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Pediatric Medical Traumatic Stress
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  • 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
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    • 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    • Quiet or withdrawn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

With statistics of 5 in 6 injured children and their parents having a severe traumatic stress symptom within the first month, and 1 in 6 still experiencing these symptoms many months later...

 

With statistics of 5 in 6 injured children and their parents having a severe traumatic stress symptom within the first month, and 1 in 6 still experiencing these symptoms many months later, working to ensure better recovery should be in the forefront for any doctor, nurse or healthcare provider. Posttraumatic stress symptoms can range from unwanted and intrusive thoughts about what happened and extreme avoidance of reminders of the event, to exaggerated startle responses and difficulty sleeping or concentrating. PTSD can affect physical and function recovery.

 

What can be done to reduce PTSD symptoms? First, implementing trauma informed care practices into daily practice should be a priority to prevent traumatic stress reactions and PTSD. Trauma informed care recognizes the many outside influences children and families carry with them when trauma occurs. It also recognizes the inherent traumatizing nature of accidents and the subsequent medical care and recovery. It provides universal screening, like the DEF protocol, to all pediatric trauma patients and their families.  

And what about the children and families who are screened at higher risk and require more assistance? Do prevention based interventions exists to support them through their emotional recovery after an injury? Researchers are currently developing and refining web based health information and interventions to prevent and reduce traumatic stress and PTSD symptoms. These types of interventions are especially important and well suited for patients not likely to pursue mental health care after discharge. 

What types of interventions, web based or other, are available to your pediatric trauma patients and families?

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