The European Stroke Organisation (ESO) Simulation Committee was established in 2017 with the intent to promote simulation education and training in the stroke field. The application of simulation methodology in education and training improves healthcare professional performances in real clinical practice and patient outcomes. We evaluated the implementation of simulation training in stroke medicine, how it can significantly affect stroke pathways and quality of care. We herewith describe simulation techniques in the acute stroke setting. Simulation programs place the trainees in a safe environment, allowing both role-playings for decision making training and procedural simulation for technical skills improvement. This paper includes the position of the Committee on the key points, principles, and steps in order to set up and promote simulation programs in European stroke centers. Stroke is an emergency, and hyperacute phase management requires knowledge, expertise, optimal multidisciplinary team working, and timely actions in a very narrow time window. The ESO Simulation Committee promotes the implementation of simulation training in stroke care according to a specific and validated methodology.

Department of Neurology and Strategic Direction Azienda Sanitaria Provinciale di Ragusa Ragusa Italy

Department of Neurology Stroke Center University Hospital La Paz Universidad Autónoma Madrid Spain

Department of Neurology Stroke Unit Univ Lille Inserm U1172 CHU Lille Lille France

Department of Neurology University Hospital Frankfurt Goethe University Frankfurt am Main Germany

Department of Neurology University Hospital of Bern Bern Switzerland

Department of Neuroradiology University Medical Center Schleswig Holstein Lübeck Germany

International Clinical Research Center St Anne's University Hospital Brno Czech Republic

Neurology Department St Anne's University Hospital and Masaryk University Brno Czech Republic

Royal Heath Group Czech Rehabilitation Hospital Abu Dhabi United Arab Emirates

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Simulation-based team training improves door-to-needle time for intravenous thrombolysis