First response emergency care – experiences described by firefighters

The purpose of this paper is to describe firefighters’ experiences of first response emergency care.

This paper uses an explorative descriptive design with a qualitative approach. Data were collected through group interviews of 35 firefighters and subjected to qualitative content analysis.

The results showed that the professional role and the firemen’s uniform serve as a protection against psychologically strenuous situations. To protect the dignity of the injured or dead is important as well as protecting and safeguarding each other from the experience of the tragedy of an accident. Having a solid, sterling medical education provides a sense of security in the emergency care, as well as when caring for the relatives. Debriefing brings thoughts and feelings to the surface for processing and closure. The feeling of sadness lingers for the people not being saveable, that had been dead on arrival or the ones forgotten.

A firefighter’s work situation is exposed and stressful. The firemen’s uniform as a mental barrier, colleagues, time to mentally prepare and to be allowed to show feelings are all needed to cope. It is, therefore, important to encourage, promote and strengthen the protective role of camaraderie for the firefighter, which probably can be emphasized in other uniform-wearing professions such as police, military and ambulance. Being acknowledged for their contribution to other peoples’ lives and well-being can acknowledge the firefighters’ importance.