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CRITICAL INCIDENT STRESS MANAGEMENT. Common Causes of Stress. What is Critical Incident Stress?. A normal reaction, by normal people, to an abnormal event. Causes. Death or serious injury of a person Suicide or unexpected death Multiple patient incident Death of a child
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What is Critical Incident Stress? • A normal reaction, by normal people, to an abnormal event
Causes • Death or serious injury of a person • Suicide or unexpected death • Multiple patient incident • Death of a child • Serious injury or death of the patient or bystander during the rescue
Causes – Cont’d • Situations when there is personal identification with the patient or the circumstances • Any incident that attracts media attention • When the signs, sounds and/or smell of the incident are so distressing as to produce a high level of immediate or delayed emotional reaction
Signs and Symptoms • Physical: • Sudden fatigue • Nausea or vomiting • Shock-like symptoms • Twitching or tremors • Thinking process: • Memory loss • Inability to clearly identify things by proper terms • Confusion • Impaired thinking • Reduced attention span
Signs and Symptoms • May also experience • Irritability/Frustration • Difficulty in concentrating/Sleeplessness • Flashbacks/nightmares • Displays of anger • Extremely self-critical of personal skills and questioning ability to provide help
Treatment • The sooner an incident is discussed, the better • Talk to a trusted Patroller • Talk to those Patrollers involved • Discuss each incident at “Boots Off” meeting • Contact a CISM Team member
Do’s and Don'ts Do: • Talk about it • Maintain your routine • Eat well • Spend time relaxing and on hobbies • Accept your symptoms are perfectly normal • Connect with CISM team • Learn more about delayed stress • Expect the incident to upset you
Do’s and Don'ts Don’t: • Avoid friends and family • Avoid work • Question your sanity • Drink to excess • Try to explain away the incident • Expect immediate recovery • Believe that you are the only one experiencing symptoms • Ignore the symptoms…they will not go away by themselves
Interventions • One-on-One • Defusing • Debriefing • Follow-up CONFIDENTIAL!!!
Critical Incident Stress Management is critical to the well-being and health of our CSPS team Please do not hesitate to use it!
Useful Resources Critical Incident Stress Foundation www.icisf.org Association of Traumatic Stress www.atss-hq.com