EMS World

JAN 2019

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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EMSWORLD.com | JANUARY 2019 47 www.junkinsafety.com 3121 Millers Lane • Louisville, KY 40216 Tel: 502-775-8303 • Fax: 502-772-0548 Toll Free: 888-458-6546 S A F E T Y A P P L I A N C E C O M P A N Y Stretchers Stretcher Kits & Accessories Evacuation Chairs Backboards First Aid Fire Blankets The name in Safety, Rescue and Survival. the organizational stress of EMS. It can be formal or informal, but embracing it can improve bench strength and ease the anxiety felt by others. Mentors must be trained in their roles as much as possible to effect positive change. 7 Next Steps How do we begin to adopt these strategies? • Adopt a holistic approach to the prob- lem of stress. • Explore a national curriculum expan- sion of time and content on stress educa- tion/prevention. • Promote social support/peer support. Social support is a buffering mechanism that mediates bet ween ps ychological stressors and negative health outcomes. 8 Researchers have noted that super visors are looked at for much social suppor t. 9 Organizations should prepare super visors to recognize and begin alleviating stress reactions as soon as they are perceived. • Train and utilize peer-support groups to monitor members af ter critical inci- dents. They can relate to the situations firefighter s and paramedic s face and of fer resources their members may not be aware of. • Create leadership-development pro- grams at all levels in your department. • Initiate and support mentoring programs. • Advocate for research at the national, state, and local levels. Paramedics are at high risk for traumat- ic stress, and more research is needed to determine the types of disorders they may develop and how to positively deal with them. The time is right to reconnect with our old foe stress, define its boundaries in EMS, enhance education to mitigate its effects, and provide EMS workers with the tools to positively af fect their personal and professional lives. REFERENCES 1. Roche K. 2014 National Run Sur vey—Par t 2. Firehouse, http://media.c ygnus.com/fi les/base/FHC/document/2015/06/ FIR_60-71_0715_NRS-TotalCalls07_2.pdf. 2. Roche K. 2017 National Run Sur vey—Par t 1. Firehouse, https://www.fi rehouse.com/careers-education/ ar ticle/21004324/2017-national-run-sur veypar t-1. 3. International Association of Fire Fighters. 1998 Death and Injur y Sur vey. 4. Lloyd B. Addressing burnout in paramedics: Leading communit y risk reduc tion. National Fire Academy: Executive Fire Of fi cer Program, 2004. 5. Anderson W, Swenson D, Clay D. Stress Management for Law Enforcement Offi cers. Upper Saddle River, N.J.: Prentice Hall, 1995. 6. Blanchard K, Bowles S. Raving Fans: A Revolutionary Approach to Customer Service. New York, N.Y.: Harper Collins, 1993. 7. Cox, Jr. R. The evolution of mentoring in prehospital EMS: A case study. ProQuest Disser tations and Theses Database, UMI# 3229297, 2006. 8. Karasek R, Theorell T. The Psychosocial Work Environment. In: Karasek R, Theorell T, eds. Healthy Work: Stress, Productivity, and Reconstruction of Working Life. New York, N.Y.: Basic Books, 1990. 9. Corneil W, Beaton R, Murphy S, Johnson C, Pike K. Exposure to traumatic incidents and prevalence of traumatic stress symptomatology in urban fi refi ghters in two countries. J Occup Health Psych, 1999; 4(2): 131–41. ABOUT THE AUTHOR Dawn Dow, EMT-P, PhD, recently retired from a 33-year career with the Chicago Fire Depar tment. She experienced 18 years as a Chicago street medic, 15 years as a paramedic fi eld chief, and four years in rural healthcare. She has advanced degrees in both management and leadership.

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