Sign up to save your podcasts
Or
Share EMCrit 275 – NeuroCritical Care with Neha Dangayach
Share to email
Share to Facebook
Share to X
Share to email
Share to Facebook
Share to X
Or
EMCrit 275 – NeuroCritical Care with Neha Dangayach
[featimage]
Today on the podcast, we discuss Neuro-Emergencies and NeuroCritical Care with Neha Dangayach. This is a wide-ranging conversation that you will truly enjoy.
Neha Dangayach
Neha is joining the EMCrit team!!!!!!
Neha S. Dangayach MD, MSCR is an Assistant Professor of Neurology and Neurosurgery. Dr. Dangayach serves as the Director of Neuroemergencies Management and Transfers (NEMAT) for the Mount Sinai Health System, Neurocritical Care Fellowship Director and Research Co-Director for the Institute for Critical Care Medicine (ICCM). She is also a Co-Director of the Mount Sinai Hospital’s busy NSICU and collaborates with a compassionate team to provide world-class patient-centered Neurocritical Care. She leads the Mount Sinai Critical Care Resilience Program (MSCCRP), a multidisciplinary program including intensivists, nursing, social workers, physical, occupation and speech therapists, chaplains, nutritionists among others. Several projects under this program seek to help patients and families cope with ICU recovery. Her research focuses on resilience, spirituality and recovery in critical care; inter-hospital transfers for neuroemergencies and social media in medicine.
Topics of Discussion with Time Stamps
Neha's Slides
* Neurocrit Care Stony Brook Grand Rounds
Neuro-Emergency Management and Transfer (NEMAT) Service
Tele-Stroke
Video the CT with phone
2 person job
scroll through every image of axial head ct q 2 seconds
Scroll through CTA MIPs, axial and coronal (sag is a bonus)
ICH
Blood Pressure
Specify how often to cycle BP cuff
Ischemic Stroke
Who to Intubate and Neuroprotective Intubation
* LAMW: The Neurocritical Care Intubation
Which Osmotic Agent for ICP
* Recently Published Guidelines
Platelet Reversal
Recent paper shows no benefit from PLTs or dDAVP in non-neurosurg bleeds [10.1097/CCM.0000000000004348]
Status Epilepticus
Choice of 2nd Line Agent
Keppra 60mg/kg (1/2 the dose in ESRD)
General Anesthetic of Choice is Midazolam
0.2 mg/kg bolus
start infusion 0.2 mg/kg/hr
titrate up every 5 minutes
max 2.9 mg/kg/hr
when getting close to 1mg/kg/hr, give ketamine 1mg/kg followed by 1 mg/kg/hr
Cirrhotics, get propofol
Now on to the Podcast...
View all episodes
By Scott D. Weingart, MD[featimage]
Today on the podcast, we discuss Neuro-Emergencies and NeuroCritical Care with Neha Dangayach. This is a wide-ranging conversation that you will truly enjoy.
Neha Dangayach
Neha is joining the EMCrit team!!!!!!
Neha S. Dangayach MD, MSCR is an Assistant Professor of Neurology and Neurosurgery. Dr. Dangayach serves as the Director of Neuroemergencies Management and Transfers (NEMAT) for the Mount Sinai Health System, Neurocritical Care Fellowship Director and Research Co-Director for the Institute for Critical Care Medicine (ICCM). She is also a Co-Director of the Mount Sinai Hospital’s busy NSICU and collaborates with a compassionate team to provide world-class patient-centered Neurocritical Care. She leads the Mount Sinai Critical Care Resilience Program (MSCCRP), a multidisciplinary program including intensivists, nursing, social workers, physical, occupation and speech therapists, chaplains, nutritionists among others. Several projects under this program seek to help patients and families cope with ICU recovery. Her research focuses on resilience, spirituality and recovery in critical care; inter-hospital transfers for neuroemergencies and social media in medicine.
Topics of Discussion with Time Stamps
Neha's Slides
* Neurocrit Care Stony Brook Grand Rounds
Neuro-Emergency Management and Transfer (NEMAT) Service
Tele-Stroke
Video the CT with phone
2 person job
scroll through every image of axial head ct q 2 seconds
Scroll through CTA MIPs, axial and coronal (sag is a bonus)
ICH
Blood Pressure
Specify how often to cycle BP cuff
Ischemic Stroke
Who to Intubate and Neuroprotective Intubation
* LAMW: The Neurocritical Care Intubation
Which Osmotic Agent for ICP
* Recently Published Guidelines
Platelet Reversal
Recent paper shows no benefit from PLTs or dDAVP in non-neurosurg bleeds [10.1097/CCM.0000000000004348]
Status Epilepticus
Choice of 2nd Line Agent
Keppra 60mg/kg (1/2 the dose in ESRD)
General Anesthetic of Choice is Midazolam
0.2 mg/kg bolus
start infusion 0.2 mg/kg/hr
titrate up every 5 minutes
max 2.9 mg/kg/hr
when getting close to 1mg/kg/hr, give ketamine 1mg/kg followed by 1 mg/kg/hr
Cirrhotics, get propofol
Now on to the Podcast...