作为一名战斗医务人员的潜在危险-创伤后应激障碍-前线反应服务

![](/media/202412//1733466384.9162052.png)

![](/media/202412//1733466384.9516068.jpeg)![](/media/202412//1733466384.993526.png)

战斗医务人员在当今的现代军队中扮演着独特的角色。不仅 他们必须是战场医学的专家，他们也必须留下来

熟练掌握巡逻、警卫等战术技能。他们

经常目睹受伤和死亡，并经常接触到个人的伤害

创伤的威胁。战场上的医护人员必须向他们提供援助 在暴露于危险之中时受伤。在受到攻击时，

医务人员必须和他们的战友们并肩作战。正因为如此

作为双重角色，战斗医务人员经常面临其他军队的压力 专业不。军人的职业倦怠的风险很高，

同情心疲劳，对抗压力，和医学性创伤后应激障碍。

![](/media/202412//1733466385.0158315.jpeg)创伤后应激障碍是创伤后可能发生的一系列症状

事件这些症状可以包括：重温这个事件，避免发生

让你想起一个事件的情况，感觉紧张，做噩梦，或者

睡眠困难。这些应激反应在创伤后很常见

事件，通常会在几个月后消退；然而， 内科医生

创伤后应激障碍患者甚至在事件发生数年后也会经历这些症状 发生国家创伤后应激障碍中心估计有11-20%的人

曾在伊拉克自由行动（OIF）和持久性行动中服役的退伍军人 自由综合症（OEF）在某一年内患有创伤后应激障碍。

由于创伤后应激障碍的复杂性，存在着隐患。除了 以前列出的典型症状，许多医生的经验

抑郁、焦虑、婚姻问题和药物滥用。许多

患有创伤后应激障碍的退伍军人酒精自我用药，处方 药物，或非法药物。在反复使用这些物质后，他们

可导致物质使用障碍（SUD）。研究已经显示出了一个强大的力量

SUD与医学性创伤后应激障碍的相关性。根据退伍军人的说法 大约10名患有创伤后应激障碍的退伍军人也患有SUD。他们也 报告称，有酗酒问题的退伍军人往往会酗酒

饮酒者；这通常是由于创伤性的记忆，睡眠困难，或

不断地感到“很警惕 ”。在2008年，多达27%的退伍军人患有 在战斗中每周都有酗酒的报告

月许多退伍军人觉得喝酒可以让他们的一些人平静下来

创伤后应激障碍的症状；然而，使用药物或酒精只会使其复杂化 医生的创伤后应激障碍，使症状恶化。

创伤后应激障碍并不能自行解决这个问题。症状并不会简单地消失

随着时间的推移。几乎所有的创伤后应激障碍病例都需要某种形式的 治疗军事文化要求其成员要坚强，

勇敢，不顾环境，努力工作。这导致了

与接受精神健康保健相关的污名化。许多

军人认为寻求帮助是一种软弱的表现 他们的同志和领导层将不再相信他们。

另一种误解是，唯一可用的帮助是一对一的 咨询或药物治疗。有许多治疗方法

可用的选项。除了传统的个人咨询和

药物治疗，选择包括团体治疗，眼球运动 脱敏和再处理（EMDR）、长时间暴露（PE） 治疗，和同伴支持计划

![](/media/202412//1733466385.026528.jpeg)ms.

同伴支持计划在战斗医疗机构中很受欢迎 社会医学人员经常觉得别人无法理解什么

他们在战争中经历和目睹了这一切。 同伴支持计划 把有相似经历的人联系起来。不仅有

他们有相似的经历，他们积极地从创伤后应激障碍中恢复过来 and/or SUD.同伴支持计划有很多好处。

这些问题包括：获得关于如何处理每一天的新观点 日常的问题，知道其他人也经历了类似的挑战，和 学习如何谈论这些问题。许多退伍军人感觉更多

和同伴交谈比和顾问或心理学家交谈更舒服。

与同行专家会面通常不那么正式而更正式

对话比与治疗师多。对等支持程序 可以提供一个小组或一对一的服务。

许多组织为退伍军人或那些人提供同侪支持项目

仍在使用中。前线响应者服务就是这样之一 组织前线公司专门为第一服务公司提供服务

响应人员：消防员、军队、警察和EMS。客户寻求 服务机构接受一个全面的评估， 以创建一个

个性化的治疗计划。因为创伤后应激障碍和成瘾不仅是

影响老兵，也影响家庭成员，前线反应者

服务为最亲近的人提供支持。所有治疗都是 保密的性质。

![](/media/202412//1733466385.0362992.jpeg)不幸的是，许多从战争中归来的退伍军人也一样

把战斗中的心理创伤带回家来。许多退伍军人从来没有 寻求帮助，很难重新适应平民生活。它是

重要的是，他们要明白，他们并不是唯一的一个人 经历了这些症状，有很多选择

他们虽然研究表明，早期发现和治疗

能减轻创伤后应激障碍和SUD的症状，永远不会太晚 帮助

<https://www.ptsd.va.gov>

[https://www.ptsd.va.gov/public/problems/ptsd\_substance\_abuse\_vetera](https://www.ptsd.va.gov/public/problems/ptsd_substance_abuse_vetera) ns.asp

<https://www.drugabuse.gov/publications/drugfacts/substance-abuse-> 军事上的

查普曼，埃尔尼斯基， C., 皮茨的变体 B., Figley, C., 瑟曼，R.，和Unwin， B.

心理健康，寻求帮助，和耻辱和护理障碍在3-

以及12个月后部署和从未部署的美国。陆军作战 医学。*军事医学。*2014;179(8) :55-62.

**关于先进的健康和教育**

***上瘾是一种破坏性的力量，可以造成严重的破坏*** ***患有这种疾病的人的生活，以及***

***他们周围的每个人。高级健康与教育***

***能帮助你或你所爱的人从毒瘾中恢复过来吗*** ***让生活回到正轨。***

**真我**

上瘾会破坏人际关系，破坏你的未来。先进的

健康和教育的新泽西戒毒康复中心和酒精康复中心

治疗中心可以给你或你所爱的人提供所需的工具 从成瘾中恢复。

我们在新泽西州的康复中心的任务是提供有效的成瘾服务 为酗酒或其他药物的成年人提供康复服务

成瘾(包括可卡因、海洛因、止痛药和处方药 毒瘾

高级健康和教育康复中心

新泽西州被分配了一个治疗师小组来计划、实施和监督每一个项目 这是恢复过程的一部分。

我们的治疗专业人员团队花了几十年的时间在这里工作 药物滥用治疗项目，帮助人们获得和保持清洁

并教授应对技巧，让他们进入长期学习 恢复

参加我们新泽西州酒精和酒精治疗项目的客户 戒毒中心将会找到和平的环境和积极的一面

治疗社区。客户也可以访问替代方案和 运动疗法包括获得脊椎按摩服务，针灸， 瑜伽和锻炼课程。

阅读我们的推荐信或观看我们在新泽西的位置的视频

通过页面来听取来自顾问和客户的推荐信。

我们的使命是提供全面和有效的咨询 为酗酒和其他成瘾的成年人提供服务

毒品(包括可卡因、海洛因、 甲基苯丙胺和处方药 药物在高级健康，每个病人被分配一个团队

治疗师要计划、实施和监测康复的每个阶段 过程

我们的合格治疗专业人员团队已经花费了超过 在药物滥用治疗社区工作了四十（40）年，

帮助人们在生活中实现和保持清醒。

在我们最先进的设施中，客户可以获得全方位的 还有替代疗法，包括脊椎指压治疗服务，

针灸和瑜伽。在高级健康领域，我们认识到这一点

综合身体健康和心理健康是必要的 恢复过程

关于一线响应者的服务

我们是谁。

![](/media/202412//1733466385.0657313.png)

我们的前急救人员的工作人员帮助创造了一个环境 通过分享自己的经验，治疗上的舒适和轻松。

在高级健康领域，我们承认和理解其潜在的问题 第一反应者对日常生活压力的反应的来源。

并支持他们回到家庭和工作的道路上。

![](/media/202412//1733466385.0744028.png)

![](/media/202412//1733466385.0921535.png)具有同伴背景的活跃的和退休的急救人员 支持，同伴咨询，员工援助和危机

介入

![](/media/202412//1733466385.1282897.png)接受过多年培训的临床治疗师
![](/media/202412//1733466455.8745222.png)

The Hidden Danger of Being a Combat Medic: PTSD

![](/media/202412//1733466455.8845482.png)

Combat medics play a unique role in today’s modern military. Not only must they be experts in battlefield medicine, they must also remain

proficient in tactical skills such as patrolling and guard duty. They

frequently witness injuries and death and are often exposed to personal threats of trauma. Medics on the battlefield must render aid to those

injured while exposing themselves to danger. While under attack,

medics must fight alongside their fellow soldiers. Because of this

double-duty role, combat medics often face stressors that other military

specialties do not. Military medics are at high risk for burnout, compassion fatigue, combat stress, and Medic PTSD.

![](/media/202412//1733466455.8944702.png)

PTSD is a cluster of symptoms that can occur following a traumatic

event. The symptoms can include: reliving the event, avoiding

situations that remind you of an event, feeling on edge, nightmares, or difficulty sleeping. These stress reactions are common after a traumatic event and will usually subside in a couple of months; however, Medics with PTSD can experience these symptoms even years after the event occurs. The National Center for PTSD estimates that 11-20% of

veterans who served in Operations Iraqi Freedom (OIF) and Enduring Freedom (OEF) have PTSD in a given year.

Due to the complex nature of PTSD, hidden dangers exist. Besides the typical symptoms listed previously, many medics experience

depression, anxiety, marital problems, and substance abuse. Many

veterans with PTSD self-medicate with alcohol, prescription

medication, or illicit drugs. After repeated use of these substances, they can develop Substance Use Disorder (SUD). Studies have shown a strong correlation between SUD and Medic PTSD. According to the Veterans

Affairs, about 2 out of 10 veterans with PTSD also have SUD. They also report that combat veterans with alcohol problems tend to be binge

drinkers; this is often due to traumatic memories, trouble sleeping, or constantly feeling “on guard”. In 2008,up to 27 percent of veterans with high combat exposure reported binge drinking every week in the prior month. Many veterans feel that drinking might calm some of their

PTSD symptoms; however, using drugs or alcohol only complicates Medic PTSD and makes the symptoms worse.

PTSD does not resolve on its own. Symptoms do not simply disappear as time goes by. Almost all cases of PTSD require some form of

treatment. Military culture requires that its members be strong,

courageous,and to work hard regardless the environment. This has led to stigmatization associated with receiving mental health care. Many military personnel feel that seeking help is a sign of weakness or that their comrades and leadership will no longer have faith in them.

Another misperception is that the only help available is one on one

counseling or a combination of medication. There are many treatment options available. Besides the traditional individual counseling and

medication therapy, options include group therapy, Eye Movement Desensitization and Reprocessing (EMDR),Prolonged Exposure (PE) therapy, and peer support progra

![](/media/202412//1733466455.9127614.jpeg)

ms.

Peer support programs are popular among the combat medic

community. Medics often feel that others cannot comprehend what

they experienced and witnessed while at war. A peer support program connects people that have shared similar experiences. Not only have they similar experiences, they are active in their recovery from PTSD and/or SUD. There are many advantages to peer support programs.

These include: gaining new perspectives about how to deal with day to day problems, knowing that others experience similar challenges, and learning how to talk about these issues. Many veterans feel more

comfortable talking to a peer than to a counselor or psychologist. Meeting with a peer specialist is often less formal and more

conversational than meeting with a therapist. Peer support programs can offer services in a group or a one on one setting.

Many organizations offer peer support programs for veterans or those still inactive service. [Frontline Responder Services](http://cedarpointrecovery.com/frontlinerehab.com) is one such

organization. Frontline specializes in providing services to First

Responders: firefighters, military, police, and EMS. Clients seeking services receive a comprehensive assessment to create an

![](/media/202412//1733466455.940324.png)individualized treatment plan. Because PTSD and addiction not only [affect the veteran but also family members, Frontline Responder](http://cedarpointrecovery.com/frontlinerehab.com)

[Services offers support to those closest to the veteran. All treatment is](http://cedarpointrecovery.com/frontlinerehab.com) confidential in nature.

![](/media/202412//1733466455.9539146.jpeg)

It is unfortunate that many veterans who return home from war also bring home the psychological wounds of combat. Many veterans never seek help and have difficulties readjusting to civilian life. It is

important that they understand that they are not the only one

experiencing these symptoms and there are many options available to them. Although research has shown that early detection and treatment can reduce the symptoms of PTSD and SUD, it is never too late to get help.

[https://www.ptsd.va.gov](https://www.ptsd.va.gov/)

![](/media/202412//1733466455.9616525.png)<https://www.ptsd.va.gov/public/problems/ptsd>\_substance\_abuse\_vetera ns.asp

<https://www.drugabuse.gov/publications/drugfacts/substance-abuse>-

in-military

Chapman,P., Elnitsky, C., Pitts,B., Figley, C., Thurman,R., & Unwin,B. Mental Health, Help Seeking, and Stigma and Barriers to Care Among 3- and 12-Month Postdeployed and Never Deployed U.S. Army Combat

Medics. *Military Medicine*. 2014;179(8):55-62.

**ABOUT** [**ADVANCED HEALTH & EDUCATION**](http://www.advhealth.com/)

***Addiction is a destructive force that can wreak havoc on the lives of people suffering from the disease, and***

***everyone around them.*** [***Advanced Health and Education***](http://www.advhealth.com/) ***can help you or your loved one recover from addiction and get life back on track.***

**Who We Are**

![](/media/202412//1733466456.026292.png)[Addiction can ruin relationships and destroy your future. Advanced Health and Education’s New Jersey drug rehab and alcohol rehab](http://www.advhealth.com/)

treatment center can give you or your loved one the tools needed to recover from addiction.

The mission at our rehab center in NJ is to provide effective addiction recovery services to adults suffering from alcoholism or other drug

![](/media/202412//1733466456.0367403.png)[addiction (including,](https://www.advhealth.com/conditions/prescription-drug-abuse/) [cocaine](https://www.advhealth.com/conditions/cocaine-addiction-abuse/)[,](https://www.advhealth.com/conditions/prescription-drug-abuse/) [heroin](https://www.advhealth.com/conditions/heroin-addiction/)[,](https://www.advhealth.com/conditions/prescription-drug-abuse/) [painkillers](https://www.advhealth.com/conditions/painkiller-addiction/) [and prescription drug addiction).](https://www.advhealth.com/conditions/prescription-drug-abuse/)

Each client at [Advanced Health and Education’](http://www.advhealth.com/)s rehabilitation center in NJ is assigned a team of therapists to plan, carry out, and monitor every part of the recovery process.

Our [team](https://www.advhealth.com/who-we-are/team/) of treatment professionals has spent decades working in

substance abuse treatment programs, helping people get and stay clean

and teaching the coping skills that will carry them into long-term recovery.

Clients attending treatment programs at our New Jersey alcohol and

drug rehab center will find peaceful surroundings and a positive

treatment community. Clients also have access to alternative and

exercise therapies include access to chiropractic services, acupuncture, yoga, and exercise classes.

![](/media/202412//1733466456.0486448.png)[Read our](https://www.advhealth.com/locations/drug-rehab-nj/) [testimonials](https://www.advhealth.com/who-we-are/testimonials/) [or watch the video on our New Jersey Location page to hear testimonials from counselors and clients.](https://www.advhealth.com/locations/drug-rehab-nj/)

Our mission is to provide comprehensive and effective counseling

services to adults who are experiencing addiction to alcohol and other drugs (including, cocaine, heroin, methamphetamine, and prescription drugs). At [Advanced Health](http://www.advhealth.com/), each patient is assigned a team of

therapists to plan, implement, and monitor every phase of the recovery process.

Our team of credentialed treatment professionals has spent more than forty (40) years working in the substance abuse treatment community, helping people achieve and maintain sobriety in their lives.

At our state-of-the-art facilities, clients have access to a full range of alternative therapies as well, including chiropractic services,

acupuncture, and yoga. At [Advanced Health](http://www.advhealth.com/), we recognize that

integrating physical health and mental health is essential to the recovery process.

ABOUT [FRONTLINE RESPONDER SERVICES](http://cedarpointrecovery.com/frontlinerehab.com)

WHO WE ARE**.**

![](/media/202412//1733466456.1197178.png)

Our staff of former first responders help to create an environment of

therapeutic comfort and ease through sharing in their own experiences.

At [Advanced Health](http://www.advhealth.com/), we acknowledge and understand the underlying

sources of a First Responders’ reaction to the stresses of everyday life … and support their path back to their family and job.

![](/media/202412//1733466456.1305978.png)

· Active and retired First Responders with backgrounds in peer support, peer counseling, employee assistance and crisis

interventions

· Clinical therapists who have extensive years of training and experience exclusively working with First Responders

· We are developing the area’s largest network of Alumni and Peer Support for First Responders in Recovery

有专门与急救人员一起工作的经验

![](/media/202412//1733466385.1388423.png)我们正在发展该地区最大的校友和同行网络 支持第一响应者