{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T07:13:04Z","timestamp":1771657984147,"version":"3.50.1"},"reference-count":19,"publisher":"Cambridge University Press (CUP)","issue":"03","license":[{"start":{"date-parts":[[2019,6,17]],"date-time":"2019-06-17T00:00:00Z","timestamp":1560729600000},"content-version":"unspecified","delay-in-days":16,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1049023X19004382_as1\"><jats:title>Objective:<\/jats:title><jats:p>The objective of this study was to explore preferred self-care practices among paramedics and emergency medical technicians (EMTs) who responded to the September 11, 2001 terrorist attack (9\/11) in New York City (New York USA).<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X19004382_as2\"><jats:title>Design, Setting, and Participants:<\/jats:title><jats:p>Qualitative research methodology with convenience and subsequent snowball sampling was utilized. Participants were adult (at least 18 years of age) paramedics or EMTs who self-reported as responding to the 9\/11 terrorist attack in New York City.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X19004382_as3\"><jats:title>Main Outcome Measures:<\/jats:title><jats:p>Preferred self-care practices; participant characteristics; indications and patterns of self-care use; perceived benefits and harms; and views on appropriate availability of support and self-care services were the main outcome measures.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X19004382_as4\"><jats:title>Results:<\/jats:title><jats:p>The 9\/11 paramedic and EMT participants reported a delay in recognizing the need for self-care. Preferred physical self-care practices included exercise, good nutrition, getting enough sleep, and sticking to routine. Preferred psychosocial self-care practices included spending time with family and friends, participating in peer-support programs and online support forums, and routinely seeing a mental health professional. Self-care was important for younger paramedics and EMTs who reported having less-developed supportive infrastructure around them, as well as for retiring paramedics and EMTs who often felt left behind by a system they had dedicated their lives to. Access to cooking classes and subsidized gym memberships were viewed as favorable, as was the ability to include family members in self-care practices.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X19004382_as5\"><jats:title>Conclusion(s):<\/jats:title><jats:p>A range of physical and psychosocial self-care practices should be encouraged among paramedic students and implemented by Australian ambulance services to ensure the health and well-being of paramedics throughout their career and into retirement.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x19004382","type":"journal-article","created":{"date-parts":[[2019,6,17]],"date-time":"2019-06-17T11:21:53Z","timestamp":1560770513000},"page":"335-339","source":"Crossref","is-referenced-by-count":16,"title":["Lessons in Post-Disaster Self-Care From 9\/11 Paramedics and Emergency Medical Technicians"],"prefix":"10.1017","volume":"34","author":[{"given":"Erin","family":"Smith","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tony","family":"Walker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederick M.","family":"Burkle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2019,6,17]]},"reference":[{"key":"S1049023X19004382_ref18","author":"Van Hooff","year":"2018"},{"key":"S1049023X19004382_ref19","doi-asserted-by":"publisher","DOI":"10.1177\/0004867415615217"},{"key":"S1049023X19004382_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291716000532"},{"key":"S1049023X19004382_ref12","first-page":"31","volume":"39","author":"Batt","year":"2016","journal-title":"Canadian Paramedicine"},{"key":"S1049023X19004382_ref6","doi-asserted-by":"publisher","DOI":"10.12968\/jpar.2013.5.11.638"},{"key":"S1049023X19004382_ref11","first-page":"592","volume":"48","author":"Gamble","year":"1991","journal-title":"Br J Ind Med"},{"key":"S1049023X19004382_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2015.06.006"},{"key":"S1049023X19004382_ref10","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2009.63"},{"key":"S1049023X19004382_ref4","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22230"},{"key":"S1049023X19004382_ref3","doi-asserted-by":"publisher","DOI":"10.3109\/10903127.2012.761307"},{"key":"S1049023X19004382_ref29","volume-title":"Psychological first aid: preserving dignity in crisis response","author":"Van Ommeren"},{"key":"S1049023X19004382_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2015.11.006"},{"key":"S1049023X19004382_ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2017.07.018"},{"key":"S1049023X19004382_ref25","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X18001255"},{"key":"S1049023X19004382_ref24","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2014-102574"},{"key":"S1049023X19004382_ref23","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-011-0408-2"},{"key":"S1049023X19004382_ref22","doi-asserted-by":"publisher","DOI":"10.2466\/01.02.13.17.PR0.110.3.743-752"},{"key":"S1049023X19004382_ref20","author":"Cotton","year":"2018"},{"key":"S1049023X19004382_ref9","first-page":"205","volume":"22","author":"Buzga","year":"2015","journal-title":"Wulfenia"}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X19004382","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,6,17]],"date-time":"2019-06-17T11:24:04Z","timestamp":1560770644000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X19004382\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6]]},"references-count":19,"journal-issue":{"issue":"03","published-print":{"date-parts":[[2019,6]]}},"alternative-id":["S1049023X19004382"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x19004382","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6]]}}}