Critical incident stress in prehospital emergency care. 1992

J C Linton, and C H Webb, and M J Kommor
Department of Behavioral Medicine and Psychiatry, WVU Health Sciences Center/CAMC, Charleston.

In addition to the routine pressures associated with their demanding roles, prehospital emergency responders can suffer severe stress as a result of exposure to a critical incident. Such an event overwhelms the individual's ability to emotionally adjust, and can lead to symptoms which cause suffering in emergency personnel, their families and their patients. A Critical Incident Stress Management (CISM) Team has been established in southern West Virginia to address this occupational hazard. This group was formed as a cooperative arrangement between the Charleston Division of the West Virginia University Health Sciences Center and emergency personnel in the Greater Kanawaha Valley. This article offers an explanation of the team's functioning and specific information regarding its activation.

UI MeSH Term Description Entries
D009786 Occupational Health Services Health services for employees, usually provided by the employer at the place of work. Employee Assistance Programs (Health Care),Employee Health Services,Employment-Based Services,Health Services, Employee,Health Services, Occupational,Services, Employee Health,Services, Employment-Based,Services, Occupational Health,Assistance Program, Employee (Health Care),Assistance Programs, Employee (Health Care),Employee Assistance Program (Health Care),Employee Health Service,Employment Based Services,Employment-Based Service,Health Service, Employee,Health Service, Occupational,Occupational Health Service,Program, Employee Assistance (Health Care),Programs, Employee Assistance (Health Care),Service, Employee Health,Service, Employment-Based,Service, Occupational Health,Services, Employment Based
D003422 Critical Care Health care provided to a critically ill patient during a medical emergency or crisis. Intensive Care,Intensive Care, Surgical,Surgical Intensive Care,Care, Critical,Care, Intensive,Care, Surgical Intensive
D004632 Emergency Medical Services Services specifically designed, staffed, and equipped for the emergency care of patients. Emergency Care,Emergency Health Services,Emergicenters,Prehospital Emergency Care,Emergency Care, Prehospital,Emergency Services, Medical,Medical Services, Emergency,Services, Emergency Medical,Emergency Health Service,Emergency Medical Service,Emergency Service, Medical,Emergicenter,Health Service, Emergency,Health Services, Emergency,Medical Emergency Service,Medical Emergency Services,Medical Service, Emergency,Service, Emergency Health,Service, Emergency Medical,Service, Medical Emergency,Services, Emergency Health,Services, Medical Emergency
D004634 Emergency Medical Technicians Allied health personnel trained to provide basic emergency care and life support under the supervision of physicians and/or nurses. These services may be carried out at the site of the emergency, in the ambulance, or in a health care institution. Advanced EMT,Advanced Emergency Medical Technicians,Emergency Medical Technician,Emergency Medicine Technicians,Medical Technician, Emergency,Medical Technicians, Emergency,Technician, Emergency Medical,Technicians, Emergency Medical,Advanced EMTs,EMT, Advanced,EMTs, Advanced,Emergency Medicine Technician,Technician, Emergency Medicine,Technicians, Emergency Medicine
D005392 First Aid Emergency care or treatment given to a person who suddenly becomes ill or injured before full medical services become available. Aid, First,Aids, First,First Aids
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000078329 Workforce The number of people working or available for work or service. Human Resources,Labor Supply,Manpower,Staffing,Womanpower,Human Resource,Labor Supplies,Manpowers,Staffings,Supply, Labor,Womanpowers,Workforces
D013315 Stress, Psychological Stress wherein emotional factors predominate. Cumulative Stress, Psychological,Emotional Stress,Individual Stressors,Life Stress,Psychological Cumulative Stress,Psychological Stress Experience,Psychological Stress Overload,Psychologically Stressful Conditions,Stress Experience, Psychological,Stress Measurement, Psychological,Stress Overload, Psychological,Stress Processes, Psychological,Stress, Emotional,Stressful Conditions, Psychological,Psychological Stress,Stress, Psychologic,Stressor, Psychological,Condition, Psychological Stressful,Condition, Psychologically Stressful,Conditions, Psychologically Stressful,Cumulative Stresses, Psychological,Experience, Psychological Stress,Individual Stressor,Life Stresses,Measurement, Psychological Stress,Overload, Psychological Stress,Psychologic Stress,Psychological Cumulative Stresses,Psychological Stress Experiences,Psychological Stress Measurement,Psychological Stress Measurements,Psychological Stress Overloads,Psychological Stress Processe,Psychological Stress Processes,Psychological Stresses,Psychological Stressful Condition,Psychological Stressful Conditions,Psychological Stressor,Psychological Stressors,Psychologically Stressful Condition,Stress Experiences, Psychological,Stress Processe, Psychological,Stress, Life,Stress, Psychological Cumulative,Stressful Condition, Psychological,Stressful Condition, Psychologically,Stressor, Individual
D014903 West Virginia State bounded on the north by Ohio, Maryland, and Pennsylvania, bounded on the west by Ohio and Kentucky, on the east and south by Virginia.

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