Readers Offer Opinions on Debriefing Sessions

 

 
 
 

From the July 2013 Issue | Friday, June 21, 2013


This month, readers chimed in on an article in May JEMS, “The Fog of EMS: Debriefing sessions can help clear the air,” by Bernie Meehan, Jr., EMT-P. Meehan grew up in Newtown, Conn., and is a career deputy fire chief and a part-time paramedic. He’s also one of the founding members of the Connecticut Critical Incident Stress Debriefing Team. The article received both high praise and staunch criticism on the JEMS Facebook page, giving both the editor-in-chief and the author of the article an opportunity to respond.

Navigating Through Fog

Well written article. We need more discussion on this topic.
Michelle T.
Via Facebook

They should put their big boy/girl pants on before coming to work—they know what their getting into when they start school for this profession!
Derick H.
Via Facebook

These debriefings should be by choice because some research has proven that debriefings can  sometimes make things worse for the person by reliving the events.
Gabriel M.
Via Facebook

I’m really disappointed to see this article written here when there is so much evidence that critical incident stress debriefing (CISD) is not only ineffective but actually causes harm. To see it praised in a JEMS article like this gives it credibility and that is unacceptable coming from JEMS, which should be promoting the most up-to-date research so that we can move forward with better practices rather than continuing to wallow in these horrible, outdated ones.
Katie B.
Via Facebook

JEMS Editor-in-Chief A.J. Heightman, MPA, EMT-P, responds: I’m sorry you feel that way, Katie, but I was involved in development of this article and felt that the true value of the article was in the author/provider’s words about the emotions that build up over time that create the “fog of EMS.” I did not feel that he was pitching CISD as much as he was pointing out the need that we watch out for stress and get/give help wherever (and whenever) our colleagues need it. I am well aware of what CISD is—and is not—and do not feel JEMS endorsed/endorses it. The fact is that many areas still use a modified CISD counseling process (albeit not always in a group environment) and that this has shown to be effective. If you have a best practice that has been scientifically proven as a better alternative for EMS stress management, please write to me at aheightman@pennwell.com and we will focus attention to it.

I have not had a case that has left me truly shaken but I have been on a few incidents that management required us to attend CISD. My experience with CISD is that it, at best, is no help. The problem with CISD is that not everyone decompresses the same way. I believe this line of work as well as law enforcement, which I worked in prior to EMS, requires its workers to either have or develop coping skills that work for them. If you aren’t able to develop the ability to shrug things off in a reasonable amount of time, I believe that this work may not be right for you. Me, I like to take my dog and go up the mountains where I live to fish/hunt/hike/camp on my days off. This may not work for others or it may make things worse, but it works for me.
John R.
Via Facebook

Author Bernie Meehan, Jr., EMT-P, responds via Facebook: Guys, ease up. Why do people in EMS always wind up bickering with each other? The intent of the article was not to endorse any one way to deal with stress; the intent was to point out that an EMS career can leave us in a fog. As many of you have aptly pointed out, we are all different, and there are many ways to deal with stress, whether it's personal or professional. As John R. points out, there is no need to tell people to “suck it up” or anything else so insensitive. We all have breaking points or limits to our coping skills, and when some of us finally meet up with those points, we need to have a strategy to deal with things, which most EMS people and EMS agencies don’t have.

Mobile Category: 
Health and Safety



Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Health And Safety, Provider Wellness and Safety, Sandy Hook EMS response, History of EMS, ems scene safety, defusing, critical incident stress debriefing, CISD, Bernie Meehan Jr., active-shooter incidents, Jems Letters

 
What's Your Take? Comment Now ...

Featured Careers & Jobs in EMS





 

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

The Evolution of Civilian High Threat Medical Guidelines

How mass killing events have proven a need for new guidelines.
More >

Multimedia Thumb

Baltimore Man Rescued from Building Collapse

Rowhouse collapse traps a worker in the basement area.
Watch It >


Multimedia Thumb

A Night with Wisconsin’s Busiest Medic Unit

Ride along one night with the paramedics of MED 5.
Watch It >


Multimedia Thumb

Patient Dies in West Virginia Ambulance Rollover

Marion County Rescue Squad crew is injured in collision.
Watch It >


Multimedia Thumb

Rescue Volunteers in Syria

White Helmets group at work during fighting.
More >


Multimedia Thumb

Boulder Pins Colorado Hiker

Wilderness EMS team frees trapped hiker.
More >


Multimedia Thumb

North Dakota Oilfield Medics

Tactics used in offshore platforms tailored to the remote areas.
More >


Multimedia Thumb

The AmbuBus®, Bus Stretcher Conversion Kit - EMS Today 2013

AmbuBus®, Bus Stretcher all-hazards preparedness & response tool
Watch It >


Multimedia Thumb

Field Bridge Xpress ePCR on iPad, Android, Kindle Fire

Sneak peek of customizable run forms & more.
Watch It >


Multimedia Thumb

Braun Ambulances' EZ Door Forward

Helps to create a safer ambulance module.
Watch It >


More Product Videos >