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ther studies are needed to identify effective strategies to improve knowledge, compliance with medication, and long-term outcomes of children with CHD. Occupational groups operating in dangerous environments may witness the development of acute stress reaction (ASR) in team members. Witnessing ASR in team members may increase the risk of developing subsequent post-traumatic stress disorder (PTSD) symptoms. To describe ASR symptoms that individuals witness, assess the relationship between witnessing a team member exhibiting ASR symptoms a