The 13th Annual Acute Stroke Conference Enduring Material Review

This enduring material is the recording of presentations given at the 13th Annual Acute Stroke Activity that was held live on-line, October 3^rd, 2020.  These presentations gave an overview of the management of stroke patients. Topics include:

• Advances in Neurocritical Care
• Advances in Minimally Invasive Neurointerventional Techniques
• Neuromonitoring Intelligence for Stroke Treatment Stewardship
• Advances in the pre-hospital and ED care of stroke patient
• Quality Improvement as a tool for excellence in Stroke Centers
• Advances in Systemic Thrombolysis Therapies: Tenecteplase
• Multidisciplinary care of the family in the ICU

1. Review the most up to date advances in the care of critically ill patients with neurologic injury.
2. Identify the latest advances in minimally invasive Neurointerventional techniques techniques
3. Gain the skills to implement changes at a local level.
4. Review the most up to date advances in the Pre-hospital and ED care of Stroke patients.
5. Discuss the most up to date advances in Quality Improvement methods as a tool for excellence in Stroke Centers.
6. Convey current guideline recommendations regarding the use of thrombolytic therapy for the treatment of acute ischemic stroke
7. Identify the pharmacological differences between alteplase and tenecteplase
8. Evaluate the published studies investigating the use of tenecteplase for ischemic stroke
9. Describe the role of Pastoral Care in offering support to ICU patients and their families as well as staff
10. Describe how Social Work/Care Coordination collaborate with patients, families and the medical team to address discharge planning in the ICU
11. Describe how PT, OT and ST work with patients and families to improve participation with early intervention in the ICU
12. Review the different ways in which Nurses participate in the interdisciplinary care of Stroke patients.
13. Review the most up to date advances in the diagnosis and treatment of Stroke

Registration is required in order to have access to the enduring material links for this continuing education activity. Links for the enduring material will be emailed through send a file to registered and paid participants within 48 hours of registration. The send a file link will be sent from email [email protected]. You will have 14 days to download the material. After that time the material will expire. Once you complete the material you will need to send an email to Tammi so she can post your completion and send you the instructions to complete an evaluation, claim credits and download or print your certificate.

Fees for this enduring material are:

• SLU and SSM SLU Hospital- Affiliated   $20.00

• All other participants $30.00

Technical Information:

SSM, Mercy, and St. Luke's firewalls will not allow this material to download on their work computers. When you register for the material please use an email other than your work email. If you already have a member profile in the SLU CME Database you will need to go into your home page and update your email address.

The best browser to use is Google Chrome or Firefox

The material should take you about four hours to review. Once you have it downloaded to your PC you can stop and start as you prefer. If you are only going to watch one or two ot the lectures due to your own educational needs then you would need to only claim the time you spent on those two lectures. If you watch the full material then you can claim the full amount.

If you have technical issues you will need to send an email to [email protected]. Help will be sent within 24-48 hours depending upon the day and time of the request.

This material will expire December 31, 2022

Below is the line up of the material: (Please review the conflict of Interset information by clicking on the commercial support tab)

Accreditation

This enduring material activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Saint Louis University School of Medicine and SSM Health Saint Louis University Hospital and SLUCare Physician Group.  Saint Louis University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation

Saint Louis University School of Medicine designates this enduring material activity for a maximum of 3.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Saint Louis University School of Medicine will provide Other learner certificates (for NPs, PAs, and other types of learners).  The certificate will state that the enduring material activity was designated for 3.5 AMA PRA Category 1 Credits™.  Follow your board's requirements for reciprocal CE credits.

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Saint Louis University Trudy Busch Valentine School of Nursing

Saint Louis University Trudy Busch Valentine School of Nursing is an approved provider of continuing nursing education by the Midwest Multistate Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Midwest MSD Provider Approval # MO221-1 Nursing Contact Hours:  maximum of 3.5

Approval # N21003EM

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Physical Therapy

Saint Louis University School of Medicine Continuing Education Program is a continuing education sponsor for the State of Illinois to provide Physical Therapy and Occupation Therapy CE courses. 

State of Illinois Physical Therapy Continuing Education Sponsor License # 216.000085 Expiration Date: 09/30/2022 - CE Contact hours: 4.0

State of Missouri: Acceptable continuing education is automatically approved if such course or activity is obtained as follows; Courses and activities sponsored/approved by the American Medical Association (AMA) As stated in Chapter 3-Licensing of Physical Therapist and Physical Therapist Assistants, 20 CSR 2050-3.203, page 15.

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Occupational Therapy State of Illinois Occupational Therapy Continuing Education Sponsor License #224-000052 Expiration Date:  12/30/2021 Contact hours: 4.0

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Illinois EMS has approved 4.0 EMS CEUs through the Illinois Department of Public Health.

EMS Site Code 043248E1020

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Missouri EMS 

 SSM EMS Department  has approved 4.0 EMS Trauma CEUs through the Missouri Bureau of EMS, TE#18933PC 

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Course Director and Planner

Guillermo Linares, MD

Associate Professor, Department of Neurology

Souers Stroke Institute

Vascular and Neurointerventional Services

Saint Louis University School of Medicine 

St. Louis, Missouri

Course Manager and Planner

Jeffrey M. Wright, PT

Outreach Services Executive

SSM Health Saint Louis University Hospital

St. Louis, Missouri

Planners

James Braun, PharmD, BCCCP

Neurosciences Pharmacy Clinical Specialist

SSM Health Saint Louis University Hospital

St. Louis, Missouri

Randall C. Edgell, MD, FSVIN

Professor, Department of Neurology

Director, Souers Stroke Institute

Director, Neurointerventional Services

Director, Vascular and Neurointerventional Fellowships

Saint Louis University School of Medicine

St. Louis, Missouri

Brendan Gierer, RN, ENLS

Stroke Coordinator

SSM Health Saint Louis University Hospital

St. Louis, Missouri

Tammi Mooshegian

SLU CME Program Director

Saint Louis University School of Medicine

St. Louis, Missouri

Presenters

Katie Anderson, MSW

James Braun, PharmD, BCCCP

Ben Gierer, RN

Sue Kellett, Chaplain

Jaime Kynion, RN, MSN, FNP-C, SCRN

Stephan A. Mayer, MD

Santiago Ortega, MD

Julie Rosenfeld, OTR

Matthew Sikett, MD

Member Information

Role in activity

Nature of Relationship(s) / Name of Ineligible Company(s)

Katie Anderson

Faculty

James Braun, PharmD, BCCCP
Pharmacist - Neuro ICU
SSM Health Saint Louis University Hospital

Faculty

Brendan Gierer, RN

Faculty

Gregory Kapinos, MD

Faculty

Susan Kellett, MAPS
SSMHealth SLUH

Faculty

Jaime Kynion, MSN, FNP-C
Neurology Nurse Practitioner
SSM Health Saint Louis University Hospital

Faculty

Stephan A. Mayer, MD

Faculty

Santiago Ortega, MD

Faculty

Julie Rosenfeld, OTR, Occupational Therapist
Director of Physical Medicine and Rehabilitation
SSM Health Saint Louis University Hospital

Faculty

Matthew S. Siket, MD
University of Vermont

Faculty

Saint Louis University adheres to ACCME Standards for Commercial Support and content validation as follows:

CONTENT VALIDATION

The Course Director of this activity has ensured that the content of this presentation conforms to the ACCME policy activities which require accredited sponsors ensure that:

It is the policy of Saint Louis University School of Medicine to ensure balance, independence, objectivity and scientific rigor in its continuing medical education program. Faculty and planning committee participating in these activities are required to disclose to the audiences prior to the activity the following:

FACULTY DISCLOSURES

The following have disclosed no relevant financial relationships; nor do they intend to discuss the off-label/investigative use of any commercial product/device:

Katie Anderson, MSW: Presenter

James Braun, PharmD, BCCCP: Planner, Presenter

Jeroen Coppens, MD: Presenter

Randall Edgell, MD, FSVIN: Course Co-Director, Planner, Presenter

Brendan Gierer, RN, ENLS: Planner, Presenter

Arijana Kapic, MPH: Planner

Gregory Kapinos, MD, MS, CCC-BHL, FASN, FCCM: Presenter

Sue Kellett, Chaplain: Presenter

Jaime Kynion, RN, MSN, FNP-C: Presenter

Guillermo Linares, MD: Course Director, Planner, Presenter

Tammi Mooshegian, CME Program Director, Planner

Joanna Ramiro, MD: Presenter

Julie Rosenfeld, MA,OTR: Presenter

Matthew S. Siket, MD, MSc, FACEP: Presenter

Jeffrey Wright, PT: Course Manager, Planner

The following have disclosed a relevant financial relationship and do not intend to discuss the off-label/investigative use of a commercial product/device:

Stephan Mayer, MD, FCCM, FNCS: Presenter, has disclosed the following: Consultant for Bayer, Biogen, BrainCool, Idorsia, MaxQ-AI and the presentation will contain off-label/investigative discussion of TPA for IVH, rFVlla for ICH

Santiago Ortega, MD, MSc, FAHA, FSVIN: Presenter, has disclosed the following: Consultant for Medtronic and Stryker Neurovascluar

Saint Louis University School of Medicine has reviewed this activity’s disclosures and agrees with the actions taken to resolve all identifiable conflicts of interest, if applicable.

The following companies have been approved for a virtual exhibit space. Please visit their websites listed for more information on their products.

Alexion

Alexion is a global biopharmaceutical company with the mission of transforming the lives of people affected by rare diseases by continuously innovating and creating meaningful value in all that we do. Headquartered in Boston, Massachusetts, Alexion has offices around the globe and serves patients in more than 50 countries.

https://alexion.com/

MicroVention

MicroVention provides a complete 360-degree approach to developing neuroendovascular technologies with four main product groups: Aneurysm Therapy Solutions, Ischemic Stroke and Carotid Artery Disease Solutions, Neurovascular Malformation Solutions, and Access Products. Additionally, our extensive product lines in each category allow our customers to uniquely address the needs of their patients. The Microvention website is www.microvention.com

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RapidAI

RapidAI is the worldwide leader in advanced cerebrovascular imaging analysis products. Installed in over 1,500 hospitals, the Rapid platform powered by artificial intelligence includes Rapid CTP, Rapid MRI, Rapid CTA, Rapid ICH, and Rapid ASPECTS. RapidAI empowers clinicians to make faster, more accurate diagnostic and treatment decisions for stroke patients using clinically proven data-driven technology.

RapidAI website  CLICK HERE

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SSM Health Rehabilitation Network

SSM Health Rehabilitation Network delivers specialized care and advanced treatment programs that enables individuals with stroke, brain injury, spinal cord injury, neurological disorders, medically complex conditions, amputation, and other orthopedic trauma, to rebuild their lives. To help individuals successfully transition to life at home, at work and in the community, our Network provides an unparalleled continuum of patient care starting at the acute hospital level, transitioning through our rehab program at one of our 3 inpatient acute rehabilitation hospitals and continuing on through one of our Day Institute programs, outpatient or home care rehab services. A team of specialized therapists, nurses and physicians, focus on providing exceptional care and unparalleled customer service. SSM Health Rehabilitation Network is a joint venture between SSM Health St. Louis and Select Medical. Link to website: https://www.ssm-rehab.com

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