title: [Coping with complex medical emergency situations : Competent and successful decision-making, communication and leadership].
abstract: BACKGROUND
  Stress is an integral part of the daily routine among healthcare workers in anesthesiology and emergency medicine.
  
  
  OBJECTIVE
  This article describes negative stress effects in complex emergency situations and presents helpful tools for coping with them.
  
  
  METHODS
  Evaluation and discussion of selected medical and psychological publications and the inclusion of expert opinions are presented.
  
  
  RESULTS
  Negative stress of healthcare providers in medical emergencies severely affects their reasoning and communication and is inadequately taken into account during routine care.
  
  
  CONCLUSIONS
  Research in aviation and psychology has provided various tools to improve performance during stressful events and should be taken into consideration for routine daily use.
authors.affiliation: Klinik für Anästhesiologie und Operative Intensivmedizin, Uniklinik Köln (AöR), Kerpener Str. 62, 50937, Köln, Deutschland, bernhard.vetter@uk-koeln.de.
authors.forename: B
authors.initials: B
authors.lastname: Vetter
authors.forename: B
authors.initials: B
authors.lastname: Gasch
authors.forename: S A
authors.initials: SA
authors.lastname: Padosch
mesh_terms: D000223:Adaptation, Psychological; D003142:Communication; D004632:Emergency Medical Services / Q000458:organization & administration*; D006801:Humans; D007857:Leadership; D008606:Mental Processes; D032024:Personnel Delegation; D013315:Stress, Psychological / Q000523:psychology