Description & Objectives
The course is intended for any clinician taking care of acutely ill neurological and neurosurgical patients. It will be particularly helpful to adult hospitalists, nocturnists, pulmonologists, emergency room providers, and advanced practice clinicians from internal medicine, neurology and neurosurgery. The conference will be primarily marketed to Washington, with a focus on Western and Central Washington.
There is a need to train internists and hospitalists in the recognition and management of commonly encountered problems in acute care neurology and neurosurgery.
Specialized clinical neuroscience training allows hospitalists to triage calls and evaluate and manage these patients, ensuring around-the-clock in-house physician coverage. It also augments the ability of hospitalists to co-manage neurological and neurosurgical patients.
There is a need to provide hospitalists with the information they need to be able to recognize the red flags, identify when to worry and/or call a consult, and give them a sense of a patient's prognosis so that they can answer questions posed by family members.
In addition, the Joint Commission requires neurocritical care nurses to obtain Nursing Contact Hours in ICU training.
- Manage acute blood pressure, create a seizure treatment and prophylaxis plan and explain DVT prophylaxis
- State the causes of elevated intracranial pressure, recognize the signs of elevated ICP and implement treatment strategies to decrease elevated intracranial pressure
- Recognize patients at risk for developing the Malignant MCA Syndrome and discuss the strategies to limit and treat malignant cerebral edema
- Discuss and clarify intracerebral hemorrhage, intracranial pressure and malignant MCA syndromes
- Review the process and outcome model and societal context of quality improvement, and identify quality improvement targets in the workplace
- Identify the signs of emergent worsening of ALS, Myostenia Gravis and Guillain-Barre
- Restate the unique challenges of stroke in a rural environment and the use of telestroke in Alaska
- Discuss quality metrics in the ICU, neuromuscular emergencies and the delivery of stroke and neurocritical care services in Alaska
- Outline the medical complications of patients with subarachnoid hemorrhage and explain the current management of vasospasm after subarachnoid hemorrhage
- State the short and long term effects of varying degrees of sedation in the ICU, describe the importance of the quality sedation-delirium protocols on ICU outcomes and apply best practices for ICU sedation based on recent guidelines
- Review postoperative management of patients undergoing craniotomy and major spine surgery and discuss common complications and their management after craniotomy and major spine surgery
- Discuss subarachnoid hemorrhage and the critical care management of the post-operative neurosurgical patient and sedation and delirium in the ICU