Simulation in Acute Neurology is the very first book on simulating acute and potentially life threatening neurologic diseases in a simulation center. This book emerges from our newly established program training residents and fellows of all stripes who generally have little experience in managing these quickly overwhelming disorders. The book is based on the major premise that it matters less if the neurology part is played well or appears real on a manikin. No one can really believe what they are seeing is an exact portrayal and so we concentrated on decisions which may immediately impact outcome and created some tension.
When do you intubate neuromuscular respiratory failure? What order of antiepileptics and dose do you use to treat status epilepticus? How do I work through my differential diagnosis if the CT scan of a comatose patient is stone cold normal? How do I recognize eligibility for endovascular intervention in acute stroke? What does this hemorrhage mean in a young person? When should I be alarmed in acute CNS infections? How do I recognize the major confounders in a patient possibly brain dead and how do I prepare for the apnea test?
This book has all these scenarios, a total of 15, with all necessary details which will allow future directors to run these scenarios nearly instantaneously after one practice round. We also wrote a chapter on how to communicate with families in the throes of a loved one with a neurologic catastrophe and provide techniques to maintain a cordial and professional relationship when things seem to go out of hand.
Much thought went into figuring out what learners need, where they could strand, where they could go seriously wrong and how to nudge them on the right path, so they can have a good experience and learn something, something they will not easily forget and would be happy to know now. We hope this book is a starting point and launches programs elsewhere. Simulation in Acute Neurology has been missing – now it is here, and we hope it is here to stay.
Read a free chapter of Simulation of Acute Neurology
Sara E. Hocker, M.D.
Associate Professor of Neurology, Mayo Clinic College of Medicine
Practice Chair, Department of Neurology, Hospital Practice
Director, Neurocritical Care Fellowship
Consultant, Neurosciences Intensive Care Unit
Mayo Clinic Hospital, Saint Marys Campus
Mayo Clinic Rochester, Minnesota
Eelco F. M. Wijdicks, M.D, PhD, FACP, FNCS, FANA
Professor of Neurology, Mayo Clinic College of Medicine
Chair, Division of Critical Care Neurology
Consultant, Neurosciences Intensive Care Unit
Mayo Clinic Hospital, Saint Marys Campus
Mayo Clinic Rochester, Minnesota
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