from Part III - Clinical care and interventions
Published online by Cambridge University Press: 09 August 2009
Introduction
Natural and human-made disasters entail the threat of physical injury. Injured trauma survivors initially receive care in the acute care medical setting. For example, the Centers for Disease Control report that within 48 h after the September 11, 2001 attack on the World Trade Center, 1 103 physically injured survivors were triaged through five acute care facilities in New York (Centers for Disease Control and Prevention, 2002). Injured survivors of mass disasters have been identified as a high-risk group that may require specialized early screening and evaluation procedures (United States Department of Defense et al., 2001; United States Department of Health and Human Services, 2003).
Trauma exposure when coupled with physical injury confers a higher risk for the development of post-traumatic stress disorder (PTSD) (Abenhaim et al., 1992; Green, 1993; Helzer et al., 1987; Hoge et al., 2004; Koren et al., 2005). Between 10% and 40% of hospitalized adolescent and adult injury survivors in the United States may go on to develop symptoms consistent with a diagnosis of PTSD (Holbrook et al., 2001; Marshall & Schell, 2002; Michaels et al., 1999b; Ursano et al., 1999; Zatzick et al., 2002a, 2002b, 2004c, 2006). Among injury survivors, PTSD is often complicated by comorbid, depressive symptoms (O'Donnell et al., 2004; Shalev et al., 1998b; Zatzick et al., 2004c, 2006) and medically unexplained somatic complaints (Engel et al., 2000; Katon et al., 2001b; Zatzick et al., 2003).
To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Find out more about the Kindle Personal Document Service.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.