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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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BRAIN-SIM: Leveraging Simulation for Neurocritical Care Education with an Innovative Multidisciplinary Approach.

Brett DerGarabedian1, Lauren Lacovara1,2, Justin Delic3

  • 1Cooper Medical School of Rowan University, Camden, NJ, USA.

Journal of Intensive Care Medicine
|April 21, 2025
PubMed
Summary
This summary is machine-generated.

Multidisciplinary simulation training significantly boosts clinician confidence in managing neurologic emergencies and performing critical procedures. This approach enhances neurocritical care education and prepares healthcare teams for complex patient scenarios.

Keywords:
comaconfidencecritical careeducationmultidisciplinary critical careneurocritical caresimulationstatus epilepticusstroke

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Area of Science:

  • Medical Education
  • Neurocritical Care
  • Simulation-Based Learning

Background:

  • Neurocritical care is complex and can cause unease for healthcare professionals.
  • Early recognition and rapid response are crucial for treating neurologic emergencies.
  • Simulation offers a realistic environment for practicing these critical skills.

Purpose of the Study:

  • To evaluate the effectiveness of a multidisciplinary simulation-based learning environment.
  • To assess the impact on trainee confidence in managing neurologic emergencies and procedures.
  • To explore the role of simulation in improving neurocritical care education.

Main Methods:

  • Nine simulation lab sessions were conducted with a multidisciplinary team.
  • High-fidelity manikins simulated acute neurologic and physiologic emergencies.
  • Participants completed pre- and post-simulation confidence surveys.

Main Results:

  • Significant improvements in learner confidence were observed across various neurologic emergencies (e.g., coma, stroke, hemorrhage) and procedures (e.g., central lines, intubations).
  • Learners reported high satisfaction with faculty knowledge and the realism of the simulation experience.
  • Participants identified simulation as a valuable tool for self-improvement in neurocritical care.

Conclusions:

  • Multidisciplinary simulation training is an effective method for enhancing neurocritical care education.
  • Simulation increases clinician confidence in managing complex neurologic conditions and performing essential procedures.
  • Further research is warranted to evaluate the long-term effectiveness of simulation in this specialized field.