Trauma’s Not All About Drama
Gunshot wound, stabbing, motor vehicle accident, major burns, or a serious fall and one will find themselves on the way to the nearest trauma center. Whether it be by helicopter or ambulance, paramedic and nurses will be providing critical, life sustaining care for the patient until arrival at the trauma center. In Omaha, Nebraska there are two level I trauma centers; CHI Health Creighton University Medical Center Bergan Mercy and the University of Nebraska Medical Center~ Nebraska Medicine. Children’s Hospital and Medical Center is also a licensed level II trauma center located in Omaha, Nebraska specializing in pediatric trauma. CHI Health Creighton University Medical Center Bergan Mercy recently invested
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Consider changing this ‘center’ to ‘wing’.
The tile floors are clean, the fluorescent lights vibrantly shining, and the sterile smell of harsh cleaning chemicals lingers in the air. The trauma center is composed of four bays, bay “A”, “B”, “C”, and “D” with bay “A” closest to the entrance and “D” the furthest away. Each bay has the capacity to treat one patient at a time. Every trauma bay contains a bed with a sheet and flexible backboard, a portable monitor, respiratory cart, computer carts, and an examination light. On the wall above the head of each bed there are four large television screens, each corresponding to a trauma bay. The screen in the trauma bay will light up and show the current vital signs of the patient, including the patients’ oxygen saturations, pulse, heart rhythm, blood pressure, and entitle carbon dioxide. Along the two end walls are lock boxes; large cabinets that only open after a nurse has scanned their finger print that contain all the drugs healthcare professionals may need. Accompanying the lock boxes are large stainless-steel blanket warmers (that constantly keep heavy sheets at a warm 135 degrees), and portable x-ray units. Between each bay is a two-tiered stainless-steel shelf that holds all of the bandages, equipment to start an I.V., and miscellaneous supplies. On the side opposite the T.V. screens there is a small corridor that leads to the CT, radiology, and the cardiac cath lab. To the left of this
Sitting in the middle of the floor was a sixteen year old girl who had just finished a basketball game. Usually after games, the girl would sit with the rest of the team to watch the boys play. Instead, the girl walked out of the gym with tears freely falling from her cheeks hoping nobody would notice them. After she had sat down, a few members of the team noticed her absence and went looking for her. The reason the girl didn’t want to be seen with tears was because some others on the team had been experiencing the same thing that she was. What this girl was experiencing was emotional trauma created by her male coach. The
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.
What is the impact of historical trauma on a particular client population? How can Trauma Informed principals be used to reduce the impact of historical trauma on specific clients?
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 trauma informed model of practice should centre upon a perspective that asks the client user ‘what happened to you’ rather than ‘what is wrong with you’ (Bloom and Farragher). This approach promotes the base line for which the service should be impliemented; an approach which enable to cliet to connect how their trauma has influence their behaviour, feelings, coping mechanisim and general perspective (Felitti et al. 1998). Staff within the home should have a good degree of trauma informed care as this enable for a deeper understanding of how the trauma can impact upon the individual and allow for holistic care (Harris and Fallot, 2001) and enables better support and help reduce to protential for re-tramatisation via triggers and uncousious re-enactment of trauma (SAMHSA, 2010). Implementing the above approach the client can receive the holistic carer they require in order to begin to overcome the trauma they have experienced.
It will be important to conduct the trauma based assessment as early as possible. However, it is vital that a therapeutic rapport be established with the client before proceeding in asking questions regarding the trauma. It takes time for a traumatized individual to trust and be willing to disclose their experiences. When it is felt that the client is ready it is important to let the client know that they have the right to not answer questions. It is important to discuss why we are asking the questions and ensuring the client that we have their best interests in mind and can provide them with a safe and secure location to work through the trauma.
An apartment complex in Denver, Colorado is testing out a new approach to addressing homelessness by introducing trauma-informed care principles into housing.
* Explain the potential effects these events may have on the survivors and the first responders.
On Wednesday, September 7, 2016 at about 1541 hours while represent at Brooklyn Special Victim Unit, located at 653 Grand Ave, Brooklyn, Sgt. Smolarsky, SVU and I interviewed Ms. Ryan-Mary Roberts. The following is a detail description of what transpired;
Trauma occurs when a child has experienced an event that threatens or causes harm to her emotional and physical well-being. Events can include war, terrorism, natural disasters, but the most common and harmful to a child’s psychosocial well-being are those such as domestic violence, neglect, physical and sexual abuse, maltreatment, and witnessing a traumatic event. While some children may experience a traumatic event and go on to develop normally, many children have long lasting implications into adulthood.
The aftermaths of repetitive brain trauma - symptomatic concussions and other blows to the heads of different severity - has been a topic of medical discussion since the 1930’s...Yes the THIRTIES. There have been a lot of scientific research into the effect of concussions and how coaches, personnels and teams should deal with players who have been concussed. In 1933, the NCAA educated all of its schools on the correct procedures of dealing with a concussed player. The NCAA thought that brain trauma weren’t taken seriously as they should be. A procedure in the NCAA medical handbook that stands out is to not allow concussed players to practice until the symptoms don’t show for 48 hours. If the symptoms are present after 48 hours, they should
In my position at a Level II Trauma Center as a Transfer Center Coordinator, communication has been a key theme over the last year in particular. As I have previously mentioned, the Transfer Center and our office cohort has a new Director and the growing pains have been great. Before our new Director, gossip was rampant. With the new director, the group is learning a lot about communication, the value of downward and upward communication and the form that communication is received. The most recent source of growing pains was from the change of the type of staff for the mid-shift; staff was changing from non-licensed staff to registered nurses. The Director announced the changes to the group in June, however the pilot project was not yet approved
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.
Usually, trauma department will be divided into three to five designated levels depending on the hospital’s regulations. In this case, I will briefly explain the three basic level of trauma center. The first level is level 1 trauma case which is total care for all aspects of injuries from prevention to rehabilitation. They have complete access to transfer facilities such as the units of helicopter rescue that enable the most extreme injured patient to the department in a short time. In this level, it is filled with staffs such as surgeons, physicians and support personnel. For level 2 of trauma department, an emergency department (ED) physicians, trained nurses and radiology staffs will be on 24-hour duty. They are responsible in initiating
Thompson and colleagues (2009): Physical and sexual abuse was moderately positively correlated with positive symptom severity (especially grandiosity) among ethnic minority participants (N=17), while general trauma was positively correlated with affective symptoms among Caucasian participants (N=13).