Abstract
SUMMARY Recent advances in research and understanding of the behavioral health impacts of an emergency medical service (EMS) career have necessitated reconceptualization of previous approaches to prevention, mitigation, and intervention. Approaches modeled on critical incident stress debriefing have fallen into disfavor due to a growing body of research indicating little if any efficacy for these techniques while suggesting the potential for paradoxical impacts on the recovery of some recipients. Current recommendations focus on supporting personal and organizational foundations that help to bolster resilience while ensuring that processes are in place to provide access to intervention utilizing evidence-informed best practices where indicated.
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