ICP Pulse Waveforms

Course introduction:
Lecture Description: Advances continue in the genetics and other putative causes of ALS/MND at a remarkable rate, including increasingly more targeted treatment trials. Despite the remarkable progress in these areas, the core supportive management and use of palliative care remains relatively unchanged. This talk will focus on the basic principles in supportive management starting with the “breaking the news” session to integrating the ALS/MND patient into a multi-disciplinary program where they find they can feel physically and psychologically comfortable. Palliative Care is an important component of management and essentially begins when the diagnosis is made.

Learning objectives:

• How to Break the News
• Getting to know your ALS/MND patient as an individual
• Caregivers: the under-rated critical factor
• Palliative Care

Course introduction:
The American College of Surgeons Trauma Quality Improvement Program recommends that therapy for severe traumatic brain injury be individualized and directed by multimodal neuromonitoring data. Implementing a successful multimodal neuromonitoring program requires the developing of a high-functioning ICU care team composed of neurosurgeons, neurointensivists, neuroscience nurses, and respiratory care professionals. This course, presented by Lawrence Chyall RN, MS, CNS from San Francisco General Hospital, will use case studies to demonstrate how the TBI team can work together to gather, interpret, and use multimodal neuromonitoring data to improve care.

Learning Objectives:
At the conclusion of this seminar the participants will be able to:

• Explain how cerebral autoregulatory status might change the approach to support cerebral perfusion
• Demonstrate how cerebral compliance can be quantified using the pressure equalization ratio and how this impacts care
• Describe the role of cortical surface electrodes in multimodal neuromonitoring
• Understand the role of the bedside RN, EEG Technologist and RCP in therapy directed by neuromonitoring data

This Neuro Training Academy course is valid for 1.0 CEC Hour approved by ASET – The Neurodiagnostic Society
Natus Medical Incorporated is a provider approved by the California Board of Registered Nursing,
Provider Number 16614 for 1.0 contact hour.

Course introduction:
Evoked Potentials are challenging test types to run due to the small physiological amplitudes recorded and buried in larger noise. Beyond guidelines, there are many ways to help achieve best quality recordings in a shorter time. This webinar addresses many practical tricks to put in place with the use of an EMG system.

Learning Objectives:
At the conclusion of this seminar the participants will be able to:

• Amplifier characteristics: CMRR concept, ADC
• Test preparation / configurations: Signal to noise ratio, Filters, Impedance
• Software Operation: Averaging, Fsp, Artefact rejection

Course introduction:
Dr. Lawrence Hirsch, Professor of Neurology at Yale University, will discuss the use of real-time or close to real-time neurotelemetry; methods of obtaining rapid initial EEGs; detecting events other than seizures using quantitative EEG (including ischemia, high intracranial pressure, etc); and invasive EEG recordings. This will be done via review of the literature, especially recent publications, and sample cases.

Learning Objectives:
At the conclusion of this seminar the participants will be able to:

• Recognize the importance of rapid diagnosis of nonconvulsive status epilepticus.
• Be aware of emerging devices for obtaining rapid initial EEGs.
• Know how to identify ischemia, changes in intracranial pressure, and other acute changes in brain function via quantitative EEG.
• Recognize the potential clinical utility of intracranial EEG recordings in the critically ill.

This Neuro Training Academy course is valid for 1.0 CEC Hour approved by ASET – The Neurodiagnostic Society
Natus Medical Incorporated is a provider approved by the California Board of Registered Nursing,
Provider Number 16614 for 1.0 contact hour.

Course introduction:
Neuronal oscillations are critical for brain function. They serve many functions in healthy humans and are important for the diagnosis and treatment of epileptic seizures. This course reviews the basis of neuronal oscillations and their context in diagnosis and treatment of epilepsy patients and recent findings on the role of neuronal oscillations in the near-death phase and end-of-life cycle.

Learning Objectives:
At the conclusion of this seminar the participants will be able to:

• Understand the basis of neuronal oscillations
• Understand how to diagnose epilepsy
• Understand how to select and investigate patients for epilepsy surgery and review the surgical options for epilepsy
• Review the neurophysiological significance of neuronal oscillations for near-death experiences and life recall

This Neuro Training Academy course is valid for 1.0 CEC Hour approved by ASET – The Neurodiagnostic Society
Natus Medical Incorporated is a provider approved by the California Board of Registered Nursing,
Provider Number 16614 for 1.0 contact hour.