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Safety Assessment Program Evaluator Student Manual

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CA Emergency Mgmt. Agency <strong>Safety</strong> <strong>Assessment</strong> <strong>Program</strong> <strong>Evaluator</strong> <strong>Manual</strong> April 2011Injuries and death – working with and dealing with a large number of injured or dead is aconstant reminder of the horrific incident. This can lead to feelings of futility, survivor‟sguilt, and frustration.Lack of sleep or food – this is probably the most common cause of CISD. The mind andbody are starved as dedicated staff work single-mindedly on the disaster, forgoing properfood and rest. At the end of the shift, disaster workers are still keyed up, and it is difficultto sleep.Separation from family and setting aside one‟s own needs – this is probably moreprevalent among local government emergency workers, or those who are directlyinvolved in care and shelter. However, separation from one‟s family could affect anevaluator if one is worried about issues at home, especially if home life was affected bythe same disaster the SAP evaluator is responding to.7.2.1 SymptomsCISD will manifest itself by any one or more of the following symptoms:Inability to make decisions – One‟s mind is blank, and the „deer in the headlights‟syndrome is in evidence, despite how many people are waiting for a decision.Slowness of thought and confusion – One doesn‟t have a clue as to what the informationor data coming in means, and doesn‟t know what to do with the information.Inability to express one‟s self – frustration arises as evaluators try to speak, but can‟t saywhat they mean.Depression, irritability, and anxiety – these can result in feelings of futility, such as „whyam I doing this?‟ or „what difference does this make, anyway?‟Exhaustion, loss of energy – The stress generated by working the disaster can take its tollphysically as well as mentally. Persons can feel physically ill, with no energy to doanything. It becomes an effort to continue with one‟s duties. There is no desire to eat;the thought of eating food becomes almost too much to contemplate. In many cases,sleep eludes persons, who continue worrying about the operation despite beingexhausted.7.2.2 Stress Relieving MeasuresThere are several simple steps that can be taken to be protected from suffering the effects ofCISD, as follows:Take frequent breaks – pace oneself so as to be working at a constant level.Eat good meals at regular times – stay away from junk food and eat well, the mind andbody need it! Schedule time for several good meals a day.Drink plenty of fluids and keep hydrated. Consider carrying a canteen or water jug.Avoid alcoholic beverages during the deployment, as they dehydrate the body andinterfere with deep sleep.Freely talk about the experiences encountered. After work, join with fellow SAPevaluators and freely discuss the things seen and heard that day, along with how it madeone feel. In turn, be a good listener.Get plenty of sleep, do not stay up all night talking. Set a time for sleep and keep to it.218

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