Transfer-first governance framework bounding non-neurosurgeon temporising cranial intervention

Design · All designs
Evidence · no claims cited

Description

The article proposes a conceptual framework (Table 4) mapping each included pathology to a time-criticality level, an intended role for the non-neurosurgeon, minimal prerequisites, and a transfer principle. EDH with deterioration maps to time-critical temporising decompression only when transfer is infeasible; acute SDH is a rare "in extremis" exception; intraparenchymal hemorrhage is primarily educational exposure. The framework's core is that "NEUROSAVE is best understood as a structured educational intervention that prepares non-neurosurgeons to execute strictly bounded temporising steps within an explicit transfer-first system, not to expand the scope of independent operative practice."

Design Implications

Context

Requirements

• Predefined indications, neurosurgical consultation, and audit; checklist, defined instrumentation, supervision plan

Constraints

• Any real-world application of ICH exposure should remain highly restricted and protocol-defined; implementation should remain protocol-bound, transfer-first, and embedded within defined consultation and audit processes

Target Learners

• general and pediatric surgeons in regional hospitals without on-site neurosurgical coverage

Learning Goals

• executing strictly bounded temporising cranial steps as a bridge to definitive specialist care

Claims

Related Designs

Examples

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Key Sources

• Górecki W, Szymoniuk M, Domagalski Ł, Litak J, Turek G, Kus-Budzynska K, Kunicki J, Szmygin P, Nachulewicz P, Ćwik K, Torres K, Baj J, Staśkiewicz G, Czyżewski W. (2026). The NEUROSAVE study – impact of cadaveric neurosurgical workshops on general and paediatric surgeons’ confidence in performing life-saving neurosurgical procedures: a preliminary survey study. BMC Medical Education. https://doi.org/10.1186/s12909-026-08993-3

Page metadata

Field	Value
type	design
id	neurosave-transfer-first-governance-framework
title	Transfer-first governance framework bounding non-neurosurgeon temporising cranial intervention
description	The article proposes a conceptual framework (Table 4) mapping each included pathology to a time-criticality level, an intended role for the non-neurosurgeon, minimal prerequisites, and a transfer principle.
status	review
generated	by process:settle-candidates on 2026-11-05
trust	unverified — no one has confirmed this page's content
sources	1 — górecki-w-2026

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