Principles of orientation safety body dialogue (O.S.B.D) for primary intervention for acute stress events

Acute stress reaction (ASR) is related to a serious threat to the security or wellness of the individual physical being, or someone close to him/her. The incidence of ASR is predominant in the Israeli population, who in the last decade, are particularly exposed to terrorist or war-like events that often lead to many both physical and/or emotional casualties being referred to the Emergency Rooms or primary care clinics, necessitating expert professional intervention. These emotional victims are "anxiety casualties". In this article, the authors present basic principles and intervention procedures, which do not require extensive training for the professionals involved and can be implemented quickly and relatively simply in the treatment of these cases. The authors chose the acronym OSBD (in Hebrew these are the first ABCD letters) that reflect the four principles, O-orientation, S-security, B-body, D-dialogue. In this article, this concept is developed in the hope that these procedures will be both of practical value and available to those professionals in the Emergency Rooms, immediately after the patient is released into the primary care system.