Presentation is loading. Please wait.

Presentation is loading. Please wait.

In Your Minds Eye Using Imagery as a Tool for Improving Effective EMS By: Jess Fulkerson EMT-P Mason County Fire District 2 Mason County Sheriffs Office.

Similar presentations


Presentation on theme: "In Your Minds Eye Using Imagery as a Tool for Improving Effective EMS By: Jess Fulkerson EMT-P Mason County Fire District 2 Mason County Sheriffs Office."— Presentation transcript:

1 In Your Minds Eye Using Imagery as a Tool for Improving Effective EMS By: Jess Fulkerson EMT-P Mason County Fire District 2 Mason County Sheriffs Office SWAT Mason County, WA

2 Before We Get Started No! This is not some hippie-dippy Kum- By-Yah, incense burning, yoga stretching, Ravi Shankar listening, out-of-body, cosmic experience. No! This is not some hippie-dippy Kum- By-Yah, incense burning, yoga stretching, Ravi Shankar listening, out-of-body, cosmic experience. But if you want to….thats cool too! But if you want to….thats cool too!

3 OBJECTIVES Identify why/how Imagery works Identify why/how Imagery works Identify why/how Imagery is applicable to EMS providers Identify why/how Imagery is applicable to EMS providers List the two different perspectives to Imagery List the two different perspectives to Imagery Complete a Imagery sequence as an example….if we have time. Complete a Imagery sequence as an example….if we have time.

4 Getting Started Where these crazy ideas started for me: Where these crazy ideas started for me: S.W.A.T. and Sheriffs Deputy Training S.W.A.T. and Sheriffs Deputy Training Realization of the mental toughness needed in law enforcement/military Realization of the mental toughness needed in law enforcement/military Drawing parallels to Fire/EMS, after witnessing problematic behavior for years. Drawing parallels to Fire/EMS, after witnessing problematic behavior for years.

5 The Problem Anxiety and Fear – Plain and Simple Anxiety and Fear – Plain and Simple Youve seen it, felt it. Youve seen it, felt it. It affects our abilities to provide effective care. It affects our abilities to provide effective care. It affects how we deal with patients and other providers. It affects how we deal with patients and other providers. Often times were just thrown in to scenarios we arent prepared for. Often times were just thrown in to scenarios we arent prepared for.

6 How Visualization Works Neurons in the brain take in visual/audible/olfactory/tactile stimulus from the real world. Neurons in the brain take in visual/audible/olfactory/tactile stimulus from the real world. The brain reacts to these stimuli with physical responses The brain reacts to these stimuli with physical responses Sympathetic Nervous System responses Sympathetic Nervous System responses Parasympathetic Nervous System responses Parasympathetic Nervous System responses

7 How Visualization Works Now consider a dream… Now consider a dream… Nightmares Nightmares Real Sympathetic physical response Real Sympathetic physical response Sexual stimulus dreams Sexual stimulus dreams Real Parasympathetic physical responses Real Parasympathetic physical responses

8 How Visualization Works So…as far as your brain is concerned…. So…as far as your brain is concerned…. If the brain sees it its HAPPENING! If the brain sees it its HAPPENING! THATS A POWERFUL CONCEPT!! THATS A POWERFUL CONCEPT!!

9 How Imagery Works Can we use Imagery CONSCIOUSLY? Can we use Imagery CONSCIOUSLY? YES YES Easier for some, not so easy for others Easier for some, not so easy for others But achievable for all…well get to that. But achievable for all…well get to that. An Example: The orange exercise. An Example: The orange exercise.

10 Mental Imagery At Work Olympic Athletes Olympic Athletes Downhill skiers, ski-jumpers, high-jump/pole vault Downhill skiers, ski-jumpers, high-jump/pole vault Shooting Shooting Shooting bulls-eyes Shooting bulls-eyes Practical shooting stages Practical shooting stages EMS Skill based EMS Skill based Backboarding Backboarding Traction Splint application Traction Splint application

11 So…we know it works…but… HOW/WHY DO WE USE IT? HOW/WHY DO WE USE IT? Not just building skills proficiency Not just building skills proficiency Anxiety Reduction Anxiety Reduction Stress Inoculation Stress Inoculation Cops/Military using video scenarios Cops/Military using video scenarios Confidence Building Confidence Building Positive Self-Talk Positive Self-Talk Calming Exercises Calming Exercises

12 EMS Application Everybody in basic training may benefit Everybody in basic training may benefit Identify those in your ranks who are having trouble. Identify those in your ranks who are having trouble. Imagery may help new providers swim where they might normally sink. Imagery may help new providers swim where they might normally sink.

13 EMS Application Ever been anxious/afraid? Ever been anxious/afraid? So anxious/afraid you have trouble performing? So anxious/afraid you have trouble performing? Was it something youd never done before? Was it something youd never done before? What if you had seen it before…in your mind? What if you had seen it before…in your mind? Would you have been less anxious/afraid? Would you have been less anxious/afraid? Maybe…because youd have done it before… Maybe…because youd have done it before…

14 Two Perspectives Associated Imaging = First Person Helpful for building skill or achieving a specific goal. Helpful for building skill or achieving a specific goal. Goal identification is key! Goal identification is key!

15 Two Perspectives Dissociated Visualization = Third Person Helpful if you want distance from an emotional response. Helpful if you want distance from an emotional response. See a scene go well first See a scene go well first

16 What if: I CANT For some, visualization is not easy For some, visualization is not easy The key is repetition and relaxation The key is repetition and relaxation Open/close your eyes on something Open/close your eyes on something Combat breathing/Skip breathing Combat breathing/Skip breathing Learn not to try so hard Learn not to try so hard Arrival of emotions = start over, keep going Arrival of emotions = start over, keep going Have fun with it. Have fun with it.

17 HOW TO: Self-guided visualization Self-guided visualization Must be careful not to reinforce poor qualities Must be careful not to reinforce poor qualitiesvs. Guided visualization Guided visualization Not hypnosis Not hypnosis Can be done by anyone, but in some cases its best left to experienced professionals Can be done by anyone, but in some cases its best left to experienced professionals

18 CAUTION! We cannot use imagery to substitute for actual, practical, tactile reference markers. We cannot use imagery to substitute for actual, practical, tactile reference markers. This can build over-confidence and reinforce poor performance. This can build over-confidence and reinforce poor performance. Use imagery only after a certain proficiency has been built through training/education. Use imagery only after a certain proficiency has been built through training/education. This CANNOT BE OVER-STATED!! This CANNOT BE OVER-STATED!!

19 Attitude Adjustment Ahead of Time Cockpit management = ambulance mgmt Cockpit management = ambulance mgmt Good rig check with purposeful focus Good rig check with purposeful focus I always seek out my worst case equipment, touch it, and if necessary…check it. I always seek out my worst case equipment, touch it, and if necessary…check it. Affirmations and Positive Self-Talk….what are affirmations? Affirmations and Positive Self-Talk….what are affirmations? Might go like: Might go like: I am a skilled and compassionate EMS provider I am a skilled and compassionate EMS provider I am courageous I am courageous I am committed to excellence I am committed to excellence I constantly seek self improvement I constantly seek self improvement

20 Attitude Adjustment Ahead of Time Create a Pavlovian Cue for relaxation Create a Pavlovian Cue for relaxation Whos Pavlov? Whos Pavlov? Use relaxation techniques to create a sense of extreme calm/relaxation. Then say a choice word in that state….repeatedly…. Use relaxation techniques to create a sense of extreme calm/relaxation. Then say a choice word in that state….repeatedly…. This takes a little time/effort-but pays off !! This takes a little time/effort-but pays off !!

21 Attitude Adjustment in Real Time On the way to a call (high-stress or not), go to the cue word. The association youve built with relaxation can/will help you relax. On the way to a call (high-stress or not), go to the cue word. The association youve built with relaxation can/will help you relax. Invoke positive self-talk/meaningful quotes of others Invoke positive self-talk/meaningful quotes of others Combat breathing Combat breathing Inhale for a count of 4 Inhale for a count of 4 Hold for a count of 4 Hold for a count of 4 Exhale for a count of 4 Exhale for a count of 4 Hold for a count of 4 Hold for a count of 4 Inhale for a count of 4 Inhale for a count of 4 Repeat Repeat

22 An analogy…. Horse and jockey Horse and jockey Horse = emotion. Jockey = reason Horse = emotion. Jockey = reason Keep the horse calm in the starting gate. If the horse gets out of hand and panics…. Keep the horse calm in the starting gate. If the horse gets out of hand and panics…. Both the horse and jockey are mangled and theres no race. Both the horse and jockey are mangled and theres no race. But the calm horse, guided by reason hears the bell, and is off to the finish line! But the calm horse, guided by reason hears the bell, and is off to the finish line!

23 Attitude Adjustment in Real Time Stopping negative thoughts Stopping negative thoughts AS SOON AS you find yourself in doubt, or negative thought….. AS SOON AS you find yourself in doubt, or negative thought….. Say/Shout to yourself or outloud STOP! Say/Shout to yourself or outloud STOP! Perhaps imagine a stop sign Perhaps imagine a stop sign Then immediately give a positive cue such as: Then immediately give a positive cue such as: Focus, or check the ABCs, or smooth or another cue youve prepared Focus, or check the ABCs, or smooth or another cue youve prepared

24 Attitude Adjustment in Real Time In stopping a negative thought…. In stopping a negative thought…. Dont think of not thinking of a negative Dont think of not thinking of a negative Try to NOT THINK OF something Try to NOT THINK OF something Rebound effect is possible Rebound effect is possible Focus on a distraction Focus on a distraction This can be completely off topic…or This can be completely off topic…or A relevant alternative A relevant alternative Healing hands on a patient Healing hands on a patient More/stronger hands on that extrication tool More/stronger hands on that extrication tool

25 Remember… Positive self talk and Negative thought stopping Positive self talk and Negative thought stopping Isnt stuff done by the seat of your pants Isnt stuff done by the seat of your pants It Takes Practice It Takes Practice AHEAD OF TIME !!!!!!!!!!!!!!!!!!!!!!!!!!!! AHEAD OF TIME !!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!! !!!!!!!... !!!!!!!... Get the point? Get the point? ??????????? ???????????

26 Lets Try Some Imagery Pediatric Emergency Pediatric Emergency Car Crash Car Crash

27 What Weve Learned Imagery is a pro-active way to experience things without actually experiencing them Imagery is a pro-active way to experience things without actually experiencing them It can be used to enhance our performance ahead of time It can be used to enhance our performance ahead of time We can use the positive-self-talk and negative-thought-stopping to aid us during EMS situations We can use the positive-self-talk and negative-thought-stopping to aid us during EMS situations

28 References Warrior Mindset by Dr. Michael Asken, Lt. Col Dave Grossman and Loren W. Christensen Warrior Mindset by Dr. Michael Asken, Lt. Col Dave Grossman and Loren W. Christensen On Combat by Lt. Col Dave Grossman and Loren W. Christensen On Combat by Lt. Col Dave Grossman and Loren W. Christensen On Killing by Lt. Col Dave Grossman On Killing by Lt. Col Dave Grossman Image Streaming: The Ultimate Creative Thinking Technique www.creativethinking.com Image Streaming: The Ultimate Creative Thinking Technique www.creativethinking.com www.creativethinking.com Advanced Creative Visualization Advanced Creative Visualization www.wilywalnut.com www.wilywalnut.com www.wilywalnut.com Visualization Techniques, Sports Guided Imagery Exercises and Whats the Miracle Question – Solution Focused Therapy Visualization Techniques, Sports Guided Imagery Exercises and Whats the Miracle Question – Solution Focused Therapy Dave Mason. Key-hypnosis.com Dave Mason. Key-hypnosis.com

29 Questions? Comments? Concerns? Issues? Applause? Cheers? Standing Ovations? Want to throw money?


Download ppt "In Your Minds Eye Using Imagery as a Tool for Improving Effective EMS By: Jess Fulkerson EMT-P Mason County Fire District 2 Mason County Sheriffs Office."

Similar presentations


Ads by Google