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<p>Emergency medical personnel are frequently exposed to psychological stress and disorders caused by both prolonged cumulative exposure to adverse events in daily work and by isolated highly stressful emergency responses. Primary preventive measures aim to reduce these cumulative stressors and enhance resilience, ideally by addressing multiple levels (individual, team, organizational, and societal) to ensure a&#xa0;holistic approach. Evidence-based strategies and recommendations have already been identified at each of these levels. Secondary preventive approaches, indicated after highly stressful incidents, are often described as helpful, but sufficient evidence regarding their effectiveness in preventing subsequent psychological sequelae is lacking. In contrast, tertiary preventive or curative professional interventions aimed at preventing the chronicity of trauma-related disorders appear promising. Furthermore, cross-cutting, resilience-enhancing approaches (e.g., strengthening social support, group cohesion, appropriate psychoeducation, and stress monitoring and screening) are also recommended. Promoting resilience in the emergency medical services is not only ethically justified but also makes sense from legal and economic perspectives. Nevertheless, there remains an urgent need for research to further clarify the effectiveness and sustainability of these and other intervention strategies.</p>

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Resilienz in der Präklinik – Maßnahmen zur psychosozialen Stärkung des Rettungsdiensts

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年4月23日

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  • Philipp Jann,
  • Hannah Theiler,
  • Corinna Posingies,
  • Harald Karutz

摘要

Emergency medical personnel are frequently exposed to psychological stress and disorders caused by both prolonged cumulative exposure to adverse events in daily work and by isolated highly stressful emergency responses. Primary preventive measures aim to reduce these cumulative stressors and enhance resilience, ideally by addressing multiple levels (individual, team, organizational, and societal) to ensure a holistic approach. Evidence-based strategies and recommendations have already been identified at each of these levels. Secondary preventive approaches, indicated after highly stressful incidents, are often described as helpful, but sufficient evidence regarding their effectiveness in preventing subsequent psychological sequelae is lacking. In contrast, tertiary preventive or curative professional interventions aimed at preventing the chronicity of trauma-related disorders appear promising. Furthermore, cross-cutting, resilience-enhancing approaches (e.g., strengthening social support, group cohesion, appropriate psychoeducation, and stress monitoring and screening) are also recommended. Promoting resilience in the emergency medical services is not only ethically justified but also makes sense from legal and economic perspectives. Nevertheless, there remains an urgent need for research to further clarify the effectiveness and sustainability of these and other intervention strategies.