Discover and read the best of Twitter Threads about #Trauma

Most recents (24)

“I thought perhaps there was a time when a PM making a false statement in Parliament would apologise..” @MichaelMarmot on #childpoverty #healthinequalities2020 @ToynbeeHall @equalitytrust @FairLondon
“Our lives depend on public health...” says @khankfarza in her critique and talks about the need to understand racialise #trauma and address hierarchy #healthinequalities2020
High level of community involvement in health initiatives but lack of presence in the research highlights @khankfarza #healthinequalities2020
Read 19 tweets
1/
How does a city's trauma system come together to both prepare for the expected surge of the #COVIDー19 #pandemic & manage the ongoing #epidemic of #gunviolence & other trauma?

Through a great collaborative effort, we published the #Philadelphia experience in @JTraumAcuteSurg
2/

The full paper is published ahead of print here: journals.lww.com/jtrauma/Citati…

It represents the importance of #teamwork in ensuring a robust, rapid, coordinated effort to manage an evolving threat
3/

Our publication timing coincides with a brutal #July4th weekend where #Philadelphia saw over 30 people shot including several children

But how did the #pandemic and #socialdistancing mandate affect trauma volume in our centers?
Read 15 tweets
@UWM This is the pathetic response from University of #Wisconsin, #Milwaukee about senior lecturer retired @usairforce Lt Col Betsy Schoeller's disgusting #Facebook post about Vanessa Guillen's death. #VanessaGuillen #JusticeForVanessaGullien #FireBetsySchoeller @ProtectRDfnders
@UWM #Facebook posts are NOT PRIVATE. In #Ohio, college professors don't get tenure if they talk about "controversial topics" like mental illness concerns or #homeless individuals' #CivilRights on social media. If you don't have a #SocialMedia policy, you should. @ProtectRDfnders
@UWM @ProtectRDfnders: Army soldier Vanessa Guillen's horrific murder been a trigger for countless #veterans suffering from #PTSD from #military sexual #trauma. A reprehensible #Facebook post from fellow veteran Betsy Schoeller has further exacerbated it. #MilitarySexualTrauma
Read 9 tweets
Vi racconto la storia di un giorno in #pandemia. Perché anche un tweet può diventare #virale.
Una ragazzina che si dichiara contraria ai #vaccini. Sicura mi dice: “Si informi”. Nasce da lì la voglia di dirle: “Ma tu che hai evitato tutte le #malattie dell’infanzia, cosa sai?
Che ne sai dei bambini del passato, del #morbillo, della #pertosse, fino alla #poliomielite?
Li hai visti i bambini zoppicanti, in carrozzina, nei polmoni d’acciaio? O quelli butterati dal #vaiolo? Li hai mai visti i #lebbrosi? I volti deturpati, le mani che perdono pezzi?
Scrivo un tweet e lui fa lo #spillover e dai miei pensieri rimbalza in quelli di tanti altri. Ogni tweet è un potenziale #virus, ma a volte non trova popolazione infettabile. A volte avviene che pochi si infettino e muore lì, come #ebola in un villaggio nella giungla di internet
Read 12 tweets
#Trauma does not occur in a vacuum. A thread.
Drawing inspiration from the recent release of the @Cause_Health book ("Rethinking Causality, Complexity, & Evidence for the Unique Patient," previous chats w/ folks like @RogerKerry1, my own clinical observations, findings from our collaborative research & others, I'm reminded
that people do NOT experience their trauma in a vacuum. The development of persistent symptoms following trauma (be it an ankle sprain, a motor vehicle crash, an assault, a slip-and-fall), is common and contributes substantially to societal and personal costs.
Read 21 tweets
If you endured childhood trauma, and you constantly find yourself having completely opposite feelings alternating about the same person, here is why.

According to the Structural Dissociation model, children in trauma develop two independent Parts in their mid-brain:
The first is a Protector Part. Utilizing one of the five defense responses: (Fight, Run away, Freeze, Befriend, or Shut down), this Part keeps us vigilant for the next attack. This child part is still there in adults.

The second is an Attachment Part. It wants
Love and care, nurture and bonding.

These two parts are separate from your Core Self. They do not trust your core self and will try and overpower your Self. This is why in relationships you feel like you're losing your Self. These two competitors won't let your Self be in charge
Read 4 tweets
Thread: 👋🏾 Welcome new followers. I am a #nurse #researcher, leveraging my expertise for #health #equity. This includes fighting for #social #justice, #RacialJustice, etc. This #Throwback image depicts wounds that were passed down 1/6

If anyone knows the artist, please tag them.
through generations. You could swap the images out for multiple people groups w/ shared experiences of historical and ongoing #trauma. My desire is to not only show how these #atrocities CONTINUE to affect #population #health, but also to implement multilevel interventions 2/6
that mitigate the influence between the aftermath of such injustices & #health. (#Structuralracism has to be addressed to do this.) This is done in #partnership with communities. For too long too many #Scientists (me included) have been #complicit in documenting differences 3/6
Read 7 tweets
1/8
IT’S PUBLIC!

My witness statement to Victoria’s Royal Commission into Mental Health is now available online:
s3.ap-southeast-2.amazonaws.com/hdp.au.prod.ap…
@RCMentalHealth

More info in thread👇
2/8
Thank you to @abcnews & @Zalika_R for covering the story & giving profile to people & issues that are too often ignored. (Angus, my cheeky cat, steals the show).

Online story: abc.net.au/news/2020-05-2…

Tune in to tonight’s 7pm ABC news for more coverage.
3/8
I was asked to testify on many topics, including #trauma , #recovery & the lived experience workforce.

I also testified to my own, appalling, lived experience of the #MentalHealth system.
Read 8 tweets
Reports from all around the world including from those of @WHO say that Corona virus is here to stay. The future seems like a dystopian one, and a lot of people are going through personal experiences and emotions that they have never felt before.
The @UN has already laid out their policy about #Covid-19 and the need for action on #mentalhealth. It is serious. We must recognize the importance of a healthy mind. People from all walks of life including small children are concerned and afraid of what the future holds for them
These are the times when we need to reassure ourselves, or someone who can re-ignite in us the confidence in our capability to survive even in the harshest times. This is a window for inspirational figures and government authorities in India to start a movement about the
Read 5 tweets
World Economic Forum: "Lockdown is the world's biggest #psychological #experiment - & we will pay the price"

Apr 9 2020 "With some 2.6 billion people around the world in some kind of #lockdown, we are conducting arguably the largest psychological experiment ever"

#Conditioning
"Unfortunately, we already have a good idea of its results. In late Feb 2020, right before EU countries mandated various forms of lockdowns, The Lancet published a review of 24 studies documenting the #psychological impact of quarantine."

#Handy
"The findings offer a glimpse of what is brewing in hundreds of millions of households around the world...

people who are #quarantined are very likely to develop a wide range of symptoms of #psychological #stress and #disorder..."

#Conditioning
Read 14 tweets
I was feeling overwhelmed by all the laypress articles about #moralinjury and #burnout in frontline health care workers during #Covid_19 so I decided to do a deep dive into the literature on the mental health of workers during pandemics.

Here's what I found. #thread

1/
Seriously, so many laypress articles.

What evidence do we have on this, and further, what evidence do we have on strategies that mitigate these mental health issues in health care workers?

I presented these data the @UChicagoMed @UCCancerCenter grand rounds last week.

2/
@UChicagoMed @UCCancerCenter But first, some definitions to set the stage:

Burnout, initially described by Dr. Maslach as the prolonged physical and psychological exhaustion related to a person's work. Not specific to medicine, although the definition has been honed for medicine (see slide). #burnout

3/x
Read 44 tweets
Please @NYGovCuomo @realDonaldTrump @EsperDoD , Rethink the #ComfortShip . Keep part of capability to do #trauma , and take the remaining crew to work on shore hospital. used the ship in #Katrina. The 1000 Sailors will not be able to separate themselves from the #Covid_19
From where they treat patients and where they sleep . @NYGovCuomo this is a case of giving you what you need not what you want .This could turn into a shit show ,because of the close quarters, use the crew on shore please. Crew can sleep in hotels , @USNorthernCmd @fema @FoxNews
Please I know the @USNavy want to execute your orders, but please understand the risk of have a hundred #Sailors with #COVID , please put the crew in shore hospitals. You may need the #ComfortShip In Miami or #NewOrleans @TeamCavuto @AliVelshi @DavidBegnaud see risk assessment
Read 3 tweets
Yesterday was hard.
Today will be harder.
It's going to get worse.

How do we deal and cope amongst the #uncertainty and #chaos?

Some thoughts about managing through the #coronavirus #pandemic:
#Covid_19
1. At work:
✅If you're in a position of leadership, get on the same page with the rest of leadership
✅Know your institution's policies, collate them in 1 place, disseminate to employees
✅Be proactive in asking folks how they are. What ? do they have? If you don't know, say so
✅Amidst all the physical preparedness, don't forget to check on their mental and emotional health.

We are all scared. Uncertain of each coming day. Of each coming hour.

Don't assume when folks are quiet that they are not scare, confused, or just need a little comfort.
Read 25 tweets
#SuicidePrevention: why I dislike the term, and what it often seems to come down to. How about instead we #Makelifeworthliving. Just some thoughts in a thread.
#SuicidePrevention feels like a negative designed to counteract another negative - that is, thwarting the wish to die. It's focus is to stop us from exerting control, in what may feel like the only meaningful way that is left when we've lost hope.
Removing access to 'means': a well-intentioned strategy, but what will it actually achieve? As for trying to reduce access or eliminate them all? Well.
Read 9 tweets
Last week, we posted about the opening of our new trauma bay @UnityHealthTO, a space that we “purposely designed, extensively tested, revised with end-user feedback.” – @HumanFact0rz #design #trauma #emergencymedicine

Here's a thread with more details 1/
We received considerable positive feedback and questions about the details of the process. This was a team effort from architects, operational readiness, clinicians, sim team to name a few. Here goes... 2/
Once upon a time…(all good stories start like this) 4 yrs ago we ran a study, called TRUST (Trauma Resus Using in situ Simulation for Team training). Using debriefing feedback & human factors expert video review we identified latent safety threats within our old trauma bay. 3/
Read 11 tweets
THREAD. So I went to my local NAMI (National Alliance on Mental Illness) group meeting tonight. TWO things annoyed me. (1) We had to pledge allegiance to the medical model, implying participants must denounce any version of a social model or combined social-medical model. /1
(2) Reinforcing (1), the moderators jumped all over me when I mentioned a medication name. Apparently, there is an “unwritten rule” that people are not allowed to talk about any medications that they’re on by name. Only circumlocutions are allowed. /2
What was the reason given for (2)? Supposedly, “they” don’t want people to take questions back to their doctors about their medications or treatments, or heaven forbid to not take a medication. /3
Read 17 tweets
A traumatized individual who sees the world through the lens of their traumatized nervous system is often
H Y P E R S E N S I T I V E

(THREAD)

#Trauma #traumainformed #religioustrauma #churchtoo #CPTSD #PTSD #therapy #adversereligiousexpereince #religioustraumainstitute
After getting out of a domestically violent relationship and a fundamentalist, cult-like religion within a few months of each other, I felt a sense of freedom that I had never felt before.
I was under the impression, initially, that leaving these relationships was all that I needed to do in order to embrace a new life. In reality, leaving was obviously important, but only the first step.
Read 20 tweets
With PTSD trauma (caused by people’s actions) you often feel or are excluded from things u did before, this may be stigma, others taking sides or misunderstanding

This may not seem much 2 others
but u notice at time u need routine most it’s denied

#Autism #Trauma #Abuse #PTSD
When people cause u harm seriously & deny/fail 2 take responsibility it can feel like a daily second ‘injury’ which may then make the situation far worse & recovery seem impossible

this may also seem an added cruelty on an already vulnerable person

#Autism #Trauma #Abuse #PTSD
When harm comes from within an organisation they often even when harm obvious deny or protect the reputation of those responsible

It retriggered hurt when you see them continued to be included & your left out - it reinforces the hurt is your fault

#Autism #Trauma #Abuse #PTSD
Read 8 tweets
In what is sort of a continuation of yesterday, but a not always directly related to yesterday track, #NAAM day 15 is another dive into where adoption intersects mental health.
For starters, there is some crossover from mental health related diagnoses and genetic predispositions.

There are also mental health diagnoses that occur that are unrelated to a genetic predisposition, and are at times, related to adoption.
There are also situations where adoption itself is a barrier to mental health treatment, as mental health professionals are not always prepared to look into adoption sans positive adoption language.
Read 32 tweets
It really bothers me when someone acts like I “owe them something”. I’ve never been one to live my life based on the expectations of others.
I also tend to let people make assumptions about me, and generally don’t bother to correct people when they get it wrong because - it’s not my problem when people jump to conclusions.
Maybe it’s because I don’t care what people think of me, but people who assume wrong can leave.
I’ve been misunderstood my entire life. I don’t have time for people who are intent on misunderstanding me. #ActuallyAutistic
Read 7 tweets
#TRAUMA: #medthread on the coagulopathic changes in severe trauma.

This is the WHY behind trauma resuscitation efforts.
#traumaanesthesia #damagecontrol #resuscitation
@uabsurgery @UAB_Anesthesia @uabmedicine 1/
Post-trauma hemorrhage and hypotension leads to a unique physiologic derangement called Acute Traumatic Coagulopathy. Resuscitation requires management of both hemodynamics and coagulation status. 2/
Why does this happen? If you were to simply cut your finger, your body would sense the injury and begin clot formation (platelet>factor signaling>fibrin net>more platelets). But to restore blood flow, it would need to break down that clot. 3/
Read 19 tweets

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