Department of Medical Sciences, Frank H. Netter School of Medicine at Quinnipiac University, North Haven, CT, USA.
Department of Social Work, Quinnipiac University School for Health Sciences, North Haven, CT, USA.
Med Educ Online. 2023 Dec;28(1):2178366. doi: 10.1080/10872981.2023.2178366.
The experience of psychological trauma is common and has become even more prevalent during the COVID-19 pandemic for both health care workers and the general population [1-3]. Traumatic experiences can have varied and lasting physical and mental health effects on patients, beyond what we are privy to in the acute environment of the emergency department. The effects of these prior traumatic experiences can be exacerbated by interaction with the healthcare system, and yet emergency medicine physicians have no standardized methods for working with patients in a trauma-informed way. The systematic implementation of trauma-informed care (TIC) practice requires the cooperation of multiple domains within the health care system, including focus on the physical environment, direct care, and administrative practices. Here we provide recommendations specific to emergency medicine for the development and implementation of TIC in the regular patient-clinician interaction, situated within the context of the TIC framework as outlined by the Substance Abuse and Mental Health Services Administration (SAMHSA) [4].
心理创伤的经历很常见，在 COVID-19 大流行期间，医护人员和普通民众更是如此[1-3]。创伤经历会对患者的身心健康产生不同且持久的影响，超出我们在急诊科急性环境中所了解的范围。这些先前创伤经历的影响可能会因与医疗系统的相互作用而加剧，然而，急诊医师没有标准化的方法以创伤知情的方式与患者合作。创伤知情护理（TIC）实践的系统实施需要医疗系统内多个领域的合作，包括关注物理环境、直接护理和行政实践。在这里，我们针对常规医患互动，在药物滥用和心理健康服务管理局（SAMHSA）概述的 TIC 框架范围内，为急诊医学制定和实施 TIC 提供了具体建议[4]。
