tailieunhanh - Báo cáo y học: " The World Trade Center Attack Helping the helpers: the role of critical incident stress management"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: The World Trade Center Attack Helping the helpers: the role of critical incident stress management. | Available online http content 5 6 315 Review The World Trade Center Attack Helping the helpers the role of critical incident stress management Jeffrey Hammond and Jill Brooks1 Department of Surgery Robert Wood Johnson Medical School New Brunswick New Jersey USA department of Neurology Robert Wood Johnson Medical School New Brunswick New Jersey USA Correspondence Jeffrey Hammond hammond@ Published online 6 November 2001 Critical Care 2001 5 315-317 2001 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract Healthcare and prehospital workers involved in disaster response are susceptible to a variety of stress-related psychological and physical sequelae. Critical incident stress management of which critical incident stress debriefing is a component can mitigate the response to these stressors. Critical incident stress debriefing is a peer-driven therapist-guided structured group intervention designed to accelerate the recovery of personnel. The attack on the World Trade Center and the impact it may have on rescue prehospital and healthcare workers should urge us to incorporate critical incident stress management into disaster management plans. Keywords critical incident debriefing disaster stress stress management post-traumatic stress disorder While the first tasks in disaster management are to secure the scene to triage and to evacuate victims to definitive care the disaster plan fails if it stops at the hospital door. It has been recognized that both disaster victims and workers are at risk for acute and chronic post-traumatic stress disorder PTSD . It has also been acknowledged that treating established PTSD has only a marginal effect. All this has led to attempts to intervene early so as to prevent or at least minimize psychological morbidity following traumatic events. The underlying premise for early intervention is to limit the establishment of maladaptive and disruptive cognitive or behavioral patterns. What are critical

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