Thursday, May 1, 2014
4:00 P.M Hotel arrivals
Friday, May 2, 2014
7:00 – 8:00 Registration and continental breakfast
8:00 – 8:15 Introductions
8:15 – 8:45 Stroke in Florida – Florida EMS Update. This presentation will discuss statewide EMS issues including diversion of large strokes to comprehensive stroke centers. Joe A. Nelson, DO, Florida EMS Medical Director, Bureau of EMS. Tallahassee, FL
8:45 – 9:45 Stroke triage and management – How to improve stroke onset to needle time. This presentation will discuss how to minimize the time required to identify a stroke in the field to definitive treatment in the hospital with either IV rTPA or interventional techniques. William Knight MD, Assistant professor of emergency medicine and neurosurgery, University of Cincinnati College of Medicine.
9:45 -10:00 Coffee break / Exhibitors
10:00 – 11:00 Stroke unit development – Improving stroke unit outcomes. This presentation will discuss ways to improve the hospital care of stroke patients to further improve their long term outcomes and to prevent medical complications that may occur as a result of a stroke. Debbie Summers MSN, RN, ACNS-BC, CNRN, SCRN, Stroke Outcomes CV, Outcome Research, Saint Luke’s Hospital
11:00 – 12:00 Improving public stroke awareness.This presentation will inform health providers: what is being done by charitable organizations such as the AHA/ASA or special interest groups such as “big pharma” to promote stroke awareness; what other health professionals are doing in their efforts to promote stroke awareness; and, how their stroke center can best improve local public awareness about stroke. Marcie Wilson, RN, BSN, WOCN, Neurosciences CVD/Stroke Community Outreach Coordinator, University Medical Center at Brackenridge, Austin, Texas
12:00 – 1:00 Lunch / Exhibitors
1:00 – 1:15 Together to End Stroke” – Update on American Stroke Association Programs. This presentation will discuss current and planned American Stroke Association programs. Mary Robichaux, VP, Quality & Systems Improvement, American Heart Association. Greater Southeast Affiliate, Marietta, GA
1:15 – 2:00 Centers for Medicare and Medicaid Services (CMS) reporting requirements for hospitals. This presentation will discuss the role of hospitals in providing stroke quality data. Debbie Lombardi – Hill, Healthcare Advisor and Consultant, NeuStrategy, Inc., Orlando – Florida Area
2:00 – 3:00 Pediatric stroke for non-pediatric stroke centers. Pediatric stroke is a relatively rare occurrence but children with acute strokes are likely to present at non pediatric hospitals as acute emergencies. This presentation will provide health professionals at stroke centers information about the common causes of stroke in children and how to acutely manage a child with stroke before transfer to a pediatric hospital. Appropriate pediatric acute stroke protocols will be discussed. Lori Billinghurst MD, Neurology Stroke Program, Children’s Hospital of Philadelphia, Philadelphia, PA.
3:00 – 3:15 Coffee break / Exhibitors
3:15 – 4:15 To divert or not to divert – that is the question! This presentation will be a panel discussion of the pros and cons of EMS diversion of large strokes from primary to comprehensive stroke centers. Jonathan Oren Harris MD, Medical Director, BrowardHealth North Comprehensive stroke Center, Moderator, Panelists: Paul Banerjee MD, Medical Director of Polk County Fire Rescue, Associate Medical Director, Citrus Memorial Hospital; James Roach, DO, FACEP, Medical Director BrowardHealth Coral Springs Emergency Department; Nabil El Sanadi MD, MBA, FACEP, FACHE, Chief Medical Officer Emergency Medicine, Broward Health.. Ritesh Kaushal MD, Neurointerventionalist Palmetto General Hospital.
4:15 – 5:15 Ethical issues in managing large strokes. This presentation discusses the ethics of treating patients of different ages with large strokes which will likely leave them with severe disability. Kevin N. Sheth, MD, FAHA, Chief, Division of Neurocritical Care and Emergency Neurology, Yale School of Medicine & Yale New Haven Hospital
5:15 – 5:30 Organizing a Florida Association of Certified Stroke Centers. This presentation will discuss the possible formation of a state wide organization for certified stroke centers. Jonathan Oren Harris MD, Medical Director of the BrowardHealth North Comprehensive Stroke Center, Deerfield Beach, Florida
5:30 – 7:00 Reception
Saturday, May 3, 2014
7:00 – 8:00 Continental breakfast
8:00 – 8:30 Update on Florida, Puerto Rico Stroke Registry. This presentation will discuss the current status of the Florida, Puerto Rico Stroke Registry. Dr. Jose Romano, Chief, Stroke Division, University of Miami Miller School of Medicine
8:30 – 9:30 Stroke Imaging. This presentation will discuss the use of CT and MRI imaging in the management of acute stroke patients with a special emphasis on CTA, CT perfusion and/or MRI perfusion/diffusion to help select patients (1) for treatment with IV rTPA whom you might otherwise not treat with IV rTPA and (2) for interventional procedures. Tudor G. Jovin MD, Associate Professor of Neurology, Chief, Stroke Division, University of Pittsburg
9:30 – 10:30 Evaluation and management of AVM and cerebral aneurysms. This presentation centers on how to evaluate and manage AVMs and aneurysms. It will include a discussion of imaging studies, how to follow these patients, when to call a specialist for definite treatment of these disorders, and how specialists ultimately treat these disorders . Ridwan Lin MD, PhD, Neurologist, Vascular & Interventional, BrowardHealth North Comprehensive Stroke Center, Deerfield Beach, Florida
10:30 – 10:45 Coffee break
10:45 – 11:45 Challenges in the interventional management of ischemic stroke. This presentation will discuss the current knowledge and state of the art concerning interventional management of ischemic strokes. It will discuss current clinical trials in this field and their rationale. Eric C. Peterson MD MS, Assistant Professor of Clinical Neurological Surgery, Co-Director of Endovascular Neurosurgery, University of Miami, Miami, Florida.
11:45 – 1:00 Lunch
1:00 – 2:00 Abc’s of telemedicine – The Orlando Hospital System Experience. This presentation discusses what telemedicine is, how it is used, the components of a telemedicine program, and how to structure a telemedicine system. Examples fron the Orlando Hospital Telemedicine system will be used to illustrate this discussion.Megan M. McLendon, MS- HSA, Manager, Business Development and Innovation, Orlando Health
2:00 – 3:00 New developments in stroke 2013 – 2014 / Highlights of the 2014 American Stroke Association Meeting. This presentation will be an update about new developments in stroke in the past year as well as a discussion of highlights of the 2014 international ASA meeting. Amer Malik MD, Assistant Professor of Clinical Neurology, University of Miami, Miami, Florida.
3:00 – 3:15 Closing remarks – Plans for future symposiums