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Understanding, Mitigating, and Responding to the Psychological Impact of Search and Rescue and Disaster Relief Missions. Chaplain (Capt) Chad Kline, CAP CISM Officer, Maryland Wing Capt Christopher Hiles, RN BSN, MS, CAP Nurse Officer, Maryland Wing. Introduction: Course Goals.
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Chaplain (Capt) Chad Kline, CAP
CISM Officer, Maryland Wing
Capt Christopher Hiles, RN BSN, MS, CAP
Nurse Officer, Maryland Wing
“A state of emotional turmoil wherein one’s usual coping mechanisms have failed in the face of a perceived challenge or threat.” –Everly and Mitchell, 2000
All of these signs are ABOVE normal levels
“Post-traumatic stress disorder is a type of anxiety disorder. It can occur after you\'ve seen or experienced a traumatic event that involved the threat of injury or death.”*
*National Institutes of Health
Resistance: The ability to resist psychological effects of a traumatic experience
Resilience: The ability to recover from the effects of a traumatic experience
“Critical Incident Stress Management (CISM) may be defined as a comprehensive, integrated, multi-component crisis intervention system.” – CAPR 60-5
During a missing aircraft search, a ground team discovers the wreckage with human remains on board. A senior member, a 32 year old male GTM 3, immediately turns away, throws up, and stands, facing away from the site, trembling. As the GTL, what should you do?
After finding the scene, a ground team relays crash site details to mission base including the finding of the remains of the two people on board. None of the information is graphic. A 15 year old female cadet in the radio room records the information. An hour later, the cadet begins to withdraw. A friend of the cadet, also in the radio room, approaches you and becomes concerned stating that it isn’t her normal way of acting.
After locating a crash scene, the ground team cordons off the site and begins crash site surveillance. A half hour later, the local coroners office clears the remains and a new ground team relieves the original team. This team stays in place for 6 hours until the mission is closed and, without incident, return home. At the next squadron meeting, a 16 year old male cadet on the crash site surveillance team begins to act out, not an unusual occurrence. However, when redirected, he normally responds well. This time he continues to act out and threatens cadet staff with violence when they try to correct them, which has never happened before. You are the Deputy Commander for Cadets and were not on the mission. What do you do?