Biomedical subjects
Publications and source records attributed to C Frederick.
With the number of trauma centers across the country on the increase, it is vital that the PACU nurse understands anesthesia for the trauma patient. The purpose of this article is to describe anesthetic agents, airway management, fluid replacement, and complications common in the trauma patient. Nursing interventions also are identified for the unstable or potentially unstable trauma patient.
While the ultimate goal of discharge planning is discharge from the hospital, many steps come between admission and discharge of the head-injured patient. This article outlines those steps.
Fourteen months after a sniper attack at an elementary school, level of exposure to that event remained the primary predictor of ongoing posttraumatic stress reactions in 100 schoolchildren who were followed up. Guilt feelings and knowing the child who was killed were associated with a greater number of symptoms. Grief reactions occurred independent of degree of exposure to the event. The authors discuss the public health implications of these longitudinal findings.
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One hundred fifty-nine children (14.5% of the student body) were sampled after a fatal sniper attack on their elementary school playground. Systematic self-reports of posttraumatic stress disorder (PTSD) symptoms were obtained by use of a child PTSD Reaction Index. Analysis of variance revealed significant differences by exposure but not by sex, ethnicity, or age. Additional analyses were conducted of individual item response, overall severity of PTSD reaction, symptom grouping, and previous life events. The results provide strong evidence that acute PTSD symptoms occur in school-age children with a notable correlation between proximity to the violence and type and number of PTSD symptoms. Sampling at approximately one month after the trauma provided adequate delineation among exposure groups. The symptom profile of highly exposed children lends validity to the diagnosis of acute PTSD in childhood.
Explore the source record for details and available documents.
Explore the source record for details and available documents.