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Coping with Disasters

Tragedies, deaths, serious injuries, hostage situations, war, natural disasters, etc - these events are known as "Critical Incidents." Sometimes an event is so traumatic or overwhelming that people experience significant stress reactions. This process is specifically designed to prevent or mitigate the development of post-traumatic stress.

It is important to remember that when people are in a state of shock and denial they feel overwhelmed and confused.  They are not ready to psychologically “process” their experiences.  What they need is verifiable information and some simple, clear suggestions to guide them through the turmoil.  They also need reassurance that everything that can be done on behalf of the victims is being done. 

Signs & Symptoms of Critical Incident Stress 

Physical* Cognitive Emotional Behavioral
Chills Confusion Fear Withdrawal
Fatigue Uncertainty Grief Inability to rest
Nausea Hypervigilance Panic Intensified pacing
Fainting Suspiciousness Denial Erratic movements
Twitches Intrusive images Anxiety Change in social activities
Vomiting Blaming someone Agitation Change in speech patterns
Dizziness Poor problem solving Irritability Loss or increase in appetite
Weakness Poor abstract thinking Depression Hyper-alert to environment
Chest pain Poor attention Intense anger Change in usual communications
Headaches Poor concentration Apprehension Nonspecific body complaints, aches and pains
Thirst Nightmares Guilt Antisocial acts
Elevated BP Difficulty identifying objects or people  Emotional shock
Rapid heart rate Heightened or lowered alertness Emotional outbursts
Muscle tremors Difficulty making decisions Feeling overwhelmed
Grinding of teeth Disorientation of time, place or person Loss of emotional control
Shock symptoms Memory problems Inappropriate emotional response
Visual difficulties Increased or decreased awareness of surroundings
Difficulty breathing
Profuse sweating

* Any of these symptoms may indicate the need for medical evaluation. When in doubt, contact a physician.