The rescuers

Among those involved in rescue operations after the terrorist attacks are firefighters, paramedics, military and police personnel, medical doctors and nurses and specialists in the use of rescue equipment. They have been helping immediate victims and picking up remains of those who died. Because of the way the buildings collapsed, many rescuers became immediate victims.

Although these workers have been trained to handle critical events, all can encounter horrendous situations that overwhelm their own defenses. This attack is a catastrophe so beyond ordinary human experience that almost anyone would suffer a traumatic response.

Rescuers sometimes feel stressed because they have been involved in an operation where something went wrong or they thought they should have been able to do more. That is, they thought they should have been able to save someone they were not able to save.

The dedication of the rescuers is intense. Many refuse to stop at the end of their work period. As bodies are uncovered of people who survived the initial destruction but died later, some rescuers will feel guilty because of a belief that they were responsible for the person’s death by not getting there in time.

The point is, there are events that leave even the professional helper with a traumatic reaction. As a result, it has become standard practice for the workers at disasters to receive critical incident stress debriefing after their tour of duty.

Critical incident stress debriefing is a procedure developed years ago by paramedic Jeff Mitchell to prevent rescuers from developing post-traumatic-stress disorders. After such disasters as the Hyatt Regency collapse in Kansas City, it was discovered that if rescue workers were not debriefed, a significant percentage of them quit their jobs after the event. As a result, the American Red Cross sends disaster mental-health professionals to do critical incident stress debriefing with all its workers after a disaster. Many police departments, including Columbia’s, require it for their personnel.

Relatives and friends

We have seen friends and relatives of victims interviewed repeatedly on television. Some of the most moving have been relatives who received calls from loved ones aboard the planes that were about to crash. These relatives have the same reactions anyone would after the sudden unexpected death of someone close to them. The outward expression of this loss varies with the individual, but it results in a life change for all of them.

Besides the sadness that comes with the process of grieving, in this kind of terrorist attack there is often a great deal of anger. This anger might be turned on authorities for their failure to prevent the disaster. If there is any indication facts and information are being held back, the anger will be increased.

Until a body is recovered, a common response is to have a strong feeling that the loved one might have miraculously survived. One reason for working so hard to recover all the bodies is that some people cannot get on with their lives until there is absolute proof their loved one is dead. That means the body must be found and identified.

Often, the best therapy is a discussion group with other victims to work through the grieving process. These survivors often receive some comfort if there are memorials to the dead, such as the one developed in Oklahoma City.



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