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Rapid Trauma Intervention

Rapid Trauma Intervention. By Mark Lessard, PhD 850-452-8674. Introduction. The goal of this class is to familiarize people with the effects of trauma and interventions to minimize its long-term consequences. Traumatic Stress. Exposure to a crisis Turning Point Sudden Unexpected

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Rapid Trauma Intervention

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  1. Rapid Trauma Intervention By Mark Lessard, PhD 850-452-8674

  2. Introduction • The goal of this class is to familiarize people with the effects of trauma and interventions to minimize its long-term consequences.

  3. Traumatic Stress • Exposure to a crisis • Turning Point • Sudden • Unexpected • Dangerous • Immediacy • Unusual

  4. Crises/personal • Rape • Assault • Auto Accident • Burglary

  5. Crises/group • Natural Disasters • Plane Crashes • Terrorism • Operational Deaths

  6. Victims • Primary • Secondary • Tertiary

  7. Crises/Professional • Firefighters • Police • Paramedics • Physicians • Witnesses

  8. Stress Response • Environmental Stimulus • Cognitive Interpretation • Affective Integration • Psychobiological Response

  9. Effects of Stress/Cognitive • Confusion • Poor Concentration • Impaired ability to make decisions • Memory

  10. Effects/Physical • Diaphoresis • Dizziness • Increased Heart Rate • Elevated Blood Pressure • Headaches • Gastrointestinal Upset

  11. Effects /Emotional • Shock/Numbing • Anger • Grief/Sadness • Helplessness

  12. Effects/Behavioral • CHANGE • Appetite • Sleep • Hygiene • Social

  13. Acute Stress Disorder • Exposure to Trauma • Dissociation • Re-experiencing • Avoidance • Hyperarousal • Two days-- four weeks

  14. Posttraumatic Stress Disorder • Exposure • Re-experiencing • Avoidance • Hyperarousal • Greater than one month

  15. Personal Factors: Neurologic Predisposition Background Internal Locus of Control Traumatic Factors: Duration Intensity Who Will Be Most Affected?

  16. Intervention/Prevention • Education/ Stress Management • Trauma Immunization • Standard Processing With Peers

  17. Intervention/On Scene/SAFE-R • Stimulation Reduction • Acknowledgment of Crisis • Facilitation of Understanding • Encourage Effective Coping • Restoration of Independent Functioning

  18. Intervention/Debriefing • Introduction • Fact • Thought • Reactions • Symptom • Teaching • Re-entry

  19. Intervention/Defusing • Abbreviated version of the debriefing • Introduction • Exploration • Information

  20. Intervention/Demobilization • For Massive, ongoing, operations • Information regarding effects of stress and referral possibilities • Hot-line

  21. Mechanism of Action • “Trauma Membrane” • Structuring the event • Group Support • Stress Education

  22. Cerritos Total Killed 82 Survivors 0 Homes 16 Civilians 15 Res Pers 300 Body Parts 10000 San Diego Total Killed 125 Survivors 0 Homes 16 Civilians 15 Res Pers 300 Body parts 10000 A Case Example

  23. Cerritos 12 Debriefings Many Demobilizations Hot-line Follow-up San Diego Sporadic on-scene intervention A Case Example

  24. Cerritos One Loss Increase in MH 01% San Diego Loss of Police 5 Loss of Fire 7 Loss of Paras 17 Increase in MH 31% A Case Example

  25. SPRINT • Special Psychiatric Rapid Intervention Team • Official Sites: San Diego, Portsmouth, Bethesda, Oakland • West Coast 619-532-8551 • East Coast 757-953-5281 • BUMED CODE-311

  26. What to do • Acknowledge the Problem • Assess Magnitude, personal, group • Assess Local Assets/ Chaplains etc... • Sell to command • QUICKLY, organize CISD with local assets or Activate Sprint • Follow-up

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