Critical Incident Stress Management

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CISM Teams Can Help Emergency Workers Deal With Stress

ICSF Training Courses

Sixteen state recognized Critical Incident Stress Management (CISM) Teams provide critical support to Virginia’s emergency services community.

The teams work with individuals or groups of emergency medical services, fire and police personnel who may suffer from stress after being involved in a critical incident. Team members provide pre-incident education and post-incident defusing, demobilization and debriefing.

Examples of critical incidents are:

Suicides
Injury or death of an emergency worker
Prolonged events
Injury or death of children
Mass casualty incidents
Threats to emergency worker’s safety
Natural disasters

The constant intake of stress or encountering a highly stressful event can cause the emergency service professional to suffer stress reaction symptoms. These symptoms may include:

Fatigue
Nausea
GI upsets
Memory loss
Concentration problems
Problem solving difficulties
Anxiety
Fears
Depression

Identification with the victims
Nightmares
Flashbacks
Fear of repetition of the stressful event
Mood swings and depression
Changes in sleep patterns
Changes in eating and work habits
Unusual actions or behaviors

A debriefing should be requested if stress symptoms continue beyond the first 48-72 hours of the incident. Overwhelming stress symptoms usually occur in the first 24-48 hours following a critical incident. If you or your agency is in need of CISM Team assistance, please contact your area's team. CISM brochures are available from the Office of EMS.

For more information on CISM contact Carol Morrow at (804) 864-7600.

Last Updated: 03-19-2008

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