The Continuum Neurocritical Care issue publishes next week!

Guest edited by Dr. Ariane Lewis, it has everything you need to know about emergent management of neurologic crises

I don’t think neuroX/Twitter is ready for the onslaught of NICU education on the way from Casey Albin, MD

I am thrilled to share that all my NeuroICU Tweetorials are now indexed on the Neudrawlogy website by the extremely talented Gabriela F. Pucci!

Check out all former #tweetorial cases and collect her awesome infographics!

neudrawlogy.com/casey-albins-t…

What proactive steps have you taken to prioritise and improve your mental wellbeing during recovery?

Remember, you are not alone. Help us spread awareness by sharing your experience with the SameYou community 👇

#SameYouCharity #StrokeAwarenessMonth #SameYouCommunity

Congratulations to our Nurse Manager Elka Riley for her award from the AACN Critical Care New York City Chapter!

We are so proud of you 😍😍

Such a great way to think about brain-ventilator interactions 🙌 #Neurocritcare

What are your impressions?
Nick Mark MD Casey Albin, MD @oneDRwoman David Seiffge Neha Dangayach MD MSCR FAAN FCCP FCCM FNCS

SameYou and Big Issue are working together to shine a spotlight on the difficulties of returning to work after brain trauma for survivors and their carers.

Take part in our survey so we can help support them with specialist skills and job coaches: zfrmz.eu/fo6WVwRGLQFzpN…

💫Take the survey on #neurocriticalcare if you are a healthcare worker in the #LMICs and be a collaborator🔗 forms.gle/HpkN2qPyBfERMZ

Introducing the Value-Based Care digital collection from Neurology: Clinical Practice! Gain insights into health care delivery, the growing interest in moving from fee-for-service to #ValueBasedCare , and how that intersects with the field of neurology: bit.ly/3HnywQc

From Harrison’s Principles of Internal Medicine, 21st edition-
An enduring message since 1950

Medicine is a calling in the service of humanity, for the compassionate pursuit of knowledge and innovation 🙏

Neha Dangayach MD MSCR FAAN FCCP FCCM FNCS Neurocritical Care Society Hera A. Kamdar, MD Nicholas Morris Nicole Davis 𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊 the EMCrit Crew Casey Albin, MD Richard Choi, DO MountSinaiNCC John Liang Have adapted over time but worth knowing the time it takes to infuse these meds:
250mL 3% at 999 = 15 min
1g/kg mannitol at 999 (20% 250mL bag) ~ 30 min if using one line
23.4% HTS have seen data for minutes to 10 min as an IVP
#NCSTJC

#NCSTJC Q5: What is your biggest challenge in getting hypertonic saline for patients with ICP crises/cerebral edema? ow.ly/lCpZ50RzV3O
Neha Dangayach MD MSCR FAAN FCCP FCCM FNCS

If your response is not in the poll, please share with us in the replies.

Neurocritical Care Society Neha Dangayach MD MSCR FAAN FCCP FCCM FNCS Not necessarily a getting problem but can run into hyperchloremic metabolic acidosis that can be mitigated with sodium acetate / bicarb #NCSTJC

Fantastic programs and career changing opportunities! American Academy of Neurology

There is literally no thought given when it comes to administration of epinephrine pushes in a code. Bolusing HTS should be considered the same. The question is when it’s being run continuously for an arbitrary goal with no exit strategy. #NCSTJC

Thank you to everyone who participated in #NCSTJC today! Feel free to continue to converse with colleagues and take the polls.

Article: ow.ly/lCpZ50RzV3O

Additional thanks to Neha Dangayach MD MSCR FAAN FCCP FCCM FNCS for moderating.

#NCSTJC

#NCSTJC Response Options:
A. Yes; use in preference to other high concentrations of NaCL ex. 23.4%
B. No; we still need a central line at my hospital for any concentration of hypertonic saline
C. No; other reason (please specify in the replies)

#NCSTJC Q4: Do you feel that being able to administer 3% through a PIV will change your practice in managing ICP crises? ow.ly/lCpZ50RzV3O
Neha Dangayach MD MSCR FAAN FCCP FCCM FNCS

#NCSTJC Q3: Do you choose mannitol over hypertonic saline due to access issues? ow.ly/lCpZ50RzV3O
Neha Dangayach MD MSCR FAAN FCCP FCCM FNCS