TY - JOUR
T1 - Lessons in post-disaster self-care from 9/11 paramedics and emergency medical technicians
AU - Smith, Erin
AU - Walker, Tony
AU - Burkle, Frederick M.
PY - 2019/6/1
Y1 - 2019/6/1
N2 - Objective: The objective of this study was to explore preferred self-care practices among paramedics and emergency medical technicians (EMTs) who responded to the September 11, 2001 terrorist attack (9/11) in New York City (New York USA).Design, Setting, and Participants: Qualitative research methodology with convenience and subsequent snowball sampling was utilized. Participants were adult (at least 18 years of age) paramedics or EMTs who self-reported as responding to the 9/11 terrorist attack in New York City.Main Outcome Measures: Preferred self-care practices; participant characteristics; indications and patterns of self-care use; perceived benefits and harms; and views on appropriate availability of support and self-care services were the main outcome measures.Results: The 9/11 paramedic and EMT participants reported a delay in recognizing the need for self-care. Preferred physical self-care practices included exercise, good nutrition, getting enough sleep, and sticking to routine. Preferred psychosocial self-care practices included spending time with family and friends, participating in peer-support programs and online support forums, and routinely seeing a mental health professional. Self-care was important for younger paramedics and EMTs who reported having less-developed supportive infrastructure around them, as well as for retiring paramedics and EMTs who often felt left behind by a system they had dedicated their lives to. Access to cooking classes and subsidized gym memberships were viewed as favorable, as was the ability to include family members in self-care practices.Conclusion(s): A range of physical and psychosocial self-care practices should be encouraged among paramedic students and implemented by Australian ambulance services to ensure the health and well-being of paramedics throughout their career and into retirement.
AB - Objective: The objective of this study was to explore preferred self-care practices among paramedics and emergency medical technicians (EMTs) who responded to the September 11, 2001 terrorist attack (9/11) in New York City (New York USA).Design, Setting, and Participants: Qualitative research methodology with convenience and subsequent snowball sampling was utilized. Participants were adult (at least 18 years of age) paramedics or EMTs who self-reported as responding to the 9/11 terrorist attack in New York City.Main Outcome Measures: Preferred self-care practices; participant characteristics; indications and patterns of self-care use; perceived benefits and harms; and views on appropriate availability of support and self-care services were the main outcome measures.Results: The 9/11 paramedic and EMT participants reported a delay in recognizing the need for self-care. Preferred physical self-care practices included exercise, good nutrition, getting enough sleep, and sticking to routine. Preferred psychosocial self-care practices included spending time with family and friends, participating in peer-support programs and online support forums, and routinely seeing a mental health professional. Self-care was important for younger paramedics and EMTs who reported having less-developed supportive infrastructure around them, as well as for retiring paramedics and EMTs who often felt left behind by a system they had dedicated their lives to. Access to cooking classes and subsidized gym memberships were viewed as favorable, as was the ability to include family members in self-care practices.Conclusion(s): A range of physical and psychosocial self-care practices should be encouraged among paramedic students and implemented by Australian ambulance services to ensure the health and well-being of paramedics throughout their career and into retirement.
KW - 9/11
KW - emergency medical technician
KW - EMT
KW - paramedic
KW - self-care
UR - http://www.scopus.com/inward/record.url?scp=85067378584&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85067378584&partnerID=8YFLogxK
U2 - 10.1017/S1049023X19004382
DO - 10.1017/S1049023X19004382
M3 - Article
C2 - 31204643
AN - SCOPUS:85067378584
SN - 1049-023X
VL - 34
SP - 335
EP - 339
JO - Prehospital and disaster medicine
JF - Prehospital and disaster medicine
IS - 3
ER -