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Trauma Multidisciplinary Case Review: Promoting the Psychological Recovery of Pediatric Trauma Patients


By Ayla Mapes, PhD , Child and Adolescent Psychologist, Akron Children's Hospital, Akron, OH

Behavioral Health

More about Ayla Mapes, PhD

Objectives (Educational Content) :

1. Identify age-appropriate reactions to traumatic events. 2. Recognize clinically significant psychological symptoms. 3. Understand appropriate prevention and intervention strategies for pediatric patients following traumatic injury.

Target Audience:

Emergency medicine, surgery, and trauma providers

Identified Gap:

The American College of Surgeons Committee on Trauma requires a structured effort by trauma programs to demonstrate a continuous process for improving care for injured patients and states that an evidence-based rather than an empiric approach presents more meaningful criteria against which trauma care can be measured. A standardized approach to recurring care issues minimizes unnecessary variation, allow better outcome assessment, and makes changes in care easier to implement and more uniform. They further recommend that all members of the trauma team are knowledgeable about current practices in trauma care, that multidisciplinary education should be ongoing in all trauma centers, and that performance improvement programs should be an important part of educational activities.

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:


Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.


Dr. Mapes has indicated that she has no relevant financial interest in any pharmaceutical or medical device company and that this activity was developed independent of commercial interest.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.


Alisic, E., Zalta, A. K., van Wesel, F., Larsen, S. E., Hafstad, G. S., Hassanpour, K., & Smid, G. E. (2014). Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: Meta-analysis. The British Journal of Psychiatry, 204(5), 335–340.

Berkowitz, S., Bryant, R., Brymer, M., Hamblen, J., Jacobs, A., Layne, C., Macy, R., Osofsky, H., Pynoos, R., Ruzek, J., Steinberg, A., Vernberg, E., Watson, P., National Center for PTSD and National Child Traumatic Stress Network, Skills for Psychological Recovery: Field Operations Guide, 2010.

Birkeland, M. S., Holt, T., Ormhaug, S. M., & Jensen, T. K. (2020). Perceived social support and posttraumatic stress symptoms in children and youth in therapy: A parallel process latent growth curve model. Behaviour research and therapy, 132, 103655.

Brosbe, M.S., Hoefling, K., & Faust, J. (2011). Predicting posttraumatic stress following pediatric injury: A systematic review, Journal of Pediatric Psychology, 36(6), 718–729.

Cohen JA, Mannarino AP, Deblinger E. Treating trauma and traumatic grief in children and adolescents. New York: Guilford Press; 2006.

Daviss, W. B., Racusin, R., Fleischer, A., Mooney, D., Ford, J. D., & McHugo, G. J. (2000). Acute stress disorder symptomatology during hospitalization for pediatric injury. Journal of the American Academy of Child and Adolescent Psychiatry, 39(5), 569–575.

Geoffrion, S., Goncalves, J., Robichaud, I., Sader, J., Giguère, C.-É., Fortin, M., Lamothe, J., Bernard, P., & Guay, S. (2022). Systematic Review and Meta-Analysis on Acute Stress Disorder: Rates Following Different Types of Traumatic Events. Trauma, Violence & Abuse, 23(1), 213–223. https://doi-org/10.1177/1524838020933844

Hildenbrand, A. K., Marsac, M. L., Daly, B. P., Chute, D., & Kassam-Adams, N. (2016). Acute Pain and Posttraumatic Stress After Pediatric Injury. Journal of pediatric psychology, 41(1), 98–107.

Kahana, S., Feeny, N. C., Youngstrom, E. R., & Drotar, D. (2006). Posttraumatic stress in youth experiencing illnesses and injuries: An exploratory meta-analysis. Traumatology, 12, 148-161. doi: 10.1177/1534765606294562

Kassam-Adams, N., Marsac, M. L., Hildenbrand, A., & Winston, F. (2013). Posttraumatic stress following pediatric injury: update on diagnosis, risk factors, and intervention. JAMA pediatrics, 167(12), 1158–1165.

McNally R. J. (2003). Progress and controversy in the study of posttraumatic stress disorder. Annual review of psychology, 54, 229–252.

Meentken, M.G., van der Ende, J., del Canho, R., van Beynum, I. M., Aendekerk, M.W.C., Legerstee, J. S., Lindauer, R. J. L., Hillegers, M. H. J., Helbing, W. A., Moll, H. A. & Utens, E., M. J. (2021). Psychological outcomes after pediatric hospitalization: the role of trauma type. Children's Health Care, 50(3), 278-292,

Resick, P. A., Monson, C. M., & Chard, K. M. (2017). Cognitive processing therapy for PTSD: A comprehensive manual. The Guilford Press.

Stanzel, A., & Sierau, S. (2021). Pediatric Medical Traumatic Stress (PMTS) following Surgery in Childhood and Adolescence: a Systematic Review. Journal of child & adolescent trauma, 15(3), 795–809.

Szumilas, M., Wei, Y., & Kutcher, S. (2010). Psychological debriefing in schools. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 182(9), 883–884.

Walker, J. R., Teague, B., Memarzia, J., & Meiser-Stedman, R. (2022). Acute stress disorder in children and adolescents: A systematic review and meta-analysis of prevalence following exposure to a traumatic event. Journal of Affective Disorders Reports, 2,

Wei, Y., Szumilas, M., & Kutcher, S. (2010). Effectiveness on Mental Health of Psychological Debriefing for Crisis Intervention in Schools. Educational Psychology Review, 22(3), 339–347.

Woolgar, F., Garfield, H., Dalgleish, T., & Meiser-Stedman, R. (2022). Systematic review and meta-analysis: Prevalence of posttraumatic stress disorder in trauma-exposed preschool-aged children. Journal of the American Academy of Child & Adolescent Psychiatry, 61(3), 366–377.

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