COCS Flashcards
Service members wee considered weaker
True
In 1969 the amount of army service members diagnosed with psychotic symptoms triples
False
Doubled
Combat stress reaction stemmed from what
Dead bodies
Ambush
Serious injury
Soldiers with CSR were taken out of the danger situation but what?
Not away from their unit
Command consultation
Providing expert mental health advice to commanders
Research unit
Type of unit History Size Location Constraints
Establish entry into unit
Request from the unit chain of command
Gather information
Questionnaires
Records
Interviews
Define the problem
Problem is presented to the consulted and an agreement is reached by both parties
Identify solutions
Based on analysis and synthesis if information obtained
Implementing the solution
Direct action towards problem
Evaluation
Monitor activities
Termination
Occurs when you and consulted after to discontinue direct contact
Final staffing
Done prior to termination of the consultation
Traumatic event debriefing
Not therapy or counseling
Approved by leaders
Purpose of TED
Restore cohesion
Reduce stress
Prevent burnout
TED contributing factors
Death of unit member
Friendly fire
Serious injury
TED Exercise
Intro Fact Thought Reactive Symptom Teaching Re entry
Thought phase
Personalize event
Primary prevention
Education prior to disaster
TED briefing
Drills
Skill building
Teach disaster survivors skills to manage anxiety
Development level
Acquire compactors such as trust self esteem and optimism
Most common combat related injury
Mild traumatic brain injury
Concussion
Contributed to 25 percent of combat casualties
TBI and spinal cord injuries
Stress
Group of experiences in which external or internal demands or both tax or exceed a persons resources or coping capabilities
Combat operational stress behavior
Covers the range of reactions
Adaptive stress behaviors
Heightens alertness
Strength
Loyalty
Courage
Maladaptive stress behaviors
Minor breaches to UCMJ
Substance abuse
Self inflicted wounds
COSR
Group of physical mental and emotional symptoms
Emotional symptoms of stress
Fear Irritability Anger Grief Self doubt
Risk factors of COSR
Weapons of mass destruction
Exposure to killed and wounded
360 battlefield
COSC focus
Prevention of stress casualties
Early RTD
Positive mission oriented motivation
Goals of COSC
Monitor stress
Advise command
Treat fatigue
Accomplish RTD
B in BICEPS
Brevity
Treatment should be brief
I in BICEPS
Immediacy
Care ASAP
C in BICEPS
Centrality
Treat in one location
E in BICEPS
Expectancy
Express to soldier they will return to duty in short time
P in BICEPS
Proximity
As close as possible to unit
S in BICEPS
Simplicity
Keep treatment simple
COSC
Prevent identify and manage adverse combat and operational stress reactions in units
COSR
Expected predictable emotional intellectual physical and or behavioral reactions of service members who have been exposed to stressful events
5 Rs
Reassure
Rest
Replenish
Restore
Return
Reconditioning program
4-7 day program of replenishment
Stabilization
Short term management
Unit needs assessment
Systematic assessment of supported units to determine priority
Consultation and education
Liaison with and preventive advice to commanders
Reconstitution support
Commanders plan and implement to restore units to a desired level of combat effectiveness
Combat and operational stress control stabilization
Evaluated for RTD potential
Two keys components of COSC triage
Assessment and disposition
COSC triage
Process of sorting service members based on assessment
Triage is applicable at every level of care
Neurasthenia
Fatigue
Anxiety
Neuralgia
Help in place case
Do not have severe COSR or BH disorder
Rest case
Provided rest and replenishment is a non medical
Hold cases
Require close medical observation and evaluation potentially disruptive
Level 2 MTF
Increased medical capability
Refer case
Too disruptive for MTF
Emergency stabilization
Acute management of disruptive behavior severely impact unit functioning
Triage
Attempt to impose order during chaos
