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Call (606) 864-2922

Or email david.king@londonky.gov

[/vc_column_text][vc_empty_space][vc_column_text]The London Fire Department’s Critical Incident Stress Management Team was developed to address acute stress situations and potentially decrease the likelihood that PTSD will develop after such an incident.

Our position in the stress management process is to confront stress responses, diffuse them, and direct our local first responders and their families toward an emotional equilibrium by providing a support system. Our support system is tailed or to the individual(s) under stress. It can don formally through a debriefing for those present at the time of the event or can occur as part of stress management during an ongoing scene. Examples of On-Scene CISM include:

CISM Process:

If CISM is ineffective for an individual or is not an option for an individual, a referral to a mental health professional may be made for private counseling, Joint agency training will be encouraged and facilitated to help with scene management. The Team will facilitate and help coordinate continued education for first responders surrounding stress management during and after events.

Physiological Responses:

Eustress and Distress have the same physiological manifestations. These include:

Situations that are considered stressful for first responders include:

Physical symptoms of cumulative stress:

Psychological symptoms of cumulative stress:

Cumulative stress has been proven to contribute strongly to heart disease, hypertension, cancer, alcoholism, substance abuse, and depression. Cumulative stress can also be a result of an accumulation of seemingly insignificant stressors.

Some events can be usually stressful, even by Emergency Standards, these are typically sudden and severe. Some examples of such incidents are:

Warning signs of stress:

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Safe Call Now: (206) 459-3020 or 1-877-230-6060
A confidential, comprehensive, 24-hour crisis referral service is for all public safety employees, all emergency services personnel and their family members nationwide.


National Volunteer Fire Council (NVFC)
Fire/EMS Helpline: 1-888-731-FIRE (3473)
A confidential and 24-hour, the Fire/EMS Helpline was created for first responders by members of the fire service. This program is specifically designed to meet the unique needs of firefighters, EMTs, rescue personnel and their families.


Copline: 1-800-267-5463
A confidential, 24-hour law enforcement officer hotline manned by retired law enforcement officers trained in active listening.