Emergency Neurology Lecture Series Summer 2010 Wednesdays, 8:30 – 10:30 a.m. de Grandpré Communications Centre, MNI Date 2nd Hour 1st Hour Overview of ELS structure for summer 2010 Pediatric ‘protocols’ at the MCH and the peds neuro July 7 exam for adult trainees [AL-SALTI & MCDOWELL] “Approach to” week The thunderclap headache ‘Dizzy’ patient; central vs. peripheral [POLIQUIN-LASNIER] July 14 2. Bacterial and Non-bacterial CNS Infections & Review LP technique [SIMARD-TREMBLAY] 1. [ALTMAN] Syncope vs. seizure CT/LP for SAH Acute migraine management, including status migrainosus [YU] [TAWAKUL] Cord Compression: recognition, who to call? July 21 Exam Review Cauda vs. conus [XIA & AL-SHAHOUMI] Blumenfeld / case based teaching 1 (moderator = ALTMAN) Neuromuscular Emergencies July 28 Dr. Teitelbaum Session Acute polyneuropathies Acute NMJ / myopathies [DERGHAZARIAN & DARWICH] August 4 Central demyelinating emergencies (CIS / MS, ADEM) Pediatric “approach to” common consults [AL-WADEI] [BENINI] Neuro-ophtalmologic emergencies including acute August 11 Blumenfeld / case based teaching 2 (moderator = AL-HASHMI) visual loss [GEDDES] August 18 Seizures in the ER: Recognition, classification, new Intracranial hemorrhage and emergency management of onset, convulsive and NCS. elevated ICP [KEEZER] [AL-BUSTANI] TIAs, subacute stroke management August 25 ? overview of MNI-H protocol with stroke neurologists and neuro-radiologists [ALTMAN] Established ischaemic stroke and the role of lytics Sept 1 Blumenfeld / case based teaching 3 (moderator = GEDDES) (chemical and mechanical) and surgery [JONES] Urea Cycle Defects and Other Metabolic Emergencies [DUFRESNE & MARIE-PIERRE] Instructions for Presenters: This year, residents from R2 through R5 have been asked to prepare one lecture for the Emergency Neurology Lecture Series. The R4 or R5 will meet with all the R2’s at the end of the first lecture (July 7th) to help them with the preparation of their presentation. The presentation should be approximately 45 minutes long with time for questions. You may use Powerpoint or any other means of presentation you wish. The presentation should focus on a practical “approach to” the subject and management topics and should stay clear of detailed pathophysiological explanations and complex analyses of the literature. It should be geared to a basic junior resident level (i.e., information found in textbooks and review articles). The goal is to provide a practical approach to the common and important neurological emergencies. Your intended audience is junior residents new to neurology as well as internal medicine and emergency medicine residents (or staff) who are also invited to the lectures. Of note, we have taken out ‘acute intoxication syndromes’ and ‘brain death / coma’ section seeing as we are rarely called urgently to handle these matters. If you so desire, these can be covered at another time during the academic year or be re-inserted to the ELS next year. The second half of the ELS is a hodge-podge of pediatric neurologic ER consultations (including a much anticipated overview of the pediatric neuro exam) and a new session intended to tackle clinical problem solving skills. This is intended to be a dynamic, interactive session whereby a senior resident will act as a moderator and guide a more junior resident or medical student through the thought process and neuroanatomy relevant to the problem at hand. Minimal-to-no preparation is expected, this is intended to be an educational experience for both the junior, as a learner, and the senior as an educator. The list of topics has been prepared before the vacation schedules have been finalized, in order to give everyone the time necessary to prepare the topics well. If changes are necessary, they will be made as soon as the vacation schedule is ready. Additional changes thereafter can be made among yourselves, so long as you inform the chief residents by email at as well as Nadia / Sunita at n-ns@mcgill.ca. Please email your presentation to Nadia / Sunita for posting on the neurology program website after they have been given. Please email us with any questions, comments, or concerns at robaltman@gmail.com. Thanks, Robert Altman Mark Keezer Michelle-Lee Jones