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Sat, 30 May 2020 21:48:40 -0300

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Dear List Members:

Thank you for your quick feedback as usual. Let me explain myself =
better:
A friend of mine is working on a study to compare the level of stress =
(anxiety) in perfoming ATLS and ACLS courses compared to real life ER =
outcome performances.

Preliminary results showed that the stress level is higher in ATLS =
courses. She tried to search the literature but no results were found =
till now.
The main reason for the study (I bet you wonder): To identify negative =
risk factors during emergency courses; To find out how can one minimize =
the psychological stimulum impinged upon an individual so he/she can =
improve his/her learning.=20

Hypothetical case: ATLS course, Monday afternoon.It's test time! The =
best student approoved now is not going to be the best ATLS instructor. =
The teacher wonders why...=20
And the real best student and outstanding ATLS instructor candidate was =
too nervous and dazzled by the presence of Dr. Mattox =
anti-wimp-candidates-instructor!
He couldn't do make it. The student has failed the course not because he =
wasn't good but only because he was stressed out! Got it?

I wish it was april 1st but it happens all the time. I know my friend's =
study is not going to change the world but it's interesting for those =
nurses who like studing people's level of anxiety  and find out how can =
one fight it back.=20

Maybe I'm not using the right word but here goes what's in STEADMAN'S =
DICTIONARY (26th ed.):
STRESS - Reactions of the body to forces of a deleterious nature, =
infections,  and various abnormal  states that tend to disturb its =
normal physiologic equilibrium (homeostasis). The force or pressure =
applied or exerted between portions of a body  or bodies , generally =
expressed in pounds per square inch. In Rheology , the force in a =
material transmitted per unit area to adjacent layers. In psychology, a =
physical or psychological stimulus such as very high heat, public =
criticism, or another noxious agent or experience which, when impinging =
upon an individual , produces psychological strain or disequilibrium.

Besides, I bet Dr. Mattox if you're knew what nurse we're talking about =
you'd know she's the PABULUM OF=20
 PRODUCTIVITY herself ehehehe.=20

Cheers

C Alster, MD

----- Original Message -----=20
From: <KMATTOX@aol.com>
To: <trauma-list@trauma.org>
Sent: Friday, May 31, 2002 12:57 AM
Subject: Re: STRESS & ATLS or ACLS research

> I have no idea what you are talking about.   I know of no one who is =
really=20
> active in trauma, critical care, or major surgery who even uses the =
word=20
> stress.   Stress is a term for wimps who are not turned on by the =
toughest,=20
> the greatest of the challenges.    For those who choose a career in =
cardiac,=20
> vascular, trauma or surgical critical care, STRESS IS THE PABULUM OF=20
> PRODUCTIVITY.    I would never hire a person who during the interview =
even=20
> mentions the work "stress."   For that matter I dont like the terms =
"life=20
> style," "vacation", "post call" and other terms which are self =
centered, and=20
> not patient care and patient outcome centered. =20
>=20
> k
>=20
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/traumalist.html
>=20

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<DIV><FONT face=3DArial size=3D2>Dear List Members:</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Thank you for your quick feedback as =
usual. Let me=20
explain myself better:</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>A friend of mine =
is&nbsp;working&nbsp;on a study to=20
compare the level of stress (anxiety) in perfoming ATLS and ACLS courses =

compared to real life ER outcome performances.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Preliminary results showed that the =
stress level is=20
higher in ATLS courses. She tried to search the literature but no =
results were=20
found till now.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>The main reason for the study (I bet =
you wonder):=20
To&nbsp;identify&nbsp;negative risk factors during emergency courses; To =
find=20
out how&nbsp;can one minimize the psychological stimulum impinged upon =
an=20
individual so he/she can improve his/her learning. </FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Hypothetical case: ATLS =
course,&nbsp;Monday=20
afternoon.It's test time!&nbsp;The best student approoved now&nbsp;is=20
not&nbsp;going to be the best ATLS instructor. The teacher wonders =
why...=20
</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>And the real best student and =
outstanding ATLS=20
instructor candidate was too nervous and dazzled by the presence of Dr. =
Mattox=20
anti-wimp-candidates-instructor!</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>He couldn't do make it. The student has =
failed the=20
course <STRONG>not</STRONG> because he wasn't good but only because he =
was=20
stressed out! Got it?</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>I wish it was april 1st but it happens =
all the=20
time. I know&nbsp;my friend's&nbsp;study is not going to change the =
world but=20
it's interesting for those nurses who like studing people's level of=20
anxiety&nbsp; and find out&nbsp;how can one fight it back. </FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Maybe I'm not using the right word but =
here goes=20
what's in STEADMAN'S DICTIONARY (26th ed.):</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>STRESS - Reactions of the body to =
forces of a=20
deleterious nature, infections,&nbsp; and various abnormal&nbsp; states =
that=20
tend to disturb its normal physiologic equilibrium (homeostasis). The =
force or=20
pressure applied or exerted between portions of a body&nbsp; or bodies , =

generally expressed in pounds per square inch. In Rheology , the force =
in a=20
material transmitted per unit area to adjacent layers. <U><EM><STRONG>In =

psychology, a physical or psychological stimulus such as very high heat, =
public=20
criticism, or another noxious agent or experience which, when impinging =
upon an=20
individual , produces psychological strain or=20
disequilibrium.</STRONG></EM></U></FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Besides, I bet Dr. Mattox if =
you're&nbsp;knew what=20
nurse we're talking about you'd know she's the PABULUM OF&nbsp;<BR> =
PRODUCTIVITY=20
herself ehehehe. </FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Cheers</FONT></DIV>
<DIV>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>C Alster, MD</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>----- Original Message ----- </FONT>
<DIV><FONT face=3DArial size=3D2>From: &lt;</FONT><A=20
href=3D"mailto:KMATTOX@aol.com"><FONT face=3DArial=20
size=3D2>KMATTOX@aol.com</FONT></A><FONT face=3DArial =
size=3D2>&gt;</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>To: &lt;</FONT><A=20
href=3D"mailto:trauma-list@trauma.org"><FONT face=3DArial=20
size=3D2>trauma-list@trauma.org</FONT></A><FONT face=3DArial=20
size=3D2>&gt;</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Sent: Friday, May 31, 2002 12:57 =
AM</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Subject: Re: STRESS &amp; ATLS or ACLS=20
research</FONT></DIV></DIV>
<DIV><FONT face=3DArial><BR><FONT size=3D2></FONT></FONT></DIV><FONT =
face=3DArial=20
size=3D2>&gt; I have no idea what you are talking about.&nbsp;&nbsp; I =
know of no=20
one who is really <BR>&gt; active in trauma, critical care, or major =
surgery who=20
even uses the word <BR>&gt; stress.&nbsp;&nbsp; Stress is a term for =
wimps who=20
are not turned on by the toughest, <BR>&gt; the greatest of the=20
challenges.&nbsp;&nbsp;&nbsp; For those who choose a career in cardiac, =
<BR>&gt;=20
vascular, trauma or surgical critical care, STRESS IS THE PABULUM OF =
<BR>&gt;=20
PRODUCTIVITY.&nbsp;&nbsp;&nbsp; I would never hire a person who during =
the=20
interview even <BR>&gt; mentions the work "stress."&nbsp;&nbsp; For that =
matter=20
I dont like the terms "life <BR>&gt; style," "vacation", "post call" and =
other=20
terms which are self centered, and <BR>&gt; not patient care and patient =
outcome=20
centered.&nbsp; <BR>&gt; <BR>&gt; k<BR>&gt; <BR>&gt; --<BR>&gt; =
trauma-list :=20
TRAUMA.ORG<BR>&gt; To change your settings or unsubscribe visit:<BR>&gt; =

</FONT><A href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2020/3D"http://www.trauma.org/traumalist.html"><FONT =
face=3DArial=20
size=3D2>http://www.trauma.org/traumalist.html</FONT></A><BR><FONT =
face=3DArial=20
size=3D2>&gt; </FONT></BODY></HTML>

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STRESS & ATLS or ACLS research