Neurocritical Care Society Podcast

Dr Nick Morris is joined by Dr Brian Edlow and Dr Claude Hemphill from the Curing Coma Campaign to discuss the scientific aims of the Campaign, the emerging paradigms for assessing disorders of consciousness, and the need for worldwide collaboration on curing coma.  Visit https://www.curingcoma.org to learn more about World Coma Day and the Curing Coma Campaign. 

Dr. Tobias Gauss, a leading researcher from Grenoble Alpes University Hospital, discusses the innovative OXY-TC trial, which compares brain oxygenation monitoring to standard ICP methods in severe traumatic brain injury patients. He dives into the trial's methodology, patient selection criteria, and implications for critical care practices. The conversation highlights surprising links between elevated intracranial pressure and recovery outcomes, alongside challenges and innovations in clinical trials, emphasizing the need for ongoing research in neurocritical care.

In the lead up to this year's World Coma Day (March 22), and in the first of three special episodes, Dr Nick Morris hosts Dr DaiWai Olson to discuss the Curing Coma Campaign and World Coma Day through the perspective of the neurocritical care nurse. Visit https://www.curingcoma.org to learn more about World Coma Day and the Curing Coma Campaign.   

In this insightful discussion, Dick Morberg, the inventor of the Moberg® CNS Monitor and a veteran in neuromonitoring, shares his journey from medicine to advancing critical care technology. He highlights the significance of multimodal monitoring and the challenges faced in implementing these techniques. Morberg also delves into the evolution of EEG devices and the importance of synchronized data for understanding seizure activity. Expect engaging anecdotes and a glimpse into future innovations in brain monitoring and personalized health management.

The pandemic has finally been declared ‘over,’ though COVID-19 continues to linger. The phenomenon of burnout has been well documented pre-pandemic, in many cases due to understaffing. This was exacerbated by the severe strain of COVID-19 placed on the healthcare system, with nurses leaving in droves post-pandemic. While nursing professional organizations and unions have long advocated for formalized standards around nurse staffing in a variety of care settings, there has traditionally been stiff opposition, particularly from hospitals, nursing homes, and certain healthcare associations. Dr Jordan Yakoby joins Dr Lauren Koffman to discuss nurse staffing - a public health crisis in the making.  Read Dr Yakoby's Currents article at https://currents.neurocriticalcare.org/Leading-Insights/Article/nurse-staffing-a-public-health-crisis-in-the-making. 

Dr. Ko is the Vice-Chair for Diversity, Equity, and Inclusion in the Department of Neurology at UCSF.  In this podcast, Dr Ko joins Dr Nick Morris to discuss her work in DEI, anti-racism, and the antidote to burnout.

Hosted by Dr Stephan Mayer and Dr Jon Rosenberg, this week we discuss the management of traumatic brain injury with Lori Shutter, MD, FNCS, FCCM, Professor of Neurology at the University of Pittsburgh's School of Medicine. 

Leveraging pre-existing partnerships between NCS and colleagues at Aminu Kano Teaching Hospital in Kano, Nigeria, in October 2023 we hosted a 2-day live ENLS training event for healthcare workers from across sub-Saharan Africa. Dr Morgan Prust and Dr Ismail Hassan join Dr Lauren Koffman to discuss the applicability and limitations of ENLS in sub-Saharan Africa. You can read the Currents article that accompanies this episode at https://currents.neurocriticalcare.org/NCS-News/Article/emergency-neurological-life-support-understanding-its-applicability-and-limitations-in-africa. 

On this weeks’ episode of Perspectives, Dr. Daniel Hanley, professor of neurology, neurosurgery, and anesthesiology/critical care medicine at the Johns Hopkins University School of Medicine, discusses the early days of neurocritical care at Johns Hopkins, the importance of family-centered care, and recent advances in the care of patients with intracerebral hemorrhage.

The transition from alteplase (ALT) to tenecteplase (TNK) in the management of acute ischemic stroke (AIS) has been an exciting and thoroughly discussed topic within the neurocritical care community. Although debates on the clinical efficacy and safety of TNK for AIS have subsided somewhat in light of recently published data, what remains lacking is a clear “road map” for institutions on how to properly implement the transition in thrombolytics. Brian Gilbert, PharmD, and Katie Qualls, PharmD, join Dr Lauren Koffman to discuss the transition from ALT to TNK for AIS. You can read Brian and Katie's February 2023 article in Currents at https://currents.neurocriticalcare.org/Leading-Insights/Article/transitioning-alteplase-to-tenecteplase-for-acute.