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001).The average score for peri-traumatic distress inventory was also significantly higher in the team leaders (18, 8±10, 4 Vs 9, 2±3, 7 p=0,022). Conclusion Simulation-induced stress, as measured by self-assessment, increased significantly after the session and was influenced by the role to be played during the scenario. Stress should be taken into account before debriefing.Objective To study the burden of Road Traffic Accidents (RTA) in the Maghreb and its evolution during the period 1990 to 2017. Methods We described the RTA in the Ma