Table 2.

The main category and subcategory.

Themes	Categories	Subcategories
1. Providing relief with struggle:	The complexity of incident scenes	Nature of the incident sceneThreats of the incident sceneSocial demands
	Command-organizational challenges	Shortage of equipment- resourcesPoor organization SupportInadequacy of the commander
	Occupational challenges	Role-related stressorsMoral dilemmasRescuer-related stressors
2. Psychological distress	Psychological regression	Emotional reactionsEmotional behaviorEmotional thoughts
	Psychological empowerment	on-stage strategiesreconstruction
3. Consequences	Resilience	Feeling of identity and efficiencyAcceptanceAltruism
	Job burn out	Emotional-occupational numbnessBehavioral-occupational manifestationsPhysical-occupational erosionpersonal dysfunction