Psychological First Aid for Wilderness Trauma: Interventions for Expedition or Search and Rescue Team Members.

Autor: Mortimer AR; Department of Psychology, California State University, Fresno, Fresno, CA., Mortimer RB; Fresno Medical Education Program, Department of Family Medicine, University of California, San Francisco, San Francisco, CA. Electronic address: roger.mortimer@ucsf.edu.
Jazyk: angličtina
Zdroj: Wilderness & environmental medicine [Wilderness Environ Med] 2023 Sep; Vol. 34 (3), pp. 346-353. Date of Electronic Publication: 2023 Apr 25.
DOI: 10.1016/j.wem.2023.02.009
Abstrakt: When exposed to actual or threatened death or serious injury in austere settings, expedition members are at risk of acute stress reactions, as are search and rescue members involved with extricating the patient. Acute stress reactions are a normal response to significant trauma and commonly resolve on their own. If they do not, they can lead to post-traumatic stress disorder (PTSD), a set of persistent symptoms that cause significant effects on the person's life. Medication has a limited preventive role in the field for treatment of stress partly because so few are trained to administer it. Contrastingly, psychological first aid can be performed by lay team members with minimal training. Psychological first aid consists of interventions attempting to encourage feelings of safety, calm, self-efficacy, connection, and hope. These are interventions that provide guidance to not make the situation emotionally worse and might have a preventive effect on later development of PTSD. They are valuable in the field not only for the patient but also for affected team members as well as for search and rescue team members who may be indirectly affected by the trauma and experience repercussions later.
(Copyright © 2023 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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