CRITICAL INCIDENT STRESS A PRESENTAION BY THE 临界入射应力的演讲.pptVIP

CRITICAL INCIDENT STRESS MANAGEMENTA PRESENTATION BYTHE CRITICAL INCIDENT STRESS MANAGEMENT TEAMFIRE OFFICER’S ASSOCIATION OF NOVA SCOTIA HISTORY Trauma has been around forever During WW I it was called shell shock In WW II we called it “lack of moral fibre” Twice as many Viet Nam vets have committed suicide as were killed in the war Canada’s Gen Dallaire and other peacekeepers have been affected. We’re learning how to manage traumatic stress CISM is not psycho therapy Sharing of thoughts WHAT KINDS OF INCIDENTS CAN TRIGGER CIS? A line of duty death The death of a child Incidents involving single / multiple casualties or injuries Significant injury/threat to firefighters Incidents attracting heavy media coverage SOME EXAMPLES FROM OUR EXPERIENCE Two toddlers drown in a pond Family delivering presents involved in fatal Christmas eve MVA Father and two children die in house fire. One of the firefighters was born in the house and, as a heavy equipment operator, had to demolish it the next day. HOW WILL I KNOW IF I’M SUFFERING FROM CIS? There are a number of physical, emotional and cognitive symptoms of CIS. You may experience one or a combination of the following: CIS Physical Reactions May Be Sleep disturbance Fatigue Changes in eating habits Menstrual cycle changes Headaches Nausea CIS Emotional Reactions May Be Anxiety Irritability Depression Sense of loss Change in need for intimacy Feelings of isolation Guilt Flashbacks CIS Cognitive (Thinking) Reactions May Be Confusion Difficulty making decisions Impaired thinking Difficulty problem-solving Memory loss Calculation difficulties Anomia (difficulty remembering names of things) REMEMBER CIS IS A NORMAL REACTION TO AN ABNORMAL EXPERIENCE WHY WE’RE VULNERABLE TO CIS CHARACTERISTICS OF FIREFIGHTERS ACTION ORIENTED EXPECT SUCCESS LIKE TO CONTROL SITUATIONS NEED TO CONTROL OURSELVES CHARACTERISTICS OF EMERGENCIES IMPEDIMENTS TO ACTION UNSAVEABLE SITUATIONS NATURALLY CHAOTIC SITUATION PERSONALIZE