Soldiers in combat situations can experience overwhelming reactions to stress both physically and mentally. These reactions may result from physical exhaustion, the fear of constant alertness, the trauma of seeing fellow soldiers wounded or killed, the fear of being killed or maimed, or the fear of killing other persons. Combat stress reactions can be temporary; the soldier may not always be required to be removed from combat duty. However, if a soldier cannot function effectively on his job, you, as a medical specialist, may provide initial treatment or psychological first aid to the soldier. The critical incident stress debriefing (CISD) is another form of treatment that is available after a significant event. This requires a team of trained personnel to respond shortly after the incident.

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