In EMS there are a few tools we use as coping mechanisms. CISM(Critical Incident Stress Management) is the most common, despite many organizations not having active CISM systems. While I find CISM to be useful, it is rarely deployed for run of the mill EMS calls. Death and Dying is our business, and if we had a CISM meeting(which includes everyone from first responders to ED doctors and Medical Directors) for every death in the field, we would spend more time in meetings that in our trucks.

This leads many of us to find our own personal stress management tools and techniques. Some people vent to coworkers, some people blog… Some people pray, or drink, or work out, or smoke. Me…. I drive home.
Every morning when my shift gets over at 0700 I hope for a partly cloudy sky. This winter has been good to me. With crisp, cool winds, light cloud cover and beautiful sunrises, I have done more call reviews on my drive home, alone with Country Music in the background than any CISM meeting or Jack and Coke could provide me.
I use the 9 mile long, 15 minute drive to go over the night before. By the time I am home, I always feel better than I started. The roads are clear in my direction, everyone headed into the city for work while I head out on my way home. I drive a hilly road straight into the sun and every morning is a great reminder that the cycle keeps going.
People live. People die. In between we can only keep on trying. Finding a tool to review, learn from, and sometimes forget bad shifts is one of the most important things I have done in my short bid in EMS. Without my drive home to a different kind of chaos, I really don’t know what I would do.
Fortunately I don’t have to.
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