The impact of parental accompaniment in paediatric trauma: a helicopter emergency medical service (HEMS) perspective

Cowley, A. J.; Durge, Neal

doi:10.1186/1757-7241-22-32

Cited by 10 publications

(3 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, presence during resuscitation in the emergency department has been shown to be psychologically beneficial for family members, particularly if the attempt is unsuccessful, as it decreases post-traumatic stress 23 and facilitates the grieving process 24 . There is very little literature exploring this concept in the prehospital setting, although it has been suggested that parental accompaniment in paediatric trauma requiring helicopter retrieval is probably beneficial for both the patient and the family 25 .…”

Section: Parents and Carersmentioning

confidence: 99%

Pediatric Drowning

et al. 2017

View full text Add to dashboard Cite

Objectives Drowning is one of the leading causes of death in children. Resuscitating a child following submersion is a high-pressure situation, and standard operating procedures can reduce error. Currently, the Resuscitation Council UK guidance does not include a standard operating procedure on pediatric drowning. The objective of this project was to design a standard operating procedure to improve outcomes of drowned children. Methods A literature review on the management of pediatric drowning was conducted. Relevant publications were used to develop a standard operating procedure for management of pediatric drowning. Results A concise standard operating procedure was developed for resuscitation following pediatric submersion. Specific recommendations include the following: the Heimlich maneuver should not be used in this context; however, prolonged resuscitation and therapeutic hypothermia are recommended. Conclusions This standard operating procedure is a potentially useful adjunct to the Resuscitation Council UK guidance and should be considered for incorporation into its next iteration.

show abstract

Section: Parents and Carersmentioning

confidence: 99%

Pediatric Drowning

et al. 2017

View full text Add to dashboard Cite

show abstract

“…19 Family members are impacted too, they may have witnessed the trauma itself, been a first responder, and/or have significant and enduring life-changes as they support their family member's care and recovery. 20 Clearly, early intervention for identifying and addressing psychological and psychosocial impacts of major trauma is an important aspect of care.…”

Section: Introductionmentioning

confidence: 99%

Psychological and psychosocial aspects of major trauma care in the United Kingdom: A scoping review of primary research

Olive

Hives

Wilson

et al. 2022

Trauma

View full text Add to dashboard Cite

Introduction More people are surviving major trauma, often with life changing injuries. Alongside physical injury, many survivors of major trauma experience psychological and psychosocial impacts. Presently, there is little guidance at the UK national level for psychological and psychosocial aspects of major trauma care. Set in the context of the regional model of major trauma care implemented in the UK in 2012, the purpose of this review was to identify and bring together primary research about psychological and psychosocial aspects of major trauma care in the UK to produce an overview of the field to date, identify knowledge gaps and set research priorities. Methods A scoping review was undertaken. Seven electronic databases (MEDLINE, Cochrane Library, CINAHL, Embase, PsycINFO, SocINDEX with Full Text and PROSPERO) were searched alongside a targeted grey literature search. Data from included studies were extracted using a predefined extraction form and underwent bibliometric analysis. Included studies were then grouped by type of research, summarised, and synthesised to produce a descriptive summary and overview of the field. Results The searches identified 5,975 articles. Following screening, 43 primary research studies were included in the scoping review. The scoping review, along with previous research, illustrates that psychological and psychosocial impacts are to be expected following major trauma. However, it also found that these aspects of care are commonly underserved and that there are inherent inequities across major trauma care pathways in the UK. Conclusion Though the scoping review identified a growing body of research investigating psychological and psychosocial aspects of major trauma care pathways in the UK, significant gaps in the evidence base remain. Research is needed to establish clinically effective psychological and psychosocial assessment tools, corresponding interventions, and patient-centred outcome measures so that survivors of major trauma (and family members or carers) receive the most appropriate care and intervention.

show abstract

“…In addition to caring for the patient, HEMS personnel have to ensure flight safety, deal with longer transportation times from rural and remote locations, and manage increased noise levels that effectively reduce the crew's ability to communicate. The HEMS factors put additional stress on HEMS personnel (Cowley & Durge, 2014). In addition, the images of patients' conditions and the emergency sites may induce additional traumatic stress (Beck, 2011).…”

Section: Introductionmentioning

confidence: 99%

Experiences of trauma, depression, anxiety, and stress in western-Canadian HEMS personnel

Harenberg

McCarron

Carleton

et al. 2018

jcswb

View full text Add to dashboard Cite

Mental health in first responders and other public safety personnel has received substantial research attention in the past decade. Emergency medical services (EMS) demonstrate a heightened prevalence of maladaptive mental health concerns compared to other first responders (e.g., police, fire fighters). Interestingly, there is an absence of research examining helicopter emergency medical services (HEMS) personnel, who respond to what are often life-threatening cases in challenging circumstances. Hence, the purpose of the present study was to assess the experiences of Posttraumatic Stress Disorder (PTSD) and associated mental health conditions (i.e., depression, anxiety, stress) in HEMS workers. HEMS workers from a single mid-western Canadian organization (n = 100) participated in the study. The participants completed the Posttraumatic Stress Disorder Checklist (PCL-5) and the Depression, Anxiety and Stress Scale (DASS-21) as part of an online survey. The results revealed that five per cent of HEMS personnel experienced heightened PTSD symptoms. Few participants exhibited signs of mild to severe depression, anxiety, and stress (< 17%). HEMS personnel experienced fewer mental health concerns than other first responder groups as reported in the literature; indeed, these figures are similar to levels observed within the general population. These findings may be explained by organizational or personality characteristics. Underreporting of mental health concerns may be an alternate explanation. Future qualitative and quantitative research is needed to explain and replicate the results of the present study.

show abstract

The impact of parental accompaniment in paediatric trauma: a helicopter emergency medical service (HEMS) perspective

Cited by 10 publications

References 22 publications

Pediatric Drowning

Pediatric Drowning

Psychological and psychosocial aspects of major trauma care in the United Kingdom: A scoping review of primary research

Experiences of trauma, depression, anxiety, and stress in western-Canadian HEMS personnel

Contact Info

Product

Resources

About