Trauma-informed care (TIC) best practices for improving patient care in the emergency department.

Autor: Ashworth H; Department of Emergency Medicine, Alameda Health System, Highland Hospital, Oakland, CA, USA. hcashwor@gmail.com., Lewis-O'Connor A; Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA., Grossman S; Department of Psychiatry, Boston Public Health Commission, Boston, MA, USA., Brown T; Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA., Elisseou S; Department of Medicine, Harvard Medical School, Boston, MA, USA., Stoklosa H; Department of Medicine, Harvard Medical School, Boston, MA, USA.; HEAL Trafficking, Los Angeles, CA, USA.
Jazyk: angličtina
Zdroj: International journal of emergency medicine [Int J Emerg Med] 2023 May 19; Vol. 16 (1), pp. 38. Date of Electronic Publication: 2023 May 19.
DOI: 10.1186/s12245-023-00509-w
Abstrakt: A patient's current or previous experience of trauma may have an impact on their health and affect their ability to engage in health care. Every year, millions of patients who have experienced physically or emotionally traumatic experiences present to emergency departments (ED) for care. Often, the experience of being in the ED itself can exacerbate patient distress and invoke physiological dysregulation. The physiological reactions that lead to fight, flight, or freeze responses can make providing care to these patients complex and can even lead to harmful encounters for providers. There is a need to improve the care provided to the vast number of patients in the ED and create a safer environment for patients and healthcare workers. One solution to this complex challenge is understanding and integrating trauma-informed care (TIC) into emergency services. The federal Substance Abuse and Mental Health Service Administration's (SAMHSA) six guiding principles of TIC offer a universal precaution framework that ensures quality care for all patients, providers, and staff in EDs. While there is growing evidence that TIC quantitatively and qualitatively improves ED care, there is a lack of practical, emergency medicine-specific guidance on how to best operationalize TIC. In this article, using a case example, we outline how emergency medicine providers can integrate TIC into their practice.
(© 2023. The Author(s).)
Databáze: MEDLINE
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