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![]() Individual, interpersonal and collective trauma is a highly prevalent and costly public health problem. ConclusionsĪ coordinated, more centralized strategy and provision for TI healthcare, increased funding for evaluation, and education through professional networks about evidence-based TI health systems can contribute towards evidence-informed policies and implementation of TI approaches in the UK. Professionals had conflicting views on the future of TI approaches, however all agreed that government backing is essential for implementing policies into practice. We identified factors affecting implementation of TI approaches at the level of organization (leadership, service user involvement, organizational culture, resource allocation, competing priorities) and wider context (government support, funding). Professionals wanted enhanced coordination between organizations and regions. TI care in the UK has had piecemeal implementation, with a nation-wide strategy and leadership visible in Scotland and Wales and more disjointed implementation in England. Although documents and interviews provided differing interpretations of TI care, they were aligned in describing the integration of TI principles at the system level, contextual tailoring to each organization, and addressing varied challenges within health systems. TI approach was included in national, regional and local policies, however, there was no UK- or NHS-wide strategy or legislation, nor funding commitment. We analysed 24 documents and interviewed 11 professionals from healthcare organizations and local authorities. We used the Ready Extract Analyse Distil (READ) approach to guide policy document review, and the framework method to analyse data. MethodsĪ qualitative study comprising of a document analysis of UK health policies followed by semi-structured interviews with key informants with direct experience of developing and implementing TI approaches. This study aimed to investigate the UK-specific context through exploring how TI approaches are represented in health policies, and how they are understood and implemented by policy makers and healthcare professionals. Review of TI approaches in primary and community mental healthcare identified limited evidence for its effectiveness in the UK, however it is endorsed in various policies. 2019 Mar 01 184(Suppl 1):310-317.Trauma-informed (TI) approach is a framework for a system change intervention that transforms the organizational culture and practices to address the high prevalence and impact of trauma on patients and healthcare professionals, and prevents re-traumatization in healthcare services. Crossover Assessment of Intraoral and Cuffed Ventilation by Emergency Responders. McCrory B, Lowndes BR, Thompson DL, Wadman MC, Sztajnkrycer MD, Walker R, Lomneth CS, Hallbeck MS. Airway management in inhalation injury: a case series. Emergency department management of smoke inhalation injury in adults. Correlation Between the Revised Trauma Score and Injury Severity Score: Implications for Prehospital Trauma Triage. Galvagno SM, Massey M, Bouzat P, Vesselinov R, Levy MJ, Millin MG, Stein DM, Scalea TM, Hirshon JM. Comorbidities, anticoagulants, and geriatric-specific physiology for the field triage of injured older adults. ![]() ![]() Newgard CD, Lin A, Eckstrom E, Caughey A, Malveau S, Griffiths D, Zive D, Bulger E. Trauma care principles will highlight the fundamental skills of ATLS and provide its readers with essential knowledge that providers can implement immediately.Ĭopyright © 2023, StatPearls Publishing LLC. ATLS acts as a tool to cognitively off-load these distractions and gives the provider more time to analyze their patients and communicate more effectively with their team. Because of the time-sensitive nature of these cases, added stressors, such as a provider’s limited knowledge of the patient’s mechanism of injury or history, can be overwhelming. The advantage of ATLS is made evident during moments of stress. This streamlines the assessment and treatment of every patient, allowing them to receive definitive care faster and improve their outcomes. The utilization of these surveys and the skills that accompany them allow all interprofessional team members to treat patients under one standardized method and communicate using one common language. Above all else, the guiding principles of ATLS are both the primary and secondary surveys. For providers, ATLS forms the framework used in the assessment and treatment of patients who suffer traumatic injuries. In 2018, the American College of Surgeons and its Committee on Trauma released the Tenth Edition of the Advanced Trauma Life Support (ATLS) course. ![]()
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