What it does and what it does not

  • Slides: 40
Download presentation
What it does and what it does not Cpt. Dr. Gerhard Fahnenbruck SETP/ SFTE

What it does and what it does not Cpt. Dr. Gerhard Fahnenbruck SETP/ SFTE 4 th European Flight Test Safety Workshop RAe. S, London, September 28 th-29 th, 2010

A Critical Incident • An aircraft accident • An incident resulting in injury or

A Critical Incident • An aircraft accident • An incident resulting in injury or death • An incident resulting in damage to an aircraft • Passenger evacuation • Participation in an accident investigation • Death of a crew member • Witness to an accident

Critical Incident A critical incident • • • is felt to be life threatening

Critical Incident A critical incident • • • is felt to be life threatening for a person him- or herself or a person near by is far beyond normal human daily experience happens all of a sudden and without warning

The Purpose • It is a peer-to-peer program designed to mitigate the impact of

The Purpose • It is a peer-to-peer program designed to mitigate the impact of an accident or incident before stress reactions damage job performance, careers, family and health.

Critical Incident Stress light burden

Critical Incident Stress light burden

Critical Incident Stress heavy burden without assistance ?

Critical Incident Stress heavy burden without assistance ?

Critical Incident Stress Heavy burden with assistance

Critical Incident Stress Heavy burden with assistance

Critical Incident Stress (physical) sleeplessness headache +? muscle aches

Critical Incident Stress (physical) sleeplessness headache +? muscle aches

Critical Incident Stress (affective) fear guilt +? helplessness

Critical Incident Stress (affective) fear guilt +? helplessness

Critical Incident Stress (cognitvie) mistrust +? confusion difficulty to concentrate

Critical Incident Stress (cognitvie) mistrust +? confusion difficulty to concentrate

Critical Incident Stress (behavioral) withdrawal +? strong emotions Changes in speech, family life, social

Critical Incident Stress (behavioral) withdrawal +? strong emotions Changes in speech, family life, social relationships

Critical Incident Stress normal reactions of normal people to an abnormal event

Critical Incident Stress normal reactions of normal people to an abnormal event

International Critical Incident Stress Foundation • • First responders Firemen Police officers Emergency room

International Critical Incident Stress Foundation • • First responders Firemen Police officers Emergency room health professionals

CISM • • pre-incident education operational debriefing defusing debriefing demobilization follow-up and family support

CISM • • pre-incident education operational debriefing defusing debriefing demobilization follow-up and family support referral if necessary consulting, no therapy

Fed. Ex 80 – Narita, Japan • Fed. Ex did a great job with

Fed. Ex 80 – Narita, Japan • Fed. Ex did a great job with a first class CIRP Team • Anything can happen … volcano Mt. Redoubt erupted in Alaska

Continental 1404 • CIRP is needed regardless of fatalities or serious injuries • Continental

Continental 1404 • CIRP is needed regardless of fatalities or serious injuries • Continental now has an impressive CIRP Team

Mumbai Terrorist Attacks • The CIRP global network … great coordination with Lufthansa CIRP,

Mumbai Terrorist Attacks • The CIRP global network … great coordination with Lufthansa CIRP, the Mayday Foundation, KLM CIRP, and US ALPA CIRP

Response plan critical incident Call Center +49 (700) CISMTEAM +49 (700) 7700 7703 CISM-coordinator

Response plan critical incident Call Center +49 (700) CISMTEAM +49 (700) 7700 7703 CISM-coordinator within 6 hours “protected area“ CISM-Team crew involved

Maslow‘s Hierarchy

Maslow‘s Hierarchy

Support after critical incidents • Fulfill basic needs (water, food, rest) • Make sure

Support after critical incidents • Fulfill basic needs (water, food, rest) • Make sure victims are in a safe environment • Information, Information • Support structuring the next moment, hour, day • Any special need • ….

Defusing vs. Debriefing cognitive Introduction Information Re-entry Exploration Fact Teaching Thought Symptom Reaction affective

Defusing vs. Debriefing cognitive Introduction Information Re-entry Exploration Fact Teaching Thought Symptom Reaction affective

Non normal long term reactions • substance abbuse • depresseion • PTSD

Non normal long term reactions • substance abbuse • depresseion • PTSD

CISM • • pre-incident education operational debriefing defusing debriefing demobilization follow-up and family support

CISM • • pre-incident education operational debriefing defusing debriefing demobilization follow-up and family support referral if necessary consulting, no therapy

CISM Team Peers: CISM trained colleagues • Same profession • No management

CISM Team Peers: CISM trained colleagues • Same profession • No management

Critical Incidents • 2002: I 49 I • 2006: 137 I • 2008: I

Critical Incidents • 2002: I 49 I • 2006: 137 I • 2008: I 167 (3. 500+ Pilots) I (26. 000+ Crew Member) I (30. 000+ Crew Member)

Statistics 2009 • 160 Events • 490 CISM Measures – 460 Individual Interventions –

Statistics 2009 • 160 Events • 490 CISM Measures – 460 Individual Interventions – 19 Group Interventions – 750 Follow-up Measures • 300 CISM Team Member

Research There has never been a study that indicates, that harm has been done

Research There has never been a study that indicates, that harm has been done by any CISM service, if the following two conditions were present : § personnel properly trained in CISM § providers adhered to worldwide accepted standards of CISM practice

Comparison without and with CISM San Diego 1978 125 0 16 15 300 >10.

Comparison without and with CISM San Diego 1978 125 0 16 15 300 >10. 000 ( Mitchell ) El Cerritos 1986 fatalities on board - - - 82 survivors - - - - 0 houses destroyed - - - - 16 fatalities on ground - - - 15 rescue workers - - - - 300 body parts recovered - >10. 000

Comparison without and with CISM San Diego 1978 1986 sporadic 12 interventions El Cerritos

Comparison without and with CISM San Diego 1978 1986 sporadic 12 interventions El Cerritos CISM dismissal (one year later) 5 0 7 0 17 1 29 1 police fire crew paramedics TOTAL

CISM is still a “family affair”

CISM is still a “family affair”

Family • Ike, Joao, Thomas, Uminchu, Bernhard, Isabel, Sheila, Mohamed, Fritz, Sharon, Eileen, Ray,

Family • Ike, Joao, Thomas, Uminchu, Bernhard, Isabel, Sheila, Mohamed, Fritz, Sharon, Eileen, Ray, Hiroshi, Pete, Doris, Val, Akira, Hans, Marco, Jeffrey, Teresa, Lynnette, Robert, John, Steve, Michael, Mimi, Stafka, Diana, Craig, Gerhard, Tsutomu, Kerstin, Rüdeger, Deborah, Todd, Lucy, Rodya, Rena, Linda, Andreas, Valerie, Erwin, Mike, Titus, Wessel, Ronald, Bill, Renee, Peter, Lauriel, Jim, Jutta, Joerg, Alice, Tony, Lauri, Murray, Liana, Mark, John, Ken, Tracy, Valerie, Angelique, Louise, Paolo, Jeff, Gabriele, Debby, Randy, Alexander, Keith, Ken, Tom, Neil, Chris, Eric, Christopher, Karl, Haruo, Guy, Heather, Mark, Kunihiko, Titus, Ronald, Angela, Wessell, Markus, Heinz, Dan, Dean, Andora, Don, Adam, Petra, Kandy, Wolfgang, Anja, Jerry, Johann, George, Don, Dave, Margie, Birgit, Bob, Ghislaine, Zhen, Nicole, Karin, Nielle, Daniel, Hanne, Mirjam, Birte, Joerg, Marion, Benjamin, Andreij, Burkhard, Michelle, Bruno, Ines, Dolores, Larry, Greg, Dana, Stefan, Kenan, Mike, Gabi, Susan, Zoni, Cristina, Becky, Kevin, Charlie, Jeffrey, Tim, Hilde, Quay, Suzanne, David, Richard, Shelley, Katie, Ina, Pierre, Martina, Rick, Mark, Christina, Michelle,

Family (continued) • Heiko, Hilde, Marcel, Colleta, Jessica, Johanna, Rolf, Astrid, Reinhard, Monissa, Otto,

Family (continued) • Heiko, Hilde, Marcel, Colleta, Jessica, Johanna, Rolf, Astrid, Reinhard, Monissa, Otto, Boris, Annette, Ellen, Andre, Thilo, Jeanette, Francoise, Gerald, Guenther, Victor, Nicole, Adelheid, Harald, Conny, Esmeralda, Gert, Jutta, Olaf, Ulrike, Angelika, Joseph, Leon, Waltraud, Sylvia, Paul, Claudia, Andigoni, Malinda, Ann, Nikolaus, Cordula, Madeleine, Aasa, Walter, Arik, Yasmin, Evi, Nina, Manfred, Mendy, Reiner, Fabiana, Elke, Cornelia, Uwe, Juergen, Stephanie, Claus, Cevina, Kenneth, Axel, Michael, Viktoria, Carsten, Nikolaus, Soeren, Franz, Xaver, Anastasia, Dietmar, Manon, Jean, Bjoern, Pana, Anja, Solveig, Jo, Ralf, Adrian, Jeanine, Hatice, Florian, Sabine, Ulli, Kuno, Giovanni, Silvia, Verena, Lorenzo, Gisela, Vasilios, Ulf, Caron, Detlef, Manfred, Dieter, Leo, Iris, Raimund, Helmut, Harry, Matthias, Dagmar, Cord, Beate, Philip, Lars, Fanny, Lutz, Juergen, Katharina, Sebastian, Sonia, Karolina, Heiner, Johannes, Christel, Jens, Winfried, Anke, Henning, Thom, Graig, Ermelinde, Veronika, Sandra, Jennifer, Katharina, Sasskia, Alfred, Elisabeth, Joerg, Andy, Ollie, Roddy, Donald, Patrik, Joachim, Bernd, Leander, Oliver, Kate, . . .

To-Do-List Structure the Family Look for Globally Working Organisations: ICISF, UNDSS, ALPA, etc. Cooperate

To-Do-List Structure the Family Look for Globally Working Organisations: ICISF, UNDSS, ALPA, etc. Cooperate

Stiftung Mayday Frankfurter Straße 124 63263 Neu-Isenburg Germany Tel: +49 -(0)700 -77007701 Fax: +49

Stiftung Mayday Frankfurter Straße 124 63263 Neu-Isenburg Germany Tel: +49 -(0)700 -77007701 Fax: +49 -(0)700 -77007702 CISMTeam: +49 -(0)700 -77007703 +49 -(0)700 -CISMTEAM Email: Internet: info@Stiftung-Mayday. de www. Stiftung-Mayday. de

Thank you for your attention! Don‘t hesitate to contact: Dr. Gerhard Fahnenbruck Bommersheimer Weg

Thank you for your attention! Don‘t hesitate to contact: Dr. Gerhard Fahnenbruck Bommersheimer Weg 31 D-61348 Bad Hombug +49 (151) 240 36 059 Gerhard. Fahnenbruck@human-factor. biz www. human-factor. biz