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- W2566055145 abstract "OBJECTIVE: To train neurology residents in stroke-code response using simulation.BACKGROUND: Stroke codes notify key personnel of the arrival of stroke victims who may benefit from therapeutic interventions. In academic centers, stroke codes rely heavily on neurology residents who evaluate the patients and determine eligibility for thrombolytic therapy. Achieving optimal door-to-needle time is key to good patient outcomes, but it can be hindered by knowledge deficits, stress and lack of experience.DESIGN/METHODS: A stroke code simulation lab was created using mock cases that included a clinical scenario, CT scan and simulated examination. Examinees interviewed and examined a standardized patient, obtaining collateral information from a standardized support person. The examinee then, “ordered” laboratory and imaging tests, interpreted the results, and decided on therapeutic intervention. Each simulation lasted approximately 25 minutes. Checklists were completed by an observer. Simulations were followed by a group discussion, identifying elements performed accurately and elements missed. All examinees completed pre- and post-course quizzes, and a course evaluation.RESULTS: Seven PGY-2 and six PGY-3 residents participated in the course. A paired t-test comparing pre- and post-course quiz results showed a significant difference [pre-course mean score 61[percnt], SD=0.17, post-course mean score 81[percnt], SD=0.14; p value=0.0002]. Analysis of the 8-question-survey (11 responders) showed a weighted average of 4.5 on a scale from 1 to 5, with 5 indicating a very favorable response to the simulation experience. A second phase of the study analyzing door-to-needle time one year before and after institution of the simulation lab is underway.CONCLUSIONS: The stroke code simulation lab met its objectives of improving the neurology residents’ knowledge and experience managing stroke codes. It was perceived as a valuable exercise. Further data will determine if the stroke code simulation lab improves patient care. Disclosure: Dr. Mao has nothing to disclose. Dr. Zidan has nothing to disclose. Dr. Afzal has nothing to disclose. Dr. Cherukuri has nothing to disclose. Dr. Qadeer has nothing to disclose. Dr. Bradshaw has received research support from Cytokinetcs." @default.
- W2566055145 created "2017-01-06" @default.
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- W2566055145 date "2016-04-05" @default.
- W2566055145 modified "2023-09-23" @default.
- W2566055145 title "Stroke Code Simulation Lab; Save Time Save Brain! (P2.375)" @default.
- W2566055145 hasPublicationYear "2016" @default.
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