Stress levels during emergency care: A comparison between reality and simulated scenarios.
J Crit Care
; 33: 8-13, 2016 06.
Article
en En
| MEDLINE
| ID: mdl-26987261
ABSTRACT
PURPOSE:
Medical simulation is fast becoming a standard of health care training throughout undergraduate, postgraduate and continuing medical education. Our aim was to evaluate if simulated scenarios have a high psychological fidelity and induce stress levels similarly to real emergency medical situations. MATERIALS ANDMETHODS:
Medical residents had their stress levels measured during emergency care (real-life and simulation) in baseline (T1) and immediately post-emergencies (T2). Parameters measuring acute stress were heart rate, systolic and diastolic blood pressure, salivary α-amylase, salivary interleukin-1ß, and State-Trait Anxiety Inventory score.RESULTS:
Twenty-eight internal medicine residents participated in 32 emergency situations (16 real-life and 16 simulated emergencies). In the real-life group, all parameters increased significantly (P < .05) between T1 and T2. In the simulation group, only heart rate and interleukin-1ß increased significantly after emergencies. The comparison between groups demonstrates that acute stress response (T2 - T1) and State-Trait Anxiety Inventory score (in T2) did not differ between groups.CONCLUSIONS:
Acute stress response did not differ between both groups. Our results indicate that emergency medicine simulation may create a high psychological fidelity environment similarly to what is observed in a real emergency room.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Ansiedad
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Médicos
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Estrés Psicológico
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Presión Sanguínea
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Urgencias Médicas
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Entrenamiento Simulado
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Frecuencia Cardíaca
Tipo de estudio:
Observational_studies
Límite:
Adult
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Female
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Humans
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Male
Idioma:
En
Año:
2016
Tipo del documento:
Article