Additional Information
Book Details
Abstract
Simulation in Acute Neurology is a reference on the execution of a simulation-based educational program in the management of acute neurologic emergencies. Simulation in Acute Neurology has practical value because it contains detailed descriptions of our simulation scenarios. The foundation of this book is our experience with neurosimulation―and it has been a very good one
Part I provides an overview of the principles of simulation in medicine and examines the many unique opportunities simulation provides as an educational tool. Barriers to simulating neurologic emergencies are also discussed. Simulation allows a physician-in-training to be observed directly as he or she evaluates and manages acute neurologic disease.
Part II is the core of the book. Fifteen acute neurologic emergencies, including complex neuroethical quandaries, are presented in detail, step by step, decision by decision, error after error. Each chapter in this section starts with an explanation of the essence of the discussed neuroemergency (THE PROBLEM BEFORE US), followed by a description of the scenario itself (THE PRESENTING CLINICAL PROBLEM), how scenarios can be adjusted to different types of learners (ADAPTING THE SCENARIO), and ends with a discussion of topics for feedback, which are generally focused around errors and pitfalls (DEBRIEFING). To show the flow of scenarios, we created two additional main headings: (THE IDEAL LEARNER) and (THE NOT-SO IDEAL LEARNER).
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Simulation in Acute Neurology | i | ||
| Simulation in Acute Neurology | iii | ||
| Copyright | iv | ||
| Dedication | v | ||
| Preface | vii | ||
| Contents | ix | ||
| I - GENERAL PRINCIPLES | 1 | ||
| 1 - Principles of Simulation | 1 | ||
| RATIONALE FOR SIMULATION | 1 | ||
| TERMINOLOGY AND PARTICIPANTS | 2 | ||
| PRINCIPLES OF SIMULATION | 2 | ||
| Prebriefing | 3 | ||
| Scenario Execution and Flow | 3 | ||
| Debriefing | 3 | ||
| VALIDATION | 4 | ||
| THE LIMITS, CHALLENGES, AND CONTROVERSIES OF SIMULATION | 5 | ||
| CONCLUSIONS | 6 | ||
| REFERENCES | 6 | ||
| 2. Simulation of Acute Neurology | 9 | ||
| Teaching Acute Neurology | 9 | ||
| Application of Simulation to Acute Neurology | 10 | ||
| Setup and Equipment | 10 | ||
| How to Portray Neurologic Disease? | 10 | ||
| How to Teach Successful Family Conferences on Patients With Neurologic Injury? | 12 | ||
| What Props and Devices Are Available? | 14 | ||
| Future Challenges in Neurosimulation | 14 | ||
| Conclusions | 14 | ||
| References | 14 | ||
| 3 - Developing Scenarios | 17 | ||
| THE SCENARIOS | 17 | ||
| Designing Scenarios | 17 | ||
| Crafting Scenarios | 19 | ||
| Rehearsing Scenarios | 21 | ||
| CONCLUSIONS | 22 | ||
| REFERENCES | 22 | ||
| II - TEACHING SCENARIOS | 23 | ||
| 4 - Simulating Traumatic Brain Injury | 23 | ||
| THE PROBLEM BEFORE US | 23 | ||
| THE PRESENTING CLINICAL PROBLEM | 25 | ||
| Preparation | 25 | ||
| Coaching Actors | 25 | ||
| THE IDEAL LEARNER | 25 | ||
| THE NOT-SO-IDEAL LEARNER | 27 | ||
| ADAPTING THE SCENARIO | 27 | ||
| DEBRIEFING | 29 | ||
| CONCLUSIONS | 29 | ||
| REFERENCES | 29 | ||
| 5 - Simulating Acute Carotid Artery Occlusion | 31 | ||
| THE PROBLEM BEFORE US | 31 | ||
| THE PRESENTING CLINICAL PROBLEM | 32 | ||
| Preparation | 32 | ||
| Coaching Actors | 33 | ||
| THE IDEAL LEARNER | 34 | ||
| THE NOT-SO-IDEAL LEARNER | 35 | ||
| ADAPTING THE SCENARIO | 36 | ||
| DEBRIEFING | 37 | ||
| CONCLUSIONS | 37 | ||
| REFERENCES | 37 | ||
| 6 - Simulating Basilar Artery Occlusion | 39 | ||
| THE PROBLEM BEFORE US | 39 | ||
| THE PRESENTING CLINICAL PROBLEM | 41 | ||
| Preparation | 41 | ||
| Coaching the Actor | 41 | ||
| THE IDEAL LEARNER | 41 | ||
| THE NOT-SO-IDEAL LEARNER | 42 | ||
| ADAPTING THE SCENARIO | 43 | ||
| DEBRIEFING | 43 | ||
| CONCLUSION | 44 | ||
| REFERENCES | 44 | ||
| 7 - Simulating Aneurysmal Subarachnoid Hemorrhage | 45 | ||
| THE PROBLEM BEFORE US | 45 | ||
| THE PRESENTING CLINICAL PROBLEM | 46 | ||
| Preparation | 46 | ||
| Coaching Actors | 46 | ||
| THE IDEAL LEARNER | 48 | ||
| THE NOT-SO-IDEAL LEARNER | 48 | ||
| ADAPTING THE SCENARIO | 49 | ||
| DEBRIEFING | 49 | ||
| CONCLUSIONS | 50 | ||
| REFERENCES | 50 | ||
| 8 - Simulating Delayed Cerebral Ischemia | 53 | ||
| THE PROBLEM BEFORE US | 53 | ||
| THE PRESENTING CLINICAL PROBLEM | 54 | ||
| Preparation | 54 | ||
| Coaching Actors | 54 | ||
| THE IDEAL LEARNER | 54 | ||
| THE NOT-SO-IDEAL LEARNER | 56 | ||
| ADAPTING THE SCENARIO | 57 | ||
| DEBRIEFING | 58 | ||
| CONCLUSIONS | 59 | ||
| REFERENCES | 59 | ||
| 9 - Simulating Cerebral Venous Thrombosis | 61 | ||
| THE PROBLEM BEFORE US | 61 | ||
| THE PRESENTING CLINICAL PROBLEM | 63 | ||
| Preparation | 63 | ||
| Coaching Actors | 64 | ||
| THE IDEAL LEARNER | 63 | ||
| THE NOT-SO-IDEAL LEARNER | 64 | ||
| ADAPTING THE SCENARIO | 65 | ||
| DEBRIEFING | 65 | ||
| CONCLUSIONS | 66 | ||
| REFERENCES | 66 | ||
| 10 - Simulating Coma of Unknown Cause | 67 | ||
| THE PROBLEM BEFORE US | 67 | ||
| THE PRESENTING CLINICAL PROBLEM | 68 | ||
| Preparation | 68 | ||
| Coaching Actors | 69 | ||
| THE IDEAL LEARNER | 69 | ||
| THE NOT-SO-IDEAL LEARNER | 71 | ||
| ADAPTING THE SCENARIO | 71 | ||
| DEBRIEFING | 72 | ||
| CONCLUSIONS | 72 | ||
| REFERENCES | 72 | ||
| 11 - Simulating Neuromuscular Respiratory Failure | 75 | ||
| THE PROBLEM BEFORE US | 75 | ||
| THE PRESENTING CLINICAL PROBLEM | 76 | ||
| Preparation | 76 | ||
| Coaching Actors | 77 | ||
| THE IDEAL LEARNER | 77 | ||
| THE NOT-SO IDEAL LEARNER | 77 | ||
| ADAPTING THE SCENARIO | 79 | ||
| DEBRIEFING | 79 | ||
| CONCLUSIONS | 80 | ||
| REFERENCES | 80 | ||
| 12 - Simulating Status Epilepticus | 81 | ||
| THE PROBLEM BEFORE US | 81 | ||
| THE PRESENTING CLINICAL PROBLEM | 82 | ||
| Preparation | 83 | ||
| Coaching Actors | 83 | ||
| THE IDEAL LEARNER | 83 | ||
| THE NOT-SO-IDEAL LEARNER | 84 | ||
| ADAPTING THE SCENARIO | 85 | ||
| DEBRIEFING | 86 | ||
| CONCLUSIONS | 86 | ||
| REFERENCES | 86 | ||
| 13 - Simulating Encephalitis | 89 | ||
| THE PROBLEM BEFORE US | 89 | ||
| THE PRESENTING CLINICAL PROBLEM | 90 | ||
| Preparation | 90 | ||
| COACHING ACTORS | 90 | ||
| THE IDEAL LEARNER | 90 | ||
| THE NOT-SO-IDEAL LEARNER | 92 | ||
| ADAPTING THE SCENARIO | 94 | ||
| DEBRIEFING | 94 | ||
| CONCLUSIONS | 95 | ||
| REFERENCES | 95 | ||
| 14 - Simulating Acute Spinal Cord Compression | 97 | ||
| THE PROBLEM BEFORE US | 97 | ||
| THE PRESENTING CLINICAL PROBLEM | 98 | ||
| Preparation | 99 | ||
| Coaching Actors | 99 | ||
| THE IDEAL LEARNER | 99 | ||
| THE NOT-SO IDEAL LEARNER | 100 | ||
| ADAPTING THE SCENARIO | 100 | ||
| DEBRIEFING | 100 | ||
| CONCLUSIONS | 102 | ||
| REFERENCES | 102 | ||
| 15 - Simulating Acute Bacterial Meningitis | 103 | ||
| THE PROBLEM BEFORE US | 103 | ||
| THE PRESENTING CLINICAL PROBLEM | 104 | ||
| Preparation | 105 | ||
| Coaching Actors | 105 | ||
| THE IDEAL LEARNER | 106 | ||
| THE NOT-SO-IDEAL LEARNER | 106 | ||
| ADAPTING THE SCENARIO | 106 | ||
| DEBRIEFING | 107 | ||
| CONCLUSION | 108 | ||
| REFERENCES | 108 | ||
| 16 - Simulating Posterior Reversible Encephalopathy Syndrome | 111 | ||
| THE PROBLEM BEFORE US | 111 | ||
| THE PRESENTING CLINICAL PROBLEM | 113 | ||
| Preparation | 113 | ||
| Coaching Actors | 113 | ||
| THE IDEAL LEARNER | 113 | ||
| THE NOT–SO–IDEAL LEARNER | 115 | ||
| DEBRIEFING | 116 | ||
| ADAPTING THE SCENARIO | 116 | ||
| CONCLUSIONS | 116 | ||
| REFERENCES | 116 | ||
| 17 - Simulating Brain Death | 119 | ||
| THE PROBLEM BEFORE US | 119 | ||
| THE PRESENTING CLINICAL PROBLEM | 120 | ||
| Preparation | 121 | ||
| Coaching Actors | 121 | ||
| THE IDEAL LEARNER | 122 | ||
| THE NOT-SO-IDEAL LEARNER | 123 | ||
| ADAPTING THE SCENARIO | 123 | ||
| DEBRIEFING | 123 | ||
| CONCLUSIONS | 125 | ||
| REFERENCES | 125 | ||
| 18 - Simulating Problematic Family Conferences | 127 | ||
| THE PROBLEM BEFORE US | 127 | ||
| Futility in the Neuro ICU | 127 | ||
| The Family Conference | 128 | ||
| THE PRESENTING PROBLEM | 129 | ||
| Preparation | 130 | ||
| Coaching Actors | 131 | ||
| THE IDEAL LEARNER | 131 | ||
| THE NOT-SO-IDEAL LEARNER | 131 | ||
| DEBRIEFING | 132 | ||
| CONCLUSION | 133 | ||
| REFERENCES | 133 | ||
| Index | 135 | ||
| A | 135 | ||
| B | 135 | ||
| C | 135 | ||
| D | 136 | ||
| E | 136 | ||
| F | 137 | ||
| G | 137 | ||
| H | 137 | ||
| I | 137 | ||
| K | 137 | ||
| L | 137 | ||
| M | 138 | ||
| N | 138 | ||
| O | 138 | ||
| P | 138 | ||
| R | 138 | ||
| S | 138 | ||
| T | 139 | ||
| V | 140 | ||
| W | 140 |