Paramedics' experiences and coping strategies when encountering critical incidents

Paramedics frequently encounter critical incidents (CIs). Their emotional, cognitive, and behavioral responses to these encounters present them with a variety of difficulties on the way to, during, and after events. The aim of our study was to examine how paramedics working in a large emergency service organization in Israel experienced CIs and the coping strategies they used to deal with these experiences. We interviewed 15 paramedics from this organization. Through data analysis, we revealed two main themes: (1) between connection and detachment and (2) between control and lack of control of the situation. Paramedics, who connected with their feelings regarding the patient and/or the family in different CIs, as well as those who sensed a lack of control, experienced difficult and negative emotions. To achieve detachment, they used a variety of coping strategies. Those who experienced cognitive and functional control of the situation reported a positive and empowering experience.