Mayo Clinic 11th Annual Neuro and Intensive Care Review, Workshops, and Controversies 2025

Course Directors: W. David Freeman, M.D., Alejandro A. Rabinstein, M.D., Sukhwinder (Johnny) S. Sandhu, M.D., Aaron B. Skolnik, M.D., and Eelco F. Wijdicks, M.D., Ph.D., Suzanne M. Brown, B.S.N., C.N.R.N., S.C.R.N., Christina I. Collins, D.N.P., A.R.N.P., Jodi D. Hellickson, APRN, CNS, M.S., Layton White, Jr., P.A.-C, P.A., Cathy L. Mielke, APRN, CNS, M.S., and Amanda D. Tomlinson, A.R.N.P., ACNP-BC.
May 21 – 24, 2025 – Ritz-Carlton – Orlando, Florida
Mayo Clinic’s Neuro and Intensive Care: Review, Workshops and Controversies 2025 is a CME course designed for medical professionals who care for patients with neurological/neurosurgical emergencies, acute stroke and brain hemorrhage, acute brain injury, coma and disorders that require hospital, emergency department, and intensive care unit evaluation and management. The course provides a mixture of didactic, case-based and evidence-based guideline review and workshops. Pharmacotherapy and ICU EEG workshops utilize audience participation in on-screen quizzes and share protocols regarding osmotherapy for raised intracranial pressure and antiepileptic drug therapy.

Target Audience

This course is designed for medical professionals trained in neurology, neurosurgery, emergency medicine, critical care medicine, neurocritical care, pulmonary and critical care medicine, and anesthesia. ARNPs, PAs, paramedics/EMS personnel, pharmacists, and physical, occupational, and speech therapists who care for patients with neurological emergencies may also benefit.

Learning Objectives

Upon completion of this activity, participants should be able to:

Define common neurological and neurosurgical emergencies
Review updates in best practices of neuro/neurosurgical critical care
Outline strategies for best practice and evidence-based medicine updates in neuro-critical care
Discuss pathophysiologic management of neurocritical care conditions
Review the approach to diagnosis of basic and advanced neurocritical care conditions and diseases

+ Topics:

Wednesday, May 21,  2025 Multi-Professional/Allied Health Day
Moderators:  Suzanne Brown, BSN, RN, CNRN, SCRN, Christy Collins, DNP, APRN, Amanda Tomlinson, APRN, Jodi Hellickson, MS, APRN, CNS, Cathy Mielke, MS, APRN, CNS, Layton White Jr, PA-C

12:30 p.m.
Registration / Light Hors d’oeuvres  & Exhibits  (Ritz-Carlton Ballroom 5 & 6)

1:00
Keynote Speaker: (Ritz-Carlton Ballroom 5 & 6)  “If you build it, will they come?  Future Directions for Implementing Research into Neurocritical Care Practice” Molly McNett, Ph.D., R.N., CNRN, FNCS, FAAN

2:30
Q&A

2:45
Break

3:00
Neuro-Oncologic Emergencies Elizabeth Mutz, DNP APRN *This presentation is eligible for ACPE credit

3:30
Palliative Medicine and Its Role in Critical Care Zaheera Lukman, D.O. *This presentation is eligible for ACPE credit

4:00
Cardiac Device and Concern of Neurological Complications Breah L. Paciotti, P.A.-C, MPH

4:30
Pharmacogenomics: Another Tool in the Neuro ICU Toolbox Daniel A. Jackson, Pharm.D., R.Ph. *This presentation is eligible for ACPE credit

5:00
Panel Q&A

5:15
Electronic (e-) Allied Health Poster Presentations with Distinguished Presentations

Thursday, May 22, 2025 Fundamentals of Neurocritical Care Day Moderator: W. David Freeman, M.D

7:00 a.m.
Registration / Continental Breakfast & Exhibit Hall (Tuscany )

7:30
Welcome, Introduction, and Pretest (Tuscany D & E) W. David Freeman, M.D.

7:45
Neurocritical Care 2025: Yesterday’s Sci-Fi, Today’s Breakthroughs W. David Freeman, M.D. *This presentation is eligible for ACPE credit

8:15
Traumatic Brain Injury and Neurocritical Care Management: Challenging Cases Kristine O’Phelan, M.D. This presentation is eligible for ACPE credit

8:45
Master Class: Decisions, Decisions, Decisions Eelco Wijdicks, M.D., Ph.D.

9:15
Panel Q&A

9:30
Break / Exhibit Hall (Tuscany Foyer)

9:45
Critical Care Keynote: eCPR: The Future of Resuscitation or a Risky Gamble? (V) Pablo Moreno Franco, M.D. *This presentation is eligible for ACPE credit

10:15
Q&A

10:30
Break / Exhibit Hall (Tuscany Foyer)

11:00
Practical Neuroradiology in the ICU Sukhwinder (Johnny) S. Sandhu, M.D.

11:30
Q&A

11:45
Break / Exhibit Hall (Tuscany Foyer)

12:00 p.m.
Lunch and Learn Neuro Critical Care Interactive (N.C.C.I.) Mohammed Badi, MBBS, Mutaz Ombada, MBBS; Aaron Skolnik, M.D., Ashley Rogers, M.D.; Alejandro Rabinstein, M.D.; (V) Sukhwinder (Johnny) S. Sandhu, M.D.; Selby Chen, M.D.  *This presentation is eligible for ACPE credit

1:15
 
Mixed Reality Training for Stroke and Neuro Critical Care Giselle Coelho, M.D., Ph.D.

1:35
Update in Aneurysmal Subarachnoid Hemorrhage Alejandro Rabinstein, M.D. *This presentation is eligible for ACPE credit

2:20
Q&A

2:30
Break / Exhibit Hall (Tuscany Foyer)

2:40 – 3:15-
Electronic (e-) Poster Presentations (Tuscany D – E) Moderators: W. David Freeman, M.D.; Alejandro Rabinstein, M.D.; (V) and Sukhwinder (Johnny) S. Sandhu, M.D.

3:30
Optional Interactive Neuro and Critical Care Procedural Workshops (Tuscan Salons)
1.)  Critical Care Procedures – Philip Lowman, M.D.; Levi Howard, D.O.; Christan Santos, APRN, D.N.P.; Joshua Propst PA-C.; Quintin Quinones, M.D., Ph.D., Leslie Simon D.O., Nader Amini, M.D., Mohamad Chymmasni  (Tuscany Salon A)
a.       CVC, arterial line, intubation/airway, bronchoscopy, tracheostomy
2.) Neuro/neurosurgical Procedures: Saif Salman, M.B.B.S.  (Tuscany Salon B)
a.       EVD and CSF irrigation Techniques – Nick Brandmeir, M.D., Saif Salman, M.D.
b.       Neurosurgical Training using realistic simulators: Giselle Coelho, M.D., Ph.D., Amra Sakusic, M.D., Ph.D., Saif Salman, M.D.
3.)  Prehospital Emergency Stabilization: VR Haptics Thoracostomy, Hemorrhage, and Escharotomy: Madison Quinn, Justin Welzien, Joshua Losch, Aaron Skolnik, M.D. (Tuscany Salon C)
4.) Ventilator workshop – Jeffrey Garland, M.D., Joseph Shiber, M.D. Matt Hendrickson R.T (Tuscany Salon G)

3:30
Pharmacotherapy Workshop (Tuscany Salon D – E)
Pharmacotherapy Workshop Moderators: Mikaela M. Hofer, PharmD, RPh, BCPS, BCCP, Daniel A. Jackson, Pharm.D., R.Ph., Alejandro A. Rabinstein, M.D. (V)
1.) Anticoagulation Pearls for Neurology Critical Care: Selection of Appropriate Anticoagulation Post-Stroke Nick​​ Vollmer, Pharm.D., R.Ph., BCCP3.)
2.) Reversal of Anticoagulation in Intracranial Emergencies  Matthew W. Soto-Arenall, Pharm.D., R.Ph., MS, BCPS AQ Cards, BCACP, CACP, BCCCP
3.) Osmolar Therapy Daniel A. Jackson, Pharm.D., R.Ph.
4.) Antieipileptic Medications Mikaela M. Hofer, PharmD, RPh, BCPS, BCCCP
*This presentation is eligible for ACPE credit

3:30
ICU EEG Workshop and Case-Based Debates (Tuscany Salon F)
Moderators: Brin Freund, M.D., Nidhi Kapoor, M.D., Badria Munir, M.B.B.S.

5:30
Adjourn /  Exhibit Hall

Friday, May 23, 2025 Acute Management, Surgical and Evidence-Based Updates Moderator: W. David Freeman, M.D

7:00 a.m.
Registration / Continental Breakfast & Exhibit Hall (Tuscany Foyer)

7:30
Welcome, Opening Remarks (Tuscany D – E)

7:45
Transforming Critical Care Keynote: Brain-Injury and Inflammation Thomas Bleck, M.D. This presentation is eligible for ACPE credit

8:15
CODE ICH: A Call to Action W David Freeman, M.D. *This presentation is eligible for ACPE credit

8:45
Revolutionizing Neurologic Care: The Therapeutic Potential of Active CSF Exchange Nicholas Brandmeir, M.D.  *This presentation is eligible for ACPE credit

9:15
Neuroimaging Review: ABC’s of Hemorrhage Volumetrics Johnny Sandhu, M.D., and Dinesh Rao, M.D.

9:45
Panel Question and Answer

10:00
Break / Exhibit Hall (Tuscany Foyer)

10:15
Neuromuscular Emergencies: A Practical Approach Chris Kramer, M.D.

10:45
Update on Coma & Disorders of Consciousness J Brent Peel, M.D. *This presentation is eligible for ACPE credit

11:15
A Practical and Case-Based Approach to Encephalopathic ICU Patients Alejandro Rabinstein, M.D. (V)  *This presentation is eligible for ACPE credit

11:45
Q&A

12:00
Break / Exhibit Hall (Tuscany Foyer)

12:15 p.m.
Lunch & Learn: Case-Based Diagnosis and Treatment of Neuroimmunologic Disorders in the ICU and Update on the NIH ExTINGUISH Trial (Anti-NMDAR Encephalitis) Moderator: A. Rabinstein, M.D.
Speakers: Alfonso (Sebastian) S. Lopez Chiriboga, M.D., Gregory (Gregg) S. Day, M.D. *This presentation is eligible for ACPE credit

1:00
Q&A

1:10
Break / Exhibit Hall (Tuscany Foyer)

1:15
Cross-Fire 1: Complex Ethical Situations and Cases: DNR vs Do Everything vs Self Fulfilling Prophecies Kimm McPhearson, D.O., Thomas Bleck, M.D. Moderator: Rohan Sharma, M.D.

2:00
Cross-Fire 2: Pearls, Pitfalls, and Practicalities in Neurocritical Care (Panelists) Keith Dombrowski, M.D., Khalid Hanafy, M.D., Ph.D.(V), Marc Babi., M.D. Ph.D., J Brent Peel, M.D. Moderator: Rohan Sharma, M.D.

2:30
Q&A

2:45
Neuro/neurosurgical Procedure Workshop: EVD and Bolt Placement (manikins) (Tuscany A) Saif Salman, Vin Shen Ban, M.B.B.S., Giselle Coelho, M.D., Ph.D., John E Cebak, D.O., Ph.D., Selby Chen, M.D.

3:15
Q&A

3:30
Break / Exhibit Hall (Tuscany Foyer)

4:00
Electronic Lightening ePosters #2 (Tuscany Salon D – E)

5:00
Adjourn

6:00 – 8:00 p.m.
Reception at Bleu (Heavy Hors d’oeuvres and Cash Bar)

Saturday, May 24, 2025  Neuro Emergencies Moderator: W. David Freeman, M.D

7:30 a.m.
Registration / Continental Breakfast & Exhibit Hall (Tuscany Foyer)

7:45 a.m.
Welcome, Opening Remarks (Tuscany Salon D – E) Amanda Tomlinson ARNP. D.N.P.

7:50 – 12:00 p.m.
Rapid Approaches to the Declining Neuro Patient – A combined partnership with Emergency Medicine and Critical Care
ABC’S Airway Breathing Circulation and Sedation: Charles Graham, M.D.
Approach to the Patient with Coma: Courtney James, M.D.
Stroke Review: Acute Ischemic:  Wendy Camp, PA-C
Stroke Review: Intracerebral Hemorrhage: A. Layton White, PA-C
Stroke Review: Subarachnoid Hemorrhage: W. Dave Freeman, M.D.
Intracranial Hypertension, Pressure Monitoring, and Complications: Jesse St Clair, M.D.
Is it still Cool to Cool? Reviewing Post Cardiac Arrest Care: Morgan Zegers, D.O.
Acute Seizure Management: Ashley (Rogers) Lorimer, M.D.
Review: Meningitis and Encephalitis Overview: Michael Mohseni, M.D.
Roundtable Discussion
Faculty: Charles Graham, M.D., Michael Mohseni, M.D., Amanda Tomlinson, DNP, APRN, Ashley (Rogers) Lorimer, M.D., Courtney L James M.D., Jesse St Clair IV, M.D., A. Layton White PA-C, Wendy Camp, PA-C, Dr. Morgan Zegers D.O.