chapter  14
46 Pages

Retraumatization Associated With Disabling Physical Injuries

Traumatic events can lead to serious physical injuries, and serious physical injuries can lead to signi¢cant traumatic stress reactions. Serious physical injuries usually require transportation via ambulance to an emergency department (ED), initial ED assessment of life-threatening and non-life-threatening injuries, treatment disposition, hospital admission, surgical and nonsurgical treatment, rehabilitation, postdischarge hospital follow-up, and outpatient follow-up in primary-and specialty-care settings. Events that involve physical injury can contribute to signi¢cant psychological distress by virtue of the parameters of the injury-causing event, the seriousness of the physical injuries sustained in the event, or the degree of functional and lifestyle compromise that result from physical injuries.