But writing such a paper doesn’t have to be that hard. Answer: In addition to Native American populations, examples of historical trauma include African-American Slavery, the Holocaust and the internment of Japanese populations during World War II. It requires specialized interviewing skills, understanding of the law, and (at a minimum) a basic awareness about the psychological impact of trauma. An Introduction to Qualitative Research Methods for Studying Trauma . London’s Air Ambulance, Royal London Hospital, London, United Kingdom, Citation: Lockey DJ (2017) Research questions in pre-hospital trauma care. New research highlights the link between childhood trauma and mental illness and addiction in adulthood, leading some researchers to call it an issue as pressing as any infectious disease. Research has shown just how deeply trauma can reverberate through the generations. VA offers evidence-based treatments for PTSD that have helped many Veterans. Current physiological markers, e.g., heart rate, blood pressure, and plasma lactate [12] are insensitive and often give little indication of which patients will deteriorate quickly. They will be best equipped to see your symptoms in context and may think to ask you questions and address other symptoms that a non-trauma informed therapist may not think about, e.g. Is the intrapleural pressure during vibration the sum of … The original publication must be freely available online. This wide range of interventions indicates that, with sufficient resources and training, most in-hospital interventions can be delivered before hospital arrival. True innovation is rare in pre-hospital trauma care. Unresolved trauma, however, can impact an individual throughout their whole life and is correlated to the long list of physical and mental illness outlined in the ACEs research. In low- and middle-income countries, EMS infrastructure rarely allows advanced on-scene care, and basic infrastructure improvements (e.g., effective ambulance services) are a higher priority. Answer: Due to the ACEs study, we are learning that a traumatic event, especially when unacknowledged or untreated, can have lifelong impact. Frequently Asked Questions about CTE What is CTE? Author information: (1)Department of Surgery, Oregon Health and Science University, Portland, Oregon, USA. Research question examples. Trauma-informed teaching is designed to foster independence, build respect, and teach inner discipline. Competing interests: The author has declared that no competing interests exist. I particularly appreciated the focus on compassion fatigue. Research on trauma identifies several healthy ways of coping, such as avoiding alcohol and drugs, seeing loved ones regularly, exercising, sleeping, and paying attention to self-care. If you are uncertain about the differences between quantitative and qualitative research and research questions, you can first read the posts Choosing between Qualitative and Quantitative Approaches , and Qualitative vs Quantitative Research Questions. Trauma-informed care is the organization’s way of doing business, and thus everyone in the organization needs to understand and embrace it. Studies in the pre-hospital phase of care may improve our understanding of the pathophysiology of hyperacute injury and yield new knowledge of which interventions might influence outcomes, and by what mechanisms. Pharmacological pre-hospital interventions are straightforward to administer; tranexamic acid [9] is an example of a drug reported to provide benefit when administered as early as possible after insult. Ethical issues in trauma research have long been a strong focus for ISTSS and its members. Our brain injury research findings help us to better treat our patients and improve outcomes. Pages: 1 Words: 442 Topics: Child, Childhood, Childhood Trauma, Research Childhood Sexual Abuse – Preceding Hypersexualized Behavior Hypersexual behavior is differentiated from paraphilia, or sexually deviant behavior, based on the criteria that the hypersexual behaviors still fall within socially normal sexual activities (Kafka, 2010). As it relates to IT, individuals in this department need to understand the basics of trauma, such as the paradigm shift, prevalence and impact of trauma, universal precautions, etc. Below are the questions and the answers from the webinar; “What Does Becoming Trauma-Informed Mean for Non-Clinical Staff?”. What interventions lead to the best health and functional outcomes for people with traumatic brain injury? Childhood traumas: an outline and overview. It is important to screen for trauma with this population, assuming it is done in a respectful and culturally sensitive way that allows for shared decision making. Also, the use of the reflexive worksheet as an approach to addressing vicarious trauma in qualitative research may serve as a model for reflexivity in qualitative research. ISTSS eNewsletter, Traumatic StressPoints, June 2007 Carl F. Auerbach, PhD Yeshiva University. Is the Subject Area "Traumatic injury" applicable to this article? Emilie Smeaton has over 20 years experience as a social researcher. S1, August 2020. Other agents have the potential to modify the response to hypoperfusion and prevent organ damage when administered early after injury [11]. See Mental health. Childhood trauma experiences not only increase the risk of onset of mental illness but also affect clinical course and responses to treatment. If you choose a subject you are passionate about, half of the work is done. Veterans seek mental health services for a variety of reasons, this blog includes important strategies for working with the veteran population. Copyright: © 2017 David J. Lockey. Funding: The author received no funding for this work. First the mission of a trauma-informed organization is grounded in trauma-informed care principles and practices. Ask questions that focus on areas where you can be an asset. Although surgical interventions receive most attention, they are the most difficult to introduce into routine pre-hospital practice, and less invasive interventions may also have the potential to improve outcomes. We already have courses on trauma informed care including this webinar (recorded, edited, knowledge check questions and an exam added) in our libraries and on Relias Academy. No, Is the Subject Area "Morbidity" applicable to this article? Three forms of trauma-focused therapy that are used in treating PTSD are cognitive processing therapy (CPT), prolonged exposure therapy, and eye movement desensitization and reprocessing (EMDR).. How can you help someone who has suffered if you are not a professional counsellor? All research questions should be: Anticoagulant reversal after head injury [10] is a more recent pharmacological pre-hospital intervention. Yes Frequently Asked Questions. Now Bombay wants to find out what can stop that destructive … A concussion, also known as a mild traumatic brain injury (MTBI), is caused by a bump, blow, or jolt to either the head or the body that causes the brain to move rapidly inside the skull. Kristi has more than 20 years of experience in the health and human service industry, the majority of that time working as a direct practitioner with children, adolescents and adults in both outpatient and residential/inpatient settings. Inflammatory markers have been described as possible indicators of injury severity and prognosis but are not yet available for practical use in resuscitation. More research is needed in regard to which practitioners provide psychological services to trauma survivors, what they are currently doing, and what kinds of training prepared them (e.g., graduate coursework, practicum placement, internship rotation, specialized internship, postdoctoral training, on-the-job training, and informal experience). Major breakthroughs in pre-hospital trauma care are likely to follow the same breakthroughs in in-hospital practice—effective blood substitutes and haemostatic and neuroprotective techniques are, for example, aspirations in both areas. Its principles have been implemented to child care, schools, and services for domestic violence, youth justice, homelessness and substance abuse. Centers for Disease Control and Prevention: More about the original ACEs study and subsequent research. When should we seek professional counseling help? Even well-funded studies can encounter major limitations when service providers do not recruit and deliver interventions consistently [16]. A fundamental psychological question concerns how we come to find meaning in traumatic experiences. Ethical Issues in Trauma Research. The people you serve, their families and the communities they/we live in thank you. The in-hospital intensive care principle of “critical care without walls” [7]—that patients should be treated on the basis of their compromise rather than their geographical location—can similarly be applied to pre-hospital trauma care. Well…earlier this week we at Relias joined with our partner National Council for Behavior Health and conducted a great webinar on Trauma-Informed Care (TIC). Now that a wide range of interventions that can be applied in the pre-hospital phase of care has been established, the more difficult question of which interventions should be performed is the research challenge for the immediate future. Many also dispatch advanced clinical teams with extended skills to the scene. There are trained people to provide the information. There are some studies and research that indicate experiences in utero can impact the child post-delivery. What is the relationship between vibration of the chest wall and the resulting chest wall forces, chest wall circumference, intrapleural pressure, and expiratory flow rate? It pinpoints exactly what you want to find out and gives your work a clear focus and purpose. We also provide training, technical assistance and coaching to peer workforces. Also check our tips on how to write a research paper, see the lists of research paper topics, and browse research paper examples. Research: questions and answers from academic trauma surgeons. Trauma nurse interview questions & answers. Yes Studies have usually focussed on which interventions deliver benefit and how they can be delivered. 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