Prevention and intervention for psychologically stressful events
Richard Gist
Search for more papers by this authorMarc Kruse
Search for more papers by this authorRichard Gist
Search for more papers by this authorMarc Kruse
Search for more papers by this authorDavid C. Cone MD
Professor of Emergency Medicine
Yale University School of Medicine, New Haven, Connecticut
Search for more papers by this authorJane H. Brice MD, MPH
Professor of Emergency Medicine
University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
Search for more papers by this authorTheodore R. Delbridge MD, MPH
Executive Director
Maryland Institute for Emergency Medical Services Systems, Baltimore, Maryland
Search for more papers by this authorJ. Brent Myers MD, MPH
Chief Medical Officer ESO Associate Medical Director
Wake County EMS, Raleigh, North Carolina
Search for more papers by this authorSummary
Evaluation and treatment for EMS clinicians who experience potentially traumatic events has been the subject of debate for many years. While it is recognized that some intervention may be appropriate and beneficial for some clinicians in at least some situations, there has not been a recognized consensus regarding best practices. This chapter reviews the historical literature and practices, evaluates current evidence-based guidelines, and offers a sample protocol to assist medical directors and EMS systems in the implementation of a program for clinicians who experience potentially traumatic events.
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