In Gunma Prefecture, the Gunma PSLS course has been continuously conducted to develop human resources for emergency medical services. To confirm PSLS results, a post-verification review of stroke cases transported by ambulance is conducted to qualitatively evaluate activities of emergency medical services. Based on the review results, we have been working on recent treatment methods such as the introduction of a screen for occlusion of the main artery of the anterior cerebral circulation. We have continued to revise the PSLS course in response to latest advances in resuscitation education science and the enactment of the Stroke and Cardiovascular Disease Control Act; however, the effect of the COVID-19 pandemic has been enormous, forcing us to make changes such as delaying the publication of the JRC Resuscitation Guidelines 2020, canceling the Gunma PSLS course, and suspending the post- verification review. To cope with these changes, we have been revising the Gunma PSLS course so that it can be conducted continuously by changing from massed learning to spaced learning. An overview of the revised course will be reported.
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