Trauma And Critical Care Services: European Health Insurance Considerations

Trauma And Critical Care Services: European Health Insurance Considerations – Simulation of trauma management in an online environment SAFETY at the Romanian Society of Anesthesia and Critical Care Congress 2021

The Simulation Center in Anesthesia and Intensive Care in Bucharest (CESIMAB) is one of the five simulation centers in Romania established and equipped in 2019, in collaboration between the Romanian authorities and the Swiss Government. Its activity has been steadily improving through internal training, participation in international projects such as C-19 Space, and courses offered at national conferences of the Romanian Society of Anesthesia and Intensive Care.

Trauma And Critical Care Services: European Health Insurance Considerations

In 2021, CESIMAB presented a complex simulation aimed at teaching the management of a trauma patient hospitalized in the intensive care unit (ICU).

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The students, ICU resident doctors from Bucharest Emergency Hospital and Cardiovascular Emergency Institute “Prof. C. C. Iliescu”, experienced a clinical situation that allows for patient assessment, clinical decision-making, therapy and multidisciplinary team management. During the discussion, CESIMAB instructors and trainees discussed aspects related to case management, including the importance of adequate ABCDE and SBAR assessment, standardization of critical care support and leadership.

The simulation experience was recorded and edited into a 15-minute film, which will soon be available online at the 2021 Congress of the Romanian Society of Anesthesia and Intensive Care and discussed by experts in the field of intensive care, education, and simulation, connecting real- timely feedback from the audience.

The CESIMAB team from the Emergency Institute of Cardiovascular Diseases “Prof. C. C. Iliescu” is also very involved in the SECURITY project. Our recent efforts are setting the stage for future online simulations designed to provide immersive learning experiences in medical scenarios specific to emergency and critical care. Furthermore, pending further improvements and feedback from our project participants, this case may be just a taster of the SECURITY results.

Figure 1 – Working scenario – CESIMAB team in action (ABCDE and SBAR assessment) Figure 2 – Working scenario – CESIMAB team in action (complex airway insertion (ie, spinal stabilization for neck injury) which brings great psychological challenges due to Figure 3 – Working on the situation – The CESIMAB team works (POCUS reveals the main cause of the patient’s deterioration, i.e. pericardial tamponade after polytrauma and injuries of the chest, abdomen and neck) Figure 4 – – Working on the situation – coordinator of the CESIMAB team

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The European Commission’s support for the production of this publication does not constitute endorsement of its contents, which reflect the views of the authors only, and the Commission cannot be held responsible for any use that may be made of the information contained therein.

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Any cookies that may not be necessary for the site to function and are used specifically to collect user personal data through analytics, ads, other embedded content are called non-necessary cookies. You must obtain the user’s consent before running these cookies on your website. Due to the current global health crisis, more people than usual have health problems. These include hospitalization for respiratory distress, or transfer to critical care (intensive care) units. A large proportion of these people will go on to experience symptoms of post-traumatic stress disorder (PTSD).

We wanted to put together a guide to providing information to these patients, and to those around them. It discusses how they can feel, why negative medical experiences can cause these complex reactions, and the best psychological treatments.

Our goal is for this to reach as many people who could benefit as possible. We would like you to share it as widely as you can. With your help, the guide can be seen by more people who could benefit from it.

Download (Albanian): Silajat kritique, Svijavi intensiv dhe Çrregulimi i Stresit Pastraumatik (PTSD), (thanks to Nebahate Ejupi and Rrezarta Isma)

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Download (Arabic): المرد الحادة, العربية المركزة, و رقبة ما بعد الصدمة, (thanks to Marie Wilson [PWP Peterborough Psychology Team], and Shams Al-Nahar Basbous)

Download (French): Maladies Graves, Soins Intensifs, Et Syndrome de Stress Post-Traumatique, (thanks to Christine Lacroix and Virginia Rogers)

Download (Greek):

Download (Italian): Malattia critica, terapia intensiva e disturbo post-traumatico di stress (PTSD), (thanks to Aurora Cartwright-Madaffari and Elisabetta Cairo)

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Download (Polish): Poważna choroba, Intensywna Terapia i Zespół Stresu Pourazowego (PTSD), (thanks to Paweł Kaliniecki and Sonia Izabella Barciuk)

Download (Spanish): Trastorno por Estrés Postraumático (TEPT) asociado a Enfermedades Críticas y Cuidados intensivos, (thanks to Alicia Cerrato Grande, Sara Rivera Molina, Joan González, Andrés Calvo Abaunza, Yaddira Molano Santiago Santiagores, Israel, Brenda Molano Santiago, Israel Alejandra Morales Phipps, Carolina Haylock-Loor, Ahsley Gibbs, Elizabeth Eastman)

Download (Vietnamese): Bộng hộng đầu, Chăm sóc tích chầu và Rối động kần trần sau sang độc (PTSD), (thanks to Ho Huy Duc)

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Towards Definitions Of Critical Illness And Critical Care Using Concept Analysis

The mission of Psychological Tools is twofold: to ensure that therapists around the world have access to the high-quality, evidence-based tools they need to practice effective therapy, and to be a trusted source of psychological self-help for the public. We have made this guide available for free because, due to the current global health crisis, more people than usual are having bad medical experiences. These include hospitalization for respiratory distress, or transfer to critical care (intensive care) units. A large proportion of these people will go on to experience symptoms of post-traumatic stress disorder (PTSD).

If you have had any of the experiences described in this guide, you may find some of the examples ‘triggering’ or upsetting. Remember that nothing in this guide can harm you, and that learning about what happened (and is still happening) to you can help your recovery. We suggest that you read it slowly in parts, and that if you find it too difficult to reach it with the help of a health professional.

Being seriously ill is a physical and emotional experience. Naturally, given the magnitude of what you’ve been through, it takes time to heal. How you feel, and how long it takes to recover will depend on what type of illness you had, and how long you were sick. Some common events after discharge from the intensive care unit (ICU) include:

Many worries such as worrying about getting sick again, or worrying you will never get better. You may worry about what some of your intensive care experiences mean for your mental health: for example worrying about dreams you may have had while in hospital.

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Recovery may take longer than you might expect. Symptoms such as muscle weakness are still very common even six months after discharge from hospital.

Does any of this sound familiar? These are all common experiences to have after needing critical care in a hospital. The body and mind take time to heal, and it’s important to be patient with yourself as you heal.

PTSD describes a collection of symptoms that some people experience after their lives have been threatened, or where there was the possibility of serious injury. You may also feel this way when you witness these kinds of things happen to a loved one – such as watching your loved one in the intensive care unit. Scary events that can happen during hospitalization can include:

During trauma it is common to feel strong emotions and physical sensations, or to have fearful thoughts. You may have had some (or none) of the following thoughts and feelings:

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After a traumatic event is over, it can take a while to come to terms with what happened. It’s common to feel shocked, overwhelmed, or numb for days, weeks, or even months afterward. For most people these feelings decrease with time, but for

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