Module A1: Acute Stress Reaction (2-4 Days After Trauma)

 
Individual or community exposed to trauma within the last 4 days [A] Assessment: a. Symptoms b. Trauma c. Risk factors d. Medical status e. Mental status f. Functional status g. Psychosocial status h. Dangerousness i. Unit disruption
Assess briefly based on general appearance and behavior [B]
Is person unstable or dangerous to self or others, or in need of urgent medical or surgical attention? [C] Provide appropriate care or refer to stabilize. Follow legal mandates
Immediate Needs: Survival, safety, security, food, shelter, sleep, medical care (first aid), mental health triage, orientation, communication with family, firends and community
Assess environment for ongoing threats, protect from further harm For service person in combat or during ongoing military operation, see module A2: COSR
Excessive arousal, dissociation, confusion/disorientation, or impaired function?
Assess medical and functional status [D] Acute Inteventions: Acute symptoms management, Education & normalization; Social & spiritual support; Consider Medication.
sses preexisting psychiatric and medical conditions [E]
Ensure basic physical needs are met [G]
Initiate acute interventions (see side bar)
Excessive arousal, dissociation, impaired function, or confusion/disorientation? [O]
Is patient at high risk for developing PTSD? [F] Boxes 10 and 13 to box 12
Offer contact/access information. Repeat screen for traumatic stress frequently. Provide secondary prevention and education Monitor and follow up as indicated [P] Refer to mental health [N]