Las Vegas Review-Journal

First responders to horrific disasters often suffer in solitude

- By Heidi de Marco Kaiser Health News

The day a gunman fired into a crowd of 22,000 people at the country music festival in Las Vegas, hospital nursing supervisor Antoinette Mullan was focused on one task: saving lives.

She recalls dead bodies on gurneys across the triage floor, a trauma bay full of victims. But “in that moment, we’re not aware of anything else but taking care of what’s in front of us,” Mullan said.

Proud as she was of the work her team did, she calls it “the most horrific evening of my life” — the culminatio­n of years of searing experience­s she has tried to work through, mostly on her own.

“I can tell you that after 30 years, I still have emotional breakdowns and I never know when it’s going to hit me,” said Mullan.

Calamities seem to be multiplyin­g in recent years, including mass shootings, fires, hurricanes and mudslides. Just last month, a gunman burst into the newsroom of the Capital Gazette in Annapolis, Md., killing five journalist­s and injuring two others.

Many of the men and women who respond to these tragedies have become heroes and victims at once. Some firefighte­rs, emergency medical providers, law enforcemen­t officers and others say the scale, sadness and sometimes sheer gruesomene­ss of their experience­s haunt them, leading to tearfulnes­s and depression, job burnout, substance abuse, relationsh­ip problems, even suicide.

Many, like Mullan, are stoic, forgoing counseling even when it is offered.

“I don’t have this sense that I need to go and speak to someone,” said Mullan. “Maybe I do, and I just don’t know it.”

In 2017, there were 346 mass shootings nationwide, including the Las Vegas massacre — one of the deadliest in U.S. history — according to Gun Violence Archive, a nonprofit organizati­on that tracks the country’s gun-related deaths.

 ?? PHOTOS BY HEIDI DE MARCO / KHN ?? Signs proclaimin­g “Vegas Strong” can be seen all around Las Vegas. “Certain things trigger emotions that I didn’t expect,” said Antoinette Mullan, nursing supervisor at University Medical Center of Southern Nevada who was on duty the night of the Oct....
PHOTOS BY HEIDI DE MARCO / KHN Signs proclaimin­g “Vegas Strong” can be seen all around Las Vegas. “Certain things trigger emotions that I didn’t expect,” said Antoinette Mullan, nursing supervisor at University Medical Center of Southern Nevada who was on duty the night of the Oct....
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