Download PDF
CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(04): 970-975
DOI: 10.4103/ajns.AJNS_254_20
Original Article

The wakayama-immediate stroke life support course: Achieving successful training on the stroke emergency system without using mechanical medical training simulators

Koji Fujita
Department of Neurological Surgery, Naga Municipal Hospital, Kinokawa
,
Ryo Yoshimura
1   Department of Neurological Surgery, Hashimoto Municipal Hospital, Hashimoto
,
Yoshiyuki Tanaka
2   Department of Neurological Surgery, Mimihara General Hospital, Sakai, Osaka
,
Masayuki Kawabata
3   Department of Neurological Surgery, National Hospital Organization Minami Wakayama Medical Center, Wakayama
,
Akane Masumitsu
4   Department of Critical Care Medicine, National Hospital Organization Kyoto Medical Center, Kyoto
,
Sadao Kawasaki
5   Department of Critical Care Medicine, National Hospital Organization Minami Wakayama Medical Center, Tanabe
,
Yoko Kato
6   Department of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya
,
Seiya Kato
7   Department of Critical Care Medicine, School of Medicine, Wakayama Medical University, Wakayama
,
Naoyuki Nakao
8   Department of Neurological Surgery, School of Medicine, Wakayama Medical University, Wakayama
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Background: The Immediate Stroke Life Support (ISLS) course run in Wakayama (Wakayama-ISLS course) is an off-the-job training course for understanding the initial treatment of acute stroke. A total of 22 Wakayama-ISLS courses have been held in Wakayama Prefecture since 2008. To begin with, the case presentation was performed using human-like, mechanical manikins for simulation training. However, as the course progressed, we found the students paying great attention to the display monitor, and less to the patients' neurological status. Methods: From the fourth Wakayama-ISLS course onward, we conducted the group work with the facilitators pretending to be patients, i.e., without medical training manikins. Results: When the facilitators acted as patients, the students gained a more realistic and expressive perception of neurological symptoms. As a result, they expressed a high level of satisfaction with the course in the questionnaire sent immediately afterwards, regardless of their profession or prior experience. Moreover, as we did not need to transfer medical training simulators, we were able to carry out three ISLS courses at locations some distance from Wakayama city on a low-cost basis. This also enabled the regional medical staff in rural hospitals to participate in the courses easily. Conclusion: The Wakayama-ISLS course without medical training manikins is an entirely feasible off-the-job training course, which provides training on fast and excellent treatment of acute stroke problems based on clinical practice. The course has the potential to spread not only across Japan but throughout the world, including to developing countries, given the cost perspective.

Key-words:

Acute stroke - immediate stroke life support - medical training simulator - off-the-job training course

Financial support and sponsorship

Nil.




Publication History

Received: 24 May 2020

Accepted: 24 July 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Cooper JB, Taqueti VR. A brief history of the development of mannequin simulators for clinical education and training. Postgrad Med J 2008;84:563-70.
  • 2 Ziv A, Wolpe PR, Small SD, Glick S. Simulation-based medical education: An ethical imperative. Acad Med 2003;78:783-8.
  • 3 Ross AJ, Reedy GB, Roots A, Jaye P, Birns J. Evaluating multisite multiprofessional simulation training for a hyperacute stroke service using the Behaviour Change Wheel. BMC Med Educ 2015;15:143.
  • 4 Japanese Association for Acute Medicine, Japan Society of Neurological Emergencies & Critical Care, Japanese Society for Emergency Medicine, Japanese Association for Emergency Nursing. ISLS Guide Book 2018. Tokyo: Herusu-Syuppan; 2018.
  • 5 Fujita K, Yoshimura R, Tanaka Y, Shima Y, Kawasaki S, Ueno M et al. The educational activity with Wakayama-ISLS course for the stroke emergency system in Wakayama Prefecture. Neurosurg Emerg 2014;19:22-30.
  • 6 Ajimi Y. Visual mnemonic performance of best motor response. Prehospital Care 2008;21:1-3.
  • 7 Yamada M, Yamada N, Toyoda I, Yoshimura S, Suzuki A, Sakamoto T, et al. Off-the-job training in Immediate Stroke Life Support. Jpn J Stroke 2009;31:1-9.
  • 8 Nakamura T, Ajimi Y, Okudera H, Yamada M, Imizu S, Hirayama T, et al. The modules for ISLS/PNLS combined course as international version: Report of workshop in 9 international conference of cerebrovascular surgery. Asian J Neurosurg 2010;5:95-100.
  • 9 Okudera H, Takahashi M. Immediate stroke life support: Training for neuroresuscitation team in ER. Rinsho Shinkeigaku 2013;53:1366-8.
  • 10 Sakuma J, Ichikawa M, Sato T, Sugiyama L, Saito K. Experience of an ISLS course setup in Fukushima prefecture, and future planning. J Jpn Soc Neurol Emerg Crit Care 2017;29:1-4.
  • 11 Tanizaki Y, Akaji K, Asakura K, Koga H, Kurihara H, Matsumoto M, et al. The role of neurosurgeons in the development of emergency medical care system for stroke. Neurosurg Emerg 2020;25:7-15.
  • 12 Ajimi Y, Sakamoto T, Tanizaki Y, Nakamura T, Berg BW, Okudera H. Utility of clinical map puzzles as group training materials for the initial treatment of stroke. JCSR 2013;2:3-9.
  • 13 Garside MJ, Rudd MP, Price CI. Stroke and TIA assessment training: A new simulation-based approach to teaching acute stroke assessment. Simul Healthc 2012;7:117-22.