post-traumatic stress disorder (PTSD) among two groups of paramedic and emergency personnel in south-east Iran. METHODS: The study employed a descriptive design and was conducted in four hospital emergency wards and a pre-hospital emergency base supervised by Kerman Medical University...
2013: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25214370/trauma-related-psychiatric-comorbidity-of-somatization-disorder-among-women-in-eastern-turkey
#14
Okan Taycan, Vedat Sar, Cihat Celik, Serap Erdogan-Taycan
OBJECTIVE: This study sought to determine the trauma-related psychiatric comorbidity of somatization disorder among women who applied to an outpatient psychiatric unit of a general hospital in eastern Turkey. METHODS: Forty women with somatization disorder and 40 non-clinical controls recruited from the same geographic region participated in the study. Somatization disorder and posttraumatic stress disorder (PTSD) sections of the Structured Clinical Interview for DSM-IV (including its criterion A traumatic events checklist), Dissociative Disorders Interview Schedule, Dissociative Experiences Scale (Taxon), Hamilton Depression Rating Scale, and Childhood Abuse and Neglect Questionnaire were administered to all participants...
November 2014: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/24877101/downtime-after-critical-incidents-in-emergency-medical-technicians-paramedics
#15
Janice Halpern, Robert G Maunder, Brian Schwartz, Maria Gurevich
Effective workplace-based interventions after critical incidents (CIs) are needed for emergency medical technicians (EMT)/paramedics. The evidence for a period out of service post-CI (downtime) is sparse; however it may prevent posttraumatic stress disorder (PTSD) and burnout symptoms. We examined the hypothesis that downtime post-CI is associated with fewer symptoms of four long-term emotional sequelae in EMT/paramedics: depression, PTSD, burnout, and stress-related emotional symptoms (accepted cut-offs defined high scores)...
2014: BioMed Research International
https://www.readbyqxmd.com/read/24755358/trauma-exposure-posttraumatic-stress-disorder-and-the-effect-of-explanatory-variables-in-paramedic-trainees
#16
Celine B Fjeldheim, Jani Nöthling, Karin Pretorius, Marina Basson, Keith Ganasen, Robin Heneke, Karen J Cloete, Soraya Seedat
BACKGROUND: Emergency healthcare workers, including trainees and individuals in related occupations are at heightened risk of developing posttraumatic stress disorder (PTSD) and depression owing to work-related stressors.We aimed to investigate the type, frequency, and severity of direct trauma exposure, posttraumatic stress symptoms and other psychopathology amongst paramedic trainees. In order to create a risk profile for individuals who are at higher occupational risk of developing PTSD, we examined risk and resilience factors that possibly contributed to the presence and severity of posttraumatic symptomatology...
April 23, 2014: BMC Emergency Medicine
https://www.readbyqxmd.com/read/23714206/ptsd-in-paramedics-resilience-and-sense-of-coherence
#17
Markus Streb, Pascal Häller, Tanja Michael
BACKGROUND: Paramedics are frequently subjected to traumatic experiences and have higher PTSD prevalence rates than people in the general population. However, the vast majority of paramedics do not develop PTSD. While several risk factors for PTSD have been established, little is known about protective factors. It has been suggested that a good sense of coherence (SOC) and high resilience lower the risk for developing PTSD. AIMS: To examine whether SOC and resilience are associated with PTSD severity in paramedics...
July 2014: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/22624848/posttraumatic-stress-disorder-among-paramedics-exploring-a-new-solution-with-occupational-health-nurses-using-the-ottawa-charter-as-a-framework
#18
Cheryl Drewitz-Chesney
Paramedics have the highest rate of posttraumatic stress disorder (PTSD) among emergency service workers, higher than police or firefighters. This disorder can be detrimental to their personal and family lives, as well as their careers. Current biomedical, behavioral, and socioenvironmental interventions do not address paramedics' work environment, which contributes to the high rate of PTSD. Occupational health nurses can influence the triad of factors contributing to PTSD among paramedics by facilitating social support and emotional expression while advocating for reduced job exposure to traumatic events...
June 2012: Workplace Health & Safety
https://www.readbyqxmd.com/read/22354514/identifying-describing-and-expressing-emotions-after-critical-incidents-in-paramedics
#19
Janice Halpern, Robert G Maunder, Brian Schwartz, Maria Gurevich
For paramedics, critical incidents evoke intense emotions and may result in later psychological difficulties. We examined 2 ways to deal with emotions after critical incidents: (a) identifying emotions, and (b) describing and expressing emotions, and their association with recovery from acute stress and psychological symptoms. We surveyed 190 paramedics, examining how impaired capacity to identify and describe emotions (alexithymia) and voluntary expression of emotions during contacts with others in the first 24 hours after the incident were associated with recovery from acute stress and current symptoms of PTSD, depression, burnout, and somatization...
February 2012: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/17420442/tonic-and-phasic-heart-rate-as-predictors-of-posttraumatic-stress-disorder
#20
Meaghan L O'Donnell, Mark Creamer, Peter Elliott, Richard Bryant
OBJECTIVE: To examine the relationship between acute measures of a) heart rate (HR) immediately after traumatic injury, b) tonic (resting) HR at 1 week post injury, c) phasic (aroused) HR at 1 week post injury, and d) somatic symptoms of arousal in the prediction of subsequent posttraumatic stress disorder (PTSD). Fear conditioning models propose that HR reactivity shortly after trauma may predict PTSD. METHOD: In a longitudinal study, consecutive injury survivors (n = 197) admitted to a hospital trauma service were assessed within 1 week and at 12 months post injury...
April 2007: Psychosomatic Medicine
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