Which of the following patients encountered would the paramedic most likely benefit from critical incident stress management?

Death of a child is often a reason for a paramedic to need CISM. In addition a death of a coworker, an extreme threat to the paramedic, or any other significant incident may also be reasons for CISM. What is most important, however, is that the recognition of stress and poor coping on the part of the provider is more important than assuming the use of CISM's should be guided by the nature of the call.