Stroke and Neurocritical Care with a Unique Opportunity to Become Certified in Emergency Neurologic Life Support (ENLS)

PRESENTED BY MOUNT CARMEL AND THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER

2013 Comprehensive Update: Stroke and Neurocritical Care With a unique opportunity to become certified in Emergency Neurologic Life Support (ENLS).

October 10-11 Hilton Columbus/Polaris 8700 Lyra Drive Columbus

Endorsed by the Neurocritical Care Society. Hotel Room Block Information A block of rooms has been reserved at a group rate of $135 a night at the Hilton Polaris/Columbus, the meeting site for the conference. To make a reservation, call 614-885-1600 and reference “Ohio State Neuro”. To guarantee the group rate and room availability, please make your reservation by Tuesday, September 10, 2013.

Presented by Mount Carmel and The Ohio State University Wexner Medical Center

2013 Comprehensive Update: Stroke and Neurocritical Care With a unique opportunity to become certified in Emergency Neurologic Life Support (ENLS).

Please join Neurovascular and Neurocritical Care subspecialists from The Ohio State University Wexner Medical Center and Mount Carmel to learn the latest regarding diagnosis and treatment in comprehensive stroke and neurocritical care.

Target Audience: • Pre-hospital providers • Therapists • Nurses • Physicians

2 COURSE PRESENTERS

The Ohio State University Sara Widing, MHA Wexner Medical Center Director, Neuroscience Susan Yeager, MS, RN, CCRN, ACNP Sarah Adriance, PharmD Neurocritical Care Neurocritical Care Pharmacist Lead Nurse Practitioner Reza Behrouz, DO, FACP Assistant Professor, Director, Vascular Neurology Mount Carmel Fellowship Program Christina Day, MPT, CSRS Albert C. Clairmont, MD Staff Physical Therapist

Clinical Associate Professor Steven C. Gentile, MD Diana Greene-Chandos, MD Emergency Medicine Vice Chair, Director of Neuroscience Critical Care Mount Carmel East for Education, Quality and Outreach Stroke Medical Director, Program Director of Neuroscience Mount Carmel West Critical Care Fellowship Symposium Co-Director Symposium Co-Director Aaron Kulwicki, MD Noah Grose, RN, MSN, ACNP Peripheral Vascular Section Chief, Associate Director Neurovascular Stroke Mount Carmel West Center Neurovascular Nurse Practitioner Benjamin Mgboh, PharmD, BCPS Chad Miller, MD PGY-1 Residency Coordinator Medical Director of Neuro-ICU Patient Care Pharmacist Ciaran Powers, MD, PhD Assistant Professor, Department Bradford Mullin, MD of Neurological Surgery Neurosurgery Section Chief, Mount Associate Program Director Carmel East for Neurosurgery Janice Tootle, RN, MHA Symposium Co-Director Neuroscience Service Line Administrator Eric Sauvageau, MD Surgical Director, Neurovascular Nationwide Stroke Center Children’s Hospital Andrew Slivka, MD Professor, Vascular Neurologist E. Steven Roach, MD Pediatric Neurology and Michel Torbey, MD, MPH, FCCM, FAHA Vice-Chair of Pediatrics Medical Director of the Neurovascular Stroke Program Division Director of Neurovascular and Neurocritical Critical Care Vice Chairman of Neurology for Hospital Affairs GUEST SPEAKERS

Judith Johnson, RN, PhD, FAAN William J. Powers, MD Nurse Consultant H. Houston Merritt Distinguished North Memorial Medical Center Professor and Chair, Adult Neurology Minneapolis, MN University of North Carolina School J Mocco, MD, MS of Medicine, Chapel Hill, NC Associate Professor of Neurological Surgery, Radiology and Radiological Sciences Vanderbilt University Medical Center 3 THURSDAY, OCTOBER 10:

Learn the newly launched Emergency Neurologic Life Support (ENLS) material and become some of the first certified Ohio providers.

Emergency Neurological Life Support (ENLS) is a series of protocols suggesting important steps to take in the first hour of a neurological emergency. ENLS is designed to help healthcare professionals improve patient care and outcomes during the most crucial time—the critical first hours of the patient’s neurological emergency. ENLS demonstrates a collaborative, multi-disciplinary approach and provides a consistent set of protocols, practical checklists, decision points, and suggested communication to use during patient management. These emergencies include Ischemic Stroke, Intracerebral Hemorrhage, Status Epilepticus, Subarachnoid Hemorrhage, Meningitis and Encephalitis, Airway Management including intubating a patient with high intracranial pressure, Traumatic Brain Injury, Traumatic Spine injury and Spinal Cord Compression.

ENLS BENEFITS • Advanced knowledge • Improved patient care and outcomes • Ability to be up to date/current on advancements in treatment • A select set of topics that are directly relevant to neurocritical care

After the course, participants will be directed to the Neurocritical Care Society website to certify their CME participation. Online testing is required to gain the certification, with a score of 70 percent or greater.

Learn more about the program at enls.neurocriticalcare.org.

ACCREDITATION STATEMENT This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the University of California, San Francisco School of Medicine (UCSF) and the Neurocritical Care Society. UCSF is accredited by the ACCME to provide continuing medical education for physicians.

The University of California, San Francisco School of Medicine (UCSF) designates this enduring material for a maximum of 15 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

4 FRIDAY, OCTOBER 11:

Concurrent sessions to provide a comprehensive look at neurovascular disease.

After this session, attendees will be able to: • Identify additional options for intravenous thrombolysis beyond recombinant tissue-type plasminogen activator (rt-PA) and recognize research in acute stroke thombolysis, such as expansion of the treatment window. • Identify the changes in guidelines for acute management of ischemic stroke and apply these guidelines to practice. • Describe signs and symptoms that can be identified as stroke mimics and predict alternative treatment options. • Explain the technological advancements in telemedicine in regard to stroke care taking place in the rural setting that can impact their current practice and improve outcomes through the administration of thrombolysis therapy. • Identify the differences in presentation and treatment of stroke in children. • Define the patient population that can benefit from surgical hemicraniectomy as a treatment for stroke and recognize how selection and timing is vital to patient outcomes. • Describe new treatment options and research for cyptogenic stroke and utilize this technology in practice. • Identify and incorporate the new management and treatment techniques in regard to intracranial and extracranial vascular abnormalities. • Identify new techniques, research and advancements in the management and treatment of intracerebral hemorrhage and recognize how these advances can impact outcomes for this patient population. • Recognize the signs and symptoms of stroke in pregnant women and formulate a plan of action for treatment.

ACCREDITATION STATEMENT The Ohio State University Center for Continuing Medical Education (CCME) is accredited by the Accreditation Council for Continuing Medical Education (ACCME®) to provide continuing medical education for physicians.

AMA CREDIT DESIGNATION The Ohio State University Center for Continuing Medical Education designates this live activity for a maximum of 7.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

5 6 course agenda 1 Credit designates thisenduringmaterialforamaximumof The UniversityofCalifornia,SanFranciscoSchoolMedicine(UCSF) THURSDAY, OCTOBER 10* 5 p.m. 8 a.m. 7-8 a.m. • • • • • • Course Instructors— State UniversityOhio The Wexner Medical Center extent oftheirparticipationintheactivity. Susan Yeager, RN,MS,CCRN,ACNP Michel Torbey, MD, MPH,FCCM,FAHA Chad Miller, MD Noah Grose, RN,CNP, ACNP Diana Greene-Chandos,MD Sarah Adriance, PharmD (s)™. Physiciansshouldclaimonlythecreditcommensuratewith the

Evaluations andCourseConcludes • World FederationNeurologicalScale • HuntHessClassificationof SAH • GlasgowComaScale • ElevatedICPHerniation • Traumatic SpineInjury • Traumatic BrainInjury • SubarachnoidHemorrhage • Status Epilepticus • SpinalCordCompression • Resuscitation FollowingCardiacArrest • MeningitisandEncephalitis • IntracerebralHemorrhage • IntracranialHypertensionandHerniation • Coma • Airway, Ventilation, andSedation • AcuteWeakness • AcuteIschemicStroke with ModulesAddressing: Emergency NeurologicalLifeSupportTraining Registration andContinentalBreakfast 15 AMAPRACategory FRIDAY, OCTOBER 11* The Ohio State University Center for Continuing Medical Education designates this live activity for a maximum of 7.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

7-8 a.m. Registration and Continental Breakfast

7:45 a.m. Welcome

8 a.m. Morning Keynote: Long-term Survivor Experience of Integration Back into Life Judith Johnson, PhD, RN, FAAN

9 a.m. Break and Exhibits

9:15 a.m. Concurrent Session #1 A – Intravenous Thrombolysis: Beyond NINDS, Reza Behrouz, DO, FACP B – Stroke and Hemicraniectomy, Bradford Mullin, MD, FAANS,FACS C – Stroke Rehabilitation IP and after Discharge, Christina Day, MPT, CSRS

10:15 a.m. Concurrent Session #2 A – Update in the Management of Intracerebral Hemorrhage, Chad Miller, MD B – Update in Stroke Prevention, Andrew Slivka, MD C – Stroke Mimics, Steven C. Gentile, MD

11:15 a.m. Break and Exhibits

11:30 a.m. Lunch

12:30 p.m. Afternoon Keynote: Interventional Stroke Treatments – Pro vs. Con Pro: J Mocco, MD Con: William J. Powers, MD

2 p.m. Break and Exhibits

7 8 course agenda 4:15 p.m. 3:15 p.m. 2:15 p.m. * 5:15 p.m. Course agendasubjecttochange. SaraWiding,MHA EricSauvageau,MD

RN,CNP, ACNP andJaniceTootle, RN,MHA, Concurrent Session#5 Hemorrhage, CiaranPowers, MD, PhD C –UpdateintheManagementofSubarachnoid MichelTorbey, MD, MPH,FCCM,FAHA B –CryptogenicStroke, DianaGreene-Chandos,MD A –Women andStroke/Stroke inPregnancy, Concurrent Session#4 C –HospitalStroke Certifications,NoahGrose, andDissection,AaronKulwicki, MD IntracranialandExtracranialVascular Stenosis B –UpdateintheSurgicalManagementof A –ChildhoodStroke, E.Steven Roach, MD Concurrent Session#3 Evaluations andCourseConcludes BenjaminMgboh,PharmD, BCPS SarahAdriance, PharmD, C –NewDrugsImpactingStroke Patients, AlbertC.Clairmont,MD B –SpasticityOptionsinStroke Care, MichelTorbey, MD, MPH,FCCM,FAHA A –Telemedicine andStroke, Registration Program fees include attendance to program, digital course syllabus, and breaks/ lunches. Seating is limited and registration is required.

Name Degree Specialty Address City | State | Zip Phone Fax E-mail A valid e-mail address is required at the time of registration to create or confirm the existence of a CCME account. Failure to provide a valid email address may cause a hold on registration processing and CME credits earned.

Certified for a maximum Certified for a maximum Certified for a maximum of 15 AMA PRA Category of 7.75 AMA PRA Category of 22.75 AMA PRA 1 Credit(s)™ 1 Credit(s)™ Category 1 Credit(s)™ Physician ☐ Thursday Only $200 ☐ Friday Only $125 ☐ Both Days $300

Other Healthcare ☐ Thursday Only $150 ☐ Friday Only $75 ☐ Both Days $200 registration Professional Students/ Physicians ☐ Thursday Only $100 ☐ Friday Only $60 ☐ Both Days $130 in Training EMS** ☐ Thursday Only $100 ☐ Friday Only $60 ☐ Both Days $130

** A limited amount of EMS course scholarships are available. Please contact the CCME office for more information at 614-293-7397. An electronic course syllabus will be provided; if you prefer a printed syllabus, please check the box below and include an additional $25 with your registration. ☐ Printed Course Syllabus $25 TOTAL DUE: ______

Payment Method:

☐ Check (enclosed) ☐ Credit Card ☐ Visa ☐ Mastercard ☐ Discover ☐ Amex Name on Card: ______Card Number: ______

Expiration Date: ______

Billing Address:______

☐ Check if same as above Please make sure to fill out the reverse side to complete your registration. 9 10 registration will assumenofinancialobligation totheregistrantsineventof cancellation. Wexner MedicalCenterreservestherighttocancelthisprogramat anytimeand requests postmarked afterthisdate. MountCarmelandTheOhioState University after theconclusionofmeeting.Norefundswillbemade forcancellation postmarked bythistimewillreceiveafullrefund,minusprocessing feeof$25, writing andpostmarked onorbefore5p.m. EST, Monday, September30. Requests Course CancellationPolicy: ☐ ☐ ☐ Concurrent Session#5 ☐ ☐ ☐ Concurrent Session#4 ☐ ☐ ☐ Concurrent Session#3 ☐ ☐ ☐ Concurrent Session#2 ☐ ☐ ☐ Concurrent Session#1 which concurrentactivityyouwilljoin(pleasechoseonepersession). If youwillattendthecourseonFriday, October11,pleaseindicated C –NewDrugsImpactingStroke Patients B –SpasticityOptionsinStroke Care A –Telemedicine andStroke C –UpdateintheManagementofSubarachnoidHemorrhage B –CryptogenicStroke A –Women andStroke/Stroke inPregnancy C –HospitalStroke Certifications B –UpdateintheSurgicalManagementofIntracranialand A –ChildhoodStroke C –Stroke Mimics B –UpdateinStroke Prevention A –UpdateintheManagementofIntracerebralHemorrhage C –Stroke Rehabilitation IPandafterDischarge B –Stroke andHemicraniectomy A –IntravenousThrombolysis:BeyondNINDS Extracranial Vascular Stenosis andDissection

Requests forcancellationmustbesubmittedin

Register at go.osu.edu/neuroupdate2013 You must create a CCME account to register. If you already have an account and cannot remember your username or password or are unsure if you have a CCME account, please contact the CCME office at 614-293-3576.

Course registration and payment can also be mailed to:

The Ohio State University Center for Continuing Medical Education 600 Ackerman Rd, #E2058 P.O. Box 182721 Columbus, OH 43218

Program fees include attendance to program, digital course syllabus and breaks/lunches. Seating is limited and registration is required.

2013 Comprehensive Stroke and Neurocritical Care Update

With a unique opportunity to become certified in Emergency Neurologic Life Support (ENLS).

PRESORT THE OHIO STATE UNIVERSITY FIRST CLASS WEXNER MEDICAL CENTER U.S. POSTAGE PO Box 183101 PAID Columbus, OH 43218-3101 Columbus, Ohio Permit No. 711

October 10-11 Hilton Columbus/Polaris