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Year : 2020  |  Volume : 15  |  Issue : 4  |  Page : 970-975

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

1 Department of Neurological Surgery, Naga Municipal Hospital, Kinokawa, Japan
2 Department of Neurological Surgery, Hashimoto Municipal Hospital, Hashimoto, Japan
3 Department of Neurological Surgery, Mimihara General Hospital, Sakai, Osaka, Japan
4 Department of Neurological Surgery, National Hospital Organization Minami Wakayama Medical Center, Wakayama, Japan
5 Department of Critical Care Medicine, National Hospital Organization Kyoto Medical Center, Kyoto, Japan
6 Department of Critical Care Medicine, National Hospital Organization Minami Wakayama Medical Center, Tanabe, Japan
7 Department of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya, Japan
8 Department of Critical Care Medicine, School of Medicine, Wakayama Medical University, Wakayama, Japan
9 Department of Neurological Surgery, School of Medicine, Wakayama Medical University, Wakayama, Japan

Correspondence Address:
Dr. Koji Fujita
1282 Uchita, Kinokawa City, Wakayama Prefecture 649-6414
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajns.AJNS_254_20

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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.

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