Stroke and Cerebrovascular Disease Review 2013

September 26 - 28, 2013

REGISTER ONLINE NOW!http://www.mayo.edu/cme

The Ritz-CarltonAmelia Island, Florida

Course Director(s)Kevin M. Barrett, M.D., MSc

Kelly D. Flemming, M.D.W. David Freeman, M.D.

Ricardo Hanel, M.D., Ph.D.

Mayo School of Continuous Professional Development

5th Annual

Stroke Nursing ReviewSunday, September 29, 2013

COURSE DESCRIPTION - This course will provide attendees with an update across all major areas of clinical interest in vascular neurology. Lectures will cover management of acute ischemic stroke, brain hemorrhage, symptomatic and asymptomatic vascular lesions including arteriovenous malformations, cavernous malformations, cerebral aneurysms, and carotid stenosis. The course will also cover the latest diagnostic and therapeutic approaches to brain attack. Lectures will be supplemented with highlights of images in clinical vascular neurology and group discussions of clinical vignettes. A neurocritical care ultrasound hands-on workshop will also be available for attendees.

COURSE LEARNING OBJECTIVES - Upon conclusion of this program, participants should be able to:

- Recognize the eligibility for intravenous rtPA in acute ischemic stroke

- Identify modifiable stroke risk factors and interventions (e.g., blood pressure control)

- Recognize the signs and symptoms of stroke that prompt emergency evaluation and early treatment

- Evaluate the data and outcomes of clinical trials and the impact on treatment options for stroke patients

Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.

INTENDED AUDIENCE - This course is designed for neurologists, neurosurgeons, interventional neuroradiologists, cardiologists, primary care physicians, emergency department physicians, senior neurology residents, vascular neurology fellows, and stroke center team members including nurse practitioners, nurses, physician assistants, physical and occupational therapists and speech therapists.

CREDIT - College of Medicine, Mayo Clinic, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

College of Medicine, Mayo Clinic, designates this live activity for a maximum of 21.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AOA - This program has been accredited by the American Osteopathic Association for 21.5 credits of AOA Category 2-A.

Other Health Care Professionals - A certificate of attendance will be provided to other health care professionals for requesting credits in accordance with state nursing boards, speciality societies, or other professional associations.

ABSTRACTS - Please submit your abstract for poster presentation at this year’s conference. Any challenging stroke case that may be difficult or pose a stroke management dilemma are welcome. Presentation format will be a fast pace presentation (5-6 min) followed by a rapid-fire Q&A from the audience and moderators

for group discussion. Submit your abstract by Friday, August 16, 2013. At least one of the authors must register and attend the conference. Details regarding the abstract submission can be found at: http://www.mayo.edu/cme/neurology-and-neurologic-surgery-2013j930.

CANCELLATION POLICY - If you cancel your participation in this course, your registration fee, less a $75 administrative fee, will be refunded when written notification is received by Mayo School of CPD on or before September 21, 2013 (cme-jax@mayo.edu or fax#: 904-956-3096). No refunds will be made after September 21, 2013. Cancelled registrations are nontransferable. Mayo School of CPD reserves the right to cancel or postpone any course due to unforeseen circumstances. In the unlikely event Mayo School of CPD must cancel or postpone this course, Mayo School of CPD will refund the registration fee, but is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies.

LOCATION AND LODGING -

The Ritz-Carlton Amelia Island 4750 Amelia Island Parkway

Amelia Island, FL 32034 Phone: 800.241.3333

A block of coastal view rooms, single/double/triple/quad occupancy are reserved for attendees and their guests at the group rate of $189 per night, plus tax. In order to receive the special rate, reservations must be made before the room block is filled or before the expiration date of September 4, 2013. Call reservations and identify yourself as a participant of the Mayo Clinic Stroke course or reserve online at http://tinyurl.com/Stroke2013. Early reservations are recommended due to the limited number of rooms available. Reservations made after September 4, 2013 will be confirmed on a space/rate available basis. The resort has extended the group rate three days prior to and three days after the conference based on availability. Check-in time is after 4 p.m. and check-out time is before noon. All parking at the resort is provided by valet service. Overnight parking at the resort is $12 per night. Day guest parking is complimentary. Guests will also receive complimentary in-room internet service. Jacksonville International Airport (JAX) is located 35 minutes from The Ritz-Carlton Amelia Island.

REGISTRATION - To register online, visit http://www.mayo.edu/cme/neurology-and-neurologic-surgery-2013j930 or complete the attached registration form and return by mail or fax. The registration fee includes tuition, comprehensive electronic course syllabus, continental breakfast, lunch, break refreshments and reception.

FUNDAMENTALS OF STROKE THURSDAY, SEPTEMBER 26, 2013

7:00 a.m. Registration and Continental Breakfast

7:45 Welcome and Pre-test - James F. Meschia, M.D.

8:00 Epidemiology of Stroke* - Kevin M. Barrett, M.D., MSc

8:30 Vascular Anatomy* - Kelly D. Flemming, M.D.

9:00 Stroke Pathophysiology* - W. David Freeman, M.D.

9:30 Neuroimaging of Acute Stroke – CT, CT Angio - Perfusion, MRI Diffusion - Perfusion* E. Paul Lindell, M.D.

9:50 Q & A

10:15 Break

10:30 Intracerebral Hemorrhage – Update in Management* - Maria I. Aguilar, M.D.

11:00 Cavernous Malformations* - Kelly D. Flemming, M.D.

11:30 Fundamentals of Clinical Trial Design - James F. Meschia, M.D.

11:45 Lunch provided

1:00 p.m. Transient Ischemic Attack (TIA): Diagnosis and Management* - Kevin M. Barrett, M.D., MSc

1:30 Diagnostic Mechanistic Workup of Stroke & Treatment* - Kelly D. Flemming, M.D.

2:00 Newer Anticoagulants - Dabigatran, Rivaroxaban, and Apixiban for Secondary Stroke Prevention for Atrial Fibrillation* - George W. Petty, M.D.

2:30 Carotid Endarterectomy versus Stenting for Stroke – Results from CREST Study* Albert G. Hakaim, M.D.

3:00 Mesenchymal Stem Cells for Stroke* - Keynote Speaker: Abba C. Zubair, M.D., Ph.D.

4:00 Reception on the Lawn and Challenging Stroke Cases - (Poster presentations are in the Salon Foyer outside of the Lecture Hall)*

5:30 p.m. Adjourn

* Represents talks that are applicable for nurses that are preparing for the Stroke Nursing Review.

MEDICAL MANAGEMENT AND CONTROVERSIES OF STROKE FRIDAY, SEPTEMBER 27, 2013

7:30 a.m. Continental Breakfast

8:00 Commonly Asked Questions in the Management of Unruptured Aneurysms Robert D. Brown, Jr., M.D.

8:30 Perioperative Management of the Patient with Cerebrovascular Disease Kelly D. Flemming, M.D.

9:00 IV–rtPA after 3 Hours* - Alejandro A. Rabinstein, M.D.

9:30 The Role for Palliative Care in Stroke* - Maisha T. Robinson, M.D.

10:00 Q & A

10:15 Break

10:30 Small Vessel Disease* - Benjamin H. Eidelman, M.D.

10:45 Device-Based Therapies for Prevention of Cardioembolic Stroke* - Issam D. Moussa, M.D.

11:15 Wake Up Stroke: What Now?* - Kevin M. Barrett, M.D., MSc

11:45 Mobile Telestroke: Smart phone, Tablet, or Robotic Telepresence Bart M. Demaerschalk, M.D.

Noon Break

12:15 p.m. Lunch & Learn provided - Brain Attack Interactive* - Mark N. Rubin, M.D. and Kristen A. Cushenbery, A.R.N.P.

1:00 Cardiac CT and MR in the Evaluation of Cardioembolic & Cryptogenic Stroke* Pragnesh P. Parikh, M.D.

1:30 Medical Management of Stroke Complications* - Jeffery L. Garland, M.D.

WORKSHOP CHOICES

2:00 - 4:45 Neurovascular Neurosurgery Case-Based Discussions (Salons 1 & 2)

Moderators: Ricardo A. Hanel, M.D., Ph.D. Giuseppe Lanzino, M.D., David A. Miller, M.D., Rabih G. Tawk, M.D., Phillip Taussky, M.D., Wilson Daughtery, M.D., Ph.D., and Neurology/Neurosurgery Residents and Fellows.

2:00 - 4:45 Neurocritical Care Ultrasound Hands-on Workshop (Salon 3): (Additional Fee – Limited Seating) Introduction to Trans-thoracic Echocardiography for Rescue Applications in Neurocritical Care

•SkillStations:LungUltrasound,SubcostalView,ApicalView,ParasternalView José Díaz-Gómez, M.D., Jeffery Garland, M.D., Michelle L. Freeman, M.D., John E. Moss, M.D.

•TranscranialDoppler- Kevin M. Barrett, M.D., MSc., Nicole Avalon, PA-C.

2:00 - 4:00 Acute Stroke Triage - From Emergency Department to Discharge* (Santa Maria) Moderator: Scott M. Silvers, M.D. and Kelly D. Flemming, M.D. Suzanne M. Brown, B.S.N, R.N., C.N.R.N., Shellie A. Durant, R.N., B.S.N., Debra E. Herzig, R.N., Bethany J. Hilton, R.N., Lesia H. Mooney, M.S.N., R.N., C.D.E., C.N.R.N. and Mayo Clinic Speech Pathology Department

* Represents talks that are applicable for nurses that are preparing for the Stroke Nursing Review

NEUROSURGICAL AND ENDOVASCULAR STROKE THERAPY SATURDAY, SEPTEMBER 28, 2013

7:15 a.m. Continental Breakfast

7:45 New Technology for Brain Aneurysms (Flow Diversion and Stent Assisted Coiling)* Ricardo A. Hanel, M.D., Ph.D.

8:15 Management of Subarachnoid Hemorrhage* - Ricardo A. Hanel, M.D., Ph.D.

8:45 Treatment of Symptomatic Intracranial Stenosis* - David A. Miller, M.D.

9:15 “When, Why and If” for Hemicraniectomy* - Sara E. Hocker, M.D.

9:45 Arteriovenous Malformations* - Giuseppe Lanzino, M.D.

10:15 Q & A

10:45 Break

11:00 Is there a Role for Endovascular Therapy for Acute Ischemic Stroke?* - David A. Miller, M.D.

11:30 IMS 3 – What Does This Mean for Endovascular Stroke Treatments?* Alejandro A. Rabinstein, M.D.

Noon Current Revascularization Techniques for Acute Ischemic Stroke* - Rabih G. Tawk, M.D.

12:30 p.m. Q&A and Post-test

12:45 p.m. Adjourn

* Represents talks that are applicable for nurses that are preparing for the Stroke Nursing Review.

ADDITIONAL OFFERINGS________________________________________________

Stroke Nursing Review - Sunday, September 29, 2013 (7:15 a.m. - 12:15 p.m.) is designed for nurses who provide care to patients with acute stroke in the hospital and/or ICU environment. This course is designed to help enhance nursing knowledge in management of acute stroke patients, hospital assessment and documentation, and for nurses who wish to review stroke concepts for stroke center certification or nursing stroke subspeciality review purposes. This date represents the final day of the Stroke Nursing Review lectures, which are also integrated throughout the course and designated with an asterisk (*).

STROKE NURSING REVIEW - SUNDAY, SEPTEMBER 29, 20137:15 a.m. Continental Breakfast

7:45 Neuro ICU Monitoring Techniques - W. David Freeman, M.D.

8:15 Deep Vein Thrombosis and PE in the Stroke Patient - Danielle M. Ramsey, A.R.N.P.

8:45 Care of the IV rtPA Stroke Patient - Suzanne M. Brown, B.S.N., R.N., C.N.R.N.

9:15 Speech and Swallow Evaluation after Stroke- Dysphagia - Craig Pastuck, MS, CCC-SLP

9:45 Management of the Craniotomy Patient - Christina C. Smith, A.R.N.P.

10:45 Break

11:00 Neurovascular Syndromes - Nicole E. Avalon, P.A.-C.

11:30 Q&A

12:15 p.m. Post-test and Adjourn

Mayo Clinic 5th Annual Stroke and Cerebrovascular Disease Review September 26-28, 2013

The Ritz-Carlton, Amelia Island, Florida

Stroke Nursing Certification Review - Sunday, September 29, 2013

Course Registration Form 2013J930

Mail Form and Payment To: Mayo School of Continuous Professional Development4500 San Pablo Road, Stabile 790N, Jacksonville, FL 32224

Telephone: 800.462.9633, 904.953.7114 • Fax: 904-956-3096ATTN: Registrar CERE13 • Email: cme-jax@mayo.edu

Web: http://www.mayo.edu/cme/neurology-and-neurologic-surgery-2013j930

(Please print or type all information. You may duplicate this form for multiple registrations.)

Registration Fee: Before 08/26/13 After 08/26/13

Physicians/Scientists $700 $775 $ _______

Residents, RN’s, PA’s

and Retirees - (Thurs-Sun) $375 $425 $ _______

Total Payment Enclosed: $ _______

Payment Method:

q Check Enclosed (make checks payable to Mayo Clinic Education)

q Credit Card: q Visa q Master Card q Discover

Card Number:

Expires (Mo./Yr.):

Degree q M.D. q D.O. q P.A. q N.P. q R.N. q Other

First Name Middle Name or Initial Last Name

City State Zip

Mailing Address

EMail

q Check here if you have any special assistance needs.

q Check here to request vegetarian meals.

(NOTE: E-mail is the Mayo School of CPD’s primary form of correspondence.)Telephone

Institution Medical Specialty

*ONLY AN ELECTRONIC SYLLABUS WILL BE PROVIDED

MAYO FACULTY:

Maria I. Aguilar, M.D.

Nicole E. Avalon, P.A.-C.

Kevin M. Barrett, M.D., MSc

Robert D. Brown, Jr., M.D.

Suzanne M. Brown, B.S.N., R.N., C.N.R.N.

Kristen A. Cushenbery, A.R.N.P.

Bart M. Demaerschalk, M.D.

Shellie A. Durant, R.N., B.S.N.

José Díaz-Gómez, M.D.

Benjamin H. Eidelman, M.D.

Kelly D. Flemming, M.D.

Michelle L. Freeman, M.D.

W. David Freeman, M.D.

Jeffrey L. Garland, M.D.

Albert G. Hakaim, M.D.

Ricardo A. Hanel, M.D., Ph.D.

Debra E. Herzig, R.N.

Bethany J. Hilton, R.N.

Sara E. Hocker, M.D.

Giuseppe Lanzino, M.D.

E. Paul Lindell, M.D.

James F. Meschia, M.D.

John E. Moss, M.D.

David A. Miller, M.D.

Issam D. Moussa, M.D.

Lesia H. Mooney, M.S.N., R.N., C.D.E., C.N.R.N.

Pragnesh Parikh, M.D.

Craig T. Pastuck, MS,CCC-SLP

George W. Petty, M.D.

Alejandro A. Rabinstein, M.D.

Danielle M. Ramsey, A.R.N.P.

Maisha T. Robinson, M.D.

Mark N. Rubin, M.D.

Scott M. Silvers, M.D.

Christina C. Smith, A.R.N.P.

Rabih G. Tawk, M.D.

Abba C. Zubair, M.D., Ph.D.

GUEST FACULTY:

Wilson P. Daughtery, M.D., Ph.D.

Carolina Neurosurgery & Spine Associates

Concord, North Carolina

Phillip Taussky, M.D.

University of Utah, Health Science Center

Salt Lake City, Utah

Signature Date

FAC

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: As a provider accredited by A

CC

ME

, College of M

edicine, Mayo

Clinic (M

ayo School of Continuous P

rofessional Developm

ent) must ensure balance, independence,

objectivity and scientific rigor in its educational activities. Course director(s), planning com

mittee,

faculty, and all others who are in a position to control the content of this educational activity are

required to disclose all relevant financial relationships with any com

mercial interest related to the

subject matter of the educational activity. Safeguards against com

mercial bias have been put in place.

Faculty also will disclose any off-label and/or investigational use of pharm

aceuticals or instruments

discussed in their presentation. Disclosure of this inform

ation will be published in course m

aterials so those participants in the activity m

ay formulate their ow

n judgments regarding the presentation.

MC

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Jacksonville, Florida 32224

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