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PTSD in emergency services — DOccMed MCQ

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HardMental Health and WorkPTSD in emergency servicesDOccMed

A paramedic with PTSD after a paediatric resuscitation is ready to return after therapy. Symptoms are triggered by paediatric calls and blue-light journeys; his clinician supports graded exposure, and he remains fit for non-emergency patient transport. What reasonable adjustment should be recommended?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Temporary rota modification avoiding paediatric emergency calls with planned review

Adjustments should be functional, proportionate and reviewed. Temporary avoidance of specific triggers while graded rehabilitation proceeds can support recovery without unnecessarily ending front-line work. Immediate full exposure risks relapse. Night shifts do not address the identified trauma triggers and may worsen sleep.

Reference: Equality Act 2010; NICE NG146; HSE stress guidance