In the Line of Fire: Trauma in the Emergency Services
In the Line of Fire: Trauma in the Emergency Services
Associate Professor of Social Work and Director of the Center for Applied Social Research
Clinical Coordinator of the Critical Incident Stress Management Team
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Abstract
In the wake of disaster, emergency service workers including police officers, firefighters, and paramedics are first on the scene and last to leave. Their heroic actions save lives, provide comfort to and care for the wounded, and inspire onlookers, but at what cost to themselves? We now know that rescue workers who are exposed to mutilated bodies, mass destruction, multiple casualties, and life threatening situations may become the hidden victims of disaster. The sequelea in terms of traumatic stress symptoms and depressive symptoms has the potential to be highly disruptive and long-standing for both the individual worker and their families, and the organizations in which they work. Additionally, emergency workers are exposed to events involving human pain and suffering on a daily basis. While for the most part emergency workers are equipped to deal with these events, on occasion one particular event will have a lasting impact. This book is based on the authors’ combined experience of over forty years of clinical work in emergency departments and with emergency service organizations. It provides an overview of the issue of trauma in the emergency services.
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Front Matter
- 1 SETTING THE STAGE
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2
ALL IN A DAY’S WORK: Traumatic Events in the Line of Duty
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3
BUILDING A FRAMEWORK: Health, Stress, Crisis, and Trauma
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4
DISASTROUS EVENTS: Mass Emergencies and the Emergency Responder
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5
THE RIGHT STUFF: Trauma and Coping
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6
HELP OR HINDRANCE? Stress and the Emergency Service Organization
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7
HEROES OR VILLAINS? Public Inquiries
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8
ARE YOU COMING HOME TONIGHT? The Impact of Emergency Service Work on Families
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9
THE CONTINUUM OF INTERVENTIONS I: Doing the Right Job at the Right Time
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10
THE CONTINUUM OF INTERVENTIONS II: Interventions for Extreme Stress
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11
LAYING THE FOUNDATION: Developing Trauma Response Teams
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12
KEEPING IT GOING: Team Maintenance
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13
DOES IT WORK? Evaluating the Efficacy of Interventions
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End Matter
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