Welcome to the 2016 Neuro ICU CME
Welcome to the fourth annual Neuro ICU Symposium. We are excited to introduce a whole new set of programs this year. First, our program content goes beyond the boundaries of a Neuro ICU. We have placed a strong emphasis on pre-hospital care as well as ultra-early brain resuscitation that starts in emergency rooms.
Instead of a mini-fellowship or board review course, we will divide three days into multiple sessions with different topics. Some of the new and exciting highlights for this year include “Bringing the Stroke Unit to the Field: Cutting Down Symptom Onset to Needle Time,” and “Neuro ICU in the Emergency Room.” Time is brain, and the brain does not wait for a Neuro ICU bed to open up. The injury is ongoing, and it must be stopped right from the onset.
For years, neurointensivists have been thinking about bringing our cutting-edge care right down to the emergency rooms. This year, we will specifically discuss how to do that and achieve ultra-early brain resuscitation. Continuing from the previous years, we again discuss the relationship between the heart and the brain in order to optimize the delivery or oxygen and restore flow.
We live in a generation of evidence-based medicine, but there are many questions we have at the bedside for which we must make instant decisions without much data. For these, we present to you “Hot Topics and Controversies,” a constructive debate by leading authorities in the field. There will be several brand new sessions, including a debate-like program called “Different Viewpoints,” in which two academic neurointensivists will demonstrate how they manage some of the most challenging clinical cases.
The Neuro ICU Symposium is not just for neurology and neurosurgery issues. Patients often have multi-organ failure; therefore, successful resuscitation is not only geared towards the injured brain but also the rest of the body and all other end-organ systems. Saving brains but neglecting the rest of the body is not what a true neurointensivist would do. Brain injured patients are at high risk of aspiration and ventilator associated pneumoniaproficiency in airway management skills is critical. ARDS and other refractory cardiopulmonary conditions are not uncommon. Different states of shock can occur, requiring multiple vasoactive pharmacologic agents and occasionally even the need for ECMO and aortic balloon counterpulsation.
A modern Neuro ICU has become a diagnostically and therapeutically challenging place for clinicians and nurses. Our conference was launched with all of these concerns in mind. Each day, the program is full of dynamic speakers and plenty of audience involvement.
Please join us for this exciting fourth annual neurologic emergencies and critical care symposium in Houston!
Kiwon Lee, M.D., F.A.C.P., F.A.H.A., F.C.C.M.
Course Director and Committee Chairman,
Fourth Annual Neuro ICU Symposium
Vice Chairman of Critical Care
Associate Professor, Department of Neurology and Vivian L. Smith Department of Neurosurgery
Chief, Division of Critical Care
Director, Neuroscience, Neurotrauma and Neurovascular Intensive Care Unit
UTHealth Medical School, Mischer Neuroscience Institute,
Memorial Hermann-Texas Medical Center, Houston, Texas, USA