Development and Enhancement of a Mode of Performance and Decision Making UnderStress in a Real Life Setting

摘要

The focus of the present quarter has been on using the scoring system identifiedin our last quarterly report. We have tested the stressor scoring system by analyzing video tapes of patient resuscitations that have high trauma indices. The trauma index is obtained by adding three independent variables of ASA, AIS and TAG together. We have abstracted physiological data that is outside the ranges of normality. We believe that physiological variables (heart rate, blood pressure etc.) outside the range of normality increase stress on the anesthesiologist managing the patient. To tell this hypothesis, we are comparing the stressors scores during abnormal physiological data with those obtained in the same patients and with the same trauma resuscitation team when the vital signs were stabilized. In addition to establishing whether abnormal physiological data is associated with high stressor scores the comparisons between scores made before and after successful resuscitation will enable us to better characterize what is and what is not stressful we will also be comparing team communications before and after completion of resuscitation.