Coping Strategies -- Exposure to Death or Injury

Stressor

Coping Strategy

Before Incident  
Uncertainty about future mission Training
Pre-incident education
Before Exposure  
Lack of information regarding tasks and roles Practice drills
Briefings
Anticipating one's reaction to bodies, injuries Inbriefing
Gradual exposure
During Exposure  
Sensory overload Avoidance or attenuation of strong stimuli -- Don't look!
Natural appearance of bodies or injuries Dis-identification and use of your role
Fatigue and overdedication Work breaks, food, sleep, supervision
Intense personal feelings Pairing with experienced personnel
Supervision support
Appropriate humor
Talking (peer support, mental health professional, on-scene support services, defusing)
After Exposure  
Need for information Debriefing (decompressing, defusing)
Education
Intense feelings Debriefing
Family and organizational support
Awards
Consultation and follow-up
Referral
Adapted from R.J. Ursano and J.E. McCarroll (1994)

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