Neurocritical Care Society Podcast

For the latest episode in our Hot Topics series, Dr Nicholas Morris, FCNS is joined by Dr Jennifer Frontera, FNCS to discuss the NCS Guidelines for Seizure Prophylaxis in Adults Hospitalized with Moderate-Severe Traumatic Brain Injury.  Download the guidelines at https://link.springer.com/article/10.1007/s12028-023-01907-x. 

In this week's PERSPECTIVES episode, Dr Nicholas Morris is joined by Dr Daryl Gress, Professor of Neurological Sciences at the University of Nebraska to discuss Dr Gress' lessons learned while building a new neurocritical care unit and training program at UCSF.

Post-intensive care clinics following admission to the intensive care unit (ICU) have gained significant traction in recent years across the United States and internationally. This movement has been driven by increasing recognition of the long-term sequela related to the experience of an ICU admission. This week, Dr Lauren Koffman is joined by Dr Matthew Jaffa and Dr Julia Carlson to discuss the landscape of post-neuroICU clinics and the impetus for their development and continuation.

In May 2014 Elisabeth Beraquit fell through the faulty doors of an elevator into an empty shaft, landing 30 feet below on top of the elevator car. She suffered multiple traumatic brain injuries, including subarachnoid hemorrhage, intraventricular hemorrhage, and a diffuse axonal injury. 10 years on and Elisabeth is thriving, running her own business in Philadelphia and living her best life. In this week’s episode she and her sister, Sarah, join Dr Lauren Koffman to discuss Elisabeth's Story of Hope. You can read Elisabeth’s story in Currents at https://currents.neurocriticalcare.org/Stories-of-Hope/Article/story-of-hope-elisabeth.

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.