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Table 1 Practical interventions that may mitigate the effects of acute traumatic events prior to developing PTSD

From: Chronic occupational exposures can influence the rate of PTSD and depressive disorders in first responders and military personnel

Strategy Intervention Possible outcome?
Increasing resilience Increase fitness Reduced relative work intensity for individuals
Managing fatigue—appropriate work/rest cycles Reduced fatigue and risk of overtraining
Psychological screening At risk, individuals may be removed prior to exposure or proactive, targeted interventions are put in place
Injury management/rehabilitation Proper injury management, particularly in the form of early intervention will reduce the duration of injury and possibly related immune changes
Working in the heat/smoke Appropriate PPC selection for the task Reduced thermal strain of workers
Pre-cooling of workers Reduced thermal strain during work events possibly due to lower peak T c
Post-incident cooling Reduce inflammation to resting state as soon as possible following work. Reduce T c rapidly to baseline levels
Appropriate work/rest cycles Minimising T c rise and subsequent inflammatory activity
Sleep deprivation Cognitive behaviour therapy Individuals demonstrating sleeping disorders may improve the quality and duration of sleep
Sleep hygiene Individuals will have better strategies for managing sleep in the field and during deployments
Screening for sleep disorders Individuals can be targeted for interventions
Rostering for rest periods Reduced fatigue of possibly at-risk individuals