Critical incident stress management Puns

Two days ago, I activated my jurisdiction's Critical Incident Stress Management (CISM). The details being irrelevant, I found myself unable to cope with how a run went. It was for something I have dealt with before, and something I will have to deal with again, but for this one time, I couldn't get my shit together and get back to work. I felt completely helpless against the injustice that is this stupid fucking planet. After much hesitation, I went off on stress, and shot my chief a text asking to talk to someone from the CISM team.

In my jurisdiction, there is a very strong mantra of "Handle Your Shit." If a run is in your area, you take it. If you are sick, get over it. I have worked shifts sick, exhausted, burned out. Only turds tap out. You don't leave your friends and coworkers to pick up the slack for you. Going out of service was the hardest thing I have had to do in 5 years of working with the FD.

Ultimately, I'm glad I did. Everyone I have had to talk to has told me I'm not a shitbag, that this is what CISM is here for. It doesn't stop the feelings helplessness and weakness.

I'm now getting help that I never thought I would need, for something that I never thought I would have a problem with.

I'm not suicidal, depressed, or have any thoughts or feelings of hurting myself or others. But I cannot cope with this one run.

I guess what I'm trying to say is that you never know what is going to push your button that just shuts down your ability to function. What I have learned is that real providers know when they have reached their limit, and seek help. If I bottled this up inside of me, and didn't get help, I would start on a long, dark path that only ends in self destruction.

Get help if you need it, or if you think you need it. We see unbelievably fucked up shit, sometimes on a daily basis. Make sure you/your supervisor documents it. The problems this job gives us are something the job has to pay for. In 5 years I have had a funeral per year of a provider that was killed secondary to on the job stress. Two were guys from my academy. Another was a friend from my firehouse. The fourth was a friend who had had my back in a couple really fucked up situations. Don't end up like them. Don't wait, don't bottle it up inside. Get Help. We can't help anyone if we can't help ourselves.

Hi,

My name's Jesse Singal, and I'm a journalist who focuses mostly on behavioral science. I was VERY briefly an EMT in Massachusetts forever ago, though the company I worked for mostly did transfers so I hardly saw any true emergency situations.

I'm working on an article for 1843, The Economist's longform magazine, about trauma -- partly about advances in treating it, and partly about approaches that looked promising but which the research suggests didn't pan out. CISDs are an example of the latter, since the best available evidence suggests they have, on average, slightly negative effects on those who go through them.

I asked the mods if I could post this request here since I know a lot of EMS folks go through CISDs, and they gave me permission: I'd love to speak to a few people about their experiences. It doesn't have to have been negative -- just because CISDs don't work on average doesn't mean they aren't beneficial to certain individuals. I simply want to get a better sense of what the experience is like in the moment. If you'd be willing to share, please shoot me an email at jesse.r.singal@gmail.com (we can eventually take it to a phone chat if you'd like, or keep it to email). I don't need to use your name in the story. Thanks for reading, and it goes without saying that I completely understand if you don't want to share intense stuff you have gone through with a random journalist.

Thanks again,
Jesse

Hey u/NeoDestiny saw your stream discussing things meant to be helpful turning into something harmful like trigger warnings, Contrapoints and pronouns, etc.

I am a Masters student in Mental Health and came across a really interesting talk for one of my classes recently that cites an example of the phenomenon you might be interested in. The discussion was on grief counseling. Dr. George Bonanno, the expert on bereavement was concerned that providing treatment to those who would already have been resilient would cause more harm than good. He goes on to talk about a really fascinating example.

Dr. George Bonanno:

It was only recently that we finally slowed down doing something called Critical Incident Stress Debriefing. When a really horrible thing happened, mental health professionals would tend to flood in an area and offer everybody a very brief intervention, maybe a one hour intervention called Critical Incident Stress Debriefing. Now, it was assumed that that would be relatively harmless and would actually help some people, and it looks on paper like it is. But, in fact, the data show that when we do those kinds of things, not only is it typically not effective, it does actually harm people.

One of the studies that I talk about in the book, which is one of the studies I'm most struck by, was done in England with a sample of people who were in motor vehicle accidents, people who were hospitalized from motor vehicle accidents. Now, that's a pretty serious event. It's a scary event to be in a motor vehicle accident. It's serious enough to mean an emergency hospitalization, so it's a scary thing that happens.

And what the researchers did is they, within two days, within 48 hours of hospitalization, they visited as many of those people as they could, and they randomly either offered them, I think, just a simple chat - I don't remember exactly what the control condition was - or a one hour debriefing. And the debriefing, again, seemed harmless enough. All they did was have them review systematically what they had just gone through and to describe their reactions to each step of the event. So, they had them describe the accident and how they felt at each step. So, what happened here? What was going on in your mind? What did you feel? What happened now? What was going to on in your mind? What did you feel, etc.

Then, if I'm remembering this correctly, they told them a little bit about what trauma reactions are and suggested that they express their feelings

International journal of emergency mental health; February 1999, 1(3):165-8

No DOI, PMID: 11232385, URL: https://www.ncbi.nlm.nih.gov/pubmed/11232385

Probably needs digitization

It has been a while since I have practiced as a PCP in Canada since I returned to university (couldn't get the shifts to line up with classes) to finish my degree.

I am currently taking a class on Adult Psychopathology and I am doing a presentation on Critical Incident Stress Debriefings (CISD), you know, those debriefings they make you do after a shitty call in hopes that it will prevent PTSD and decrease the likelihood we will commit suicide. The presentation will look into the efficacy of CISD, among other things.

I managed to not have to deal with any incidences in my 3 years as a PCP before returning to university so I do not have first hand experience with it. Do you guys mind sharing your experiences and opinions?

Do you think it works? Do you like them? hate them? essentially, what is your opinion on it?

Also, I know this is a dark request but a lot of my classmates are young, idealist pups that haven't really experienced the world much and I was hoping to give a face (or several faces) to the problems of PTSD and the tragedies that it can cause in our (well yours now) line of work. I know of a few around my neighbourhood but if you have any news reports on members who have lost their lives due to this problem, I think it might be beneficial to them to see a face or two. I am not entirely convinced on this point to be honest with you. Part of me wants to humanize it and the other part doesn't want to... disrespect those who are no longer with us. So your opinion on that would be appreciated as well.

Thanks for your help

~Bryek

This is the best tl;dr I could make, original reduced by 71%. (I'm a bot)

> German banking giant Deutsche Bank's American operations failed the US Federal Reserve's annual stress test due to "Widespread and critical deficiencies" in its risk management, the central bank said Thursday.

> Should DB USA hit hard times in an economic downturn or financial crisis, poor data capabilities and internal controls, bad forecasts for revenue and losses under stress, and substandard internal audits would leave the bank in danger, the Fed report said.

> Deutsche Bank's US operations failed stress tests in 2015 and 2016 but this was the first time its local holding company, created in 2016, was subjected to the tests.

> Randal Quarles, the Fed's newly appointed vice chairman for banking supervision, said the results showed the US banking sector was largely sound, since all but one of the 35 banks tested, which together account for 80 percent of all US banking assets, earned passing grades.

> The company stressed that the Fed did not find its capital would fall below required levels, but failed the bank for "Qualitative reasons."

> The first round of stress test results released last week - the quantitative test - found the banking sector generally ready to face a severe global recession.

Summary Source | FAQ | Feedback | Top keywords: bank^#1 test^#2 capital^#3 Fed^#4 stress^#5

Post found in /r/worldnews, /r/LateStageCapitalism, /r/AutoNewspaper and /r/FRANCE24auto.

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Seeking names for a blog focused on improving your critical thinking skills - we are talking understanding what's going on, making decisions, solving problems, avoiding risks....good life skills.

I focus a lot on IT troubleshooting, but I would like to write about broader topics so that I could get a lot more user interest (hence the critical thinking component rather than focusing on Root Cause Analysis). I'm hoping to choose a name that would gain interest from all sexes and be approachable

Typical keywords in my industry include: 5 Whys Ishakawa Analytical Troubleshooting Analytical Thinking Critical Thinking Incident Management Fire Fighting Problem Management

Any thoughts on the direction or a possible fun name would be appreciated!