Why is it that most people working in high pressure roles cope well most of the time? Is it because you’re stronger or braver than the average person? Perhaps. Is it because you’re cynical and burned out? Not necessarily. Is it because you’re hard hearted? Unlikely.
It’s because you’re wearing protective armour, some visible and some not.
We all recognise the kit that keeps us physically safe but we’re going to think about the things that protect you psychologically as you encounter hazardous experiences.
It’s important you have the correct armour for your role and that you understand how it works. With this knowledge you'll be able to make sure you and your colleagues are wearing it correctly and recognise when it might get breached.
You have chosen to work or volunteer for an emergency responding organisation that helps people in their time of need. The pride you feel in your role is an important part of your protective armour. The uniforms and badges you wear, the vehicles you drive are all ways of reinforcing a shared identity and purpose.
Whatever your role, you will have a job to do and procedures to follow. This means you have an active and positive role in the face of trauma exposure which will protect you.
This is especially important for those of you at the “frontline” where there is exposure to potentially traumatic events. You might be in physical danger yourself, helping others who are at risk or suffering, or dealing with the aftermath of trauma and adversity but you won’t be a passive or helpless observer.
Your identity as a responder, your training and even your uniform allow you have a professional rather than a personal response to the situation you face.
You have a job to do and your focus is on doing it to the best of your ability. Whether you’re dealing with a casualty, giving instructions to someone over the phone or recovering a body, your focus is on the task at hand rather than on people’s experiences and suffering.
Being able to distance yourself doesn’t mean you’re hard hearted and often the emotional impact will come later when you reflect on what happened. Instead, the ability to focus on the job you must do is an important part of your Protective Armour. You’re using your brain more than your heart.
When you join an emergency responding organisation you know that you will have a role to play in keeping your fellow citizens safe. It’s not a surprise to find yourself at the scene of an accident, crime or health emergency. You have a good idea what to expect and this sense of readiness is protective.
Readiness allows you to prepare physically, psychologically, and emotionally and helps you can focus on what you need to do. It doesn't prevent you being affected (see When it might be breached) but it helps.
See also preparation and training below.
When you encounter stressful and hazardous situations your instinctive survival responses kick in (see Understanding my Response to Trauma and Stress). Your brain defaults to instinctive or learned responses and that’s why training is key to the emergency responder role; the more you rehearse the easier it is to carry out the required actions in the crisis situation.
Training tells you what to expect and helps you prepare, reinforcing your sense of readiness. It builds your confidence that you’ll be able to work effectively. (See also Sense of competence below.)
Preparation and training are a crucial part of your Protective Armour.
Knowing what your job is and feeling able to do it effectively links with the other protective factors, it reinforces your identity as a responder and helps you focus on the professional role you’re trained to deliver.
Feeling competent, even expert, acts like a protective shield in the face of trauma exposure. It allows us to retain a sense of control and self-confidence, keeping us active and positive rather than passive and helpless.
Social support is at the heart of human wellbeing and the strong bonds you have with your colleagues are an essential component of our Protective Armour. We rehearse together, respond together and sometimes spend our downtime together. You’ve got each other’s backs.
This means that when you’re in a hazardous situation you have confidence in the knowledge and skills of your colleagues. You can do our job safely because they’re doing theirs and you’re pulling together professionally and personally. You trust each other and have a shared goal.
The support of peers is central to responder wellbeing. Your colleagues are the people who share your experiences at work (good and bad), who usually share your sense of humour (good and bad!) and who you can talk to after difficult jobs.
When we’re involved in hazardous or intensely distressing experiences the priority for our brain and body is our survival. The reason we do so much preparation and training is to help us channel these instinctive responses and carry out our responder role.
The memory and meaning-making parts of our brain work differently when we’re in danger and so when the threat has passed, there’s a lot of catching up work to be done. We think about what happened and maybe dream about it as our brain processes the experience, taking any learning from it, before filing it away in our memory.
Talking is a great way to do this processing. Whether that’s over a cuppa with colleagues or an operational debrief to reflect on what went well or what can be learned. Feeling able to share your thoughts and feelings, and having the opportunity to do so, is a key part of your Protective Armour.
Would you recognise if your armour had been breached and you’d been injured? And if you did, would you take time to dress the wound and repair the chink in your armour? Or would you ignore it and carry on?
Understanding and looking after our Protective Armour will help us stay safe and well. It gives a better chance of predicting the situations and times when it might not work so well. It is important to remember that our armour won’t absorb or deflect every attack. We’re not invincible.
It's a bit easier for us to ask for help if we recognise that we’ve been injured. We’re often OK at recognising physical injuries but less good at spotting psychological ones. And if we do spot them, we often misunderstand what they mean. We worry we’ll never recover which is like assuming we’ll never walk again when we tear an Achilles tendon.
Find out more about common warning signs and how to provide psychological first aid on the When I might need some help pages. Look after yourself and your Protective Armour.
Many of you recognise humour as part of your Protective Armour and sometimes feel a bit sheepish about this. You don't need to, humour is long recognised as a way of defusing and releasing tension. It also helps us see the bigger picture. By seeing the funny side of a challenging situation we're rising above it and have both perspective and distance. It is optimism with a realistic look at the tragic.
At its best, humour is a way of connecting with others, of signaling that we're in this together and will be OK. Our intention is key. The same words can be used to bond or to exclude, to support or humiliate.
Listen to this podcast by paramedic Joel exploring the role of humour in the emergency responder community