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Chapter 2

Chapter 2. The Well-Being of the EMT. Topics. 2. Emotional aspects of EMS Stressful situations and stress management Scene safety Enrichment information. Emotional Aspects of EMS. 2. People utilize EMS when there is a crisis affects to patients and their families

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Chapter 2

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  1. Chapter 2 The Well-Being of the EMT Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  2. Topics 2 • Emotional aspects of EMS • Stressful situations and stress management • Scene safety • Enrichment information Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  3. Emotional Aspects of EMS 2 • People utilize EMS when there is a crisis • affects to patients and their families • The EMT serves an important role in helping people to handle these highly emotional situations Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  4. Emotional Aspects of EMS 2 • Death and dying • Five emotional stages • Denial (“Not me.”) • Anger (“Why me?”) • Bargaining (“Okay, but first let me…”) • Depression (“Okay, but I haven’t…”) • Acceptance (“Okay, I am not afraid.”) http://en.wikipedia.org/wiki/K%C3%BCbler-Ross_model Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  5. Emotional Aspects of EMS 2 • Dealing with the dying patient, family, and bystanders • Maintain patient's dignity • Show respect • Communicate well • Allow family/friends to express themselves Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  6. Emotional Aspects of EMS 2 • Dealing with the dying patient, family, and bystanders (con’t) • Listen empathetically • Do not give false assurances • Use gentle tone of voice and touch as appropriate • Extend comfort to the family Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  7. Emotional Aspects of EMS 2 • Highly stressful situations • Affect the patient as well as the care providers • EMTs need to be able to handle these stressors • The EMT witnesses stressful situations all the time Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  8. Emotional Aspects of EMS 2 • Highly stressful situations common to EMS • Job related • Emergency response related Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  9. Emotional Aspects of EMS 2 • Stress reactions • Acute stress reaction • Delayed stress reaction • Cumulative stress reaction Insert 2-2 Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  10. Emotional Aspects of EMS 2 • Common signs and symptoms • Irritability towards others • Inability to concentrate and insomnia • Anxiety, loss of appetite • Excessive guilt or feelings of isolation • Loss of interest in work • Diminished sexual desire or interest Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  11. Emotional Aspects of EMS 2 • Stress management • Maintaining health • Recognize the symptoms early • Manage stress appropriately • Incorporate lifestyle changes Insert 2-3 Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  12. Emotional Aspects of EMS 2 • Stress management (con’t) • Keep balance in your life • Recognize responses of friends and family • Incorporate work environment changes • Seek professional help Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  13. Emotional Aspects of EMS 2 • Critical incident stress • A critical incident is one that causes interference in your ability to perform your duties Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  14. Emotional Aspects of EMS 2 • Critical Incident Stress Management (CISM) • Critical Incident Stress Debriefing (CISD) • Defusing • Comprehensive CISM Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  15. Scene Safety 2 • Keeping yourself and your patient free from danger is an important aspect of scene safety • This also involves taking measures to protect yourself from pathogens • Pathogens are capable of spreading disease Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  16. Scene Safety 2 • How disease (pathogens) can spread • Directly • Indirectly Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  17. Scene Safety 2 Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  18. Scene Safety 2 • Body Substance Isolation (BSI) • Hand washing • Personal protective equipment • Proper cleaning and disposal Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  19. Scene Safety 2 • Additional safety precautions • Protection from common diseases (immunizations) • Company and/or state reporting exposure plans Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  20. Scene Safety 2 • Protecting yourself from accidental injury • Your most important concern! • Scenes can be (or become) dangerous • Rescue operations • Hazardous materials • Violence • Environmental extremes Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  21. Scene Safety 2 • Hazardous materials Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  22. Scene Safety 2 • Rescue situations Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  23. Scene Safety 2 • Protective outerwear for specific needs Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  24. Scene Safety 2 • Violence and crime • May erupt with or without warning • Enlist law enforcement early • Never enter an unsafe scene • If possible, protect the integrity of a crime scene Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  25. Enrichment 2 • Diseases of concern • Hepatitis B • Hepatitis C • Tuberculosis • Acquired Immune Deficiency Syndrome (AIDS) Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

  26. Enrichment 2 • Diseases of concern (con’t) • Severe Acute Respiratory Syndrome • West Nile virus • Multi-drug Rresistant organisms Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

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