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Neurocritical Care Society Podcast

153 episodes - English - Latest episode: 10 days ago - ★★★★★ - 34 ratings

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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Episodes

CURRENTS: Consent for Brain Death Determination - the ends justify the means... or it does not.

July 03, 2024 03:25 - 21 minutes - 39.5 MB

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 procedure, 2) the risks and benefits of the procedure, 3) reasonable alternatives, and 4) risks and benefits of alternatives, with an assessment o...

HOT TOPICS: The SWITCH Trial

June 26, 2024 03:28 - 31 minutes - 55.2 MB

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 to an end and the findings published in The Lancet and in this week's HOT TOPICS episode, Dr. Nicholas Morris is joined by two of the lead author...

HOT TOPICS - ANNEXA-I Trial

June 19, 2024 03:38 - 1 hour - 110 MB

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 joined by one of the trial's collaborators, Ashkan Shoamanesh, MD as well as clincial pharmacist Andrew Webb, PharmD, BCCCP.  Listeners can also j...

PERSPECTIVES: Dr Monisha Kumar, FNCS

June 12, 2024 03:12 - 55 minutes - 97.3 MB

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.

CURRENTS: Innovation for Health Disparities Research in Hemorrhagic Stroke

June 05, 2024 03:00 - 33 minutes - 58.8 MB

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 determinants of health (SDOH), contribute to differential risk for all brain injuries including hemorrhagic stroke, and continue to impact our patients’ rec...

HOT TOPICS: NCS Guidelines for Seizure Prophylaxis in Adults Hospitalized With Moderate–Severe Traumatic Brain Injury

May 29, 2024 03:12 - 37 minutes - 67.6 MB

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. 

PERSPECTIVES: Dr Daryl Gress

May 22, 2024 02:33 - 41 minutes - 70.6 MB

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.

CURRENTS: Understanding the Landscape of Post-NeuroICU Clinics

May 15, 2024 03:00 - 31 minutes - 55.7 MB

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.

CURRENTS: Elisabeth's Story of Hope

May 08, 2024 03:22 - 26 minutes - 45.5 MB

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 ...

HOT TOPICS: Critical Care Management of Patients After Cardiac Arrest

May 01, 2024 03:43 - 42 minutes - 76.8 MB

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.0000000...

HOT TOPICS: Intravenous Levothyroxine for Unstable Brain-Dead Heart Donors

April 24, 2024 03:00 - 55 minutes - 100 MB

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/). 

MASTER CLASS: Non-invasive intracranial pressure monitoring

April 17, 2024 03:00 - 29 minutes - 48.3 MB

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

HOT TOPICS: NCS Subarachnoid Hemorrhage Guidelines

April 10, 2024 03:32 - 33 minutes - 59.9 MB

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.

PERSPECTIVES: The Fellowship in Neurocritical Care Society Designation

April 03, 2024 03:20 - 20 minutes - 37.2 MB

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.

CURRENTS: POCUS - A Call to Action

March 27, 2024 03:12 - 18 minutes - 31.9 MB

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. Ove...

La campaña Curing Coma: Episodio especial en Español

March 20, 2024 03:00 - 27 minutes - 49.6 MB

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.

HOT TOPICS: NCS Prognostication Guidelines

March 13, 2024 03:35 - 44 minutes - 79.7 MB

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.

HOT TOPICS: The scientific aims of the Curing Coma Campaign

March 06, 2024 04:03 - 36 minutes - 66.2 MB

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. 

HOT TOPICS: OXY-TC Trial

February 28, 2024 04:00 - 41 minutes - 74 MB

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.

HOT TOPICS: Curing Coma Campaign - a nursing perspective

February 21, 2024 04:04 - 21 minutes - 39 MB

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.   

MASTER CLASS: Moberg® CNS Monitoring

February 14, 2024 04:36 - 30 minutes - 53 MB

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.

CURRENTS: Dr Jacob Yakoby

February 07, 2024 04:24 - 18 minutes - 33 MB

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 ...

PERSPECTIVES: Dr Nerissa Ko

January 31, 2024 04:48 - 53 minutes - 97.6 MB

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.

MASTER CLASS: Traumatic Brain Injury

January 24, 2024 04:35 - 32 minutes - 57 MB

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. 

CURRENTS: Dr Morgan Prust & Dr Ismail Hassan

January 17, 2024 04:20 - 31 minutes - 57.8 MB

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/emergen...

PERSPECTIVES: Dr Daniel Hanley

January 10, 2024 03:36 - 1 hour - 133 MB

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.

PERSPECTIVES: Brian Gilbert & Katie Qualls

January 03, 2024 03:44 - 18 minutes - 34.1 MB

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, Pharm...

CURRENTS: Dr Brian Gilbert & Dr Katie Qualls

January 03, 2024 03:44 - 18 minutes - 34.1 MB

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, Pharm...

PERSPECTIVES - Dr Matthew Fink

December 13, 2023 04:55 - 58 minutes - 102 MB

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.

INSIGHTS - Meningitis Encephalitis

December 06, 2023 04:55 - 34 minutes - 60.7 MB

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 em...

PERSPECTIVES: Dr Pravin George & Sidney Landis

November 29, 2023 03:28 - 21 minutes - 38.5 MB

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 Lauren Koffman. You can read Dr George's article at https://currents.neurocriticalcare.org/Stories-of-Hope/Article/story-of-hope-sidneys-triumph...

INSIGHTS - Pediatric Emergencies

November 22, 2023 11:15 - 41 minutes - 68 MB

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 only up-to-date, comprehensive resource to offer content exclusively dedicated to the practice of neurocritical care. Learn more about ON CALL...

MASTER CLASS: Surgical Management of ICH

November 15, 2023 03:45 - 29 minutes - 51.6 MB

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 Jon Rosenberg. 

INSIGHTS - Subarachnoid Hemorrhage Pt2.

November 08, 2023 03:59 - 16 minutes - 13 MB

Listen to the latest episode of NCS INSIGHTS series, this time on Subarachnoid Hemorrhage (part 2 of 2). 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 ...

HOT TOPICS: Pediatric and adult brain death/death by neurologic criteria consensus practice guideline

November 01, 2023 08:37 - 29 minutes - 27 MB

Developed between the American Academy of Neurology, the American Academy of Pediatrics, the Child Neurology Society, and the Society of Critical Care Medicine, and endorsed by the Neurocritical Care Society, this new guideline provides recommendations on the evaluation of brain death/death by neurologic criteria for both children and adults. In this episode of HOT TOPICS, Dr Alex Reynolds is joined by two of the guideline's co-authors Dr Ariene Lewis and Dr Matthew Kirschen to introduce the...

INSIGHTS - Subarachnoid Hemorrhage Pt1.

October 25, 2023 03:57 - 20 minutes - 15.4 MB

Listen to the latest episode of NCS' INSIGHTS series on Subarachnoid Hemorrhage (part 1 of 2) 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 Biogen. Science that transforms patient lives. Science that seeks to solve so...

HOT TOPICS: Nicardipine versus Clevidipine

October 18, 2023 03:45 - 40 minutes - 72.7 MB

The efficacy of Nicardipine versus Clevidipine in treating neurocritical care patients is an ongoing debate which strongly divides opinion; and so in this week's episode, Dr Alex Reynolds is joined by Colleen Bond, PharmD, and Andy Webb, PharmD, who from a pharmacy standpoint help us to navigate the debate and further our understanding of the pros and cons of each agent.

INSIGHTS - Analgesia and Sedation

October 11, 2023 03:52 - 18 minutes - 13.7 MB

Listen to the next episode of NCS' INSIGHTS series, this time on Analgesia and Sedation.  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 emp...

PERSPECTIVES - Dr Clio Rubinos

October 04, 2023 03:55 - 13 minutes - 23.2 MB

In this week's episode, Dr Lauren Koffman is joined by Dr Clio Rubinos to discuss her recent article in Currents - The Tower of Babel: Translating the ICU-EEG Nomenclature in Spanish.

INSIGHTS - Neuromuscular Emergencies

September 27, 2023 03:49 - 24 minutes - 18.9 MB

Listen to the latest episode of NCS' INSIGHTS series, this time on Neuromuscular Emergencies. 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 Biogen. Science that transforms patient lives. Science that seeks to solve so...

PERSPECTIVES: Dr Tommy T. Thomas

September 20, 2023 03:30 - 49 minutes - 88.5 MB

Dr. Tommy T. Thomas is a Neurointensivist and Associate Professor at Emory University and member of NCS’ Inclusion in Neurocritical Care Committee. We hear how he became the first man on the Woman in Neurocritical Care Committee as we discuss representation, advocacy, and allyship in neurocritical care.

INSIGHTS: Increased Intracranial Pressure

September 13, 2023 03:45 - 21 minutes - 17.1 MB

Listen to the sixth episode of NCS' INSIGHTS series, this time on Increased Intracranial Pressure. 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 Biogen. Science that transforms patient lives. Science that seeks to sol...

HOT TOPICS: Early MiNimally-invasive Removal of IntraCerebral Hemorrhage (ENRICH)

September 06, 2023 03:45 - 1 hour - 106 MB

The ENRICH trial compared the outcomes between early surgical intervention using the BrainPath® Approach (i.e., MIPS) and a medically managed cohort. The integrated surgical approach included a combination of available technologies, including the FDA-cleared NICO BrainPath® for non-disruptive access and NICO Myriad® to achieve the goal of maximum clot evacuation. Alex Reynolds is joined by the ENRICH trial PIs, Gustavo Pradilla, Jonathan Ratcliff, and Alex Hall plus guests Chris Kellner and ...

Perspectives: Dr Mary Guanci

September 04, 2023 09:47 - 54 minutes - 98.7 MB

Mary Guanci is a fellow of the NCS and served as the Mass General Neuro ICU's first Clinical Nurse Specialist, with nearly four decades of experience in neurocritical care nursing. Tune in to hear her perspective on interprofessional education, burnout, and more!

INSIGHTS - Intracerebral Haemorrhage

August 30, 2023 03:48 - 18 minutes - 14.3 MB

Listen to the fifth episode of NCS' INSIGHTS series, this time on Intracerebral Hemorrhage. 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 e...

Perspectives: Dr Yasser Abulhasan

August 23, 2023 03:55 - 17 minutes - 30.6 MB

Dr Yasser Abulhasan, MBChB, FRCPC, FNCS, discusses how the Emirates Critical Care Conference has evolved over time and partnered with the Neurocritical Care Society to offer a neurocritical care track during the conference.

Live at Annual Episode 8: Last day wrap-up with Casey Albin, MD

August 19, 2023 17:38 - 6 minutes - 11.2 MB

We've had a blast in Phoenix and Casey Albin brings our podcast proceedings to a close with her highlihghts from the third and final day of #NCS2023. See you next year in San Diego (October 14-18, 2024)!

Live at Annual Episode 7: Non-Invasive ICP Monitoring with Mohammed Hirzallah

August 18, 2023 18:02 - 11 minutes - 20.2 MB

Mohammed Hirzallah joins Nick Morris to discuss improving the utility of optic nerve sheath diameter as a non-invasive intracranial pressure measurement through standardization and automation.

Live at Annual Episode 6: Day 2 highlights with Casey Albin, MD

August 18, 2023 00:46 - 8 minutes - 15.2 MB

At the end of Day 2 of our Annual Meeting in Phoenix, Casey Albin, MD gives a shout out to her highlights from today's packed program. 

Live at Annual Episode 5: Pharmacy Debates - The role of ketamine in status epilepticus

August 17, 2023 19:10 - 9 minutes - 17.1 MB

Following their debate on approaches to early phase management of refractory status epilepticus (RSE), Salia Farrokh, PharmD is joined by Caroline Der Nigoghossian, Neurocritical Care PharmD, Renad Abu-Sawwa, PharmD, and Gabe Fontaine, PharmD to explore the benefits and harms/risks of early ketamine administration in refractory status epilepticus, as well as the emerging literature for the use of ketamine in pediatric neurocritical care.