Stress levels during emergency care: A comparison between reality and simulated scenarios

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art_DIAS_Stress_levels_during_emergency_care_A_comparison_between_2016.PDF (411.5 KB)
Citações na Scopus
50
Tipo de produção
article
Data de publicação
2016
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
W B SAUNDERS CO-ELSEVIER INC
Autores
Citação
JOURNAL OF CRITICAL CARE, v.33, p.8-13, 2016
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
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 and Methods: 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 alpha-amylase, salivary interleukin-1 beta, 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-1 beta 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.
Palavras-chave
Medical simulation, Acute stress, Emergency medicine, Psychologic fidelity
URI
https://observatorio.fm.usp.br/handle/OPI/14113
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MCM
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/51