Medical education, simulation and uncertainty.

Background: Foundation doctors often feel underprepared to cope with uncertainty, particularly in an acute setting. Simulation is an established method for teaching about the management of acutely unwell patients, yet simulated cases are often simplified to ensure that a given learning outcome is reached. This approach may present learners with challenges in clinical practice when more complex nuanced cases are encountered.

Remote specialist assessment for intravenous thrombolysis of acute ischaemic stroke by telephone.

Objective: To describe the process, efficacy and safety of intravenous thrombolysis for acute ischaemic stroke in an emergency department (ED) setting with remote specialist support through structured telephone consultation.

Design: Retrospective case series.

Setting: Three EDs within a single stroke service in northern England.