Neurological Emergencies: 18-19 April 2020

DAY 1:
SATURDAY, APRIL 18

8:00-8:20 Course Registration & Welcome Coffee
Machievelli Room, Grand Hotel Baglioni              

8:20-8:30 Welcome and Introduction
Jonathan A. Edlow, MD & Joshua N. Goldstein, MD, PhD              

8:30-9:20 Keynote: Perspective in the History & Future of Stroke Care in Europe & Beyond
Prof. Domenico Inzitari, MD
After this keynote presentation, participants will have a better understanding on the history of patient care during strokes in Europe and beyond, while also learning about the anticipated direction of where such care is going.  Participants will learn the newest data about the modern treatment of patients with strokes and understand the historical background from which it has changed.              

9:20-10:30 Dizziness: A New Evidence-Based Algorithm
Jonathan A. Edlow, MD
This session will highlight an algorithmic approach to the dizzy patient, focusing on the use of signs and symptoms, as well as triggering and exacerbating features, to guide the clinician to an accurate diagnosis that highly leverages the physical examination.              

10:30-10:45        Coffee Break              

10:45-11:25 Seizures and Pseudoseizures in the Emergency Setting
Joshua N. Goldstein, MD, PhD
After this presentation, participants will understand how to diagnose and treat seizures in the emergency setting. In addition, they will be able to understand current concepts in diagnosing and treating psychogenic non-epileptic seizures in the emergency department.              

11:25-12:05 Headache 101: Avoiding Misdiagnosis
Jonathan A. Edlow, MD
During this presentation, participants will receive an introduction and epidemiology of headaches, current diagnostic approaches, the international headache society classifications, and the ‘cannot miss’ features suggesting further evaluation.              

12:05-13:00 Lunch: Hotel Baglioni Rooftop Restaurant              

13:00-13:40 Coma and Altered Mental Status: The Initial Evaluation
Joshua N. Goldstein, MD, PhD
During this session, participants will review the presentation of “altered mental status” and coma in the emergency setting, discussing the focused neurologic exam and the initial evaluation of disorders of consciousness.              

13:40-14:25 Back Pain: Clinical Pathway of Who to Evaluate and When
Jonathan A. Edlow, MD
Objectives of this lecture include: becoming familiar with ED clinical guidelines for diagnosis of non-traumatic back pain, using “red flags” based on history and physical examination to facilitate the work-up of these patients and avoid delayed diagnosis of patients with cord or cauda equina compression.              

14:25-15:05 Traumatic Brain Injury
Joshua N. Goldstein, MD, PhD
This session will discuss initial evaluation after traumatic brain injury and highlight critical care management during the first hours.

15:05-15:20 Coffee Break

15:20-16:00 Neuro-Ophthalmology at the Bedside
Jonathan A. Edlow, MD
During this lecture, participants will learn to describe the evaluation for patients with anisocoria, diplopia and field cuts.              

16:00-17:00 Neurological QA: Lessons Learned from Mistakes
Jonathan A. Edlow, MD & Joshua N. Goldstein, MD, PhD
After this session, participants will be able to review instances of past medical errors, discuss outcomes, and provide insight on lessons learned in order to prevent the same errors from happening. 


DAY 2
SUNDAY, APRIL 19

9:00-8:30 Welcome Coffee

9:30-9:20 Central Nervous System (CNS) Infections
Andrea Morotti, MD
During this session, participants will learn the diagnostic approach (including up-to-date neuroimaging modalities) to, and updated treatment recommendations for, patients with CNS infections.              

9:20-10:00 Atypical Stroke Syndromes: Avoiding Misdiagnosis
Kiersten Gurley, MD
Failure to identify stroke symptoms may lead to dangerous delays in receiving medical care and render some of the most effective stroke treatments useless. After this session, participants will be able to better identify the symptoms of stroke in order to provide optimal care to patients.              

10:00-10:40 Updates on Revascularization: IV Thrombolytics and Endovascular Therapy
Joshua N. Goldstein, MD, PhD
After this session, participants will be able to better understand the early assessment of patients with stroke symptoms, and learn the latest data on which patients can benefit from IV thrombolytics and endovascular therapy.              

10:40-10:55 Coffee Break

10:55-11:35 Diagnosis of Subarachnoid Hemorrhage
Jonathan A. Edlow, MD
This session will focus on the early workup of headache and how to best determine which patients need to undergo a workup for subarachnoid hemorrhage.              

11:35-12:15 The NIHSS: How to Do It and Practical Insights
Joshua N. Goldstein, MD, PhD
This lecture will focus on the NIHSS and go through the exam. It will highlight what the NIHSS was designed for (and what it was not designed for).              

12:15-13:15        Lunch: Hotel Baglioni Rooftop Restaurant              

13:15-13:55        Transient Ischemic Attack: Preventing Stroke
Andrea Morotti, MD
This session will highlight the importance of early thorough evaluation of transient ischemic attack (TIA), as well as address current controversial issues in the diagnosis and management of TIA.              

13:55-14:35 Intracerebral hemorrhage: The First Hours
Joshua N. Goldstein, MD, PhD
This session will focus on the initial diagnosis and management of intracerebral hemorrhage. There are a range of options that can help improve patient outcomes. American Heart Association guidelines will be highlighted.              

14:35-15:15 Diagnosis of Posterior Circulation Stroke: Real-Life Lessons from Real-Live Cases
Jonathan A. Edlow, MD
This session will focus on the presentation and diagnosis of posterior circulation stroke. Real cases of patients with unclear initial presentations will be highlighted.              

15:15-15:30 Coffee Break              

15:30-16:30 Roundtable: Discussion of Real Medico-legal Cases
Andrea Morotti, MD & Jonathan A. Edlow, MD & Joshua N. Goldstein, MD, PhD
This session will review real closed malpractice cases, highlighting learning points about the medico-legal system, as well as learning points in diagnostic error.