ASIAN CORNER
Simulation-based Education of Neurocritical
Care in Japan: Multidisciplinary Workshop
and Hands-on Seminar
By Masao Nagayama MD, PhD, FAAN, FJSIM, Hitoshi Kobata, MD, PhD, FNCS, Satoshi Egawa, MD, and Yasuhiro Kuroda, MD, PhD
Masao Nagayama,
MD, PhD, FAAN,
FJSIM
Hitoshi Kobata,
MD, PhD, FNCS
Satoshi Egawa, MD Yasuhiro Kuroda,
MD, PhD
16
1. Neurocritical Care
Education (by Masao
Nagayama)
In 1992, “Neurological
Intensive Care,” by
Professor Allan H. Ropper,
was published in Annals of
Neurology, and the Japan
Society of Neurological
Emergencies and Critical
Care (JNE) was founded.
Subsequently, the Japan
Society of Neurosurgical
Emergency was established
in 1996. In 2002, the
Neurocritical Care Society
(NCS) and the Japan
Resuscitation Council
(JRC) were founded.
JRC is composed of 23
organizations, including
the Japanese Association
for Acute Medicine,
Japanese Circulation
Society, Japanese Society of Intensive Care Medicine (JSICM),
Japanese Society of Anesthesiologists, Japanese Society of Internal
Medicine, Japanese Red Cross Society, and JNE. JRC, JSICM, JNE,
and other related societies, in collaboration, are playing key roles
in providing neurocritical care education in Japan, utilizing the
evidence-based Neurocritical Care Guidelines, which are part of
the JRC Resuscitation Guidelines 2010 and 2015.
What should we know about the neurocritical care education in Japan?
1) Most frequently focused on neurological evaluation
and neuromonitoring, especially continuous EEG
(cEEG) monitoring
2) Discussion on a wide variety of topics such as: acute
thrombolytic therapy, which is the intensive care
after return of spontaneous circulation and targeted
temperature management (TTM), intracranial pressure
(ICP) monitoring, non-convulsive status epilepticus
(NCSE), determination of brain death by neurological
criteria, terminal care, and management of organ and
tissue transplantation
3) Employment of scenario-based simulation
technology
4) Employment of off-the-job hands-on training
5) Provision of multidisciplinary and multispecialty training
6) Involvement of multidisciplinary and multispecialty
instructors such as neurologists, neurosurgeons,
and epileptologists, as well as specialists in the
fields of emergency, intensive care, and internal and
circulatory medicine
7) Collaboration with medical technology and
pharmaceutical companies