Wednesday, 7 August 2013

EMT burnout, how to deal


Long hours, high stress and constant exposure to human tragedy are pretty normal happenings in the EMS world.

In fact, most EMS providers experience “burnout” (complete physical and emotional exhaustion) at one time or another.

However that doesn’t mean it’s healthy. And you definitely shouldn’t have to suffer from it.

Instead, be mindful that burnout manifests when stress and frustration are prolonged for months on end.

Burnout symptoms: emotional detachment, all-the-time fatigue, loss of motivation and feelings of hopelessness.

Not quite there yet but on the verge? Signs: You’re cynical and moody. You’re losing weight or over-eating. You can’t concentrate. You can’t sleep. You get sick a lot. You’ve always got too much to do.

EMT’s are vulnerable to burnout because of these factors:

Loud calls to action. Emergency alarms elicit physical responses from the body like jolting or jumping. In turn, these alerts raise adrenaline, heart rate and blood pressure for hours at a time. 

High uncertainty. When an EMT goes to work, it’s always a surprise. From fatal car crashes to burning buildings – rarely is there enough mental prep time beforehand.

Everyday exposure to tragedy. While most offices are emergency free – EMT’s are exposed to crisis on a weekly if not daily basis.

High interpersonal tension. Tensions between people often skyrocket in distress situations. Actions and words that wouldn’t matter in regular settings become crucial in an emergency.

Fear factor. Whether you’re an innocent bystander or EMS – life-threatening situations are scary to deal with. The need to perform while staying calm and professional can be a lot of pressure.  

So how can EMT’s dodge burnout?

Workout. Doesn’t matter if you’re biking, running or cartwheeling – any type of exercise prompts feel-good endorphins. Regular workouts help balance your stress levels.

Prioritize. What’s really important to you – are you working to live or living to work? Make a list of what’s significant and decide how to manage your schedule from there.

Reduce hours.  Long hours depleting your energy? Scale back. It’s better to perform at your best than to miss something because of fatigue.

Stress surveys. To recognize early signs of burnout, departments have confidential and voluntary questionnaires. Such surveys help evaluate what superiors can help with.

Ask for help. Don’t be afraid to tell someone if you’re feeling burnt out. Many workplaces have employee assistance programs for this reason. Use them whenever you need to.

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