Neurocritical Care Society Podcast

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.

In our final episode of 2023 our host Nick Morris is joined by Dr Matthew Fink, founding director of the Neurology-Neurosurgery Intensive Care Unit at New York Presbyterian Hospital.

Listen to the latest episode of NCS INSIGHTS series, this time on Meningitis Encephalitis. The INSIGHTS series is hosted by Casey Albin, MD and Salia Farrokh, PharmD, and covers different topics from Neurocritical Care ON CALL®, the only up-to-date, comprehensive resource to offer content exclusively dedicated to the practice of neurocritical care. Learn more about ON CALL®. This episode is sponsored by ceribell. Time is brain when it comes to seizures. Ceribell Point of Care EEG empowers the bedside team to detect or rule out seizure activity in minutes. To learn more, visit ceribell.com. The NCS Podcast is the official podcast of the Neurocritical Care Society.

Join us as we follow up with Sidney Landis, who was previously featured as a Currents "Story of Hope" to hear more about her journey in recovering from a cerebral venous sinus thrombosis. The Story of Hope was written by Dr Pravin George, who was part of her neurocritical care team, and adds his perspective to hear care and journey. Hosted by Dr Lauren Koffman. You can read Dr George's article at https://currents.neurocriticalcare.org/Stories-of-Hope/Article/story-of-hope-sidneys-triumph-over-stroke.

In this discussion, Dr. Agnes Kielian, a pediatric neurologist from Boston Children's Hospital, and Dr. Nikki Miller Ferguson from Children's Hospital of Richmond delve into the complexities of pediatric emergencies. They emphasize the unique challenges of managing status epilepticus and traumatic brain injuries in children. With insights on rapid diagnostic tools like the Cerebell Point of Care EEG, they highlight critical differences in treatment approaches, airway management, and age-specific needs. The importance of ongoing assessment and interdisciplinary collaboration in treatment is also discussed.

Dr. Christopher Kellner, Assistant Professor of Neurosurgery at Mount Sinai, pioneers minimally invasive surgery for intracerebral hemorrhage (ICH). He dives into the evolution of surgical management for ICH, highlighting significant advancements like the MISTI procedure. Dr. Kellner discusses the importance of centralized care and the impact of innovation on outcomes. He also examines the efficiency of interventional suites and emphasizes the urgency of timely surgical interventions for optimal patient care.

Dive into the complexities of managing subarachnoid hemorrhage in the neuro ICU. Discover how delayed cerebral ischemia and vasospasm affect outcomes, along with innovative treatments like intravenous milrinone and intrathecal nicardipine. Learn about the role of calcium channel blockers, lumbar drainage techniques, and the importance of medication guidelines. The challenges of hyponatremia are explored, showcasing tailored strategies for optimal patient care. This insightful discussion is packed with practical knowledge for neurocritical care professionals.