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105 Chapter 2
The Well-Being of the EMT
| Term | Definition |
|---|---|
| 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 |