Special Operations Forces Medical Handbook

(Chris Devlin) #1

5-154


What To Do:
Guidelines for How to Work with Human Remains
BEFORE



  1. Learn as much as possible about the history, cultural background and circumstances of the disaster
    or tragedy. How did it come to happen? Try to understand it the way a historian or neutral investigating
    commission would.

  2. Look at videos and photographs of the area of operation and of the victims. The television news
    networks and magazines may be sources. If pictures of the current situation are not available, look up
    ones from previous similar tragedies in the library archives. Share them as a team, and talk about them.

  3. Understand the importance and value of the mission. Giving the deceased a respectful burial
    (even if in some cases it must be a hasty and mass burial), saving their remains the indignity of simply
    being left on the ground to decay, helping survivors know their loved ones have died rather than
    remaining uncertain for years and providing a safer environment for the living are all difficult but
    important. Concentrate on the overall mission, not on each individual, to maintain effectiveness when
    seeing or working with bodies.


DURING



  1. Personnel who examine personal effects for identification and other purposes must not be those who
    have handled or seen the body.

  2. Do not desecrate or take souvenirs from the bodies. These are criminal acts.

  3. Conduct funeral ceremonies consistent with your own beliefs and background. Unit chaplains and/or
    local clergy may also conduct rites or ceremonies.

  4. Limit exposure to the bodies. Have screens, partitions, covers, body bags or barriers so that people do
    not see the bodies unless it is necessary. Wear gloves if the job calls for touching the bodies. Mask
    odors with disinfectants, air-fresheners or deodorants. (Using other scents such as perfume or
    aftershave lotions are of limited value in the presence of the bodies, and are perhaps better saved for
    when taking breaks away from the work area.)

  5. When the mission allows, schedule frequent short breaks away from working with or around bodies.

  6. Drink plenty of fluids, continue to eat well, and maintain good hygiene. To the extent possible, the
    command should ensure facilities for washing hands, clothing and taking hot showers after each shift.
    (If water is rationed, the command should make clear what can be provided and how it should be
    used and conserved.)

  7. Hold team debriefings frequently to share thoughts and feelings with teammates.

  8. Have a mental health/stress control team or chaplain lead a Critical Event Debriefing after a particularly
    bad event or at the end of the operation.

  9. Plan team, as well as individual, activities to relax and think about things other than the tragedy. Do not
    abide feelings of guilt, or frustration about not being able to fix the situation. DO WHAT CAN BE DONE
    WITH RESOURCES AVAILABLE, ONE STEP AT A TIME.

  10. Stay physically fit.

  11. Keep the unit Family Readiness Group fully informed about what is happening, and make sure family
    members and significant others are included in and supported by it.

  12. Take special care of new unit members, and those with recent changes or special problems back home.
    If the stress caused by working with dead bodies begins to interfere with performance or ability to relax,
    TAKE ACTION. Do not ignore the stress. Seek out a buddy or someone to talk with about new or
    unusual feelings. Other people are likely to be feeling the same things. Do NOT withdraw. The unit
    chaplain, medic or a combat stress control/mental health team member can often help.

  13. Help your buddy, coworkers, subordinate or superior if he or she shows signs of distress. Give support
    and encouragement, and try to get the other person to talk through the problems or feelings they are
    having. This will improve each person’s ability to cope with the situation.


AFTER



  1. Take an active part in an end-of-tour debriefing and pre-homecoming information briefing in the unit
    prior to leaving the operational area.

  2. Follow through with Family Support Group activities which recognize and honor what the unit has done

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