International Association of Fire Fighters Local 18 / Vancouver Fire Rescue Services
Stress and Trauma in the Fire Service
You do a job that asks you to step toward things that we are naturally evolved to step away from. Your brain and body do their best to keep you alive. Sometimes those same systems work against you on scene or at home. This page lays out what is going on and how we can work with it.
The kinds of trauma we face
Primary trauma
Direct exposure on scene. You were there. You saw the event, immersed in the scene.
Secondary trauma
You were not the primary responder or you came after. You are still affected by the story, the scene, or the person. This can also show up when you support a coworker who is struggling after a call.
Vicarious trauma and cumulative load
Vicarious trauma builds from repeated exposure to other people’s trauma. Cumulative load is the stack effect over time. One call on its own might be fine. One hundred adds up. It can be just as powerful as if we were there and can equally change how you see and feel about the world
Moral injury
This is when what happened breaks what you believe is right. Maybe you could not act the way your values wanted you to. Maybe systems tied your hands. The wound is to your sense of right and wrong, and it can carry guilt, shame, anger, or grief.
Physical
*indicates need for medical attention
Chest pain, difficulty breathing.*
Rapid heart rate, rapid breathing.
increased blood pressure.
dizziness, profuse Sweating.*
upset stomach, diarrhea.
feeling uncoordinated.
sleep disturbances, headaches.
tremors (lips, hands).*
Five common reactions:
These are survival moves. They come online fast. None are good or bad. They are automatic.
Fight
Your body surges. You push hard, take control, get loud or very firm.
Firefighter example: stepping in and taking the nozzle or command voice when things get chaotic.
Flight
Create space, back out, reposition, call for more resources.
Firefighter example: moving the crew to a safer location or switching tactics quickly when conditions change.
Freeze
A pause or stall. Mind goes blank for a beat. Body goes still.
Firefighter example: reaching a doorway and having a one second blank before the next step lands. Often passes fast once someone calls the next task.
Take cover
You turtle down to protect and preserve. Reduce exposure.
Firefighter example: mask check, control your breathing, tighten the circle with your crew, use the rig or a wall for cover while you reset the plan.
Give up or check out
System overload. Autopilot. You do the task but feel detached, or you wait for a direct order because your mind is foggy.
Firefighter example: hands move tools but the head feels far away, then you need a clear prompt to re engage.