Critical Incidence Stress Userpaes临界入射应力 userpages.pptVIP

Critical incident stress management Text pages 47-52 - Bledsoe Stress vs Critical Incident Job Stress or Life Stress The harmful physical and emotional responses that occur when the requirement of the job do not match the capabilities, resources, or needs of the worker Critical Incident A Stressor event that appears to cause a crisis response Critical incident An event that has a powerful emotional impact on a rescuer that can cause an acute stress reaction Can effect a single crew or entire agency The event tends to generate rapid onset stress responses Examples of critical incident events Injury or death of: - an infant or child - someone known to EMS personnel - an EMS worker - of a civilian caused by EMS operations Extreme threat to an EMS worker Disasters or MCI Incidents that draw unusual media attention Signs symptoms of CIS Usually starts within 48 hours of the event May feel excessive fatigue because of sleep disturbances (too much or too little, nightmares) and because the events is all consuming May experience flashbacks May experience amnesia of the event Vague health issues such as headaches or GI upset CIS - REACTIONS Normal reaction By a ...Normal person to An...Abnormal event CIS Physical - Reactions Hyper or hypoactivity or depression May be oversensitive and have ‘hair trigger’ anger May withdraw and seek isolation Strong feelings of guilt, fear and helplessness Inability to concentrate What are some others? Self help Reach out and talk with others; family, colleagues If no one available, ‘talk’ to a journal Exercise Maintain a normal routine Be careful to not ‘drown your sorrows’ in alcohol or drugs CIS management A system of related interventions usually performed by regional, non-partisan, multidisciplinary teams comprised of EMS peers, police, fire dispatchers and specially trained mental health professionals These interventions must not be implemented casually or improperly The most widely recognized model for CSIM is the Mitch