EMS personnel sometimes find themselves in dangerous situations. Sometimes the EMS provider sees things that may have a emotional or psychological effect at a later time. EMS personnel are often confronted with critically ill or injured patients as well as the dead and dying. Sometimes the EMS crew opens the door of a house and is confronted by overpowering sights, sounds, or smells. Multiple patient situations present the possibility that the EMS crew may not only have to manage more than one patient, but also other EMS crews who have arrived to help. Angry or upset bystanders, family, or patients can be a source of stress for the EMS crew.

During stressful encounters, it is helpful to keep a clear head. The EMS priority is firstly administer appropriate medical care. Cooperate with other responders such as fire or police. The public expects the EMS provider to be calm, supportive, and nonjudgmental. Patients should be allowed to express their feelings (unless it’s harmful to themselves or others).

Learn to Recognize The Warning Signs of Personal Stress

1. Difficulty sleeping and nightmares
2. Irritability with coworkers, family, and friends
3. Feelings of sadness, anxiety, or guilt
4. Indecisiveness
5. Loss of appetite
6. Loss of interest in sexual activity
7. Isolation
8. Loss of interest in work
9. Physical symptoms
10. Feelings of hopelessness
11. Alcohol or drug misuse or abuse
12. Inability to concentrate

Managing personal stress is easier said than done. If possible, talk about your feelings to somebody who can understand (like another EMS crew member). Some EMS companies offer professional counseling. Sometimes a lifestyle change (limiting caffeine, nicotine, and alcohol; dietary change; exercise) can reduce stress.