Neurocritical Care Society Podcast

In this week's episode, Dr Nicholas Morris is joined by Dr. Karen Hirsch and Dr. Teresa May to discuss their paper “Critical Care Management of Patients After Cardiac Arrest: A Scientific Statement From the American Heart Association and Neurocritical Care Society”. We discuss the difference between a scientific statement and a guideline, areas of uncertainty, and research priorities for the post-arrest patient. You can read the paper at https://www.ahajournals.org/doi/10.1161/CIR.0000000000001163.

This week's Hot Topic is Intravenous Levothyroxine for Unstable Brain-Dead Heart Donors and Dr Nicholas Morris is joined by Dr Raj Dhar from Washington University School of Medicine to discuss his latest New England Journal of Medicine manuscript (https://pubmed.ncbi.nlm.nih.gov/38048188/).

In this week's Master Class, Dr Stephan Mayer and Dr Jon Rosenberg are joined by Dr Krishna Rajajee to discuss non-invasive intracranial pressure monitoring

In this week's episode, Dr Nick Morris is joined by Dr Jose Suarez to discuss the recently updated NCS subarachnoid hemorrhage guidelines. We compare them with the recently released American Heart Association subarachnoid hemorrhage guideline; and we discuss the purpose of guidelines in general and how guidelines map out priorities for research.

In this week's episode, Dr. Nicholas Morris talks to Dr. Michael Rodricks (Immediate Past Chair of the NCS FNCS Credentialing Committee) and Dr. Jason Makii (NCS FNCS Credentialing Committee Chair-Elect) about the Fellowship in Neurocritical Care Society Designation. Listeners can learn what the FNCS designation means, how to apply, and how to maximize their chances of success.

Point-of-care ultrasound (POCUS) is increasingly recognized as an essential skill for critical care providers, intended to enhance clinical assessments to improve patient care. Beyond its adaptation for procedural guidance, bedside ultrasound assessments can provide critical diagnostic information in a timely manner to guide real-time decision making for the acutely ill patient. An accumulating body of evidence has shown that POCUS can improve clinical outcomes and lower medical costs. Over the past decade, there has been widespread adaptation of bedside ultrasonography by various critical care specialties, with respective governing societies issuing guidelines and position statements encouraging the use of POCUS. However, the field of neurocritical care has yet to fully embrace this innovative field, and neurocritical care training programs vary in their efforts to provide accessible, well-structured educational programs for trainees. This week, Dr Lauren Koffman is joined by Dr Thanujaa Subrahmaniam and Dr Judy Ch'ang to discuss the use of POCUS in neurocritical care and the opportunities to extend its application across NCC programs. You can read Dr Ch'ang and Dr Subrahmaniam's Currents article on POCUS in NCC at https://currents.neurocriticalcare.org/Leading-Insights/Article/point-of-care-ultrasound-education-in-neurocritical-care-a-call-to-action.

En este episodio especial en Español, el Dr. Luis Torres conversó con el Dr. Jose Javier Provencio acerca de los inicios de la campaña Curing Coma, sus metas iniciales, los retos que la campaña ha logrado superar y algunas colaboraciones internacionales con la campaña. Tambien hablamos acerca del Día Mundial del Coma y que pueden los participantes esperar este 22 de Marzo.

In this week's episode, Dr Nick Morris is joined by Dr Susanne Muehlschlegel, Dr Katja Wartenberg, and Dr Krishna Rajajee to discuss the NCS' Neuroprognostication Guidelines, including guidelines development, clinical prediction models, and the best language for family meetings.

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 Nick Morris is joined by Dr. Tobias Gauss from Grenoble Alpes University Hospital in France. to discuss the recently published OXY-TC trial, a multisite randomized controlled trial of ICP + brain oxygenation monitoring vs. ICP monitoring alone in patients with severe traumatic brain injury.

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 week's Master Class Dr Stephan Mayer and Dr Jon Rosenberg are joined by Dick Morberg, inventor of the Moberg® CNS Monitor, to discuss the development of the mutlimodality monitoring platform and the value and impact of time sychronized multimodal data.

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.

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.