Discover and read the best of Twitter Threads about #trauma

Most recents (17)

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
I think a lot of supposedly materialist/empirical disciplines rely more on idealism than they’ll let on. I’ve seen this with psychiatry in particular.
A cultural truism or norm isn’t an objective benchmark; it’s an idealised standard that most people may not even live up to themselves.
For example, look at ‘evidence-based’ practices like ABA—the idea is that therapy can create a non-autistic-seeming idealised person out of an #ActuallyAutistic one. That’s an idealistic stance (in the ‘aspiring to a particular model of the world’ sense.)
Read 18 tweets
@Me4Trauma @me4_so A #tweetorial for my #medtwitter and #trauma colleagues.

You assess a patient with a stab wound to the left chest in respiratory distress. Chest XR shows a large hemopneumothorax, and you insert a large-bore chest tube. Do you give antibiotics?
Most surgeons are taught that there is no role for antibiotics in chest tube insertion. Few people can cite the evidence for this topic. Most of us are taught about chest tubes as residents and never actually review the primary literature - frankly, they are not a sexy topic.
First, a history lesson. You are now a military trauma surgeon. It's 1952 and you are serving in Korea. A young soldier is brought to you with a GSW to the chest, respiratory distress, decreased air entry, and hypoxia. Do you insert a chest tube?
Read 16 tweets
As a #trauma researcher I often wonder why the fact that violence is squarely within the repertoire of normal human behavior is absent from the conversation among #academics and #culture observers more broadly. #whyisthat
Something deservedly undesirable in many contemporary contexts is not, as a result, abnormal.

Instead, I’d argue violence is often a maladaptive problem solving or #emotion regulation strategy.
But by dismissing violence as somehow aberrant, we make little progress in understanding root causes or intervening effectively.
Read 5 tweets
Dem Thema #Trauma und #Elternschule werde ich einen eigenen Thread 
widmen. Der andere ist schon recht lang und das Thema ist mir zu groß, 
um es auch noch hinten an zu hängen.

Gerade in Bezug auf den Film wird das Wort Trauma fast schon inflationär 
benutzt -
deshalb möchte ich etwas differenzieren, was ein Trauma und 
ist und was Traumatisierung bedeutet.

Ich verlinke hier auf den guten und ausführlichen Wikipedia-Artikel 
(de.wikipedia.org/wiki/Trauma_(P…) zum Thema. Wer 
Fachliteratur lesen möchte, kann z.B. unter den Namen Lutz Goldbeck
oder Jörg Fegert weiterlesen.

Wichtig ist anzumerken, dass nicht jedes möglicherweise traumatisierende 
Ereignis zwangsläufig ein Trauma hervorruft. Das hängt vom inneren 
Erleben der Person ab (als wie aussichtslos schätze ich meine Situation 
ein, fühle ich mich hilflos oder
Read 21 tweets
The youngest child separated from his ASYLUM-SEEKING family, was 4 mos old, #Constantine

He was placed in foster care w/Bethany Christian Services in MI. They get $700+/child/night. They're associated w/ @BetsyDeVosED - of course

#TrumpConcentrationCamps
salon.com/2019/06/16/how…
Bethany Christian Services - separated children are funneled to them, ensuring an influx of Govt funds. They're assoc w/ @BetsyDeVosED

Look what even THEY say about trauma - which THEY can then charge more for 🤬🤮

🔗 snopes.com/news/2018/06/2…

This isn't who we are 😭 🤬
Read 13 tweets
Over 100 residents joined the #Boston CHNA-CHIP Collaborative last night to discuss key assessment findings and vote on community priorities. Thanks to all who were able to attend and provide input for this important process! #BostonCHNA @HealthyBoston @cobth @LisaSWolff
#Boston is richly diverse in terms of financial, racial, ethnic, and linguistic population groups although this diversity is not equally distributed across neighborhood.” - one of the CHNA key data findings
#Boston residents identified a need for more #trauma-informed approaches to care, particularly for children and community of color. #BostonCHNA
Read 5 tweets
(1) fakten statt fake news zur #psychotherapie
kosten:
stationäre therapie 4 mrd € psychopharmaka 2.8 mrd €
ambulante psychotherapie 1.5 mrd @€
(2) fakten statt fake news zur #psychotherapie
kosten psychischer erkrankungen: maximale burden of disease, lange krankschreibungen, häufigster grund für frühberentungen, produktivitätsausfälle.
& großes menschliches leid.
(3) fakten statt fake news zur #psychotherapie
die meisten menschen mit #depression erhalten nur psychopharmaka trotz geringer wirksamkeit. 20% werden gar nicht behandelt. häufig erfolgt die behandlung stationär, weil keine freien ambulanten therapieplätze zu finden sind.
Read 5 tweets
What is the victims responsibility?

To recover choice.
To find voice.
To restore the ruins.
To do the hard work of healing.

Don’t you DARE tell a victim it is his/her “responsibility” to tell the story.

It shows you are uniformed at best and utterly obtuse at worst. 🤨
Do you know how long it can take to do the hard hard work of healing what someone else smashed????

Years, I tell you.
Years.

Cowards look at the courageous and ask for more.

Why?

They are COWARDS. 👊🏻

#churchtoo
#metoo
#CSA
#trauma
#recovery
You know not what you ask. You put a foot on the neck of the broken and you ask them to rise, to speak, yet you never remove your polished boot.

FOR SHAME.

Shut thy mouth.
Fall silent.
Then no one will think you the fool.

#churchtoo
#metoo
#trauma
#recovery
Read 6 tweets
#2018inreview

1. I/we survived (this was seriously in question still)

2. I left what was a 25+ career in the health field because trauma truncated and took over.

3. We made a decision to leave a toxic environment created by #churchtoo
#2018inreview

4. I completed a course of four trauma intensives that covered the first 18 years of abuse. Phew.

5. I joined a community center and slowly started to uncurl my body from the curled up ball it had become from #churchtoo #trauma
#2018inReview

6. I wrote for a #churchtoo documentary coming out this spring with
@chasingphoto

and
@kennys901

where I met
@brookshansen247

@jdahlmd

@BB_515_

7. After the filming I had two things I had never had before: deeply true fellows and a restored voice.
Read 8 tweets
(THREAD) When my son was in Gr 10 he brough home, To Kill a Mockingbird. I was angry -my child, was reading a text of a past romanticized by some, even tho it was riddled with #racism. I wondered how many texts he would read that looked like him. But he had to read that- why?
I had asked many times for a reading list of books theyd have in their English class. I asked if the texts looked like them, reflected their experiences bc #IdentityMatters. I never could get an answer. Replies included, it was a #Classic but y'all know #Classics aint #Neutral
Of course, the response when we have these convos - "Y'all want to Censor...". Funny how "#freeSpeech" and "#censorship" always come up when issues of #equity are being discussed. That our children shouldn't be exposed to #racism and #trauma they live EVERY. SINGLE. DAY
Read 17 tweets
1. Woke up 3hrs too early, queasy and stressed. 2mins from now, we will likely be witness to a national misogynistic sham so deep and so blatant as to prove once and for all that the powerbrokers of US government do not believe women are human. #Kavanaugh #BelieveSurvivors #RAGE
2. I'll prob livetweet #Kavanaugh hearing, but I feel physically ill over how they've stacked the deck against #ChristinaBlaseyFord, ignored #JulieSwetnick's gang rape allegations, demonized #DeborahRamirez. How many more rapes will happen bec Trump &GOP brand claim women liars.
3. 0 reason other than corruption, misogyny, and partisanship for having no witnesses, no FBI investigation. Yet hypocrite Grassley, opens saying he wants a "Safe, comfortable, and dignified" hearing and a "show of civility"--then immediately misrepresents the issues. #Kavanaugh
Read 50 tweets
Es wird ein Thread zum Thema #Trauma. Anlass ist die @ndr-Reportage, der einige Aspekte fehlen, die zeigen, dass es bei der Versorgung der @bundeswehrInfo-Soldat_innen an vielen Ecken hapert. Disclaimer: ich bin selbst in der #Schutzzeit, aber kein Soldat. ndr.de/fernsehen/send…
Das Thema frisst mich gerade besonders an, weil meine #Schutzzeit in gut 1,5 Jahren endet. Oder vielleicht schon im März 2019 nach der Masterarbeit, an der ich eigentlich gerade arbeiten sollte. Das Studium gilt als "berufliche Reha".
Wie in der Doku gezeigt, gibt es einiges, was getan wird. Das hilft mir gerade aber sehr wenig. Warum? Weil ich nicht vertrauen kann, dass mir der zugesagte Schutz auch weiterhin gewährt wird. Es existieren keine schriftlichen Zusagen, kein festgelegtes Enddatum.
Read 61 tweets
Today we honor the women and girls who lost their lives to violence. Each name represents a life that was robbed from us. #JUMPIN2PEACE #Violence #Trauma #Joy
And now the Rope Burners helping to inform joy today #doubledutch #JUMPIN2PEACE
Read 5 tweets
In @HealthyBoston briefing with @wutrain @CampbellforD4 @EdforBoston @LydiaMEdwards where updates are being provided about efforts to improve #trauma response and recovery models by the City working with CBOs, #healthcenters and #hospitals.
In my 8yrs on the Council, I have convened 7 hearings on #trauma, each with a different focus. Although more work remains, I am encouraged to hear that many of the recs offered up by impacted persons & communities at our hrgs & listening sessions were integrated into new system
Data collection of phase 1 implementation indicates that 75% of clients for #trauma response and recovery efforts were #Black #AfricanAmerican #Hispanic #Latino, AND 74% of clients reported chronic exposure to a single (11%) or multiple forms of #violence (63%)
Read 4 tweets
(1/11) When I say..."The people closest to the pain, should be the closest to the power, driving & informing the policymaking..." THIS is what I mean. (A) When I wanted to break cycles of #poverty by strengthening pathways to #graduation, preventing #dropout #MA7
(2/11) for expectant & #parenting #teens, (still the #1 reason girls drop out, even with unplanned pregnancies on the decline) I invited them to the table to share their stories, struggles & to inform the #BPS policy we developed to better support them.
(3/11) (B) When I wanted to better understand why we were seeing an increase in #bicyclist & motor vehicle collisions, I contacted @bostonbikeunion I invited them to share their stories & struggles, 4 hrgs later, we had a crash data report & the 1st sideguard ord. in the country
Read 11 tweets

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