Evidence map›Paper›PMID 42690299›Full record

ReviewChirurgie (Heidelberg, Germany)2026

[Surgical teams in extraordinary stress environments : Education, mental resilience and simulation-based training].

Philipp Hube, Axel Franke, Christian Beltzer, Gerhard Achatz, Moritz Witzenhausen, Sektion Einsatz‑, Katastrophen- und Taktische Chirurgie der Deutschen Gesellschaft für Unfallchirurgie (EKTC), Chirurgische Arbeitsgemeinschaft Militär- und Notfallchirurgie der Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie (CAMIN)

Abstract readEnglish AbstractReview
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In one paragraph

Review in Chirurgie (Heidelberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Philipp HubeKlinik für Unfallchirurgie und Orthopädie, Rekonstruktive und Septische Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland. philipphube@bundeswehr.org.
Axel FrankeKlinik für Unfallchirurgie und Orthopädie, Rekonstruktive und Septische Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland.
Christian BeltzerKlinik für Allgemein‑, Viszeral-, und Thoraxchirurgie, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland.
Gerhard AchatzKlinik für Unfallchirurgie und Orthopädie, Rekonstruktive und Septische Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland.
Moritz WitzenhausenKlinik für Allgemein‑, Viszeral-, und Thoraxchirurgie, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland.
Sektion Einsatz‑, Katastrophen- und Taktische Chirurgie der Deutschen Gesellschaft für Unfallchirurgie (EKTC), Chirurgische Arbeitsgemeinschaft Militär- und Notfallchirurgie der Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie (CAMIN)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extraordinary stress situations create a dual challenge for surgical teams: they must make technical decisions under time pressure while maintaining communication, leadership and situational awareness. In trauma rooms, intraoperative crises, mass casualty incidents, military deployments and resource-limited environments, risks arise due to stress, cognitive narrowing, unclear roles and impaired team coordination. The literature describes surgical skills, simulation-based education, structured debriefing and resilience training as relevant components to increase reliable team performance. This narrative review summarizes educational concepts, assessment tools and training approaches. A longitudinal curriculum should integrate technical procedures, team communication, crisis leadership and stress regulation. Repeated interprofessional scenarios with realistic stressors, explicit learning objectives and validated feedback are suitable. Resilience is understood as an individual, team-based and organizational capability.

Indexed as

General SurgeryPatient Care TeamResilience, PsychologicalSimulation TrainingClinical CompetenceCommunicationCurriculumHumansCrisis Resource ManagementResilience, psychologicalSimulation trainingTeam communication

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.