Cultura

Integrated Crisis Response: Collaborative Approaches Of Psychologists, Nurses, And Paramedics In Trauma Management

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Safar Abdulrahman Al-Mutairi, Meaad Abdulkarim Ali Alsahli, May Dhefallah Abdulrahman Almutairi, Majda Abdulrazaq Alanazi, Amal Obelak Alanazi, Yousef Bakheet Marzouq Almayhubi
Marwah Sanad Ali Albishi, Abdulmajeed Abdullah Atiyan Al-Thaqafi, Talal Shirar Muhamad Aleasaymii, Gharbi Mana Jarwan Alshammari, Abdullah Alharthi, Abdullah Omran Omar Alluhaybi

Abstract

This comprehensive review explores integrated crisis response models that combine the expertise of psychologists, nurses, and paramedics in trauma management. Drawing on international research and practice frameworks, the article examines how these three disciplines can effectively collaborate to address the complex physical, psychological, and social dimensions of traumatic events. The integration of psychological services with traditional emergency medical response represents a significant evolution in trauma care, particularly relevant given global demographic shifts toward aging populations with increasing multimorbidity. Various collaborative models are analyzed, including integrated emergency response systems, collaborative care pathways, and community-based services. Evidence suggests that these approaches can improve patient outcomes, enhance system efficiency, and reduce healthcare costs through appropriate triage, early psychological intervention, and coordinated transitions between care settings. Implementation challenges related to professional boundaries, communication barriers, and organizational constraints are discussed, alongside practical strategies for overcoming these obstacles. The article identifies key competencies for effective collaboration, outlines ethical considerations specific to interprofessional trauma response, and presents recommendations for education, policy development, and future research. By breaking down traditional silos between disciplines, integrated crisis response models offer promising approaches for delivering comprehensive, patient-centered care that addresses both immediate needs and long-term recovery following traumatic events.

Keywords : .
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty