I have been on 1 call in my brief two years field rotation in 911, and the only call I went on, they kinda had CISD in that we all just hung out afterwards, joked, kidded and we ate Chinese. I don't believe in CISD, I really don't get PTSD as an illness in these situations. We know what we are going to see, its more the fact that we don't get upset that makes our bosses wig out.
The one member of my crew who lost it, did not belong in EMS. Crying and carrying on. Had it been a child, (it wasn't) or something maybe tears were inorder, but honestly it was a call to learn from, joke about and figure out how we could do things differently.
I think what OUTSIDE people fail to realize, is the reason we are in EMS. Is that those types of things DON'T bother us. Our bigger issue is lack of support from our bosses. Lack of them undersatnding we have personal responsibilities, and them laying on guilt trips about how they have been in it 18 years and deserve weekends off more then anyone else. WE ALL need time off, we all need time away. 18 years or 18 months.
I am glad that I have awsome friends in EMS who keep me on my toes, run scenarios, and let me vent about frustrations with the higher ups!!
I think we just need to remind our bosses why we got into the field and why they sit at a desk. Someday I will be in the field 18 years and then I will look into becomming an instructor, for now I will see you at scene or in the ER!!! And I hope to never go through a CISD!