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2006, Academic Emergency MedicineCitation Excerpt :Other risk factors include past occurrences of other traumatic events, extreme and prolonged hyperarousal during the trauma, dissociative symptoms at the time of the trauma, the presence of an anxiety disorder, and female gender.18 Our observations and a few published reports indicate possible inadequacies in current methods of death disclosure in EDs and coronary care units and in services provided to survivors of sudden cardiac death victims.23–27 Poorly delivered disclosures of trauma death may have long-term negative effects on survivors.27
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