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PTSD: The elephant in the trauma bay

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Prevention, early intervention may save lives

This is an important study with salient findings of PTSD in trauma surgeons. As a psychiatrist and specialist in physician health, I agree with Dr. Bellal Joseph’s statement that "active surveillance to promote wellness among trauma surgeons is warranted." In fact, I’d go one step further and say that prevention and early intervention are essential and may be life saving.

Trauma surgeons are a precious commodity in our U.S. health care system. After re-reading an article in the New York Times featuring the heroic efforts of trauma team members, including Dr. Joseph, at the University of Arizona Medical Center after the shooting rampage that killed several and severely injured former Rep. Gabrielle Giffords, it’s a wonder that more trauma surgeons do not have PTSD symptoms or the full DSM-5 diagnosis!

We physicians are all human. At times, the resilience and emotional defenses that enable us to stay calm and focused and to do our work can fail us. That is not weakness or frailty; it’s simply an occupational hazard.

Dr. Michael F. Myers is professor of clinical psychiatry at State University of New York, Brooklyn.


 

AT EAST 2014

Dr. Joseph agreed that the military has been instrumental in identifying this issue and could join with EAST and other professional organizations in developing an intervention for its members. PTSD screening, even among residents, also would not go amiss.

Additional analyses will focus on protective factors among respondents who did not develop PTSD as well as how surgeons in other countries, such as South America, address the aftermath of dealing with violence, accidents, and injury on a daily basis.

"I think lack of insight is what you hear across all the comments," Dr. Joseph said. "We all think we’re Superman. People that know me know I’m probably as tough as they come, but at the same time we have to look back and realize this really does affect us. We’re not invincible."

Dr. Joseph and his coauthors reported having no financial disclosures.

pwendling@frontlinemedcom.com

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