Simulation training for emergency teams to manage acute ischemic stroke by telemedicine
| Autor: | Marc Braun, Claude Varoqui, Marc Debouverie, Gioia Mione, Arielle Brunner, A. Vezain, Serge Bracard, Sébastien Richard |
|---|---|
| Přispěvatelé: | Unité AVC [CHRU Nancy], Service de neurologie [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Centre Universitaire d’Enseignement et de Simulation Médicale [Nancy], Faculté de Médecine [Nancy], Université de Lorraine (UL)-Université de Lorraine (UL), Centre d'investigation clinique plurithématique Pierre Drouin (CIC-P), Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), GCS Télésanté Lorraine, Agence Régionale de Santé Grand-Est (ARS Grand-Est), Département de neuroradiologie diagnostique et thérapeutique [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Imagerie Adaptative Diagnostique et Interventionnelle (IADI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), Centre d'investigation clinique plurithématique Pierre Drouin [Nancy] (CIC-P), Centre d'investigation clinique [Nancy] (CIC), Université de Lorraine (UL)-Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL)-Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Lorraine (UL)-Institut National de la Santé et de la Recherche Médicale (INSERM) |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
emergency team
medicine.medical_specialty Telemedicine education telestroke hub and spoke Simulation training medical simulation training 03 medical and health sciences 0302 clinical medicine Quality Improvement Study medicine 030212 general & internal medicine Disease management (health) intravenous rt-PA Acute ischemic stroke business.industry Medical simulation Retrospective cohort study General Medicine medicine.disease 3. Good health Test (assessment) acute cerebral infarction ComputingMethodologies_DOCUMENTANDTEXTPROCESSING Physical therapy telemedicine Medical emergency business 030217 neurology & neurosurgery Fibrinolytic agent [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology Research Article |
| Zdroj: | Medicine Medicine, Lippincott, Williams & Wilkins, 2016, 95 (24), pp.e3924. ⟨10.1097/MD.0000000000003924⟩ |
| ISSN: | 0025-7974 1536-5964 |
| DOI: | 10.1097/MD.0000000000003924⟩ |
| Popis: | Supplemental Digital Content is available in the text Telemedicine contributes to initiating early intravenous recombinant tissue plasminogen activator (rt-PA) treatment for patients with acute cerebral infarction in areas without a stroke unit. However, the experience and skills of the emergency teams in the spokes to prepare patients and administer rt-PA treatment are ill-defined. Improving these skills could vastly improve management of acute stroke by telemedicine. We developed a medical simulation training model for emergency teams to perform intravenous rt-PA treatment in a telestroke system. From February 2013 to May 2015, 225 learners from 6 emergency teams included in the telestroke system “Virtuall”—in Lorrain (northeastern France)—received a standardized medical simulation training module to perform rt-PA treatment. All learners were assessed with the same pretraining and posttraining test consisting of 52 items. The percentage of right answers was determined for every learner before and after training. Median percentages of right answers were significantly higher in the posttraining test overall (82 ± 10 vs. 59 ± 13% pretraining; P |
| Databáze: | OpenAIRE |
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