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There was a recent article in EMS Magazine that talked about the value of critical incident stress debriefing. The doctor who wrote the article stated that studies have shown that CISD doesn't really work. The purpose of this post isn't to discuss the merits of CISD, but of the letters that followed the article. Several people wrote in saying that CISD had been invaluable to them since, due to "patient privacy laws", they couldn't discuss calls with their spouse or family. This is one of the silliest myths I've ever read concerning our job. I'm curious if there are people here who are under the assumption that you can't discuss calls with your spouse, family or friends. I'm fairly well versed in HIPPA and patient privacy laws (at least in my state), and I've never seen anything that restricts talking about calls or patients so long as you don't discuss or reveal identifying information. To me, this would include patient address, location of call, or (obviously) patient's name. I talk about any run of note with my wife. A conversation might be, "I had a 14 year old kid shoot himself last night, it really bothered me and several of the guys." I've broken no laws in this kind of conversation. I guess it worries me that there are obviously many people in our profession who believe they can't talk about the specifics of their job with their spouse or family members, even friends. Good Lord, if I didn't have my wife to vent with about the stresses of my job, I would have gone out on a section 8 a long time ago. Bill, EMT-P
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