Pre Hospital Care For Trauma Patients With Massive Hemorrhage Essay

As a support worker, it is necessary that organisation would need to have a foundational understanding of how to identify trauma associated responses. Similarly, there needs to be understanding when initiating treatment interventions for trauma-related symptoms, it is aimed to be conducive and empowering to the individual (Trauma-Informed Care: A Sociocultural Perspective, 2014). Also, all support workers should be skilled in identifying the symptoms of trauma, as well as not disregarding the probability of substance abuse and co-occurring disorders (Trauma-Informed Care: A Sociocultural Perspective, 2014). Hence, when creating an individual treatment plan, all likelihoods of self-medicating and individualised coping mechanisms should be reflected

The market of human blood transfusions is broken down into different uses: Elective Surgery, Emergency Surgery and Trauma. However, Hemopure seems to be suitable only for trauma cases due to its characteristics and, again, high price. To understand the reason, it is important to notice that, actually, only 10% of the 500,000 trauma victims receives RBCs “in the field” or at the site of accident, and the remaining 95% of these people does not receive transfusions until they arrive at the hospital. This delay was often cited as a major factor to the 20,000 trauma deaths. Therefore, since the expected market share for Biopure is 25% and assuming that the total blood transfusions remain stable, the potential market size for Hemopure is approximately $350,000,000. This size is based on an average price of $700 multiplied by 2,000,000 units (around 4 blood units are needed for each Trauma case).

Jane is a nine year old girl who has been brought in to therapy by her mother for stealing, being destructive, lying, behaving aggressively toward her younger siblings, and acting cruelly to animals. Jane has also been acting clingy and affectionate toward strangers.

Hemorrhages, or internal bleeding, account for a large portion of deaths in the world. Hemorrhages are an extremely life threatening injury that require immediate medical attention. These injuries are extremely sensitive to the time of injury and the time it takes for surgery to begin. Hemorrhages fall into two main categories: non-compressible and compressible. Compressible hemorrhages can be treated with external compression, tourniquets, and dressings. Non-compressible hemorrhages can not be treated with these techniques, because the injury is usually deep inside the abdominal part of the body and either not visible, or not within reach. This makes non-compressible hemorrhages much more challenging to treat.

Trauma-informed care refers to a strength-based framework that is based on an understanding of the impact of trauma. This practice emphasizes on psychological, physical, and emotional safety for the providers, the survivors, and it creates an opportunity for the survivors to rebuild themselves and get a sense of control and empowerment. This practice is based on the growing knowledge about several negative impacts that are brought by psychological trauma (Withers, 2017). To understand more about trauma-informed care, this excerpt will examine what the concept entails, how one can change his or her practice to be more trauma-informed and incorporate Eric's experience in the discussion.

A major public health concern is the exposure of children in the child welfare system to potentially traumatic events. These children require trauma-informed care so as to prevent further trauma and to mitigate the effects of the traumatic effects the child is already experiencing. Both the welfare system and the parent under whom the child is placed have a role to play in ensuring this. This essay reviews two research articles that research on the impact of educating the staff in the child welfare system and the parents on trauma-informed care and how this impacts the well-being of the child.

The intervention model that will be used for therapy session is Cognitive Behavioral Therapy (CBT). According to Rabinowitz and Cochran (2002), “CBT is a psychotherapeutic approach that addresses dysfunctional emotions, maladaptive behaviors and cognitive processes and

An apartment complex in Denver, Colorado is testing out a new approach to addressing homelessness by introducing trauma-informed care principles into housing.

Human rights and trauma informed care must be taken into consideration when initiating any plan. The main human rights issue to consider in an education non-profit is Article 26, which states “Education shall be directed to the full development of the human personality and to the strengthening of respect for human rights and fundamental freedoms“ (National Association of Social Workers, 2016). The focus of an organization within the non-profit education sector is to improve the safety and enhance the effectiveness of schools. Article 23, which states “Everyone has the right to work, to free choice of employment, to just and favorable conditions of work and to protection against unemployment” (National Association of Social Workers, 2016), is also relevant in this sector, which often has high expectations of parental involvement

The priority population is the staff of a school where I am introducing a trauma informed care program based on a prepared program based on A.C.E.S training. All of the school staff is included in this cultural shift. This is to insure that students will be consistently treated the same way whether they have an encounter with a cafeteria worker, a paraprofessional, or a teacher. The adults in the school will be the example and the leadership that models the program to the students and it will be important to involve in them implementation process.

- Coagulation inhibitors and Fibrinolysis : to Localize thrombus on injury and Prevent new thrombus formation.

XSTAT 30 was designed to be put in places where a tourniquet could not go and last up to four hours. Between 2001 and 2011 there was statistically nineteen percent of combat fatalities who died from blood loss. Some of these deaths could have been prevented because they were hit in places where the XSTAT could have controlled the hemorrhaging. The way that XSTAT was intended for was temporarily use for up to four hours so that the patient had enough time to receive surgery. The online website called “RevMedX” explains what XSTAT purpose is for. “RevMedX” expresses, “XSTAT works by injecting a group of small, rapidly-expanding sponges into a wound cavity using a syringe-like applicator. Each sponge contains an X-ray detectable marker. In the wound, the XSTAT sponges expand and swell to fill the wound cavity within 20 seconds of contact with blood. This creates a temporary barrier to blood flow and provides hemostatic pressure” (Xstat).  As stated, the XSTAT has “X-ray detectable markers” inside, which these will help the Surgeon who is working on a patient confirm complete surgical removal (RevMedX, Xstat). Another unique aspect of this medical device is that inside XSTAT is something called “chitosan.” Chitosan is a medical feature that is also put into Band-Aids to reduce bleeding as an antibacterial agent. In 2015, the Food and Drug Administration approved XSTAT to be used by civilians. “The FDA cited research by the US Army showing that 30% to 40% of civilian deaths from traumatic injury result from hemorrhaging, often before the patient reaches the hospital” stated from Robert Lowes on

It is appreciated that the given case study contains other factors such as psychological trauma and the impact of blood loss. However this essay is going to explore the efficacy of pre hospital immobilisation utilising cervical collars and extrication/ orthopaedic stretchers, reflecting on an account from the paramedic’s practice. A modified framework of Gibbs Reflective cycle (1988) will be used. Including Description, Feelings, Evaluation, Conclusion and Action Plan. This essay is supported throughout using relevant evidence and seminal work.

When I decided to take the trauma course, I was hesitant at first to take it. I did not know what to expect nor felt I would be prepare listen to stories about traumatic occurrences, despite of the number of years I have worked in the field of community mental health. Therefore, now that we are in week eight, I am delighted to have taken this course. The impression I had at first, has changed my insight concerning what is trauma, as for many years, I did not understand why a person in many instances, could not process their trauma. In a quote by Chang stated, “The greater the doubt, the greater the awakening; the smaller the doubt, the smaller the awakening. No doubt, no awakening” (Van Der Kolk, 2014, p. 22). The goes in congruence with my understanding on trauma and how it has changed during this course. As a result, I feel I am awakening when acquiring more about trauma.

A common use is for minor wounds, which are too small to mend by other standard surgical methods. One method to deal with bleeding is to use fibrin glue on the site of the wound. The glue contains both fibrinogen and thrombin and once applied to the site of the injury forms fibrin monomers and eventually a fibrin clot. Alternatively, administration of a hemostatic carrier with thrombin so topical treatment is not necessary if not desired. Medical professionals also use pure thrombin applied in a mist after dissolving it in a saline solution. This final method is typically only for wounds that cover a large