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Stress

With special contribution by Walter Eppich, MD, MEd

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Crisis Management in Acute Care Settings

Abstract

A small trauma team provides care to a seriously injured infant. The team leader is an emergency medicine resident who has no experience with pediatric trauma management. This emergency situation is a significant challenge for him, and the patient’s young age adds even more emotional strain. Both factors combined put the physician under enormous stress. The stress is further increased due to his difficulty in performing time-critical procedures such as obtaining i.v. access and intubation child. Due to the prolonged initial stabilization, it takes nearly 1 h before the patient is sufficiently stable to be transported to CT.

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References

  • Alexander DA, Klein S (2001) Ambulance personnel and critical incidents: impact of accident and emergency work on mental health and emotional well-being. Br J Psychiatry 178(1):76–81

    Article  PubMed  CAS  Google Scholar 

  • Anderson HS, Christensen AK, Petersen GO (1991) Post-traumatic stress reactions amongst rescue workers after a major rail accident. Anxiety Res 4:245–251

    Article  Google Scholar 

  • APA: American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders (DSM-IV), 4th edn. American Psychiatric Association, Washington DC

    Google Scholar 

  • Badke-Schaub P (2000) Wenn der Gruppe Flügel fehlen: Ungeeignete Informations- und Entscheidungsprozesse in Gruppen. [Dysfunctional processes of information management and decision-making in groups]. In: Mey H, Lehmann H, Pollheimer D (eds) Absturz im freien Fall oder Anlauf zu neuen Höhenflügen. vdf, Zürich, pp 113–130

    Google Scholar 

  • Baumeister RF, Heatherton TF, Tice DM (1994) Losing control: how and why people fail at self-regulation. Academic, San Diego

    Google Scholar 

  • Billings AG, Moos RH (1984) Coping, stress, and social resources among adults with unipolar depression. J Pers Soc Psychol 46:877–891

    Article  PubMed  CAS  Google Scholar 

  • Cannon WB (1928) Bodily changes in pain, hunger, fear, and rage. Appleton − Century − Crofts, New York

    Google Scholar 

  • Clohessy S, Ehlers A (1999) PTSD symptoms, response to intrusive memories and coping in ambulance service workers. Br J Clin Psychol 38(3):251–265

    Article  PubMed  Google Scholar 

  • Donelly E, Siebert D (2009) Occupational risk factors in the emergency medical services. Prehosp Disaster Med 24(5):422–429

    Google Scholar 

  • Dörner D (1996) The logic of failure. Recognizing and avoiding error in complex situations. Metropolitan Books, New York

    Google Scholar 

  • Dörner D (1999) Bauplan für eine Seele [Blueprint for a soul]. Rowohlt, Reinbek

    Google Scholar 

  • Dörner D, Pfeiffer E (1993) Strategic thinking and stress. Ergonomics 36:1345–1360

    Article  PubMed  Google Scholar 

  • Dörner D, Schaub H (1994) Errors in planning and decision-making and the nature of human information processing. Appl Psychol Int Rev 43:433–453

    Article  Google Scholar 

  • Dörner D, Kreuzig HW, Reither F, Stäudel T (1983) Lohhausen: Vom Umgang mit Unbestimmtheit und Komplexität. [On Dealing with Uncertainty and Complexity]. Huber, Bern

    Google Scholar 

  • Dyregov A, Mitchell JT (1992) Work with traumatized children – psychological effects and coping strategies. J Trauma Stress 5:5–17

    Article  Google Scholar 

  • Edwards JR (1988) The determinants and consequences of coping with stress. In: Cooper CL, Payne R (eds) Causes, coping, and consequences of stress at work. Wiley, New York, pp 22–48

    Google Scholar 

  • Embriaco NE, Azoulay E, Barrau K, Kentish N, Pochard F, Loundou A, Papazian L (2007) High level of burnout in intensivists: prevalence and associated factors. Am J Respir Crit Care Med 175(7):686–692

    Article  PubMed  Google Scholar 

  • Flin R, Fletcher G, McGeorge P, Sutherland A, Patey R (2003) Anaesthetists’ attitudes to teamwork and safety. Anaesthesia 58:233–243

    Article  PubMed  CAS  Google Scholar 

  • Flin RH, O’Connor P, Crichton M (2008) Safety at the sharp end. A guide to non-technical skills. Ashgate Publishing, Burlington

    Google Scholar 

  • Freudenberger HJ (1974) Staff burnout. J Soc Issues 30:159–165

    Article  Google Scholar 

  • Gallagher S, McGilloway S (2007) Living in critical times: the impact of critical incidents on frontline ambulance personnel-a qualitative perspective. Int J Emerg Ment Health 9(3):215–223

    PubMed  Google Scholar 

  • Grevin F (1996) Posttraumatic stress disorder, ego defense mechanism and empathy among urban paramedics. Psychol Rep 79:483–495

    Article  PubMed  CAS  Google Scholar 

  • Jackson SH (1999) The role of stress in anaesthetists’ health and well-being. Acta Anaesthesiol Scand 43:583–602

    Article  PubMed  CAS  Google Scholar 

  • Laposa JM, Alden LE (2003) Posttraumatic stress disorder in the emergency room: exploration of a cognitive model. Behav Res Ther 41(1):49–65

    Article  PubMed  CAS  Google Scholar 

  • Lazarus RS (1991) Emotion and adaption. Oxford University, Oxford

    Google Scholar 

  • Lazarus RS, Folkman S (1984) Stress, appraisal, and coping. Springer, Berlin/New York

    Google Scholar 

  • Lehrer PM, Woolfolk RL (1993) Principles and practice of stress management. The Guilford Press, New York

    Google Scholar 

  • Mahony KL (2001) Management and the creation of occupational stressors in an Australian and a UK ambulance service. Aust Health Rev 24:135–145

    Article  PubMed  CAS  Google Scholar 

  • Maslach C (1982) Burnout. The cost of caring. Prentice-Hall, Englewood Cliffs

    Google Scholar 

  • Maslach C, Jackson SE (1981) The measurement of experienced burnout. J Occup behav 2:99–113

    Article  Google Scholar 

  • McCammon S, Durham TW, Allison EJ Jr, Williamson JE (1988) Emergency workers’ cognitive appraisal and coping with traumatic events. J Trauma Stress 1:353–372

    Article  Google Scholar 

  • Mitchell JT (1983) When disaster strikes…the critical incident stress debriefing process. J Emerg Med Serv 8:36–39

    CAS  Google Scholar 

  • NICE: National Institute of Clinical Excellence (2005) Post-traumatic stress disorder (PTSD): the management of PTSD in adults and children in primary and secondary care. Clinical Guideline 26. Accessed at http://www.nccmh.org.uk/guidelines_ptsd.html

  • Reason J (1990) Human error. Cambridge University, Cambridge

    Book  Google Scholar 

  • Sauter SL, Murphy LR, Hurrell JJ (1990) Prevention of work-related psychological disorders. Am Psychol 45:1146–1158

    Article  PubMed  CAS  Google Scholar 

  • Schaub H (1997) Decision-making in complex situations: cognitive and motivational limitations. In: Flin R, Salas E, Strub ME, Martin L (eds) Decision-making under stress. Emerging themes and applications. Ashgate, Aldershot, pp 291–300

    Google Scholar 

  • Selye H (1936) A syndrome produced by diverse nocuous agents. Nature 138:32

    Article  Google Scholar 

  • Selye H (1956) The stress of life. McGraw-Hill, New York

    Google Scholar 

  • Semmer N (1997) Stress. In: Luczak H, Volper W (eds) Handbuch Arbeitswissenschaft [Handbook work science]. Schäffer-Pöschel, Stuttgart, pp 332–340

    Google Scholar 

  • Semmer N (2003) Individual differences, stress, and health. In: Schabracq MJ, Winnubst JA, Cooper CL (eds) Handbook of work and health psychology, 2nd edn. Wiley, Chichester, pp 83–120

    Google Scholar 

  • Semmer NK, McGrath JE, Beehr TA (2005) Conceptual issues in research on stress and health. In: Cooper CL (ed) Stress medicine and health. CRC, Boca Raton, pp 1–44

    Google Scholar 

  • Sexton JB, Thomas EJ, Helmreich RL (2000) Error, stress, and teamwork in medicine and aviation: cross sectional surveys. Br Med J 320:745–749

    Article  CAS  Google Scholar 

  • Sterud T, Hem E, Ekeberg O, Lau B (2008) Occupational stressors and its organizational and individual correlates: a nationwide study of Norwegian ambulance personnel. BMC Emerg Med 8(16):1–11

    Google Scholar 

  • Tennant C (2001) Work-related stress and depressive disorders. J Psychosom Res 51(5):697–704

    Article  PubMed  CAS  Google Scholar 

  • Ulich E (2001) Arbeitspsychologie, 5th edn. Vdf/Schäffer-Pöschel, Stuttgart/Zürich

    Google Scholar 

  • Van der Ploeg E, Kleber RJ (2003) Acute and chronic job stressors among ambulance personnel: predictors of health symptoms. Occup Environ Med 60:i40–i46

    Article  PubMed  Google Scholar 

  • Weber H (2002) Stress management programs. In: Smelser NJ, Baltes PB (eds) International ­encyclopedia of the social and behavioral science, vol 22. Elsevier, Amsterdam, pp 15.184–15.190

    Google Scholar 

  • Weber H (2004) Explorations in the social construction of anger. Motiv Emotion 28:197–219

    Article  Google Scholar 

  • Yerkes RM, Dodson JD (1908) The relation of strength of stimulus to rapidity of habit-formation. J Compar Neurol Psychol 18:459–482

    Article  Google Scholar 

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Correspondence to Michael St.Pierre .

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St.Pierre, M., Hofinger, G., Buerschaper, C., Simon, R. (2011). Stress. In: Crisis Management in Acute Care Settings. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-19700-0_9

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  • DOI: https://doi.org/10.1007/978-3-642-19700-0_9

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