Reactions in the Aftermath of a Critical Incident A critical incident is any event that causes unusually strong reactions in the responding personnel or survivors. These reactions/responses can occur immediately or in a delayed fashion. Immediate 0 to 24 hours Long Term 2 weeks to 6 months Anniversary Reaction 6 months to 3 or more years Disorientation ●Tunnel Vision Hysterical● Caregivers Delayed Response● " ●Sensory Distortion Helpless● ●Rapid Heartbeat Fearful● Alienation● ●Inability to Function Tired● Memory Triggers● ●Lowered Short-term Memory Dizzy● Flashbacks● Angry● Anxiety Response 3-4 Days Before Anniversary● ●Shakiness Sensory, Memory, & Time Triggers Hostile● ●Nausea ●Loss of Appetite ●Excitable ●Forgetfulness Suicidal Thoughts● ●Agitated The Centre for Living with Dying A program of the Bill WilsonCenter (408) 243-0222 Bay Area CISM Team Critical Incident Stress Management ●Exhaustion Change in Sexual Desire● ●Clammy ●Nightmares Relationship Difficulties● ●Shock/ Numb ●Shock ●Flashbacks Inability to Work● ●Startle Response Substance Abuse● ●Depression Loneliness● ●Guilt Isolation● These symptoms, feelings, reactions or events may occur at any time: Victim Physical & Emotional Pain Phantoms Out of Control Paralysis Repeating Memories Stuck Dread Surprise Withdrawal Vulnerability Crazy