Stroke Symposium

Saturday, October 22, 2011

Sponsored by UT Southwestern Department of Neurology and Neurotherapeutics and the Office of Continuing Medical Education

Educational Objectives

Upon completion of this activity participants should be able to link the educational objectives to Core Competencies and:

• Explain the EMS/ED experience of an acute stroke after handoff and what happens next
• Express the role of the EMS/ED staff in the administration of TPA and the importance of good history and the “golden hour of stroke”
• Understand the expanded time window of 4.5 hours—who is and isn’t eligible
• Recognize acute stroke and use the FAST or NIHSS appropriately, while not losing sight of the less-frequent stroke presentations
• Identify the patient appropriately for large-vessel endovascular intervention by going beyond IV TPA
• Examine the results of the recently stopped SAMPRISS trial, lessons learned in neurointervention
• Describe the importance of early surgical interventions in the high-risk ischemic and hemorrhagic stroke population
• Discuss moving the patient to a higher level of care and what are the realistic expectations to convey to the family while at your facility
• Differentiate the telemedicine, from cart to smart phone, and the evolution of the stroke revolution

Each educational objective has been linked to a desirable physician attribute using the ACCME Competencies.

Accreditation

UT Southwestern Medical Center is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Who Should Attend

This course is designed for acute stroke first responders. This audience includes EMT/Paramedic roles in the field and Emergency Physicians or other health care providers that are immediately called to respond to a Code Stroke.

Purpose and Content

The UT Southwestern Stroke Symposium purpose is to review in a concise yet thorough manner the available treatment modalities for acute ischemic and hemorrhagic stroke. The audience will gain knowledge in presentation and immediate treatment of acute ischemic stroke, including advancing the 3-hour time window for TPA. Looking past the IV TPA windows, a neurointerventional expert will offer the latest updates on the options for intravascular treatments. Finally, the latest neurosurgical care of the hemorrhagic stroke patient will be explored by a faculty expert. To look into new trends of acute stroke care, the topic of telemedicine will also be reviewed from the perspective of a seasoned telestroke Neurologist. Attendees will have an opportunity to ask a panel of experts from the continuum of acute stroke care questions in the final session.

Instructional Team

Director
Mark Johnson, MD
Associate Professor, Department of Neurology, UT Southwestern Medical Center

Co-Course Director
Amanda Dirickson, MS, RN, ANP-C, Adult Nurse Practitioner
Department of Neurology, UT Southwestern Medical Center

UT Southwestern Faculty

Christiana Hall, MD, MS
Assistant Professor, Department of Neurology

Paul E. Pepe, MD, MPH, FCCM, FACEP
Professor and Chair of Emergency Medicine
Director, City of Dallas Medical Emergency Services for Public Safety, Public Health, and Homeland Security

G. Lee Pride, MD
Associate Professor, Department of Radiology & Neurological Surgery

Kim Rickert, MD
Assistant Professor, Department of Neurological Surgery

Duke Samson, MD
Lois C.A. and Darwin E. Smith Distinguished Chair in Neurological Surgery
Kimberly-Clark Distinguished Chair in Mobility Research
Professor and Chair, Department of Neurological Surgery

Agenda

Saturday, October 22, 2011

Credit Designation

Physicians

UT Southwestern Medical Center designates this educational activity for a maximum of 4.0 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Nurses

UT Southwestern Medical Center is an approved provider of continuing education by the Texas Nurses Association, and an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. 4.0 CEUs are offered for Nursing Credit.

Emergency Medical Personnel

This continuing education activity is approved by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS). CECBEMS represents only that its accredited programs have met CECBEMS’ standards for accreditation. These standards require sound educational offerings determined by a review of its objectives, teaching plan, faculty, and program evaluation processes. CECBEMS does not endorse or support the actual teachings, opinions, or material content as presented by the speaker(s) and/or sponsoring organization. CECBEMS accreditation does not represent that the content conforms to any national, state, or local standard or best practice of any nature. No student shall have any cause of action against CECBEMS based on the accreditation of the material.

If you have any comments regarding the quality of this program and/ or your satisfaction with it, please contact:

CECBEMS
12200 Ford Road, Suite 478
Dallas, Texas 75234
Phone: 972-247-4442
Email: lsibley@cecbems.org.

Conflict of Interest

It is UT Southwestern’s policy that participants in CME activities should be made aware of any affiliation or financial interest that may affect the speaker’s presentation(s). Each speaker has completed and signed a conflict of interest statement. The faculty members’ relationships will be disclosed in the course syllabus.

Discussion of Off-Label Use

Because this course is meant to educate providers with what is currently in use and what may be available in the future, there may be “off-label” use discussed in the presentations. Speakers have been requested to inform the audience when off-label use is being discussed.