Im fine and neither are you12/21/2023 ![]() It can depend on the nature of the call as well as if the patient or victim is someone you know. One of the questions that I am often asked is: “When do you need to do a debriefing or defusing?” That can be a difficult question to answer, and the best I can say is that you need to know your folks. The International Crisis Incident Stress Foundation (ICISF) provides the basis for much of the training available to the fire service. Over the last 12 or so years, I have had the support of the chief to attend multiple training classes that have to do with critical incident stress management (CISM). As someone who has spent many years on the engine, I am fortunate to have the credibility of my fellow firefighters and I have been welcomed with open arms. I have served my department for the last 32 years and as I have gotten older and slower, I transitioned into the role of chaplain and peer support. Many departments have chaplains and peer support available to their members. Often, just sharing with your crew or someone that you trust can be beneficial to dealing with the stress of the traumatic event. Because firefighters are for the most part “type A” personalities, it can be difficult to admit that you may need help. There are many influences that may lead to it becoming a dis-order or an injury. It is my opinion that firefighters all suffer from some form of post-traumatic stress. Recollections from the most difficult calls may come back in the form of nightmares or sleepless nights or can manifest in a more serious condition known as post-traumatic stress disorder (PTSD). The Impact of Mental Health Stigma in the Fire Service.Behind You All the Way: The Work of a Fire Chaplain.We can push it aside and ignore it for a while, but it can sometimes come back to haunt us when we least expect it. After we have treated the last patient and loaded them into the ambulance, or the coroner’s van, we head back to the firehouse and get ready for the next call. As the fire service, it’s not necessarily our job to try to figure out why this is happening, but it is our job to mitigate the aftermath and to deal with the results of the carnage. It has now become routine to experience mass shootings in schools, the workplace, shopping malls, even in houses of worship. ![]() What seems like a smart idea quickly spirals out of control, revealing new rifts and even deeper secrets.And he was right. So she and Sanjay agree to a radical proposal: both will write a list of changes they want each other to make-then commit to complete and total honesty. ![]() Reeling, Penelope vows to stop keeping the peace and finally deal with the issues in her relationship. Then a shocking tragedy reveals that Jenny’s life is far from perfect. As close as the two women are, Jenny’s passionate marriage, pristine house, and ultra-polite child stand in stark contrast to Penelope’s underemployed husband, Sanjay, their unruly brood, and the daily grind she calls a career. Meanwhile, her best friend, Jenny Sweet, appears to be sailing through life. Penelope Ruiz-Kar is doing it all-and barely keeping it together. Honesty is the best policy…except maybe when it comes to marriage in this brilliant novel about the high price of perfection from bestselling author Camille Pagán. A Washington Post and Amazon Charts bestseller.
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