“
The sooner the event is defused or debriefed, the faster the reactions will ease or disappear. Denial prolongs the pain and can keep the event freshly in mind far longer than necessary. Once a situation has been identified as a critical incident, there are several options for managing the group’s response. During a critical incident, watch for acute stress symptoms. Someone allowed to continue functioning when suffering acute stress can cause additional, if inadvertent, rescue burdens to arise.
Soon after the event, within a few hours, a defusing is likely to help the group. Everyone is brought together and the event is discussed informally. This is not a critique of how the event was handled. A defusing is a time for examining how people are responding to the situation emotionally, physically, and cognitively. It is an acknowledgment that something unusual happened and that unusual responses may be occurring because of it. Defusing these intense reactions allows healing to begin.
As a WFR, you may be called upon to manage a defusing. It is generally best to form the group into a circle with no one hanging back “in the shadows.” Establish guidelines for the defusing. Encourage everyone to speak, but do not allow anyone to cast blame or dwell on things he or she thinks were done wrong. Let no one interrupt while another is speaking. Ask each person to relate (1) his or her role during the incident, (2) how he or she felt and now feels, and (3) what he or she thought and now thinks.
A formal critical-incident stress debriefing requires the assistance of a trained group. Many critical incident stress management (CISM) or critical incident stress debriefing (CISD) teams exist. You may wish to check for local availability even before leaving the trailhead.
A formal debriefing is conducted by a group composed of both peer counselors (in this case, the ideal would be wilderness oriented peers) and mental health workers who have been specially trained in CISM. Only those who were involved are invited. The process usually takes 2 to 4 hours.
The relief of a properly debriefed group is palpable. The ability for an untrained, or well intentioned but naïve, group to cause permanent damage to participants is also very real. Call in only an established, trained CISD group.
”
”
Buck Tilton (Wilderness First Responder: How to Recognize, Treat, and Prevent Emergencies in the Backcountry)