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Cpt. Dr. Gerhard Fahnenbruck SETP/ SFTE 4 th European Flight Test Safety Workshop RAeS, London, September 28 th -29 th , 2010. What it does and what it does not. A Critical Incident. An aircraft accident An incident resulting in injury or death
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Cpt. Dr. Gerhard Fahnenbruck SETP/ SFTE 4th European Flight Test Safety Workshop RAeS, London, September 28th-29th, 2010 What it does and what it does not
A Critical Incident • An aircraft accident • An incident resulting in injury or death • An incident resulting in damage to an aircraft • Passenger evacuation • Participation in an accident investigation • Death of a crew member • Witness to an accident
Critical Incident A critical incident • is felt to be life threatening for a person him- or herself or a person near by • is far beyondnormal human daily experience • happens all of a suddenand without warning
The Purpose • It is a peer-to-peer program designed to mitigate the impact of an accident or incident before stress reactions damage job performance, careers, family and health.
light burden Critical Incident Stress
heavy burden without assistance Critical Incident Stress ?
Heavy burden with assistance Critical Incident Stress
Critical Incident Stress (physical) sleeplessness headache +? muscle aches
Critical Incident Stress (affective) fear guilt +? helplessness
Critical Incident Stress (cognitvie) difficulty toconcentrate mistrust +? confusion
Critical Incident Stress (behavioral) strongemotions withdrawal +? Changes in speech,family life,social relationships
Critical Incident Stress normal reactions of normal people to an abnormal event
International Critical Incident Stress Foundation • First responders • Firemen • Police officers • Emergency room health professionals
CISM • pre-incident education • operational debriefing • defusing • debriefing • demobilization • follow-up and family support • referral if necessaryconsulting, no therapy
FedEx 80 – Narita, Japan • FedEx did a great job with a first class CIRP Team • Anything can happen … volcano Mt. Redoubt erupted in Alaska
Continental 1404 • CIRP is needed regardless of fatalities or serious injuries • Continental now has an impressive CIRP Team
Mumbai Terrorist Attacks • The CIRP global network … great coordination with Lufthansa CIRP, the Mayday Foundation, KLM CIRP, and US ALPA CIRP
Response plan critical incident Call Center +49 (700) CISMTEAM +49 (700) 7700 7703 CISM-coordinator within 6 hours “protected area“ CISM-Team crew involved
Support after critical incidents • Fulfill basic needs (water, food, rest) • Make sure victims are in a safe environment • Information, Information, Information • Support structuring the next moment, hour, day • Any special need • ….
Defusing vs. Debriefing cognitive Introduction Introduction Information Re-entry Exploration Fact Teaching Thought Symptom Reaction affective
Non normal long term reactions • substance abbuse • depresseion • PTSD
CISM • pre-incident education • operational debriefing • defusing • debriefing • demobilization • follow-up and family support • referral if necessaryconsulting, no therapy
CISM Team Peers: CISM trained colleagues • Same profession • No management
Critical Incidents • 2002:49(3.500+ Pilots) I II • 2006: 137 (26.000+ Crew Member) I II • 2008:167(30.000+ Crew Member)
Statistics 2009 • 160 Events • 490 CISM Measures • 460 Individual Interventions • 19 Group Interventions • 750 Follow-up Measures • 300 CISM Team Member
Research There has never been a study that indicates,that harm has been done by any CISM service, if the following two conditions were present : • personnel properly trained in CISM • providers adhered to worldwide accepted standards of CISM practice
Comparisonwithout and with CISM San Diego 1978El Cerritos 1986 125 fatalities on board - - - - - - - 82 0 survivors - - - - - - - - - - - - - - - 0 16 houses destroyed - - - - - - - - 16 15 fatalities on ground - - - - - - - 15 300 rescue workers - - - - - - - - - 300 >10.000 body parts recovered - - >10.000( Mitchell )
Comparisonwithout and with CISM San Diego 1978El Cerritos 1986 sporadicCISM12 interventions dismissal (one year later) 5 police 0 7 fire crew 0 17 paramedics 1 29 TOTAL 1 ( Mitchell )
Family • Ike, Joao, Thomas, Uminchu, Bernhard, Isabel, Sheila, Mohamed, Fritz, Sharon, Eileen, Ray, Hiroshi, Pete, Doris, Val, Akira, Hans, Marco, Jeffrey, Teresa, Lynnette, Robert, John, Steve, Michael, Mimi, Stafka, Diana, Craig, Gerhard, Tsutomu, Kerstin, Rüdeger, Deborah, Todd, Lucy, Rodya, Rena, Linda, Andreas, Valerie, Erwin, Mike, Titus, Wessel, Ronald, Bill, Renee, Peter, Lauriel, Jim, Jutta, Joerg, Alice, Tony, Lauri, Murray, Liana, Mark, John, Ken, Tracy, Valerie, Angelique, Louise, Paolo, Jeff, Gabriele, Debby, Randy, Alexander, Keith, Ken, Tom, Neil, Chris, Eric, Christopher, Karl, Haruo, Guy, Heather, Mark, Kunihiko, Titus, Ronald, Angela, Wessell, Markus, Heinz, Dan, Dean, Andora, Don, Adam, Petra, Kandy, Wolfgang, Anja, Jerry, Johann, George, Don, Dave, Margie, Birgit, Bob, Ghislaine, Zhen, Nicole, Karin, Nielle, Daniel, Hanne, Mirjam, Birte, Joerg, Marion, Benjamin, Andreij, Burkhard, Michelle, Bruno, Ines, Dolores, Larry, Greg, Dana, Stefan, Kenan, Mike, Gabi, Susan, Zoni, Cristina, Becky, Kevin, Charlie, Jeffrey, Tim, Hilde, Quay, Suzanne, David, Richard, Shelley, Katie, Ina, Pierre, Martina, Rick, Mark, Christina, Michelle,
Family (continued) • Heiko, Hilde, Marcel, Colleta, Jessica, Johanna, Rolf, Astrid, Reinhard, Monissa, Otto, Boris, Annette, Ellen, Andre, Thilo, Jeanette, Francoise, Gerald, Guenther, Victor, Nicole, Adelheid, Harald, Conny, Esmeralda, Gert, Jutta, Olaf, Ulrike, Angelika, Joseph, Leon, Waltraud, Sylvia, Paul, Claudia, Andigoni, Malinda, Ann, Nikolaus, Cordula, Madeleine, Aasa, Walter, Arik, Yasmin, Evi, Nina, Manfred, Mendy, Reiner, Fabiana, Elke, Cornelia, Uwe, Juergen, Stephanie, Claus, Cevina, Kenneth, Axel, Michael, Viktoria, Carsten, Nikolaus, Soeren, Franz, Xaver, Anastasia, Dietmar, Manon, Jean, Bjoern, Pana, Anja, Solveig, Jo, Ralf, Adrian, Jeanine, Hatice, Florian, Sabine, Ulli, Kuno, Giovanni, Silvia, Verena, Lorenzo, Gisela, Vasilios, Ulf, Caron, Detlef, Manfred, Dieter, Leo, Iris, Raimund, Helmut, Harry, Matthias, Dagmar, Cord, Beate, Philip, Lars, Fanny, Lutz, Juergen, Katharina, Sebastian, Sonia, Karolina, Heiner, Johannes, Christel, Jens, Winfried, Anke, Henning, Thom, Graig, Ermelinde, Veronika, Sandra, Jennifer, Katharina, Sasskia, Alfred, Elisabeth, Joerg, Andy, Ollie, Roddy, Donald, Patrik, Joachim, Bernd, Leander, Oliver, Kate, ...
To-Do-List Structure the Family Look for Globally Working Organisations: ICISF, UNDSS, ALPA, etc. Cooperate
Stiftung Mayday Frankfurter Straße 124 63263 Neu-Isenburg Germany Tel: +49-(0)700-77007701 Fax: +49-(0)700-77007702 CISMTeam:+49-(0)700-77007703 +49-(0)700-CISMTEAM Email: info@Stiftung-Mayday.de Internet: www.Stiftung-Mayday.de
Thank you for your attention! Don‘t hesitate to contact: Dr. Gerhard Fahnenbruck Bommersheimer Weg 31 D-61348 Bad Hombug +49 (151) 240 36 059 Gerhard.Fahnenbruck@human-factor.biz www.human-factor.biz