Welcome to the ILWG
Critical Incident Stress Management Office
Critical Incident Stress Management Coordinator
Critical Incident Stress Management
ICISF Trained Instuctor
Chaplain Lt. Col. Marcia Strahl
Contact Lt Col Healy to get information on
how to become a CISM team member.
Group Crisis Intervention Class
13-14 April 2013
Critical incidents may produce a wide range of stress symptoms, which may appear immediately at the scene, a few hours later or within days of the incident. Stress symptoms usually occur in four different categories: Cognitive (thinking), Physical (body), Emotional (feelings), and Behavioral (actions). The more symptoms experienced, the more powerful the stress reaction.
The longer the symptoms persist, the more potential there is for lasting harm.
The following is only a sample of stress symptoms that can show up after a critical incident.
Poor Concentration Memory Problems
Poor Attention Span Difficulty Making Decisions
Slowed Problem Solving Decisions
Guilt Grief Depression Anxiety/Fear
Loss of Emotional Control Feeling Lost
Muscle Tremors Chest Pain
Gastro-Intestinal Distress Hard Breathing
Headaches High Blood Pressure
Excessive Silence Sleep Disturbance
Unusual Behaviors Changes in Eating Habits
Withdrawal From Contact Work Habit Changes
Authority for Critical Incident Stress Management is authorized by CAPR 60-5. Personnel who meet specific training requirements may be considered for membership on CISM Teams.
When personnel experience significant stress, the following steps may help to reduce the stress until the CISM team is involved.
- Limit exposure to sights, sounds and odors.
- Provide an immediate rest break of at least 15 minutes.
- Have a friend stay with the distressed person.
- Provide fluids, non-alcoholic and non-caffeinated.
- Provide foods low in salt, sugar and fat.
- Allow the person to talk about the experience.
- Do not rush the person to return to work.
- Protect the person from bystanders and the media.
- Reassure the person that the stress experience is normal.
- Show appreciation for the person’s work.
- Do nothing to embarrass the person.