Podcasts on topics relevant to intensive care medicine
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The goal of the Neurocritical Care Society Podcast is to summarize some of the latest content and cutting edge research published in the journal, Neurocritical Care, official journal of the Neurocritical Care Society. Episodes are produced regularly and feature interviews with the top researchers around the world in the fields of neurology, critical care, and neurosurgery.
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In this week's episode of Perspectives, Dr Nicholas Morris is joined by NCS Past President, Dr Gretchen Brophy, Professor of Pharmacotherapy & Outcomes Sciences and Neurosurgery with Virginia Commonwealth University (VCU) School of Pharmacy, Medical College of Virginia Campus, in Richmond.By Neurocritical Care Society
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MASTERCLASS: Critical Care EEG Monitoring
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Electroencephalography (EEG) is an important and relatively inexpensive tool that allows intensivists to monitor cerebral activity of critically ill patients in real time. Seizure detection in patients with and without acute brain injury is the primary reason to obtain an EEG in the Intensive Care Unit (ICU); and in response to the increased demand…
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CURRENTS: Consent for Brain Death Determination - the ends justify the means... or it does not.
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The purpose of informed consent, as it exists now, is primarily to maintain patient autonomy, but additional benefits include the protection of patients, avoidance of fraud, and promotion of rational decisions, amongst others. It is now considered both an ethical and legal obligation which should, at a minimum, always include: 1) the nature of the …
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It is unknown whether decompressive craniectomy improves clinical outcome for people with spontaneous severe deep intracerebral haemorrhage. The SWITCH trial aimed to assess whether decompressive craniectomy plus best medical treatment in these patients improves outcome at 6 months compared to best medical treatment alone. The SWITCH Trial has come…
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Patients with acute intracerebral hemorrhage who are receiving factor Xa inhibitors have a risk of hematoma expansion. The effect of andexanet alfa, an agent that reverses the effects of factor Xa inhibitors, on hematoma volume expansion had not been well studied, until the ANNEXA-I Trial. To discuss this week's Hot Topic, Nicholas Morris, MD is jo…
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In this week's episode of Perspectives, Dr Nicholas Morris is joined by Dr Monisha Kumar, FNCS, Professor of Neurology at the Hospital of the University of Pennsylvania to discuss the threats to diversity, equity, and inclusion in neurocritical care.By Neurocritical Care Society
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CURRENTS: Innovation for Health Disparities Research in Hemorrhagic Stroke
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As clinicians working with patients who have sustained an acute brain injury, we are naturally focused on caring for the injury itself. Until recent years, the clinical severity of brain injury was regarded as the main driver of prognosis and outcomes. However, we are beginning to understand how non-clinical factors, including the social determinan…
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HOT TOPICS: NCS Guidelines for Seizure Prophylaxis in Adults Hospitalized With Moderate–Severe Traumatic Brain Injury
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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.…
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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.By Neurocritical Care Society
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CURRENTS: Understanding the Landscape of Post-NeuroICU Clinics
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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 M…
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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 busines…
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HOT TOPICS: Critical Care Management of Patients After Cardiac Arrest
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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 …
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HOT TOPICS: Intravenous Levothyroxine for Unstable Brain-Dead Heart Donors
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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/).By Neurocritical Care Society
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MASTER CLASS: Non-invasive intracranial pressure monitoring
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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 monitoringBy Neurocritical Care Society
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Catherine Bell takes us through how to troubleshoot problems commonly encountered when looking after patients who have an external ventricular drain (EVD) in situ. Issues with using brain tissue oxygen monitors are also discussed. A highly practical session aimed at bedside clinicians. This presentation was delivered by Catherine Bell at CODA2022. …
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HOT TOPICS: NCS Subarachnoid Hemorrhage Guidelines
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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.…
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PERSPECTIVES: The Fellowship in Neurocritical Care Society Designation
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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 maxi…
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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 maki…
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La campaña Curing Coma: Episodio especial en Español
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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 …
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HOT TOPICS: NCS Prognostication Guidelines
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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.By Neurocritical Care Society
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HOT TOPICS: The scientific aims of the Curing Coma Campaign
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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 C…
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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.By Neurocritical Care Society
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Angiographic vasospasm and more accurately, delayed cerebral ischemia, continue to contribute to morbidity and mortality in patients with aneurysmal subarachnoid hemorrhage (SAH). It is known that angiographic vasospasm is common after SAH, occurring in two-thirds of patients. This presentation was delivered by Rob Loch MacDonald at CODA2022. Want …
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HOT TOPICS: Curing Coma Campaign - a nursing perspective
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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.…
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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.
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Subarachnoid Haemorrhage: a patient and family experience
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Lizzy suffered a substantial aneurysmal subarachnoid haemorrhage that left her critically unwell, requiring a long stay in intensive care recovering from the consequences and complications of this devastating form of stroke. Now a couple of years after her haemorrhage, Lizzy has come so far. She and her husband Gordon describe their experiences, ri…
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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 organi…
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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.By Neurocritical Care Society
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Brain Tissue Oxygen Monitoring - The Bonanza Trial (It’s Not What You’ve Got It’s What You Do With It)
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Andrew Udy talks about the ongoing BONANZA Trial which is assessing whether an algorithm that incorporates both ICP and brain tissue oxygen (PbTO2) can improve outcomes after traumatic brain injury (TBI). Like with all monitoring, how the PbTO2 is interpreted and managed is critical and the devil is in the detail! More on BONANZA here More on BOOST…
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Historically, when it came to brain injury, ketamine had a bad rap. Much of that dogma was dispelled in the last 20 years, and ketamine is now frequently used as an induction agent in acute brain injury, especially traumatic brain injury, partially due to the favorable effects on haemodynamics. However a new application of ketamine is now being exp…
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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.By Neurocritical Care Society
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Cortical Spreading Depolarisation in Neurological Disease - An Introduction
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Cortical spreading depolarization (CSD) is a spreading loss of ion homeostasis, altered vascular response, change in synaptic architecture, and subsequent depression in electrical activity following an inciting neurological injury. This presentation was delivered by Toby Jeffcote at CODA2022. Want more content about CSD? Visit neuroresus.com or sub…
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CURRENTS: Dr Morgan Prust & Dr Ismail Hassan
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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-Sa…
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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 intra…
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CURRENTS: Dr Brian Gilbert & Dr Katie Qualls
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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 i…
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There is no such thing as mild, moderate and severe TBI
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Andrew Chow vs Andrew Udy This debate was set up to discuss the issues with categorising traumatic brain injury (TBI). The current system using GCS to divide patients into mild, moderate and severe has been criticised in recent times, with calls for a more nuanced approach. The debate was a just bit of fun but does highlight the key issues. Chowie …
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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.By Neurocritical Care Society
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Dr Nick Little is an experienced Neurosurgeon who's looked after patients with traumatic brain injury for his whole career. Here he discusses the difficulties of prognostication following traumatic brain injury (TBI). This podcast was recorded at the Brain Symposium which took place in March 2023. For more talks and content like this, visit neurore…
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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.…
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PERSPECTIVES: Dr Pravin George & Sidney Landis
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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 La…
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Listen to the latest episode of NCS INSIGHTS series, this time on Pediatric Emergencies with Dr Agnes Kielian (Boston Children's Hospital) and Dr Nikki Miller Ferguson (Children's Hospital of Richmond @ VCU). The INSIGHTS series is hosted by Casey Albin, MD and Salia Farrokh, PharmD, and covers different topics from Neurocritical Care ON CALL®, the…
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Today we welcome Dr Christopher Kellner, Assistant Professor of Neurosurgery at Mount Sinai Icahn School of Medicine and pioneer in the surgical management of ICH. We discuss the evolution of surgical ICH management, including minimally invasive surgery, and hear Dr Kellner’s thoughts on the future of the field. Hosted by Dr Stephan Mayer and Dr Jo…
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