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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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slide1

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
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
slide14
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
slide25
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
slide35

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

Before it takes care of

YOU!!

slide46
Emergency Workers do not snore, burp, sweat or pass gas.

There fore, they must

“Bitch or they will BLOW UP!!

slide47
REMEMBER….THE EMOTIONAL RESPONSES TO CRITICAL INCIDENTS ARE….NORMAL REACTIONS BY NORMAL PEOPLE TO ABNORMAL SITUATIONS.
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