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CISM. Critical Incident Stress Management for Emergency Services Personnel. WHAT ARE CRITICAL INCIDENTS?. Events which may cause strong emotional effect on an emergency worker. WHAT ARE CRITICAL INCIDENTS?. Line of duty Death or Major Injury. WHAT ARE CRITICAL INCIDENTS?.

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CISM

Critical Incident Stress Management

for

Emergency Services Personnel


What are critical incidents
WHAT ARE CRITICAL INCIDENTS?

  • Events which may cause strong emotional effect on an emergency worker


What are critical incidents1
WHAT ARE CRITICAL INCIDENTS?

  • Line of duty Death or Major Injury


What are critical incidents2
WHAT ARE CRITICAL INCIDENTS?

  • Death or Major Injury of a child


What are critical incidents3
WHAT ARE CRITICAL INCIDENTS?

  • Prolonged Search and Rescue Efforts


What are critical incidents4
WHAT ARE CRITICAL INCIDENTS?

  • Mass Casualty Incidents


What are critical incidents5
WHAT ARE CRITICAL INCIDENTS?

  • Operations involving extensive media coverage


Critical incidents are
CRITICAL INCIDENTS ARE…..

  • Knowledge of the victim

  • Long extrication

  • Loss of a fellow Emergency Worker


Or any situation that causes stress to the emergency worker
OR……..Any situation that causes stress to the Emergency Worker


One of the leading causes of death in emergency service workers is stress related cardiac arrest

ONE OF THE LEADING CAUSES OF DEATH IN EMERGENCY SERVICE WORKERS IS STRESS-RELATED CARDIAC ARREST

Educational programs for dealing with stress on a daily basis are essential in reducing stress.


New castle county cism team
New Castle County CISM Team

  • Member of

    • Delaware Volunteer Firemen’s Association - DVFA

    • New Castle County Volunteer Firemen’s Association - NCCVFA

    • International Critical Incident Stress Foundation - ICISF

  • Established 1989


  • New castle county cism team1
    NEW CASTLE COUNTY CISM TEAM

    • Volunteer/Paid Personnel

    • Fire Fighters

    • Ladies Auxiliary

    • Paramedics

    • Police

    • Nurses

    • Clergy

    • Mental Health Providers

    • Disaster Workers


    GOAL

    • Assist Emergency Service Workers who face a Critical Incident

    • Provide pre-incident education and information on how to overcome stress reactions

    • Prompt activation of the New Castle County CISM Team


    Services
    SERVICES

    • On-scene support

    • Demobilization Services

    • Defusing

    • Formal debriefings


    Services1
    SERVICES

    • On-scene support


    On scene support
    ON SCENE SUPPORT

    • One-on-one support for Emergency Personnel at the scene

    • Provide advice and support incident commanders at the scene on topics of stress management

    • Assist the victims and family members until other help arrives


    Services2
    SERVICES

    • On-scene support

    • Demobilization Services


    Demobilization services for large scale events
    DEMOBILIZATION SERVICES FOR LARGE SCALE EVENTS

    (highly intense or unusual)

    • Establish a location away from the scene for out-of-service units

    • Provide support and information on stress effects resulting from the incident

    • Provide a place for command to issue incident updates

    • Provide reassurance that help is only a phone call away


    Services3
    SERVICES

    • On-scene support

    • Demobilization Services

    • Defusing


    Defusing
    DEFUSING

    • Initial session for releasing stress

    • Performed 1-3 hours following an incident

    • Provides information and support about managing stress for all personnel involved in the incident

    • Lasts about 45-60 minutes

    • TOTALLY CONFIDENTIAL


    Services4
    SERVICES

    • On-scene support

    • Demobilization Services

    • Defusing

    • Formal debriefings


    Formal debriefings
    FORMAL DEBRIEFINGS

    • The next step in the Stress Management process for workers that have been involved in a critical incident

    • Occurs as a result of follow-up requests

    • Led by a mental health professional with the aid of peer support

    • TOTALLY CONFIDENTIAL


    THE EMOTIONAL RESPONSES TO CRITICAL INCIDENTS ARE….NORMAL REACTIONS BY NORMAL PEOPLE TO ABNORMAL SITUATIONS.


    Emergency services
    EMERGENCY SERVICES

    • A very demanding profession -

      career or volunteer

    • Daily emotional and physical demands leading to a strain on minds and bodies

    • Continuous stress without resolution - lessens productivity and shortens careers


    Cism intervention

    CISM INTERVENTION

    The required preventive maintenance of our minds and bodies


    Stresses faced by emergency service workers
    STRESSES FACED BY EMERGENCY SERVICE WORKERS

    • Always on alert

    • Dealing with tragedy

    • Dealing with death


    Physical signs of stress
    PHYSICAL SIGNS OF STRESS

    • Tension - chest pains, trembling, fidgeting, fumbling

    • Jumpiness - easily startled

    • Cold sweats, dry mouth, pale skin

    • Pounding heart - lightheaded, dizzy

    • Shortness of breath

    • Nausea


    Physical signs of stress1
    PHYSICAL SIGNS OF STRESS

    • Bowel or bladder disturbance

    • Incontinence

    • Fatigue

    • Frequent Illness

    • Day dreaming


    Emotional signs of stress
    EMOTIONAL SIGNS OF STRESS

    • Changes in behavior

    • Anxiety

    • Irritability

    • Lack of attention

    • Lost train of thought

    • Trouble sleeping

    • Grief

    • Crying


    Emotional signs of stress1
    EMOTIONAL SIGNS OF STRESS

    • Memory Problems

    • Depression

    • Anger

    • Loss of confidence

    • Rapid Mood Change

    • Taking unnecessary chances

    • Excessive use of Drugs or Alcohol


    SIGNS/SYMPTOMS - a cry for helpWatch for signs in yourself and co-workersBeing aware enables you to help someone.

    KEEP AN EYE ON EACH OTHER, BECAUSE NO ONE ELSE CAN.


    Feeling stressed
    FEELING STRESSED?

    • Keep calm and in control

    • Focus on immediate assignment

    • Talk to someone, anyone, everyone

    • Take a deep breath

    • Shrug your shoulders to reduce tension

    • Keep a sense of humor

    • Stay in touch with your colleagues


    Feeling stressed1
    FEELING STRESSED?

    • Exercise

    • Eat properly

    • Talk to friends and family, let them know what you are going through

    • REMEMBER…

      STRESS REACTIONS

      ARE NORMAL



    When a critical incident happens
    WHEN A CRITICAL INCIDENT HAPPENS….

    • Contact your OIC

    • Officer contacts the New Castle County CISM team via Fire board

    • The CISM coordinator will set up a team and schedule a time for a defusing or debriefing


    Things the coordinator needs to know
    THINGS THE COORDINATOR NEEDS TO KNOW….

    • Why CISM is needed?

    • What signs of stress are present?

    • Who was involved? (# of persons)

    • When session can take place?

    • Where to meet and who to contact?




    Stress can accumulate don t let it build up talk talk talk
    STRESS CAN ACCUMULATE*Don’t let it build up*TalkTalkTalk!!!


    Stress is everywhere take care of stress
    STRESS IS EVERYWHERETake care of Stress

    Before it takes care of

    YOU!!


    Emergency Workers do not snore, burp, sweat or pass gas.

    There fore, they must

    “Bitch or they will BLOW UP!!


    REMEMBER….THE EMOTIONAL RESPONSES TO CRITICAL INCIDENTS ARE….NORMAL REACTIONS BY NORMAL PEOPLE TO ABNORMAL SITUATIONS.


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