|
Blog - Scottsdale Psychiatrist, Dr John Liebert, MD PC
June 12, 2015 John Liebert Launches Blog.
First Response for the injured workman and trauma victim.
The rules of time-determined and epidemiologically-informed rules and knowledge base should be applied by first responders at the point of injury and initial trauma and not by employers or caretakers whose first response should be restricted to first aid and "do no harm". The injured workman and trauma victim's clinical outcome should always trump any layman's personal interest in the case - i.e. employer with injured workman or caretaker with traumatized client. Here is an algorithm to guide processing of the injured and traumatized. When in question, 911 is available for questions regarding transport; bypassing such initial communication in case of serious injury is Always Suspect!
Jesus R slides off an icy roof while doing repairs to an apartment complex, falling 25 feet to the concrete drive below. His supervisor with no medical training helps him up and transports him to the local hospital, where this same supervisor informs the ER staff that the patient fell off the roof of his house while decorating the house for Christmas. The patient is too confused with poor ESL skills to dispute his supervisor's report. The residual problems are post concussion syndrome, fractured patella and generalized pain. There was no investigation of the mechanism of injury; so, the patient's friend later filed an insurance claim, stating that the accident occurred at work and not at the patient's home. The claim was then accepted as a valid workman's injury claim. The insurance company accepts charges for treatment to date and pays disability. What should be tbe the next step in managing this case?
- Scottsdale Psychiatrist, John A Liebert, MD PC, will address homicide investigators at the national annual meeting of The American Investigative Society of Cold Cases in St Louis on June 29, 2015. https://www.aisocc.com/2015-conference.html
Dr Liebert's presentation will be interactive and case-based to teach officers as first responders the Emergency Presentations requiring a clinical - rather than either destructive avoidant or intrusive - engagement. Such presentations on the streets today are no different than those entering frontline clinical sites like emergency rooms.
These presentations will be presented in the context of public health principles for understanding causation - or Primary Prevention of Psychhosis; early identification - or Secondary Prevention with reduced Duration of Untreated Psychosis and intervention, treatment or case management - or Tertiary Prevention.
The cases, knowledge base and rules for encounters with such unknown people, whether on streets, campuses or in jails and prisons, all come from his latest textbook, Psychiatric Criminology: A Roadmap for Rapid Assessment, Taylor & Francis/CRC Press and his web-based expert system for any and all encounters with unknown people as a first responder or clinician. See: www.digitalclinician.com and https://www.crcpress.com/product/isbn/9781498714174
- Scottsdale Psychiatrist, John A Liebert, MD PC
Is recipient of The Percivall Pott Virtuous Surgeon Award from McGill University Faculty of Medicine. He was selected by Dr David Boyd, the acknowledged "Father of Emergency Services Act" that was the foundation for Medic One nationally "Dr Liebert, "There is a small group of individual Physicians that after establishing their practice have confronted previously underappreciated problems and re-engineered their attention and skills to this new and important area, discipline or societal need. Often these new ventures are more important than the original professional focus. Your Professional Career symbolizes the work of Percivall Pott and deserves this recognition. In admiration and respect I present you this certificate for the untold numbers that have benefited from your professional work.
Thank you, David R Boyd, MDCM" http://www.prweb.com/releases/2012/7/prweb9683062.htm
Dr Percivall Pott was an 18th century solo practitioner who discovered scrotal cancer in London chimney sweepers: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1037746/
- Scottsdale Psychiatrist, John A Liebert, MD PC
To discuss his latest book, Psychiatric Criminology: A Roadmap for Rapid Assessment, at University of Washington Bookstore, Seattle, at 7:00 PM on Monday, July 27, 2015. Attorney and investigative reporter, Bill Birnes, co-author
of Riverman about Ted Bundy’s theory of the Green River Murders, and I have
been researching and publishing on the epidemic of trauma, violence and suicide
in this country since Cho Seung-hui chained the doors of Norris Hall at
Virginia Tech in 2007, massacring 32 people and injuring 23 before shooting
himself. Since that disaster, the
incidence of suicidal rampage murders has doubled; the Pacific Northwest has
not been spared. The authors have taken
a new perspective on trauma and violence in this country by framing it as
consequences of undetected or untreated "unremitting clinical states of human
destructiveness”. We profile such
festering cases of homelessness in the Café Racer suicidal mass murder and
failed interventions with Aaron Alexis, the Navy Yard suicidal rampage murderer
after his first known shooting incident on Capitol Hill prior to military enlistment,
and Aaron Ybarra, perpetrator of the Seattle Pacific University suicidal rampage
murder as proxies for deeper issues in both military recruitment and retention
and college health services, respectively. I will bring my experience as a Flight Surgeon for Military Airlift
Command to bear on the problems of aviation safety, using the Germanwings
suicidal mass murder as a proxy for broader safety issues in commercial
aviation. We have uniquely profiled the
pilots commandeering the Flight 93 in
Shanksville, Pennsylvania to the disappearance of Malaysian Airlines Flight 370
in the Indian Ocean – namely hijacker, Ahmad Ibrahim Ali al-Haznawi and Captain
Zaharie Ahmad Shah, respectively.
The public health needs, solutions and benefits of such
solutions complete the book, after an in-depth study of the psychosocial issues
are explored in proxy cases that create transparency for larger and overarching
systemic public health and safety problems. We are not simply telling stories with high profile case narratives. Ironically, advances in technology –
particularly mobile communications and biotechnology – are countervailing
trends to otherwise regressive social and government policies that are more
rhetorical solutions than epidemiologically-informed. Despite the good intentions, for example, of
Obamacare, primary care doctors would need to spend 20 hours per day fulfilling
the promises of the Affordable Care Act. Meanwhile Emergency Rooms, Jails, Prisons, police departments, college
health services and Military/VA medical centers must compete for resources,
both financial and human, that simply don’t exist. The authors present practical – if not
politically popular – solutions to these multiple crises in public health and
safety whose ugly heads reveal in all cases, that the devil is in their
unexamined details. https://www.crcpress.com/product/isbn/9781498714174
Please join me on July 27th; I look forward to
learning from you and sharing our findings with you. Dr Liebert's previous books
are Suicidal Mass Murderers: A Criminological Study of Why They Kill, Taylor & Francis/CRC Press 2011;
Wounded Minds: Understanding and Solving the Growing Menace of Post-traumatic Stress , Skyhorse Press, 2013;
http://www.skyhorsepublishing.com/book/?GCOI=60239109780790
Hearts of Dark ness: Why Kids Become Mass Murderers and We Can Stop It, Skyhorse Press, 2014.
- Scottsdale Psychiatrist, John A Liebert MD PC
Discusses the manhunt in upstate New York and other issues in criminal justice on radio; link to interview is below. Although not a law enforcement expert on prison breaks, I was asked to give an interview on the state of crisis in upstate New York caused by first escape - ever - from this state's maximum security prison. In trying to formulate some psychological composite of these two fugitives, the interview traced much of my past experience in the field of psychiatric criminology. It was an impromptu interview; so, I can understand why public speakers and officials rigorously prepare or at least use promoters invisible to their audience. It's long, but may be of interest to some; so, let me know what you think.
https://soundcloud.com/darkcityfm/dr-john-liebert
- Scottsdale Psychiatrist, John A Liebert, MD PC discussed prevention issues for school shootings:
Preventing School Shootings: Just the day before the Marysville, Washington disaster! This year’s topic is "School Shootings: Prevention, Mitigation, Recovery". Prevention of active shooter incidents is critically important now, because the incidence of this episodic, usually by suicidal males, has doubled since Cho Seung-hui chained the doors of Norris Hall at Virginia Tech in April 2007 and massacred innocent students and faculty trapped inside before killing himself.
In conjunction with "America’s Safe Schools Week,” the 10th annual National Security & Intelligence Symposium will be hosted by Embry-Riddle Aeronautical University-Prescott’s College of Security & Intelligence, the only college of its kind in the country.
This year’s topic is "School Shootings: Prevention, Mitigation, Recovery.” Presentations will include Active Shooter Preparation and Response for Elementary and Secondary Schools, Best Practices in Campus Threat Assessment, and Jared Loughner – Lessons Learned."
http://www.prescottenews.com/index.php/education/embry-riddle-erau/item/24373-erau-hosts-symposium-on-school-shootings-in-phoenix-today
Scottsdale Psychiatrist, John A Liebert, MD PC
Questions the release of Charleston, SC suicidal mass murderer when arrested for behaving suspiciously in a shopping mall last month.
Is this not enough for involuntary commitment during an epidemic of active mass shooting incidents? Like all the others, a lot would have been uncovered - like his "mission". What mission? Anders Breivik had a mission in Norway too. We're not dealing with ghostbusters these days. If no probable cause for involuntary detention here, then why have involuntary detention for emergency psychiatric examination anyways? Does a known crazy man have to squeeze the trigger before there is probable cause for preventive detention? If so, a lot of first responders and policemen are going to die.
"The white man accused of fatally shooting nine people during a Bible study at a black church had been arrested on a drug possession charge about four months ago after concerned workers reported he was acting erratically at a shopping mall.
A Columbia Police Department report from Feb. 28 says 21-year-old Dylann Roof was wearing all black in a shoe store and in Bath and Body Works, asking employees strange questions. The report says he asked how many people were working, when they closed and when they left their jobs.
The officer wrote that Roof appeared nervous and said he was being pressured by his parents to get a job, though he didn't ask either place for a job application. When the officer searched him, he found suboxone strips — typically used to treat addiction to heroin and other opiates."
http://www.ibtimes.com/what-drugs-was-dylann-roof-suboxone-powerful-narcotic-found-charleston-shooter-1973919
Scottsdale Psychiatrist, John A Liebert MD PC discusses UConn Grand Rounds on the Adam Lanza Sandy Hook Elementary School Suicidal Mass Murder
|
|