Physical. When biceps rupture is suggested on the basis of history or mechanism of injury, physical examination should include specific testing of all types of shoulder and elbow pathology within the large list of possible diagnoses.
The Western Ohio CISM Team is a volunteer based organization providing peer support to public safety agencies, educational institutions, industry, and others who have experienced some form of critical incident.
Although not called CISM until the mid 1980s, critical incident stress management concepts were. introduced into the emergency services field in 1974. They were first developed to assist emergency. operations personnel, such as police officers, firefighters, emergency medical and military personnel.