Special Considerations in Trauma Patients.
The emergent management of a traumatic injury can be an extremely intense situation. These assessments can be even more difficult when patients have an underlying psychiatric condition. After a protocoled evaluation of the traumatic injuries, the psychological manifestation of diseases can be addressed. The appropriate use of physical or chemical restraints to facilitate the work-up is paramount in the ability of the provider to protect patients and staff from agitated and traumatized patients. The emergency medicine provider should have a low threshold for including psychiatry in the treatment plans, as the long-term sequelae of these entities require specialized treatment.
Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor Suite 200, Baltimore, MD 21201, USA. Electronic address: mabraham@umem.org.
Michael K
MK
Abraham
Department of Psychiatry and Behavioral Medicine, Lahey Hospital and Medical Center, Tufts University School of Medicine, 41 Mall Road, Burlington, MA 01805, USA.
Patrick R
PR
Aquino
Section of Emergency Medicine, Department of Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA.
Dick C
DC
Kuo
D001930:Brain Injuries / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D019468:Disease Management; D004630:Emergencies; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis / Q000209:etiology / Q000628:therapy
Chronic traumatic encephalopathy (CTE); Posttraumatic stress disorder (PTSD); Trauma evaluation; Traumatic brain injury (TBI)