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Paramedic post-traumatic stress

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https://www.readbyqxmd.com/read/27871770/ptsd-in-those-who-care-for-the-injured
#1
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...
November 10, 2016: Injury
https://www.readbyqxmd.com/read/27348599/a-prospective-study-of-pre-trauma-risk-factors-for-post-traumatic-stress-disorder-and-depression
#2
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/26216309/relation-between-resiliency-and-post-traumatic-growth-in-a-group-of-paramedics-the-mediating-role-of-coping-strategies
#3
Nina Ogińska-Bulik, Magdalena Kobylarczyk
OBJECTIVES: The purpose of the research is to investigate the mediating role of coping strategies for stress in the relation between resiliency and post-traumatic growth in a group of paramedics. MATERIAL AND METHODS: Data of 80 paramedics who have experienced traumatic event at their worksites was analyzed. The age range of the participants was 21-67 years old (mean: 35.47, standard deviation: 10.21). The Post-traumatic Growth Inventory, the Assessment Resiliency Scale and Inventory to Measure Coping Strategies for Stress--Mini-Cope were used in the study...
2015: International Journal of Occupational Medicine and Environmental Health
https://www.readbyqxmd.com/read/25215089/post-traumatic-stress-disorder-among-paramedic-and-hospital-emergency-personnel-in-south-east-iran
#4
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/23314206/current-state-of-knowledge-of-post-traumatic-stress-sleeping-problems-obesity-and-cardiovascular-disease-in-paramedics
#5
REVIEW
Sandrine Hegg-Deloye, Patrice Brassard, Nathalie Jauvin, Jérôme Prairie, Dominique Larouche, Paul Poirier, Angelo Tremblay, Philippe Corbeil
PURPOSE: The impacts of emergency work on firefighters have been well documented and summarised, but this is not the case for paramedics. This paper explores the literature regarding the impact of work stress on paramedics. OBJECTIVE: To identify the literature available on the effect of paramedics' jobs on their health status. METHODS: Electronic database used: MEDLINE (Ovid, PubMed, National Library of Medicine) between 2000 and 2011. Key words used for the computer searches were: paramedics, emergency responders, emergency workers, shift workers, post-traumatic symptoms, obesity, stress, heart rate variability, physiological response, blood pressure, cardiovascular and cortisol...
March 2014: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/22862821/the-critical-incident-inventory-characteristics-of-incidents-which-affect-emergency-medical-technicians-and-paramedics
#6
Janice Halpern, Robert G Maunder, Brian Schwartz, Maria Gurevich
BACKGROUND: Emergency medical technicians (EMTs) and paramedics experience critical incidents which evoke distress and impaired functioning but it is unknown which aspects of incidents contribute to their impact. We sought to determine these specific characteristics by developing an inventory of critical incident characteristics and testing their relationship to protracted recovery from acute stress, and subsequent emotional symptoms. METHODS: EMT/paramedics (n = 223) completed a retrospective survey of reactions to an index critical incident, and current depressive, posttraumatic and burnout symptoms...
2012: BMC Emergency Medicine
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
#7
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
#8
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/22128908/work-related-stress-and-posttraumatic-stress-in-emergency-medical-services
#9
Elizabeth Donnelly
INTRODUCTION: Recent research efforts in emergency medical services (EMS) has identified variability in the ability of EMS personnel to recognize their level of stress-related impairment. Developing a better understanding of how workplace stress may affect EMS personnel is a key step in the process of increasing awareness of the impact of work-related stress and stress-related impairment. OBJECTIVE: This paper demonstrates that for those in EMS, exposure to several types of workplace stressors is linked to stress reactions...
January 2012: Prehospital Emergency Care
https://www.readbyqxmd.com/read/17420442/tonic-and-phasic-heart-rate-as-predictors-of-posttraumatic-stress-disorder
#10
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
https://www.readbyqxmd.com/read/17196547/a-randomised-controlled-trial-of-group-debriefing
#11
RANDOMIZED CONTROLLED TRIAL
Grant J Devilly, Rachid Annab
There has never been published a randomised controlled trial of group debriefing. In this study we employed an analogue study with students to conduct the first such trial. Sixty-four participants were shown a stressful video of paramedics attending to injured and dead victims of a road traffic accident. Half the participants were subsequently debriefed and half were provided with tea and biscuits and allowed to talk amongst themselves. A 1 month follow-up was administered. It was found that, while the video was rated as distressing, there were no significant differences between the debriefed and non-debriefed groups on measures of affective distress and trauma symptoms...
March 2008: Journal of Behavior Therapy and Experimental Psychiatry
https://www.readbyqxmd.com/read/16281211/role-of-peer-support-and-emotional-expression-on-posttraumatic-stress-disorder-in-student-paramedics
#12
Kim Lowery, Mark A Stokes
This exploratory study contrasted and tested the predictive value of the reverse buffering hypothesis of social support and the information processing model of posttraumatic stress disorder (PTSD) in an investigation of trauma-related symptomatology (TRS) in a single sample of 42 student paramedics. Participants completed several anonymous self-report measures of PTSD symptomatology, peer social support, and attitude toward emotional expression. Regression-based path analyses did not support either theory of PTSD in this population...
April 2005: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/15792036/exposure-to-human-tragedy-empathy-and-trauma-in-ambulance-paramedics
#13
Cheryl Regehr, Gerald Goldberg, Judy Hughes
Paramedics are exposed to events involving human pain and suffering on a daily basis, many of which are the result of violence perpetrated by 1 individual on another. For the most part, these emergency workers have learned to deal with such events and take them in stride. At times, however, certain circumstances lead workers to develop an emotional connection with the victim or his or her family. When this occurs, paramedics report increased symptoms of traumatic stress. Aspects that can trigger this connection include the victim's alienation from others, profound loss, or the abuse of an innocent child...
October 2002: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/15730074/a-new-development-in-ptsd-and-the-law-the-case-of-fairfax-county-v-mottram
#14
Mary W Lindahl
The decision of the Virginia Supreme Court in Fairfax County Fire & Rescue Department v. Mottram (2002) has important implications for Workers' Compensation claims for posttraumatic stress disorder, particularly those involving emergency services personnel. A firefighter/paramedic who developed chronic, disabling PTSD after responding to a fatal fire was denied benefits because he had previously reported symptoms of the disorder, whereas the statute recognized a single traumatic incident only. The court held that PTSD resulting from multiple traumatic stressors may be considered a compensable occupational disease analogous to dermatitis developed by a flower shop employee with chronic exposure to irritating stimuli...
December 2004: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/14292569/-effect-of-paramedical-factors-on-the-development-type-duration-and-outcome-of-traumatic-neuroses
#15
J RISTIC, N VOLF
No abstract text is available yet for this article.
December 1964: Medicinski Glasnik
https://www.readbyqxmd.com/read/12553131/posttraumatic-symptoms-and-disability-in-paramedics
#16
Cheryl Regehr, Gerald Goldberg, Graham D Glancy, Theresa Knott
OBJECTIVE: The concern that secondary gain may result in an overreporting of trauma symptoms in those seeking compensation or taking stress leave from work has raised questions about the relation between posttraumatic stress and disability. This study attempts to examines the relation between traumatic stress symptoms and the use of work leave in an anonymous sample of emergency-service workers who are not currently seeking compensation. METHOD: A total of 86 paramedics completed questionnaires that addressed exposure to traumatic events, use of mental health stress leave, social support, current level of distress, and personality patterns...
December 2002: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/11232104/the-impact-of-trauma-exposure-on-the-cognitive-schemas-of-a-sample-of-paramedics
#17
M Galloucis, M S Silverman, H M Francek
This study examines disruptions in cognitive schemas (i.e., core beliefs about self, others, and the world) among a sample of paramedics. Two hundred fifty-three paramedics working in non-urban and urban settings completed measures of non-work and work-related negative life event and trauma exposure, perceived social support, and cognitive schemas. Forty percent of the respondents experienced at least one disrupted schema and 18 percent had disrupted beliefs about the meaningfulness of the world. Urban paramedics experienced greater disruption in cognitive schemas, particularly with Other-Safety beliefs...
2000: International Journal of Emergency Mental Health
https://www.readbyqxmd.com/read/10378167/coping-responses-and-posttraumatic-stress-symptomatology-in-urban-fire-service-personnel
#18
R Beaton, S Murphy, C Johnson, K Pike, W Corneil
Emergency workers, including urban fire fighters and paramedics, must cope with a variety of duty-related stressors including traumatic incident exposures. Little is known about coping responses of emergency workers or whether their coping responses predict future mental health outcomes. The previously formulated Coping Responses of Rescue Workers Inventory (CRRWI) underwent a principal components analysis employing a sample (N = 220) of urban fire fighters and paramedics. Six empirically and theoretically distinct CRRWI components were identified which were relatively stable over a 6-month period...
April 1999: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/9870232/exposure-to-duty-related-incident-stressors-in-urban-firefighters-and-paramedics
#19
R Beaton, S Murphy, C Johnson, K Pike, W Corneil
Little is known about the variables that might be associated with posttraumatic stress symptomatology in high-risk occupational groups such as professional firefighters and paramedics. A sample of 173 urban professional firefighter/EMT's and firefighter/paramedics rated and ranked the stressfulness of 33 actual and/or potential duty-related incident stressors. They also reported whether they had experienced each of these incident stressors within the past 6 months and, if they had, to recall on how many occasions within the past 6 months...
October 1998: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/9069731/major-incident-a-front-line-on-scene-personal-account-by-a-nurse-observer
#20
M Harrison
As a newly appointed junior staff nurse in a city Accident & Emergency (A & E) department, the author took part in an orientation programme which included joining a paramedic crew for a 12-hour shift as a nurse observer. During this shift the crew and observer were involved in a major incident, when a coach carrying a party of pensioners overturned into a water-filled culvert, with a loss of 13 lives. This paper offers a personal reflection on the holistic application of multidisciplinary teamwork, so often rehearsed but, thankfully, rarely required...
January 1997: Accident and Emergency Nursing
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