Emergency Department treats those feeling the woes of the world
MELROSE PARK, Ill. - The holidays can be a very lonely time for those with nowhere to go and no one to turn to. As a result, the hospital emergency department sees an increase in visits from people who have engaged in potentially lethal behavior. âFor those who have no support system, no friends, family, loved ones or even coworkers, the holidays can prove very deadly,â said Mark DeSilva, MD, medical director, Emergency Department, Gottlieb Memorial Hospital, part of the Loyola University Health System. âEverywhere, there are signs of gatherings, gift exchanges, happiness and love. If you are not experiencing what the rest of the world is enjoying, it is very bitter.â DeSilva has worked in the Emergency Department, or ED, at Gottlieb for more than a dozen years. âThe holidays bring out desperate behavior in unstable individuals and they frequently end up in the ED as a medical emergency.â
Gottlieb Memorial Hospitalâs full-service Emergency Department serves as a Level II Trauma Center, meaning specialists are on-call 24/7 to handle critical cases. All Gottlieb physicians are board certified in Emergency Medicine. All staff nurses are certified in Advanced Cardiac Life Support, and the majority are certified in Advanced Pediatric Life Support. Gottliebâs physicians and nurses are responsible for training and educating local emergency medical technicians (EMTs) and paramedics for Bensenville, Elmwood Park, Franklin Park, Melrose Park, River Grove and Leyden Township. Often there are signs that a person may be feeling overwhelmed. And there are opportunities to intervene. Here are DeSilvaâs five tips to identify individuals who may be vulnerable during the holidays: â¢ Isolated behavior - âMost people are busy going to social gatherings, shopping, attending events and connecting with friends,â DeSilva said. âLook for those who shun social interaction or who consistently do not attend events that they say they will.â
â¢ Angry mood - âThe person expresses sarcasm, unhappiness or criticism of othersâ joy in the season and is consistently pessimistic,â DeSilva said. â¢ Alcohol or drug excess - âBeer or cocktails, readily available throughout the holidays, or illegal drugs, are overindulged to numb the pain the individual is feeling and offer an escape from reality,â DeSilva said. â¢ Missing frequently from work/social activities - âFacing others who are happy and bright is often too difficult for those feeling the holiday blues,â DeSilva said. âThey may be consistently absent or very late to work or no-shows at anticipated social engagements.â
â¢ Excessive sleeping - âDepression often takes the guise of extreme fatigue or tiredness. The body shuts down to form an escape from the everyday world,â DeSilva said.
If you see signs of extreme behavior in a friend, family member or acquaintance, act immediately. âTalk to the individual and tell them the behavior that you are seeing and offer to help,â DeSilva said. âThere are social services, community groups, churches and other programs that can intervene.â The downturn in the economy also has contributed to depression and engagement in risky behavior. âLoss of a job or the unavailability of extra money for presents for loved ones can lead to low self-esteem and contribute to the personâs making poor choices,â DeSilva said. âBy recognizing when a person is in trouble, and speaking out, you may not only save them a trip to the ED, but also save a life,â he said.