Medical Family Therapy in Emergency Medicine

Chapter
Part of the Focused Issues in Family Therapy book series (FIFT)

Abstract

Attention to the intersections of mental health and physical health in emergency medicine is long-standing. Patients’ and families’ emotional responses to the acute physical presentations that characterize this care context can be as diverse as the presentations themselves; common themes relate to struggling with ambiguities about what will happen to sick or injured patients, fears about one’s own or a loved one’s life and survival, and/or misplaced anger directed at each other, healthcare providers, or office staff. Behavioral health presentations per se – without clear physical components – are also commonplace here. Suicidality (and the severe depression that can fuel it), anxiety and panic, psychosis, and any variety of states defined by psychological decompensation can bring patients to the emergency department (ED). Moreover, the worries and fears maintained by the family members who bring them can echo those that we see in response to straightforward physical injuries or conditions.

Notes

Glossary of Important Terms for Care in Emergency Medicine

ABCs

Essential steps and foci used by both medical professionals and lay persons when attending to a patient during an emergency; stands for airway with cervical spine control, breathing, circulation with control of bleeding.

Acute

A sudden, unexpected, and often intense health condition.

Agonal

A major negative change in a patient’s health condition, usually preceding death (e.g., complete cessation of breathing, dire change in EKG).

ALS

Advanced life support; includes life-saving protocols and skills that include both basic life support and efforts to facilitate circulation and provide an open airway and adequate ventilation for breathing.

AMA

Against medical advice; refers to when a patient leaves a hospital and/or discontinues treatment against the advice of his or her care provider.

BLS

Basic life support; refers to care provided to victims of a life-threatening illnesses or injuries until they can be admitted to a hospital for full medical attention.

BSA

Burn surface area; refers to the total percentage area of a patient’s body that is burned.

Chest film

An x-ray of patient’s chest.

Coag panel

A test to assess blood clotting capability.

CPR

Cardiopulmonary resuscitation; this is an emergency procedure that combines chest compressions and (often) artificial ventilation so as to manually preserve brain function until further measures can be taken to restore spontaneous breathing and blood circulation in a person who is experiencing cardiac arrest.

Crasher

A person who passes out in the ED (often a family member who is upset about what is happening with their loved one).

DB

Dead body; patient is deceased.

DNR

Do not resuscitate; a directive that this formally requested or ordered for terminally ill or injured patients.

DOA

Dead on arrival; patient arrived to care facility deceased.

Dyspnea

Shortness of breath; refers to difficult and/or labored breathing. This condition is associated with a myriad of acute and chronic physical conditions.

GSW

Gunshot wound.

LOC

Loss of consciousness.

MVA

Motor vehicle accident; can refer to incidents involving cars/trucks or motorcycles.

NS

Normal saline; refers to a mixture of sodium chloride and water. NS is used for a variety of purposes, including (but not limited to) cleaning wounds, treating dehydration (when injected intravenously), wetting dry eyes, and diluting medications.

Rape kit

A box or package containing envelopes hair, sperm, and blood samples from a rape victim; also contains formal reporting paperwork.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Regions HospitalSaint PaulUSA
  2. 2.Department of Family Social ScienceUniversity of MinnesotaSaint PaulUSA

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