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Well Being of the Pre-Hospital Care Provider

STRESS IN EMS
Introduction

• How can we help others if we can’t help
  ourselves?
Wellness

 Wellness has 3 components
   Physical
   Mental
   Emotional
Physical Well Being

 Nutrition
   Nutrients
   Food groups
   Principles of weight control
   Tips to change behavior
Physical Well-Being
 Physical fitness
   Benefits
   Cardiovascular endurance
   Muscular Strength
   Muscular Flexibility
Physical Well-Being

 Sleep
   Disruption
   Signs of depression
Physical Well-Being
 Disease Prevention
   Cardiovascular Disease
   Cancer
   Infectious Disease
Physical Well-Being

 Injury Prevention
   Body Mechanics during lifting/moving
   Hostile Environments
   Rescue Situations
   Safe Vehicle Operations
   Safety Equipment and Supplies
Mental & Emotional Health

 Substance misuse/abuse control
 Anxiety & Stress
 Personal Time
 Family, Community, Peer connections
 Freedom from Prejudice
   Cultural Differences
   Individual Differences
Stress

 Three stages of stress response
   Alarm Reaction
   Resistance
   Exhaustion
Stress

 Factors that trigger stress response
 Physiological and psychological effects
   Normal, health response
   Detrimental, unhealthy response
 Signs and symptoms of stress
   Physical
   Emotional
   Cognitive
   Behavioral
Stress

 Causes of stress in EMS
   Environmental Stress
   Psychosocial Stress
   Personality Stress
Stress

 Reactions to Stress
 Reactions are individual
   Adaptation
   Dynamic evolving process
   Defense
   Coping
   Problem Solving
   Mastery
Stress

 Stress Management Techniques
 Critical Incident Stress Management
   Organized, formal, peer, mental health
   Components of CISM
   Situation in which CISM should be considered
 Techniques for reducing crisis-induced stress
Coping with Death

 Patient and Family needs
 Stages of grieving process
   Denial
   Anger
   Bargaining
   Depression
   Acceptance
Coping with Death

 Needs of the Paramedic when dealing with
  death and the dying
Coping with Death

 Developmental considerations when dealing
  with death and dying
   Newborn to three
   Three to six
   Six to nine
   Nine to twelve
   Elderly
PREVENTING DISEASE
TRANSMISSION
Terminology

 Air/Blood borne pathogens
 Exposure
 Cleaning, Disinfecting, Sterilization
 Body Substance Isolation/ Universal
  Precautions
Source of Exposure

 Needle stick
 Broken or scraped skin
 Mucous membranes
Protection

 Follow work practices
 Maintain good health and hygiene habits
 Maintain immunizations
 Periodic TB screening
 Body Substance Isolation
 Cleaning, Disinfecting, Disposing of
  materials/ equipment
Well Being

 Periodic Risk Assessment
 Documenting and Managing an exposure

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Stress in EMS

  • 1. Well Being of the Pre-Hospital Care Provider STRESS IN EMS
  • 2. Introduction • How can we help others if we can’t help ourselves?
  • 3. Wellness  Wellness has 3 components  Physical  Mental  Emotional
  • 4. Physical Well Being  Nutrition  Nutrients  Food groups  Principles of weight control  Tips to change behavior
  • 5. Physical Well-Being  Physical fitness  Benefits  Cardiovascular endurance  Muscular Strength  Muscular Flexibility
  • 6. Physical Well-Being  Sleep  Disruption  Signs of depression
  • 7. Physical Well-Being  Disease Prevention  Cardiovascular Disease  Cancer  Infectious Disease
  • 8. Physical Well-Being  Injury Prevention  Body Mechanics during lifting/moving  Hostile Environments  Rescue Situations  Safe Vehicle Operations  Safety Equipment and Supplies
  • 9. Mental & Emotional Health  Substance misuse/abuse control  Anxiety & Stress  Personal Time  Family, Community, Peer connections  Freedom from Prejudice  Cultural Differences  Individual Differences
  • 10. Stress  Three stages of stress response  Alarm Reaction  Resistance  Exhaustion
  • 11. Stress  Factors that trigger stress response  Physiological and psychological effects  Normal, health response  Detrimental, unhealthy response  Signs and symptoms of stress  Physical  Emotional  Cognitive  Behavioral
  • 12. Stress  Causes of stress in EMS  Environmental Stress  Psychosocial Stress  Personality Stress
  • 13. Stress  Reactions to Stress  Reactions are individual  Adaptation  Dynamic evolving process  Defense  Coping  Problem Solving  Mastery
  • 14. Stress  Stress Management Techniques  Critical Incident Stress Management  Organized, formal, peer, mental health  Components of CISM  Situation in which CISM should be considered  Techniques for reducing crisis-induced stress
  • 15. Coping with Death  Patient and Family needs  Stages of grieving process  Denial  Anger  Bargaining  Depression  Acceptance
  • 16. Coping with Death  Needs of the Paramedic when dealing with death and the dying
  • 17. Coping with Death  Developmental considerations when dealing with death and dying  Newborn to three  Three to six  Six to nine  Nine to twelve  Elderly
  • 19. Terminology  Air/Blood borne pathogens  Exposure  Cleaning, Disinfecting, Sterilization  Body Substance Isolation/ Universal Precautions
  • 20. Source of Exposure  Needle stick  Broken or scraped skin  Mucous membranes
  • 21. Protection  Follow work practices  Maintain good health and hygiene habits  Maintain immunizations  Periodic TB screening  Body Substance Isolation  Cleaning, Disinfecting, Disposing of materials/ equipment
  • 22. Well Being  Periodic Risk Assessment  Documenting and Managing an exposure