The Primary Neurosurgical Life Support (PNLS) Content in the Neuroresuscitation Simulation Training Guidebooks

Abstract

  Five guidebooks for Neuroresuscitation Simulation Training were published by Japanese Society for Neurosurgical Emergency, Japanese Society for Neuromedicine, Japanese Association for Clinical Emergency Medicine, Japanese Association for Acute Medicine and Japanese Society for Emergency Nursing since 2006 and a training course based on the guidebooks was developed. A ‘team dynamics’ model from prehospital to in‒hospital was enabled because the physicians, nurses, and paramedics who participated in the training course then had common team‒based knowledge about neuroresuscitation. We classified the four education contents of the five guidebooks as Knowledge/Disease, Technical Skills, Non‒Technical Skills, and Team Dynamics, and we calculated the ratios of the numbers of pages devoted to these four contents of each guidebook. The characteristics of the contents regarding primary neurosurgical life support (PNLS) were then determined, and we discuss the future development of the guidebooks’ contents. Little was said in the guidebooks about Team Dynamics. PNLS and immediate stroke life support (ISLS) accounted for the balance of the four education contents. The PNLS contents focused on the methods of care or treatment of several training cases for each participant (physician, nurse, or paramedic), and the contents were written in accord with the 2015 Japan Resuscitation Council resuscitation guidelines. Regarding PNLS, the contents were well‒balanced and provided sufficient information about team dynamics for each training attendee. For better team dynamics, the training attendees should learn about knowledge/disease and technical skills by e‒learning before taking the PNLS course and then learn about team Dynamics mainly in the training course.