Skip to main content
Home
Pediatric Medical Traumatic Stress
  • Home
  • Trauma-informed pediatric care

    What is Pediatric Medical Traumatic Stress?

    • The basics
    • Prevalence & course
    • Traumatic stress symptoms
    • Risk factors
    • Understanding the family's experience
    • Key research findings

    How to Provide Trauma-Informed Care

    • The basics
    • D-E-F framework
    • Levels of risk and trauma-informed care
    • Timeline for trauma-informed care
    • Referral to mental health care
    • Addressing health disparities
    • Developmental considerations
    • Cultural considerations

    Self Care & Secondary Trauma

    • The basics
    • Self care tips
    • Organizational support
  • Find information for..
    • The healthcare team
    • Physicians-PAs-NPs
    • Nurses
    • Pre-hospital providers
    • Medical interpreters
    • Mental health professionals
    • Child welfare professionals
    • Child Life Professionals
  • Professional Education
    • Take a Free Online Course
    • Trauma-Informed Nursing Curriculum
    • Other education resources
  • TICKET
  • Find Tools and Resources

    Patient Education

    Patient Education

    • For parents & caregivers
    • For children & teens

    Screening & Assessment

    Screening & Assessment

    • The basics
    • Find screening & assessment tools
    • Screening after pediatric injury
    • Psychosocial Assessment Tool (PAT)
    • Acute Stress Checklist (ASC-Kids)
    • Family Illness Beliefs Inventory (FIBI)
    • Immediate Stress Reaction Checklist (ISRC)

    Intervention

    Intervention

    • The basics
    • Surviving Cancer Competently (SCCIP)
    • Cellie Coping Kit

    Trauma-Informed Care

    Trauma-Informed Care

    • The basics
    • TIC Provider Survey
    • Observation Checklist - Pediatric Resuscitation

    COVID-19

    COVID-19

    • COVID-19
    • Resources for healthcare staff
    • COVID-19 Exposure and Family Impact Scales (CEFIS)
    • Helping my child cope

    Resources

    Resources

    • More resources
    • More resources
  • For Patients and Families
    • Coping with injury or illness
    • Sleep
    • Pain
    • Behavior
    • Worries & fears
    • Quiet or withdrawn
    • School
    • Siblings
    • Parents
    • Need more help?
    • Family voices

Injury and its impact can extend past bruises and bandages, leaving children and families with intrusive thoughts, exaggerated startle response, and avoiding things that remind them of the injury. These symptoms, known as post-traumatic stress (PTS) reactions, usually diminish with time, but for approximately 1 in 6 injured children, they persist and are more severe.  As pediatric health practitioners,

 

Injury and its impact can extend past bruises and bandages, leaving children and families with intrusive thoughts, exaggerated startle response, and avoiding things that remind them of the injury. These symptoms, known as post-traumatic stress (PTS) reactions, usually diminish with time, but for approximately 1 in 6 injured children, they persist and are more severe. 

As pediatric health practitioners, recognizing and addressing PTS reactions in injured children and their families plays a crucial role in minimizing any lasting symptoms that could disrupt a full recovery. Be sure to think “D-E-F” when seeing an injured child after first taking care of the basics (the “ABCs”) of physical health. Address “D” (distress – pain, fear, worries), promote “E” (emotional support for the child), and remember “F” (family responses) at follow-up appointments.  Ask how everyone is doing. Is anyone feeling edgy or over-vigilant? Having difficulty sleeping?  

How do you engage your patients to discuss any psychological distress they may be experiencing post-injury?

Quick links
  • About Us
  • Privacy Policy
Quick Contact
  • cpts@chop.edu
  • 3401 Civic Center Blvd.
    Philadelphia, PA 19104

Subscribe to Health Care Toolbox

CHOP Nemours Logo UK Healthcare Logo NCTSN Logo Award 2012

© 2021 Children's Hospital of Philadelphia. All Rights Reserved.