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PREHOSPITAL CARE 10TH EDITION CHAPTER 41 QUESTIONS WITH COMPLETE ANSWERS.
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PREHOSPITAL CARE 10TH EDITION CHAPTER 41 QUESTIONS WITH COMPLETE ANSWERS.
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PREHOSPITAL CARE 10TH EDITIONCHAPTER 41 QUESTIONS WITH
COMPLETE ANSWERS
the emt must recignzie that: - Answer all veterans are not the same and treat every
veteran patient as an individual with individual issues
22 million combat vets of whom 250,000 are female - Answer age may range from 20 to
80 or greater
ask questions such as "were you in the military? where did you see combat?
approx 25 percent of homeless people are: - Answer veterans or combat veterans
at least two thirds will have PTSD
keep in mind that the definition of PTSD includes the fact that symptoms are delayed
therefore as delayed symptoms emerge over time these numbers can only rise
there is no cure for PTSD only symptom relief
PTSD is a collection of signs and symptoms: - Answer the pivotal feature of this
disorder is what happens when a normal individual is exposed in any way to an
abnormal event
it is abnormal becuase it signals actual or percieved immediate death, serious injury, or
horrific trauma
it is also considered abnormal because there is sustained SNS activation and memories
of trauma linger and are disruptive to the person
PTSD has four essential features and numerous associated aspects
the four features are : - Answer response
relieving
avoiding
anxiety/anger
the verterans "response" involves: - Answer feeling of anger, fear, horror, and
helplessness
the individual "relieves: - Answer these events by way of flashbacks, unwanted thoughts
or nightmares
, these episodes are painful and uncontrollable lasting seconds to hours and can occur
even decades after the combat exposure
the person avoids anything: - Answer that even reminds him physically or emotionally of
the trauma
the emotional anesthesia protects the individual from having to repeat the trauma
this could include the avoidance if involvement with people, crowds, war movies, loud
noises, diesel fumes or any intimate sexual or other interpersonal interactions
the key to understanding the persons avoidance of any situation that may cause reliving
trauma is grasping the personal pain to the veteran and his fear that it will become
personally overwhelming and that he will freak out
in its extreme a flashback can resemble a psychotic episode but should be approached
differently by clinicians
one hundred percent of combat veterans will have: - Answer flashbacks and sleep
disturbance usually with nightmares
the person may use phrases like "i cant seem to sleep" or " i dont like crowds"
there is an emotional and physical distancing from others
the person might display "anxiety and anger": - Answer the nervous systems arousal
caused by the trauma can result in a fight or flight response that is so extreme the
veteran is simply not able to suppress it
the traumatic event is perceived as immediate even though it may be months or years
later
because of this the EMT will observe hyper-vigilant or exaggerate response on the part
of the veteran to any perceived imminent threat
it is constant and painful
this is why alcohol and drug use is a common way to attempt to calm these demons,
suicide is a way to permanently end the pain
associated signs and symptoms of PTSD: - Answer guilt
shame
avoidance of others
depression
paranoia
hostility
feeling they will not live much longer
agitation and anger are all common among combat veterans
the level of frustration and anger cannot be overstated; these emotional states can be
overwhelming to the veteran as well as the EMT
physical responses are another category of probems associated with PTSD: - Answer
the traumatized person can experience any kind of pain
oain whose origin may be unsubstantiated
vauge unfocused pains that seem unfounded are common in vets with PTSD
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