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~ Acute
Traumatic Response ~
The Acute Traumatic Response is the response that
occurs during or immediately following the traumatic event. The reactions
are often noted by trauma responders--firefighters, police, emergency personnel
and by emergency room staff. There are a variety of "normal responses and
symptoms"--physiological, emotional, cognitive and behavioral responses
that can be experienced either during or shortly after a traumatic event.
The following physical, emotional, cognitive and behavioral reactions are
commonly observed during traumatic exposure. It is important to remember
that these responses are not
unhealthy or maladaptive responses. Rather they are normal responses to
an abnormal event.
Note: Not every response
is evidenced by every person.
Physical Reactions:
Acute Traumatic Response
** Difficulty breathing
** Shock symptoms
** Chest pains
** Palpitations
* Rapid heart beat
* Elevated blood pressure
* Fatigue |
* Fainting
* Headaches
* Thirst
* Dizziness
* Gastrointestinal upset
Flushed face
Muscle tension & pains |
Pale appearance
Chills
Cold, clammy skin
Increased sweating
Vertigo
Hyperventilation
Grinding of teeth
Twitches |
** Require IMMEDIATE Medical Evaluation
* May need Medical Evaluation
Emotional Reactions:
Acute Traumatic Response
Shock
Denial
Dissociation
Panic
Fear
Intense feelings of aloneness
Hopelessness |
Helplessness
Emptiness
Uncertainty
Horror
Terror
Anger
Hostility |
Irritability
Depression
Grief
Feelings of Guilt
Emotional outbursts
Feeling overwhelmed
Inappropriate |
Cognitive Reactions:
Acute Traumatic Response
Poor concentration
Confusion
Disorientation
Difficulty in making a decision
A short attention span
Suggestibility
Vulnerability |
Forgetfulness
Self blame
Blaming others
Lowered self-efficacy
Thoughts of losing control
Hyper vigilance
Perseverative thoughts of the traumatic event |
Nightmares
Intrusive memories
Flashbacks
Questioning religious values
Feeling as though the world no longer "makes
sense"
Difficulty remembering the event |
Behavioral Reactions:
Acute Traumatic Response
Withdrawal
"Spacing out"
Non Communication
Changes in speech patterns
Regressive behaviors
Erratic movements
Impulsively |
Reluctance to abandon property
Aimless walking
Pacing
Inability to sit still
Exaggerated startle response |
Antisocial behaviors
Increased alcohol consumption
Inability to attach importance to anything but
this event
Refusing to talk
Feeling that one should not cry |
Resources
Foa EB, Hembree EA, Riggs D, Rauch S, Franklin
M. Common Reactions to Trauma. At: http://www.ncptsd.org/facts/disasters/fs_foa_handout.html
Dyer KA. The Potential Impact of CODES on Team
Members: Examining Medical Education Training. Trauma Journal. Available
at: http://www.aaets.org/arts/art95.htm
Lerner MD, Shelton RD. Acute Traumatic Stress
Management. Commack, N.Y.: The American Academy of Experts in Traumatic
Stress, 2001. Available from: http://www.aaets.org
American Red Cross. When Bad Things Happen. Available
at: http://www.redcross.org/services/disaster/keepsafe/badthings.html
American Red Cross. Why Do I Feel Like This?
Avialable at: http://www.redcross.org/services/disaster/keepsafe/terror.html
Acute and Post Traumatic Stress Disorders. Mental
Health Report of the Surgeon General, Chapter 4 - Anxiety Disorders. Available
at: http://www.surgeongeneral.gov/library/mentalhealth/chapter4/sec2.html
Khouzam HR. A simple mnemonic for the diagnostic
criteria for post traumatic stress disorder. WJM 2001;174:424 Available
at: http://www.ewjm.com/cgi/content/full/174/6/424
National Institute of Mental Health. Facts about
Post Traumatic Stress Disorder
http://www.nimh.nih.gov/anxiety/ptsdfacts.cfm
National Institute of Mental Health. Post Traumatic
Stress Disorder, A Real Illness - Signs and Symptoms, Ways of improving.
June 14, 2000. Available at: http://www.nimh.nih.gov/anxiety/ptsdri1.cfm
National Institute of Mental Health. Reliving
Trauma - PTSD. Available at: http://www.nimh.nih.gov/publicat/reliving.cfm
National Center for Post Traumatic Stress Disorder.
Screening for PTSD In a Primary Care Setting Avialable at: http://www.ncptsd.org/screen_disaster.html
The acute responses to loss are not unhealthy or maladaptive responses. Rather they are normal responses
to an abnormal event.
Kirsti A. Dyer, MD, MS
See the Emergency
911 Page for links to immediate resources
if you are feeling helpless,
hopeless, overwhelmingly depressed, or suicidal.
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