CISM - CRITICAL INCIDENT STRESS MANAGEMENT: A TOOL FOR HELPING THE HELPERS
http://nursing.about.com/library/weekly/aa103101a.htm

The Emergency Nurses' Association in a 1998 Position Statement endorsed CISM as a tool to promote the recovery of emergency nurses from acute incidents, noting that, "Stress management and CISM have been shown to accelerate the recovery process for both acute and chronic stress, improve job satisfaction and performance, decrease absenteeism and health problems. Cumulative stress if left untreated is shown to lead to burnout."

ABSTRACT: CRITICAL INCIDENT STRESS INTERVENTION AFTER LOSS OF AN AIR AMBULANCE: TWO YEAR FOLLOW-UP
http://pdm.medicine.wisc.edu/macnab.htm

Following an air ambulance crash with five fatalities, critical incident stress debriefing (CISD) was provided for involved paramedics, physicians, and nurses. A study was conducted to evaluate the long-term effects of a critical incident with critical incident stress debriefing according to the Mitchell model.

CRITICAL INCIDENT STRESS: LEARNING TO COPE WITH CRITICAL INCIDENT STRESS
http://www.wtp.net/ASDK9SAR/articles/cis.html

With over two decades of emergency response experience specific to Search and Rescue, Linda Waggoner has responded to nearly 800 SAR calls. She is co-author of the Mass Fatality Incident Management course now offered by FEMA, and wrote the initial Incident Stress module for that course.

CRITICAL INCIDENTS: DEBRIEFING - CISM
http://www.doc.state.ok.us/humanresources/eap%20crisis.htm

Employees in correctional facilities are responsible for protecting the public by providing security of offenders committed to the Department of Corrections. Facility staff ensure the custody of offenders who are potentially dangerous and disruptive. Despite the best professional efforts of staff, situations occur which may cause employees to experience unusually strong emotional reactions that have the potential to interfere with their ability to function. These situations are referred to as critical incidents.

PROVIDING CRITICAL INCIDENT STRESS DEBRIEFING (CISD) TO INDIVIDUALS AND COMMUNITIES IN SITUATIONAL CRISIS
http://www.aaets.org/arts/art54.htm

Caught off guard and "numb" from the impact of a critical incident, individuals and communities are often ill-equipped to handle the chaos of such a catastrophic situation. Consequently, survivors often struggle to regain control of their lives as friends, family, and loved ones may be unaccounted for or are found critically injured, lay dying or are already dead. Additionally, the countless others who have been traumatized by the critical event may eventually need professional attention and care for weeks, months and possibly years to come. The final extent of any traumatic situation may never be known or realistically estimated in terms of trauma, loss and grief. In the aftermath of any critical incident, psychological reactions are quite common and are fairly predictable. Critical Incident Stress Debriefing (CISD) can be a valuable tool following a traumatic event.

STRESS MANAGEMENT
http://www.pp.okstate.edu/ehs/links/stress.htm

Environmental Health and Safety site with links to stress management sites: articles, information, and other resources.

RESCUING THE RESCUER: CRITICAL INCIDENT STRESS MANAGEMENT
http://www.advancedrt.com/articles/rtarticles/RTCISD.html

Because extricating victims from a vehicle or recovering bodies from a downed aircraft require rescue personnel to use technical skills that may not result in physical contact with their victims, is there less emotional involvement than that experienced by EMS personnel? As a rescuer, are you less at risk for traumatic stress? Not at all, says Mitchell. "Medical providers typically get much closer to the victim," Mitchell admits, "and the rescue worker who is focused on tools or procedural tactics doesn't have to focus on the patient, as long as there is an EMT or paramedic to take care of him. But if the patient puts a hand on the rescuer's arm and says, 'Please don't let me die,' all boundary barriers are broken. Another thing that may have real impact is time exposure. The longer you're on the scene with a patient, the more he becomes a real person to you, and then it's much harder to continue without being affected."

CRITICAL INCIDENT STRESS MANAGEMENT ARTICLES
http://www.vaonline.org/doc_cism.html

A listing of online articles dealing with Critical Incident Stress Management.

NEBRASKA HHS SYSTEM: CRITICAL INCIDENT STRESS MANAGEMENT ACT
http://www. hhs.state.ne.us/ems/cismlaw.htm

Nebraska Health and Human Services System: Critical Incident Stress Management Act - Chapter 71. Public Health and Welfare.

THE AUSTRALIAN TRAUMA WEB
http://psy.uq.edu.au/PTSD/trauma/traumaj.html

A list of sites, sources and documents that you may find interesting, all of which relate to Trauma or Post Traumatic Stress Disorder (PTSD). At this time only those pages which DO NOT represent private companies or profit making institutions have been listed. Many of the listed Australian sites are at this server. Links to out of this server's tentacles are marked as such.

CRITICAL INCIDENT STRESS MANAGEMENT (CISM) AT SEA: PREVENTING TRAUMATIC STRESS
http://www.aaets.org/arts/art74.htm

Major Naval Hospitals in the U.S. have set up "SPRINT Teams" - crisis response teams which include mental health professionals, medical and nursing personnel, chaplains, and enlisted Hospital Corpsmen. These teams respond on short notice to major incidents anywhere in the world. While not following the classic Mitchell Model (their personnel are all hospital staff, rather than "peers"), their debriefings are highly regarded.

To search for books on disasters and disaster mental
health topics, critical incident stress management,
critical incident stress debriefing, post traumatic
concerns, crisis intervention, crises, and related topics
and purchase them online, click on the following:

https://www.angelfire.com/biz/odochartaigh/searchbooks.html

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Contact your local Mental Health Center or
check the yellow pages for counselors, psychologists,
therapists, and other Mental health Professionals in
your area for information on emotional impact and
assistance available in your area.
**********************************************************************
Rocky Mountain Region
Disaster Mental Health Institute
Box 786
Laramie, WY 82073-0786

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