{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:01:18Z","timestamp":1772164878878,"version":"3.50.1"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["SVIN"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Mechanical thrombectomy is the standard of care in acute ischemic stroke with anterior large vessel occlusion presenting within 6 hours of symptom onset, but complications do exist. We assessed the feasibility of a hybrid simulation\u2010based workshop at a national meeting for interventional neurology trainees focused on the management of acute ischemic stroke and tissue\u2010plasminogen activator\u2010related hemorrhage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">In this prospective, observational, hybrid simulation\u2010based study at a fellows\u2019 workshop at a national conference, participants were asked to manage a patient with acute ischemic stroke in the neurointerventional suite followed by thrombolytic\u2010related hemorrhage leading to cerebral herniation during mechanical thrombectomy. We evaluated the participants\u2019 ability to complete critical actions that were developed based on best practices and relevant American Heart Association guidelines and the Neurocritical Care Society's Emergency Neurological Life Support protocols. The primary outcome was the improvement in knowledge from a precourse to postcourse test. Secondary outcomes included participant reactions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">Sixty trainees completed the simulation session in 8 groups. The mean sum of critical actions completed by trainees was 9.75\/14 (70%). There was a moderate effect of the intervention on trainees\u2019 knowledge from pretest (mean 3.8, SD = 0.3) to posttest (mean 4.3, SD = 0.3). The simulation scenario was described as moderately realistic, very engaging, and extremely satisfactory. Following the workshop, all fellows endorsed an increase in proficiency and confidence in neurological emergency management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p xml:lang=\"en\">Simulation\u2010based workshops at national conferences are feasible and a potentially useful tool for safely educating a large audience of trainees who may not have access to high\u2010fidelity simulation platforms at their institutions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/svin.124.001416","type":"journal-article","created":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T01:46:40Z","timestamp":1725500800000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["A Hybrid Simulation\u2010Based Workshop Improves Knowledge and Confidence in the Management of Hemorrhagic Conversion of Stroke Among Interventional Neurology Trainees"],"prefix":"10.1161","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4526-4176","authenticated-orcid":false,"given":"Melissa B.","family":"Pergakis","sequence":"first","affiliation":[{"name":"University of Maryland School of Medicine","place":["Baltimore"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asit","family":"Misra","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine","place":["Miami"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fawaz","family":"Al\u2010Mufti","sequence":"additional","affiliation":[{"name":"Westchester Medical Center, Valhalla","place":["New York"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivette","family":"Motola","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine","place":["Miami"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas A.","family":"Morris","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine","place":["Baltimore"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000211"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1706442"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1713973"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.37708"},{"key":"e_1_3_2_6_2","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1177\/15910199231170283","article-title":"Endovascular thrombectomy of large ischemic strokes: reimagining the boundaries of reperfusion","volume":"29","author":"Ballout AA","year":"2023","unstructured":"Ballout AA. Endovascular thrombectomy of large ischemic strokes: reimagining the boundaries of reperfusion. Interv Neuroradiol. 2023;29:493\u2010497. https:\/\/doi.org\/10.1177\/15910199231170283.","journal-title":"Interv Neuroradiol"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2024.102595"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.118.024646"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A7705"},{"key":"e_1_3_2_10_2","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1056\/NEJMoa1411587","article-title":"A randomized trial of intraarterial treatment for acute ischemic stroke","volume":"372","author":"Berkhemer OA","year":"2014","unstructured":"Berkhemer OA, Fransen PSS, Beumer D, Van Den Berg LA, Lingsma HF, Yoo AJ, Schonewille WJ, Vos JA, Nederkoorn PJ, Wermer MJH, et\u00a0al. A randomized trial of intraarterial treatment for acute ischemic stroke. 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Stroke. 2015;46:3020\u20103035. DOI: https:\/\/doi.org\/10.1161\/STR.0000000000000074.","journal-title":"Stroke"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0b013e318284056a"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000152"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0b013e3181577511"},{"key":"e_1_3_2_21_2","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/s41077-016-0025-y","article-title":"Reporting guidelines for health care simulation research: extensions to the CONSORT and STROBE statements","volume":"1","author":"Cheng A","year":"2016","unstructured":"Cheng A, Kessler D, Mackinnon R, Chang TP, Nadkarni VM, Hunt EA, Duval\u2010Arnould J, Lin Y, Cook DA, Pusic M, et\u00a0al. Reporting guidelines for health care simulation research: extensions to the CONSORT and STROBE statements. 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