Stress Disorders: the Trauma Surgeon as the Second Victim.

IF 1.5 Q3 CRITICAL CARE MEDICINE

Current Trauma Reports Pub Date : 2023-04-27 DOI:10.1007/s40719-023-00259-3

Ashley Y Williams, C Caleb Butts

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引用次数: 1

Abstract

Purpose of review: We review the vocabulary and studies regarding stress disorders, as it relates to trauma care providers, specifically trauma surgeons. In addition, we make recommendations regarding strategies to address the needs identified and future areas of research to assess the adequacy of these strategies.

Recent findings: Stress disorders in trauma are common and constant, identified at levels similar to those seen among first-responders to mass-casualty events. These disorders are identified at every level-from trainee to the most experienced. Trauma surgeons experience the trauma firsthand, as well as through forced re-traumatization as a part of routine care. High levels of cumulative stress result due to the volume of patients that can be difficult to process due to the frequency of shifts and disrupted sleep patterns. This level of chronic stress can lead to a cycle of burnout and increased stress, which is harmful to surgeons and patients.

Summary: Stress disorders are common and poorly understood. Treatment options are infrequently encountered. In order to more adequately respond to this, systematic change is necessary.

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应激障碍：创伤外科医生作为第二个受害者。

综述目的：我们综述了有关应激障碍的词汇和研究，因为它与创伤护理提供者，特别是创伤外科医生有关。此外，我们还就解决已确定需求的战略和未来研究领域提出建议，以评估这些战略的充分性。最近的发现：创伤中的应激障碍是常见且持续的，其水平与大规模伤亡事件的急救人员相似。从受训者到最有经验的人，这些疾病在各个层面都有发现。创伤外科医生亲身经历创伤，并将强制再创伤作为常规护理的一部分。由于轮班频率和睡眠模式紊乱，患者的数量可能难以处理，因此会导致高水平的累积压力。这种程度的慢性压力会导致倦怠和压力增加的循环，这对外科医生和患者都是有害的。摘要：应激障碍很常见，但人们对其了解甚少。很少遇到治疗方案。为了更充分地应对这种情况，有必要进行系统的变革。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Trauma Reports CRITICAL CARE MEDICINE-

CiteScore

1.80

自引率

0.00%

发文量

期刊介绍： Aims: The goal of this journal is to provide concentrated, evidence-based information in the field of trauma through authoritative reviews. It has become almost impossible for the average physician to keep up with the flood of information that is published in numerous medical journals or the internet. Original articles, although often important or even ground-breaking, have typically a narrow focus and on occasions lack scientific rigor. Whereas physicians are encouraged to spend the necessary time reviewing critically the methodology and results of an original article, their fast-paced professional lives allow limited opportunities to do so. Therefore, the need for thoughtful, well-constructed, and comprehensive reviews has increased in our times more than ever before. Our new journal intends to do what the average reader cannot afford doing. It intends to summarize the pertinent information, exclude the irrelevant details, and offer thorough, clinically-focused reviews. We have summoned true experts from around the world to contribute these reviews, based on their detailed analysis of the literature and rich personal experience. We hope that this information will be readily useable and help shape the practice of those who read it. Scope: Our journal is about trauma. It will include every possible blunt or penetrating traumatic injury in any part of the body. It will describe diagnostic and therapeutic strategies, operative and non-operative alike. It will present treatment algorithms and caution about pitfalls and complications. It will compare outcomes, as shown in the literature, and make evidence-based recommendations about preferred pathways. Besides the strict focus on traumatic diseases and their treatment, it will also expand on broader issues related to injury prevention and rehabilitation. All in all, we expect that the scope of the journal will cover everything that has to do with trauma.