Evidence map›Paper›PMID 35679503›Full record

SynthesisThe western journal of emergency medicine2022

Trauma-informed Care Interventions in Emergency Medicine: A Systematic Review.

Taylor Brown, Henry Ashworth, Michelle Bass, Eve Rittenberg, Nomi Levy-Carrick, Samara Grossman, Annie Lewis-O'Connor, Hanni Stoklosa

Abstract readSystematic Review
In one paragraph

Synthesis in The western journal of emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Life in the slow lane: reflective practice in postgraduate Emergency Medicine training in South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
    Review
  5. Article
  6. Article
  7. Paramedics: A Missing Workforce in Australia's Mental Health System.The Australian journal of rural health · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Emergency Medicine: The Paradigm Shift.Journal of acute medicine · 2025
    Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Taylor BrownBeth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts.
Henry AshworthHarvard Medical School, Boston, Massachusetts.
Michelle BassHarvard Medical School, Countway Library, Boston, Massachusetts.
Eve RittenbergBrigham and Women's Hospital, Department of Medicine, Boston, Massachusetts.
Nomi Levy-CarrickBrigham and Women's Hospital, Department of Psychiatry, Boston, Massachusetts.
Samara GrossmanBrigham and Women's Hospital, Department of Psychiatry, Boston, Massachusetts.
Annie Lewis-O'ConnorBrigham and Women's Hospital, Department of Medicine, Boston, Massachusetts.
Hanni StoklosaBrigham and Women's Hospital, Department of Emergency Medicine, Boston, Massachusetts.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTrauma exposure is a highly prevalent experience for patients and clinicians in emergency medicine (EM). Trauma-informed care (TIC) is an effective framework to mitigate the negative health impacts of trauma. This systematic review synthesizes the range of TIC interventions in EM, with a focus on patient and clinician outcomes, and identifies gaps in the current research on implementing TIC.

methodsThe study was registered with PROSPERO (CRD42020205182). We systematically searched peer-reviewed journals and abstracts in the PubMed, EMBASE (Elsevier), PsycINFO (EBSCO), Social Services Abstract (ProQuest), and CINAHL (EBSCO) databases from 1990 onward on August 12, 2020. We analyzed studies describing explicit TIC interventions in the ED setting using inductive qualitative content analysis to identify recurrent themes and identify unique trauma-informed interventions in each study. Studies not explicitly citing TIC were excluded. Studies were assessed for bias using the Newcastle-Ottawa criteria and Critical Appraisal Skills Programme (CASP) Checklist.

resultsWe identified a total of 1,372 studies and abstracts, with 10 meeting inclusion criteria for final analysis. Themes within TIC interventions that emerged included educational interventions, collaborations with allied health professionals and community organizations, and patient and clinician safety interventions. Educational interventions included lectures, online modules, and standardized patient exercises. Collaborations with community organizations focused on addressing social determinants of health. All interventions suggested a positive impact from TIC on either clinicians or patients, but outcomes data remain limited.

conclusionTrauma-informed care is a nascent field in EM with limited operationalization of TIC approaches. Future studies with patient and clinician outcomes analyzing universal TIC precautions and systems-level interventions are needed.

Indexed as

Emergency MedicineHumans

Identifiers

PMID35679503
PMCPMC9183774

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.