What situation requires the emergency department manager to schedule and conduct a Critical Incident Stress Management (CISM)?

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The situation that necessitates the scheduling and conducting of Critical Incident Stress Management (CISM) is one involving intense emotional trauma experienced by healthcare professionals. In this context, caring for a two-year-old child who died from severe physical abuse is particularly harrowing for staff due to the profound psychological impact that such a case can exert. Children are often viewed as innocent and vulnerable, and witnessing the effects of violence against them can be exceptionally distressing.

CISM serves as a proactive measure to provide support and coping strategies to those affected by the emotional toll of traumatic events. It aims to help healthcare workers process their feelings, mitigate stress responses, and decrease the risk of long-term psychological issues such as PTSD. This support is critically important after witnessing severe trauma, particularly when a young life is lost under tragic circumstances.

Other scenarios, while still potentially stressful, do not carry the same weight of emotional trauma or complexity associated with child abuse, which is often compounded by societal and personal moral considerations. As a result, cases of a deceased middle-aged male or responding to a mass casualty incident without fatalities may require support but not necessarily CISM on the same level as the first scenario, and working extended hours, while exhausting, primarily relates to occupational burnout rather than acute

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