Archives of Trauma and Emergency Medicine

Original Research Open Access

Impact of Substance Use Disorder on Hospital Length of Stay in Trauma Patients: A Single-Center Study

Neha Aftab , Chase Smitterberg , Antonia Vrana , Dia R. Halalmeh , Ryan J. Reece , James A. Cranford , Gul R. Sachwani-Daswani

Substance Use Disorder (SUD) is common among patients admitted to the hospital, with particularly high rates among those hospitalized for trauma. It is important to further understand the clinical outcomes of trauma patients with SUD, a key metric for which is hospital length of stay (LOS).

Case Report Open Access

Limited Use, Lasting Consequences: Residual Psychosis and Recovery after Methamphetamine Use

Prabin Gautam , Shreesti Rajbhandari , Tia Hamilton

Methamphetamine-induced psychosis (MIP) usually resolves within days to weeks after stopping drug use. However, some vulnerable individuals may experience prolonged symptoms. We present the case of a woman who developed long-lasting psychotic symptoms following minimal methamphetamine exposure, shedding light on risk factors and the importance of holistic care.

Commentary Open Access

Syndemics: A Community Health Needs Assessment Blindspot

Chris Caulkins

The purpose of this study is to perform an analysis of 51 community health needs assessments (CHNAs) qualitatively and quantitatively (mixed methods) for evidence of the presence or lack of the identification of syndemics, which is defined as two or more physiological conditions, exacerbated by a cultural factor that gives rise to a health problem. This research uses a book chapter titled, Suicide as Syndemic—physiological effects of high altitude and physiological and behavioral manifestations of mental illness, exacerbated by the Cowboy Culture as a referent.

Editorial Open Access

Rethinking Profound and Multiple Disabilities: A Challenge in Psychiatry

Michel Bourin

Defining profound intellectual disability remains a major clinical and conceptual challenge. Traditional approaches have sought criteria such as an estimated IQ below 20 or developmental-age equivalence under 24 or 36 months. However, these criteria are of limited utility when cognitive impairment is combined with severe motor, sensory, and health-related disabilities.

Original Research Open Access

Voluntary Enrolment Decisions in the Ethiopian Community-Based Health Insurance Scheme by Rural Households with a Disabled Member

Netsanet Getahun Mengistie

This paper examines the consequence of the prevalence of disability on eligible rural households’ voluntary enrolment decisions in Ethiopia's community-based health insurance scheme in Ethiopia. It uses data from the Ethiopian Socio-Economic Survey and estimates the multivariate probit model.