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Assessment and management of major trauma
- This guideline provides guidance on the assessment and management of major trauma, including resuscitation following major blood loss associated with trauma.
www.ncbi.nlm.nih.gov/books/NBK344252/
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This guideline covers the rapid identification and early management of major trauma in pre‑hospital and hospital settings, including ambulance services, emergency departments, major trauma centres and trauma units.
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trauma unit might be needed for urgent treatment, in line...
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- Background
- Trauma
- Working Definition of Trauma-Informed Practice
- Key Principles of Trauma-Informed Practice
- Other Professional Resources and Tools
Trauma-informed approaches have become increasingly cited in policy and adopted in practice as a means for reducing the negative impact of trauma experiences and supporting mental and physical health outcomes. They build on evidence developed over several decades. However, there has been a lack of consensus within the health and social care sector ...
Trauma results from an event, series of events, or set of circumstances that is experienced by an individual as harmful or life threatening. While unique to the individual, generally the experience of trauma can cause lasting adverse effects, limiting the ability to function and achieve mental, physical, social, emotional or spiritual well-being.
Realise that trauma can affect individuals, groups and communities
Trauma-informed practice is an approach to health and care interventions which is grounded in the understanding that trauma exposure can impact an individual’s neurological, biological, psychological and social development.
Recognise the signs, symptoms and widespread impact of trauma
Trauma-informed practice aims to increase practitioners’ awareness of how trauma can negatively impact on individuals and communities, and their ability to feel safe or develop trusting relationships with health and care services and their staff. It aims to improve the accessibility and quality of services by creating culturally sensitive, safe services that people trust and want to use. It seeks to prepare practitioners to work in collaboration and partnership with people and empower them to...
Prevent re-traumatisation
It seeks to avoid re-traumatisation which is the re-experiencing of thoughts, feelings or sensations experienced at the time of a traumatic event or circumstance in a person’s past. Re-traumatisation is generally triggered by reminders of previous trauma which may or may not be potentially traumatic in themselves. The purpose of trauma-informed practice is not to treat trauma-related difficulties, which is the role of trauma-specialist services and practitioners. Instead, it seeks to address...
There are 6 principles of trauma-informed practice: safety, trust, choice, collaboration, empowerment and cultural consideration.
See: 1. Office of Health Improvement and Disparities’ Vulnerabilities: applying All Our Health 2. e-learning for healthcare: All Our Health: Vulnerabilities and trauma-informed practice 3. Trauma-informed practice toolkit: Scottish Government 4. Trauma-Informed Wales
National Clinical Guideline Centre Final Major trauma: assessment and initial management Major trauma: assessment and management of major trauma NICE Guideline NG39 Methods, evidence and recommendations February 2016 Final Commissioned by the National Institute for Health and Care Excellence
‘These guidelines are the current policies and practice for the management of adult major trauma patients at University Hospital Southampton. They have been designed to provide a day to day framework for the management of patients; including the roles and responsibilities of clinical teams and their members.
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Dec 5, 2018 · This guideline covers recognising, assessing and treating post-traumatic stress disorder (PTSD) in children, young people and adults. It aims to improve quality of life by reducing symptoms of PTSD such as anxiety, sleep problems and difficulties with concentration.
Explains what trauma is and how it affects your mental health, including how you can help yourself, what treatments are available and how to overcome barriers to getting the right support. Also includes tips for people who want to support someone who has gone through trauma.
Jun 22, 2016 · While this article summarises the two central themes of the guideline (streamlined assessment of the major trauma patient in hospital and the management of patients who are actively bleeding), the guideline also …