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

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Presentation on theme: "Rapid Trauma Intervention By Mark Lessard, PhD 850-452-8674."— Presentation transcript:

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

2 Introduction u 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 u Exposure to a crisis u Turning Point u Sudden u Unexpected u Dangerous u Immediacy u Unusual

4 Crises/personal u Rape u Assault u Auto Accident u Burglary

5 Crises/group u Natural Disasters u Plane Crashes u Terrorism u Operational Deaths

6 Victims u Primary u Secondary u Tertiary

7 Crises/Professional u Firefighters u Police u Paramedics u Physicians u Witnesses

8 Stress Response u Environmental Stimulus u Cognitive Interpretation u Affective Integration u Psychobiological Response

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

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

11 Effects /Emotional u Shock/Numbing u Anger u Grief/Sadness u Helplessness

12 Effects/Behavioral u CHANGE u Appetite u Sleep u Hygiene u Social

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

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

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

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

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

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

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

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

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

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

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

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

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

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


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