Now Ambulance Workers Fall Victim to Battlefield Stress - @

Now Ambulance Workers Fall Victim to Battlefield Stress

But crippling condition remains taboo among paramedic colleagues


Terri Judd | | Friday, November 7, 2008

UNITED KINGDOM -- During a 20-year career in which he was among the first to reach casualties in the 1996 Manchester IRA bombings, paramedic Jon Bradshaw routinely walked into scenes most people could not comprehend.

When colleagues discovered he had developed post-traumatic stress disorder (PTSD), they left a letter pinned to the station noticeboard addressed to Jonathan Bradshaw, Chief Ambulance Skiver, c/o The Padded Cell, Rampton Secure Mental Institution (sic). Inside they had inscribed a series of jokes. One read simply "Sick!! RIP".

Although PTSD is now taken seriously by the armed forces, the crippling condition remains taboo among many sectors of the ambulance service, so much so that researchers at King's College London, are about to begin a new research project into the illness.

The Healthcare Commission's annual staff survey found that 34 per cent of ambulance workers had suffered work-related stress last year.

An assessment of Oxfordshire Ambulance Service staff in 1999 estimated that 20 per cent of workers were suffering from PTSD, with cot death rated as the most traumatic event they had to deal with.

With the introduction of stricter response times this year, more ambulance workers are being sent out alone and have less opportunity to talk through traumatic events with colleagues.

"People in this profession are resilient but nobody is totally immune and extreme stress can get to anybody," said Professor Anke Ehlers, the clinical psychologist leading the study into different predictive factors which might help identify and minimise PTSD among ambulance workers. New staff will be interviewed at intervals.

The long-term aim is to develop a prevention programme where paramedics will be taught how to recognise the symptoms as part of their standard training.

Mr Bradshaw, 39, said that suffering from stress carried a stigma: "There is a culture that if you say you have PTSD, depression or anxiety, they think you are nutty. I know of several people who are suffering but they are all being treated abysmally."

For 21 years, the medic, who joined the Greater Manchester Ambulance Service as a 16-year-old cadet, prided himself on being a calm man who never lost his nerve or his temper - a worker with an outstanding service record and commendations.

He thought little of the sleepless nights. Each job brought a different level of sadness but scant time to dwell on it. Then one day he was driving when he began shaking uncontrollably, sobbing like a child, gripped in a panic attack.

Unaware that he was suffering from PTSD, he could not understand why the sight of an ambulance left him a shivering wreck.

The father of two young boys spent hours hidden away in the lavatories at work crying, trying to compose himself, fearful his sickness would jeopardise a patient.

Old, grisly cases came to Mr Bradshaw in nightmares and flashbacks. His station manager placed him on lighter duties but his colleagues found out and left the mocking note for him on the noticeboard.

Another serving ambulanceman, who did not want to give his name, said he endured bullying and barbed jokes after colleagues discovered that he had PTSD and knew of other colleagues who had suffered the same problems. "I think they just think that it is a joke, just thought I made it up," he said, adding he was "disgusted" by the lack of help offered to suffering ambulance workers.

His illness first came to a head almost three years ago when he was unable to save a baby who was suffering from meningitis. "It was not until I started therapy that I realised I had been carrying cases with me for 14, 15 years. I have had nightmares, flashbacks, crying," he said.

Sam Oestreicher, the secretary to Unison's National Ambulance Sector Committee, said that most trusts had policies and counselling services in place, but paramedics' work had doubled in the past 10 years, meaning crew had less time to seek informal help from colleagues. He added that new emergency call guidelines had increased pressure on an overstretched service, causing a rise in vehicles manned by a single paramedic, which could lead to staff feeling more isolated.

Dr Ben Green, a consultant psychiatrist advising the ambulance service, said that frontline emergency services were "markedly under-provided for" in terms of addressing "inevitable" cases of stress disorders among staff.

Dr Green added: "A delay of 18 months in providing therapy to a frontline emergency service worker, such as a policeman, fireman or ambulance driver is unacceptable. Earlier and more intensive treatment may have enabled such a well motivated person, such as Mr Bradshaw, to be rehabilitated into the service."

Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Legal and Ethical, Provider Wellness and Safety, Trauma

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

Innovation & Advancement

This is the seventh year of the EMS 10 Innovators in EMS program, jointly sponsored by Physio-Control and JEMS.
More >

Multimedia Thumb

Press Conference, East Village Explosion and Collapse

Fire is contained to four buildings; 12 people have been injured.
Watch It >

Multimedia Thumb

D.C. Mayor Adds Ambulances to Peak Demand Period

10 additional ambulances will be on the streets from 11 a.m. to 11 p.m.
Watch It >

Multimedia Thumb

Utah Commission Privatizes Ambulance Service

Mayors in Iron County loose management fight.
Watch It >

Multimedia Thumb

Ambulance Delay Raises Concerns over Response Times

Officers give up after waiting 20 minutes for an ambulance.
Watch It >

Multimedia Thumb

Patient Carry during Snowstorm

Firefighters, medics and officers lend a hand in Halifax.
More >

Multimedia Thumb

Terror Attack in Tunisia

19 people killed outside of a museum.
More >