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PTSD and Paramedic Research

Discussion in 'Health and Fitness' started by TheScientist, May 11, 2017.

  1. DrParasite

    DrParasite The fire extinguisher is not just for show

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    How do you prevent PTSD in paramedics? How do you prevent people from seeing certain things? From remembering them? And as another poster said, it isn't just paramedics; many people in EMS (including the EMTs & 911 dispatchers) have been found to suffer form PTSD, so focusing on paramedics (which you might be using to describe anyone on an ambulance) might be limiting your focus a bit.

    You can't unsee child abuse victims, you can't forget the smell of burning flesh, doing CPR in an infant, walking up and finding three shooting victims, two of whom are kids, one who was just in the wrong place at the wrong time. You can't forget the time you walked up to the patient whose family called you to help him, only to have him attack your partner.

    I look forward to seeing what your study finds
     
    TheScientist likes this.
  2. Remi

    Remi Forum Deputy Chief Premium Member

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    It isn’t about preventing paramedics from seeing certain things, and it isn’t about forgetting them. As he explained, the study is looking to see if prior conditioning might reduce the negative psychological impact of those experiences.
     
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  3. Summit

    Summit Critical Crazy

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    Exactly. Resiliency training is used elsewhere.

    http://ajcc.aacnjournals.org/content/23/6/e97.full

    "This mulitmodal resilience training program was feasible to conduct and acceptable to ICU nurses. Both nurses randomized to the treatment group and nurses randomized to the control group showed a significant decrease in PTSD symptom score after the intervention."

    It's not exactly robust, but it is suggestive of a direction to be looking with more research such as what OP is doing.

    [​IMG]
     
    TheScientist likes this.
  4. TheScientist

    TheScientist Forum Ride Along

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    Some thoughts on the more recent posts here:

    Several people noted that loud noises similar to the dispatch calls cause their heart rates to go up even while off work. I get that the alarms are suppose to get emergency workers fired up and ready asap, but it may be worth investigating and possibly changing it if it’s doing more harm in the long term. After a quick search, there doesn’t seem to be any research testing the possibility of changing the alarm types in order to see the effects. A follow-up study from this could be to look at different alarm types. Maybe use different types depending on how big the call appears to be, like ‘code red’ etc.

    And yeah, the research above is similar to what I’m doing. The main focus at the moment is to test the possibility of providing some form of resilience training to trainee emergency workers to see if it has any effects on reducing PTSD symptomology later in their careers. A key difference is that the above study (like most similar studies) is using resilience training in those who already have PTSD symptomology. So they’re using it more like a cure than a prevention, while mine is testing the prevention rather than cure.
     
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  5. DrParasite

    DrParasite The fire extinguisher is not just for show

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    then you don't get it at all. alarms are not supposed to get emergency workers fired up..... it is supposed to get their attention and possibly wake them from sleep, similar to an alarm clock. To my knowledge (and if someone knows more than me, please chime in), they aren't supposed to do anything other than notify a rescuer that there is a call for them to respond to.
     
  6. Remi

    Remi Forum Deputy Chief Premium Member

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    Really man? Lol
     
  7. Jim37F

    Jim37F Forum Deputy Chief

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    When I worked for an FD that had station alert tones, there was the occasional talk about adjusting the tones volume, i.e. turn them down, so as to be less jarring, but still enough to wake you up. One station had notoriously quiet tones that were easy to miss, some of the firefighters said the only reason they woke up for middle of the night calls was because the lights were programmed to come on as well....amd there was also the occasional talk about that....i.e. some guys wanted dimmers on the lights so instead of snapping on they turned on gradually (over a second or two)....basically the general idea was to get the system tuned so that it woke you up over the course of a couple of seconds...vs jarring someone awake right then and there.
     
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