The Department of Anesthesiology and Critical Care Medicine and The Department of Neurology present Second Annual NEUROCRITICAL CARE FOR THE MEDICAL AND SURGICAL INTENSIVIST: The Comprehensive Cerebrovascular Center Endorsed by the Neurocritical Care Society and the Society of Critical Care Medicine March 19 - 20, 2010 The Ritz-Carlton Tysons Corner McLean, Virginia DESCRIPTION In the mid-Atlantic region, there are a number of new centers that are developing to fill a niche of high level specialized cerebrovascular care in the setting of the intensive care unit. This activity will outline the standard of care, as applied in internationally-recognized cerebrovascular centers. Our goal is to educate general and surgical intensivists from the region on the appropriate care of these patients in the ICU and their options for triage. WHO SHOULD ATTEND This activity is intended for physicians, nurses, allied health professionals, residents and fellows in Critical Care Anesthesiology, Critical Care Medicine, Critical Care Surgery, Emergency Medicine, Neurology, Neurological Anesthesiology, Neurological Surgery and Traumatic Surgery. OBJECTIVES After attending this activity, the participant will demonstrate the ability to: - Define uses pertaining to critical care that are unique to the neurologically injured patient. - Recall the pathway required to effectively care for patients with subarachnoid hemorrhage. - Recognize the limitations to intravascular treatment in care of patients with subarachnoid hemorrhage. - State the agents used in the neurologically impaired patients to treat hypertension. - Name the tests and drugs commonly used to treat seizures in the Neurological Intensive Care Unit. ACCREDITATION STATEMENT The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CREDIT DESIGNATION STATEMENT The Johns Hopkins University School of Medicine designates this educational activity for a maximum of 14.0 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity. The Johns Hopkins University has approved this activity for 14.0 contact hours for non-physicians. POLICY ON SPEAKER AND PROVIDER DISCLOSURE It is the policy of The Johns Hopkins University School of Medicine that the speaker and provider disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). The Johns Hopkins University School of Medicine OCME has established policies in place that will identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosure will be made in the activity handout materials. GENERAL INFORMATION Registration Friday, March 19, 2010 ? 9:00 a.m. Location The Ritz-Carlton, Tysons Corner 1700 Tysons Boulevard McLean, Virginia 22102 Fees REGISTRATION CUT-OFF DATE: March 14, 2010 Methods of Payment: Payment by check or credit card must accompany the registration form prior to the activity. On-site payments by credit card only. Foreign payments must be by credit card or with a U.S. Dollar World Money Order. The registration fee includes instructional materials, continental breakfast, refreshment breaks and lunches. Physicians $500 Residents*/Fellows*/Allied Health Professionals $375 *with verification of status You will receive a confirmation by e-mail if you have provided your e-mail address. Otherwise confirmation will be sent by mail. If you have not received it by Friday, March 12, 2010, call (410) 502-9634 to confirm that you are registered. Certificates of attendance will be mailed by April 27, 2010. The Johns Hopkins University reserves the right to cancel or postpone any activity due to unforeseen circumstances. In this event, the University will refund the registration fee but is not responsible for travel expenses. Additionally, we reserve the right to change the venue to a comparable venue. Under such circumstances registrants will be notified as soon as possible. Late Fee and Refund Policy A $50 late fee applies to registrations received after 5:00 p.m. EST on Sunday, March 14, 2010. A handling fee of $50 will be deducted for cancellation. Refund requests must be received by fax or mail by Sunday, March 14, 2010. No refunds will be made thereafter. Transfer of registration to another Johns Hopkins conference in lieu of cancellation is not possible. Hotel and Travel Information The Ritz-Carlton, Tysons Corner (703) 506-4300 1700 Tysons Boulevard (800) 241-3333 McLean, Virginia 22102 HOTEL RESERVATION CUT-OFF DATE: February 19, 2010 A limited number of hotel rooms have been retained for the conference. Call the Ritz-Carlton directly at (703) 506-4300 to make your reservation for the Neurocritical Care Conference to receive the special group rate of $149, single or double, plus tax per night. Overnight and daily valet parking are available for an additional fee. Self-parking is available for an additional fee. Check-in time: 3:00 p.m. Check-out time: 12:00 p.m. Activity Evaluation An activity evaluation form will be available to attendees to evaluate each session and each speaker?s presentation, as well as to identify future educational needs. Outcomes Survey An Outcomes Survey will be sent to all physician attendees within three months post activity to assist us in determining what impact this activity had on the attendee?s practice. Emergency Calls During the days of this activity only, March 19 and 20, direct emergency calls to (703) 506-4300 and ask that a message be sent to the Johns Hopkins registration desk. Messages will be posted for participants. Americans with Disabilities Act The Johns Hopkins University School of Medicine fully complies with the legal requirements of the ADA and the rules and regulations thereof. Please notify us if you have any special needs. Acknowledgement Applications for commercial support from health care related industries are pending. A complete list of contributors will be provided in the syllabus. To Register or for Further Information Register Online www.HopkinsCME.edu Register by Phone (credit card only) (410) 502-9636 Register by Fax (866) 510-7088 Confirmation/Certificates (410) 502-9636 General Information (410) 955-2959 E-mail the Office of CME cmenet@jhmi.edu For general information, the direct link for this CME activity web page is: http://www.hopkinscme.edu/CourseDetail.aspx/80022531 PROGRAM: Neurocritical Care for the Medical and Surgical Intensivist Friday, March 19, 2010 9:00 - 10:00 Registration and Continental Breakfast 10:00 - 10:15 Welcome and Overview Paul Nyquist, MD, MPH 10:15 - 10:45 Pediatric Cerebrovascular Disease Lori Jordan, MD 10:45 - 11:30 Establishing a Comprehensive Cerebrovascular Center Eric Aldrich, MD 11:30 - 12:15 Thrombolysis: A Review of Studies and Indications Rafael Llinas, MD 12:15 - 1:15 Lunch 1:15 - 2:15 Updates in the Management of Intra-Cerebral Hemorrhage Daniel Hanley, MD and Wendy Ziai, MD, FRCPC 2:15 - 3:15 The Medical and Endovascular Management of Intracranial Stenosis Robert Wityk, MD 3:15 - 3:30 Refreshment Break 3:30 - 4:30 Intra-Arterial Thrombolysis in Acute Stroke Victor Urrutia, MD 4:30 - 5:30 Endovascular Management of Ischemic Stroke: New Frontiers Dheeraj Gandhi, MD 5:30 pm Adjourn Saturday, March 20, 2010 7:30 - 8:00 Continental Breakfast 8:00 - 8:15 Introduction Paul Nyquist, MD, MPH 8:15 - 9:00 Prognostic Models in Traumatic and Non-traumatic Brain Injury Robert Stevens, MD 9:00 - 9:45 Traumatic Brain Injury in the NCCU Geoffrey Ling, MD, PhD 9:45 - 10:30 The Surgical Management of SAH Rafael Tamargo, MD, FACS 10:30 - 10:45 Refreshment Break 10:45 - 11:30 Endovascular Management of Subarachnoid Hemorrhage Philippe Gailloud, MD 11:30 - 12:30 Lunch 12:30 - 1:30 Keynote Speaker ?Broken Heart? Ilan Wittstein, MD 1:30 - 2:15 Blood Pressure Management in Critically Ill Neurologic Patients John Lewin, III, PharmD, BCPS 2:15 - 3:00 Medical Management of Aneurysmal Subarachnoid Hemorrhage J. Ricardo Carhuapoma, MD 3:00 - 3:15 Refreshment Break 3:15 - 4:00 Hypothermia Romer Geocadin, MD 4:00 - 4:45 Management of Seizures and Status Epilepticus in the Intensive Care Unit Marek Mirski, MD, PhD 4:45 - 5:30 Encephalitis/Meningitis Wendy Ziai, MD, FRCPC 5:30 pm Adjourn The Johns Hopkins University School of Medicine takes responsibility for the content, quality and scientific integrity of this CME activity. This schedule is subject to change. ACTIVITY DIRECTOR Paul Nyquist, MD, MPH Assistant Professor of Neurology, Neurological Surgery and Anesthesiology and Critical Care Medicine JOHNS HOPKINS FACULTY Eric Aldrich, MD Assistant Professor of Neurology and Physical Medicine and Rehabilitation Medical Director, Stroke Service J. Ricardo Carhuapoma, MD Director, Neurosciences Critical Care Fellowship Program Associate Director, Neurosciences Critical Care Division Assistant Professor of Neurology, Neurological Surgery and Anesthesiology and Critical Care Medicine Philippe Gailloud, MD Associate Professor of Radiology and Radiological Science and Neurological Surgery Director, Pediatric Interventional Neuroradiology Division of Interventional Neuroradiology Dheeraj Gandhi, MD Assistant Professor of Radiology and Radiological Science, Neurology, and Neurological Surgery Romer Geocadin, MD Associate Professor of Neurology, Neurological Surgery and Anesthesiology and Critical Care Medicine Director, Neuroscience Critical Care Unit, Johns Hopkins Bayview Medical Center Associate Director, Neuroscience Critical Care Division Daniel Hanley, MD Professor of Neurology and Neurosurgery Lori Jordan, MD Assistant Professor of Neurology and Pediatrics Division of Pediatric Neurology John Lewin, III, PharmD, BCPS Clinical Pharmacy Specialist Neurosciences Critical Care Department of Pharmacy The Johns Hopkins Hospital Adjunct Assistant Professor of Anesthesiology and Critical Care Medicine Division of Neurosciences Critical Care The Johns Hopkins University School of Medicine Clinical Associate Professor University of Maryland School of Pharmacy Geoffrey Ling, MD, PhD Colonel, Medical Corps, US Army Professor of Neurology, Anesthesiology and Neuroscience Uniformed Services University of the Health Sciences Director, Neuro Critical Care Walter Reed Army Medical Center Adjunct Associate Professor of Anesthesiology and Critical Care Medicine The Johns Hopkins University School of Medicine Rafael Llinas, MD Associate Professor of Neurology Director of Clinical Services Co-Director, Neurology Residency Johns Hopkins Bayview Medical Center Marek Mirski, MD, PhD Vice Chair, Department of Anesthesiology and Critical Care Medicine Director, Neuroscience Critical Care Units Chief, Division of Neuroanesthesiology Co-Director, Johns Hopkins Comprehensive Stroke Center Associate Professor of Anesthesiology and Critical Care Medicine, Neurology, and Neurological Surgery Robert Stevens, MD Assistant Professor of Neurology, Neurological Surgery, and Anesthesiology and Critical Care Medicine Rafael Tamargo, MD, FACS Walter E. Dandy Professor of Neurological Surgery Director, Division of Cerebrovascular Neurosurgery Professor of Otolaryngology-Head and Neck Surgery Victor Urrutia, MD Assistant Professor of Neurology Ilan Wittstein, MD Assistant Professor of Medicine Robert Wityk, MD Associate Professor of Neurology Wendy Ziai, MD, FRCPC Assistant Professor of Neurology, Neurological Surgery and Anesthesiology and Critical Care Medicine Director, The Johns Hopkins NeuroCirculatory Physiology Laboratory Division of Neurosciences Critical Care REGISTRATION FORM Course Number 80022531 Neurocritical Care for the Medical and Surgical Intensivist March 19-20, 2010 To Register: Online: www.HopkinsCME.edu By fax: (866) 510-7088 By phone (credit card only): (410) 502-9634 Or mail this form to The Johns Hopkins University, Office of Continuing Medical Education, P.O. Box 64128, Baltimore, Maryland 21264-4128. Include check payable to HOPKINS/80022531, or include credit card information below. PAYMENT MUST ACCOMPANY FORM TO CONFIRM YOUR REGISTRATION. Please type or print clearly: last name first name middle initial primary degree (for name badge) primary specialty preferred mailing address city state ZIP + 4 code country daytime telephone fax number e-mail / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / You will receive confirmation notice by e-mail if you provide your e-mail address. M Check here if you wish to receive e-mail and/or fax notices about upcoming CME activities. What do you hope to learn by attending this activity? Please notify us if you have any special needs. Registration Fees: M Physicians $500 M Residents*/Fellows*/Nurses/Allied Health Professionals $375 *with verification of status For registrations received after 5:00 p.m. EST on March 14, 2010, include a $50 late fee. On-site registrations are payable only by credit card. Total amount enclosed $ Payment Type: JHU Faculty/Staff Only: Complete registration form and return with appropriate form below to OCME, Turner 20. M Internal Order Number: The ION Data Request Form, can be found online at http://www.hopkinscme.edu/pdfs/IonRequest.pdf. M Tuition Remission: To apply for TR, go to http://benefits.jhu.edu/EduBenefits/tuitionRemission.cfm. This is a non-credit professional development activity. M Check (See instructions on top of form.) M Credit Card: M VISA M MASTERCARD M DISCOVER M AMEX Card # - - - Exp. Date Name on Card Signature and Date