Publications by authors named "K Dean Gubler"
Introduction: Surgeons and military personnel are subjected to high-stress scenarios, which leads to greater rates of burnout. There is room to optimize performance and longevity in these careers by better understanding the body's stress response and applying it to stress management training. This study aims to understand the physiological response in those engaged in trauma scenarios by examining 6 hormones and 42 cytokines during the Intensive Surgical and Trauma Skills Course held at Strategic Operations Inc in San Diego, CA.
View Article and Find Full Text PDFObjective: The objective of this study was to investigate possible immune cytokine trends throughout a week-long surgical simulation mass-casualty training session in order to determine the effects of stress inoculation on the immune system.
Methods: Thirty-seven military medical students participated in a hyper-realistic surgical simulation training event conducted at Strategic Operations site in San Diego, California. Salivary samples were collected every morning of the stress training exercise for 4 consecutive days.
A 51-year-old male with a history of Cacchi-Ricci disease and long-standing infection with various species of presented with recurrent symptoms of right-sided flank pain. Numerous renal calculi were identified on imaging. The etiology of the calculi had not been previously elucidated.
View Article and Find Full Text PDFArticle Synopsis
- The study focused on how sleep and fatigue metrics change during intensive surgical and trauma skills training, particularly looking at the link between eye movement (oculomotor metrics) and fatigue.
- Thirty-nine military medical students participated in a 6-day training program, completing surveys on sleepiness and undergoing oculomotor tests to measure fatigue while also tracking their sleep with Fitbit devices.
- Results indicated improvements in sleep quality over the first few days, and specific oculomotor metrics showed patterns tied to fatigue, suggesting a potential relationship between sleep quality and resilience to fatigue during skills training.