Trauma-Informed Care for Violently Injured Patients in the Emergency Department

被引:63
作者
Fischer, Kyle R. [1 ,2 ]
Bakes, Katherine M. [3 ]
Corbin, Theodore J. [4 ]
Fein, Joel A. [5 ,6 ]
Harris, Erica J. [7 ]
James, Thea L. [8 ]
Melzer-Lange, Marlene D. [9 ]
机构
[1] Dept Emergency Med, Baltimore, MD 21201 USA
[2] Univ Maryland, Sch Med, Baltimore, MD 21201 USA
[3] Univ Colorado, Sch Med, Dept Emergency Med, Denver, CO USA
[4] Drexel Univ, Coll Med, Dept Emergency Med, Philadelphia, PA 19104 USA
[5] Univ Penn, Perelman Sch Med, Dept Pediat, Philadelphia, PA 19104 USA
[6] Univ Penn, Perelman Sch Med, Dept Emergency Med, Philadelphia, PA 19104 USA
[7] Einstein Med Ctr, Dept Emergency Med, Philadelphia, PA USA
[8] Boston Univ, Sch Med, Boston Med Ctr, Dept Emergency Med, Boston, MA 02215 USA
[9] Med Coll Wisconsin, Dept Emergency Med, Milwaukee, WI 53226 USA
关键词
POSTTRAUMATIC-STRESS-DISORDER; COMPASSION FATIGUE; SOCIAL DETERMINANTS; ETHNIC DISPARITIES; HEALTH; INTERVENTION; PREVALENCE; SYMPTOMS; URBAN; NEIGHBORHOOD;
D O I
10.1016/j.annemergmed.2018.10.018
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Violent traumatic injury remains a common condition treated by emergency physicians. The medical management of these patients is well described and remains an area of focus for providers. However, violently injured patients disproportionately carry a history of physical and psychological trauma that frequently affects clinical care in the emergency department. The alteration of our clinical approach, taking into consideration how a patient's previous experiences influence how he or she may perceive and react to medical care, is a concept referred to as trauma-informed care. This approach is based on 4 pillars: knowledge of the effect of trauma, recognition of the signs and symptoms of trauma, avoidance of retraumatization, and the development of appropriate policies and procedures. Using this framework, we provide practical considerations for emergency physicians in the delivery of trauma-informed care for violently injured patients.
引用
收藏
页码:193 / 202
页数:10
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