title: Stress during ACLS courses: is it important for learning skills?
abstract: OBJECTIVE
  To determine the influence of stress on teaching medical emergencies in an Advanced Cardiac Life Support (ACLS) course and to verify this influence on learning, and the efficiency of emergency care training.
  
  
  METHODS
  Seventeen physicians signed up for an ACLS course. Their pulses were taken and blood pressure (BP) verified on the first day, before the beginning of the course, and on the second day, during the theoretical and practical test (TPT). Variations in pulse rates and BP were compared with students' test grades. Then, students answered a questionnaire of variables (QV) about the amount of sleep they had during the course, the quantity of study material and the time spent studying for the course, and a stress scale graphic.
  
  
  RESULTS
  Seven students had a pulse variation less than 10% between the 2 periods and 10 had a 10% or more variation. Grades on TPT were, respectively, 91.4+/-2.4 and 87.3+/-5.2 (p<0.05). Six students had a BP variation less than 20 mmHg, and in 11 it varied more than 21 mmHg. Grades on the TPT were 92.3+/-3.3 and 86.2+/- 8.1, respectively (p<0.05). The QV dates did not significantly influence grades.
  
  
  CONCLUSIONS
  Stress, as an isolated variable, had a negative influence on the learning process and on the efficiency of emergency training in this situation.
authors.affiliation: Pontifical Catholic University of Paraná, Brazil. emiltonj@rla01.pucpr.br
authors.forename: Emilton
authors.initials: E
authors.lastname: Lima
authors.forename: José
authors.initials: J
authors.lastname: Knopfholz
authors.forename: Carla M
authors.initials: CM
authors.lastname: Menini
mesh_terms: D000328:Adult; D022561:Advanced Cardiac Life Support / Q000193:education* / Q000592:standards; D003072:Cognition Disorders / Q000523:psychology; D004504:Education, Medical, Undergraduate / Q000379:methods*; D004521:Educational Measurement; D005260:Female; D006331:Heart Diseases / Q000628:therapy*; D006339:Heart Rate; D006801:Humans; D007858:Learning; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D013315:Stress, Psychological; D013663:Teaching