Center for Injury Research and Prevention

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

TitleTrauma-Informed Care for Violently Injured Patients in the Emergency Department.
Publication TypeJournal Article
Year of Publication2019
AuthorsFischer KR, Bakes KM, Corbin TJ, Fein JA, Harris EJ, James TL, Melzer-Lange MD
JournalAnnals of Emergency Medicine
Volume73
Issue2
Pagination193-202
Date Published02/2019
ISSN1097-6760
Abstract

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.

DOI10.1016/j.annemergmed.2018.10.018
Alternate JournalAnn Emerg Med
PubMed ID30503381