Wijdicks Eelco F M, Hocker Sara E
Department of Neurology, Mayo Clinic, Rochester, Minnesota.
Semin Neurol. 2018 Aug;38(4):465-470. doi: 10.1055/s-0038-1666986. Epub 2018 Aug 20.
Acute neurologic (and potentially disability prone) conditions are rarely taught and, if so, at the bedside and usually after the fact. Simulation training offers a realistic environment to teach rapid-fire decision making, how to take charge, and how best to approach a deteriorating, acutely ill neurologic patient.Simulating acute neurology is a newly emerging educational program. Proven principles of simulation, which may include teaching technical skills, can be applied to acute neurology (and neurointensive care). Communication skills pertaining to catastrophic neurologic injury with all its ethical ramifications can be taught and practiced. There is a growing need for well-designed, tested teaching scenarios and a need to validate this approach. This review provides an overview of the potential opportunities available in medical institutions with a simulation center.
急性神经系统疾病（以及可能导致残疾的情况）很少被讲授，如果讲授的话，也是在床边，而且通常是在事后。模拟训练提供了一个逼真的环境，用于教授快速决策、如何掌控局面以及如何最好地处理病情恶化的急性神经系统疾病患者。模拟急性神经病学是一个新兴的教育项目。经过验证的模拟原则，包括教授技术技能，可以应用于急性神经病学（和神经重症监护）。可以教授和练习与灾难性神经损伤及其所有伦理影响相关的沟通技巧。越来越需要精心设计、经过测试的教学场景，也需要验证这种方法。本综述概述了在设有模拟中心的医疗机构中可能存在的机会。
