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105 Chapter 2

The Well-Being of the EMT

Stages of Stress 1) Alarm Reaction - fight/flight syndrome 2) Stage of Resistance - body backto normal, cortisol gone, cope 3) Exhaustion - enlargement of adrenal glands, waste of lymph nodes, bleeding gastric ulcers. lost ability to resist
Acute Stress Reaction Typically triggered by a catastrophe, signs and symptoms can be simultaneous and short after incident
Delayed Stress Reaction The signs and symptoms may arise over a period of time after the traumatic incident PTSD
Cumulative Stress Reaction burnout caused by sustained, recurring low-level stressors over a period of years
High Stress Examples Multiple Casualty Incidents (MCI), Infants/Children, Severe Injuries, Abuse and Neglect, Death of a Coworker
Eustress Positive form of stress that helps people perform under pressure and respond effectively
Distress Negative form of stress due to feeling overwhelmed. Long term damage on health and well-being
Dealing with Stress Healthy Dietary Habits, Exercise, Devote time to Relaxing
CISM Critical Incident Stress Management - system that includes education and resources to prevent+deal with stress appropriately (wellness incentives, professional counseling, peer support)
CISD Critical Incident Stress Debriefing is a team of peer counselors and mental health profs. meet with care providers involved in a major incident
Defusing Session Typically hours after an incident, just the people involved in the incident meet to vent emotions and receive information before CISD
Reactions to Death Denial, Anger, Bargaining, Depression, Acceptance
Dealing with Patient+Family Members Recognize Needs Be Tolerant of Angry Reactions Listen Empathetically Do not falsey Reassue Offer as much Comfort as can
Created by: jon.kowalski



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