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Psychological trauma in ed

Rose K Feinberg, June Hu, Mark A Weaver, Roger B Fillingim, Robert A Swor, David A Peak, Jeffrey S Jones, Niels K Rathlev, David C Lee, Robert M Domeier, Phyllis L Hendry, Israel Liberzon, Samuel A McLean
Post-traumatic stress disorder (PTSD) symptoms and pain after traumatic events such as motor vehicle collision (MVC) have been proposed to be mutually promoting. We performed a prospective multicenter study that enrolled 948 individuals who presented to the emergency department (ED) within 24 hours of MVC and were discharged home after evaluation. Follow-up evaluations were completed 6 weeks, 6 months, and 1 year after MVC. Path analysis results supported the hypothesis that axial pain after MVC consistently promotes the maintenance of hyperarousal and intrusive symptoms, from the early weeks post-injury through 1 year...
December 22, 2016: Pain
Negin Masoudi Alavi, Mohammad Sadegh Aboutalebi, Zohreh Sadat
BACKGROUND: Pain is a common problem which the patients in emergency departments (ED) face, especially trauma patients under treatment may suffer from physical, psychological and ethical issues. The purpose of this study was to evaluate traumatic pain management in the emergency department at a public hospital in Iran in 2014. METHODS: This observational prospective study was conducted on 450 trauma patients admitted to a trauma emergency department. The tool used in this study has three parts: demographic data, data of trauma, and VRS (Verbal Rating Scales) score at a 7-point scale-at the arrival time to 4h later...
December 9, 2016: International Emergency Nursing
Sara F Jacoby, Justine Shults, Therese S Richmond
BACKGROUND: The mental health consequences of injuries can interfere with recovery to pre-injury levels of function and long term wellbeing. OBJECTIVES: The purpose of this study was to explore the relationship between psychological symptoms after minor injury and long-term functional recovery and disability. DESIGN: This exploratory study uses secondary data derived from a longitudinal cohort study of psychological outcomes after minor injury...
January 2017: International Journal of Nursing Studies
Jessica Lynn Temple, Margaret A Struchen, Monique R Pappadis
OBJECTIVE: This study investigates the contribution of pre-injury family functioning and resources on self-reported post-concussive symptoms and functional outcomes in persons with mild TBI (mTBI). DESIGN: Participants with uncomplicated or complicated mTBIs were recruited from consecutive admissions to the emergency department of a level 1 trauma centre. Patients completed baseline assessments within 2 weeks of injury and an outcomes assessment at 3 months post-injury...
2016: Brain Injury: [BI]
Samantha M Weltz, Stephen Armeli, Julian D Ford, Howard Tennen
Childhood trauma (CT) has been associated with various forms of emotion dysregulation (ED), including stress-reactivity, which is believed to be one of the mechanisms underlying the link between CT and psychological disorders. The purpose of the present study was to further this line of research by using an intensive longitudinal research design to examine among college students (N=1634, 53.7% women) whether reports of interpersonal CT, specifically emotional abuse and neglect, uniquely moderate the within-person association between repeated assessments of daily stress and negative affect (NA)(i...
October 2016: Child Abuse & Neglect
Kate MacWilliams, Jean Hughes, Megan Aston, Simon Field, Faith Wight Moffatt
INTRODUCTION: Up to 20% of pregnancies end in miscarriage, which can be a significant life event for women with psychological implications. Because the only preventative measure for a miscarriage is risk factor modification, the treatment focuses on confirming the miscarriage has occurred and medical management of symptoms. Although women experiencing a miscarriage are frequently directed to seek medical care in emergency departments, the patients are often triaged as nonemergent patients unless they are unstable, which exposes women to potentially prolonged wait times...
November 2016: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Sheila Luk, Luke Stroman, Swan Kang, Mythili Natkunarajah, Graham Duguid
PURPOSE: To investigate patient's perception of the severity of their symptoms, reasons for attending an ophthalmic emergency department (ED) out of hours, and to review the prevalence of anxiety and depression. METHODS: We carried out a prospective analysis of the cases presenting out of hours (8:30 PM to 8:30 AM) over a four-month period. We also conducted two questionnaire studies. First, patient's perception of the severity of their symptoms (graded from 1-10)...
June 21, 2016: Seminars in Ophthalmology
Kari B Haley, E Brooke Lerner, Clare E Guse, Ronald G Pirrallo
BACKGROUND: An estimated 20% of patients arriving by ambulance to the emergency department are in moderate to severe pain. However, the management of pain in the prehospital setting has been shown to be inadequate. Untreated pain may have negative physiologic and psychological consequences. The prehospital community has acknowledged this inadequacy and made treatment of pain a priority. OBJECTIVES: To determine if system-wide pain management improvement efforts (i...
May 18, 2016: Prehospital Emergency Care
Andrea Hall, Brian McKenna, Vikki Dearie, Tessa Maguire, Rosemary Charleston, Trentham Furness
BACKGROUND: Practicing with trauma informed care (TIC) can strengthen nurses' knowledge about the association of past trauma and the impact of trauma on the patient's current mental illness. An aim of TIC is to avoid potentially re-traumatising a patient during their episode of care. A TIC education package can provide nurses with content that describes the interplay of neurological, biological, psychological, and social effects of trauma that may reduce the likelihood of re-traumatisation...
2016: BMC Nursing
Darcy Copeland, Heather Liska
This project arose out of a need to address two issues at our hospital: we lacked a formal debriefing process for code/trauma events and the emergency department wanted to address the psychological and spiritual needs of code/trauma responders. We developed a debriefing process for code/trauma events that intentionally included mechanisms to facilitate recognition, acknowledgment, and, when needed, responses to the psychological and spiritual needs of responders. A post-code pause process was implemented in the emergency department with the aims of standardizing a debriefing process, encouraging a supportive team-based culture, improving transition back to "normal" activities after responding to code/trauma events, and providing responders an opportunity to express reverence for patients involved in code/trauma events...
March 2016: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
Michael Bemelman, Luke Leenen
OBJECTIVE: In the Netherlands, major incidents are sparse, and so there is a general feeling of a relatively low risk. Upon evaluating multiple casualty events (MCEs) in the Netherlands over the last 60 years, it is worth noting 39 major events. Our objective was to report the experiences from a mass casualty incident in an urban area, performing a critical evaluation of the response and outcome related to the scenario in order to learn from our past and to train for the future. MATERIALS AND METHODS: In a retrospective patient record analysis we collected all of the data concerning an MCE we encountered in August 2006...
October 2008: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Peter L Fisher, Kirsten McNicol, Bridget Young, Ed Smith, Peter Salmon
PURPOSE: Metacognitive therapy (MCT) is an effective psychological treatment for a range of emotional disorders. However, the applicability of MCT to treating emotional distress in physical health populations has yet to be tested. The present study examined the potential of MCT for alleviating emotional distress in adolescent and young adult cancer (AYAC) survivors. METHODS: Twelve AYAC survivors, aged 18-23, who had completed acute medical treatment participated in this pilot open trial with 6 months follow-up...
June 2015: Journal of Adolescent and Young Adult Oncology
H-H Ceylan, Ersin Kuyucu, Remzi Erdem, Gökhan Polat, Ferit Yιlmaz, Bilal Gümüş, Mehmet Erdil
PURPOSE: Pelvic ring fractures constitute 3%-8% of all fractures of the skeletal system and are generally related with high energy trauma. Sexual dysfunction following pelvic fracture has a high incidence, and affects the male patients both physically and psychologically. In this study, we aimed to investigate the impact and frequencies of comorbidities such as erectile dysfunction (ED) with adverse sociocultural and psychological consequences for the patient who had a pelvic ring fracture...
2015: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
Arastoo Pezeshki, Farzad Rahmani, Hanieh Ebrahimi Bakhtavar, Sanaz Fekri
One of the important and usual missed causes of pediatric traumas is child abuse. This ominous phenomenon, which can be presented physically, psychologically, sexually, and emotionally has grown significantly in recent years. Many children are not diagnosed in the early stages of evaluation. Battered Child Syndrome is used to describe the clinical condition of the child serious physical abuse by parents or caregivers. Medical staff should always keep the syndrome in their mind for those brought to the emergency department with trauma...
2015: Emergency (Tehran, Iran)
Nilgün Aksoy, Senay Arli, Ozlem Yigit
INTRODUCTION: Burns can be very destructive, and severely endanger the health and lives of humans. It maybe cause disability and even psychological trauma in individuals. . Such an event can also lead to economic burden on victim's families and society. The aim of our study is to evaluate epidemiology and outcome of burn patients referring to emergency department. METHODS: This is a cross-sectional study was conducted by evaluation of patients' files and forensic reports of burned patients' referred to the emergency department (ED) of Akdeniz hospital, Turkey, 2008...
2014: Emergency (Tehran, Iran)
Rasmus Isomaa, Klas Backholm, Andreas Birgegård
Exposure to traumatic events may be a risk factor for subsequent development of an eating disorder (ED). In a previous study, we showed that trauma exposure impacted symptom load in ED patients. We also saw an effect of trauma on general psychological distress. The aim of the present study was to investigate the association between Posttraumatic stress disorder (PTSD) and ED severity, to focus on the mediating role of psychological distress for the association, and to assess the role of timing of trauma in relation to emergence of ED...
December 15, 2015: Psychiatry Research
Marizen Ramirez, Maisha Toussaint, Briana Woods-Jaeger, Karisa Harland, Kristel Wetjen, Tammy Wilgenbusch, Graeme Pitcher, Charles Jennissen
OBJECTIVE: Injury, the most common type of pediatric trauma, can lead to a number of adverse psychosocial outcomes, including posttraumatic stress disorder. Currently, few evidence-based parent programs exist to support children hospitalized after a traumatic injury. Using methods in evaluation and intervention research, we completed a formative research study to develop a new program of psychological first aid, Link for Injured Kids, aimed to educate parents in supporting their children after a severe traumatic injury...
November 5, 2015: Pediatric Emergency Care
Brooke A Bartlett, Karen S Mitchell
OBJECTIVE: Eating disorders (EDs) have serious consequences for psychological and physical health. They have high mortality rates and are among the most costly disorders to treat. However, EDs remain understudied in military and veteran populations. The aim of this review was to examine prevalence estimates and associated symptomatology of EDs among military and veteran men and women and to identify factors that may put these individuals at risk for the development of an ED for the purposes of improving detection, intervention, and treatment...
December 2015: International Journal of Eating Disorders
Emile A Clous, Kees J Ponsen, Pieter Boele van Hensbroek, Jan S K Luitse, Miranda Olff, J Carel Goslings
OBJECTIVE: To investigate whether a mental disorder increases the occurrence of complications in patients after 'a fall from a height'. DESIGN: Retrospective descriptive study. METHODS: Data on all patients admitted following a 'fall from a height' in the period 2004-2012 was retrieved from the trauma registry of the Academic Medical Center (AMC) in Amsterdam, the Netherlands. This was combined with data from the National Surgical Complications Registry (LHCR)...
2015: Nederlands Tijdschrift Voor Geneeskunde
Michael J Telch, Christopher G Beevers, David Rosenfield, Han-Joo Lee, Albert Reijntjes, Robert E Ferrell, Ahmad R Hariri
Exposure to war zone stressors is common, yet only a minority of soldiers experience clinically meaningful disturbance in psychological function. Identification of biomarkers that predict vulnerability to war zone stressors is critical for developing more effective treatment and prevention strategies not only in soldiers but also in civilians who are exposed to trauma. We investigated the role of the serotonin transporter linked polymorphic region (5-HTTLPR) genotype in predicting the emergence of post-traumatic stress disorder (PTSD), depressive and anxiety symptoms as a function of war zone stressors...
June 2015: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
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