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Neuroscience
Concurrent

Stroke Showdown: Rapid-Fire Strategies for Ischemic and Hemorrhagic Cerebral Emergencies

Monday, March 23, 2026
11:00 AM - 12:00 PM Central Time
Location: W179

    Concurrent Session Moderator(s)

  • Karen Berger, BCCCP, BCPS, PharmD

    Nova Southeastern University, Florida

    Disclosure(s): CSL Behring: Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing); Octapharma: Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing); Serb: Advisory Board (Terminated)

  • Shweta Goswami, MD

    Cleveland Clinic

    Disclosure(s): No relevant financial relationship(s) to disclose.

Cerebrovascular medicine is rapidly evolving. Up to 12% of patients admitted to non-neurologic ICUs may have a neurologic complication during their stay, often an ischemic or hemorrhagic stroke. All intensivists must understand the rapidly changing literature on acute stroke care. This session will use clinical cases to review the role of head CT in diagnosing neurologic emergencies and how the care team can leverage this information to understand stroke/cerebral hemorrhage etiology and complication risks. Speakers will discuss management of acute ischemic stroke (mechanical thrombectomy, large core infarction, malignant edema management), and hemorrhagic stroke (bundled care, minimally invasive clot evacuation). Paired with each etiology of stroke, a pharmacist will review evidence for the latest ischemic stroke treatments, such as tenecteplase and antiplatelet infusions for ischemic stroke, as well as the mounting evidence for various reversal strategies in intracerebral hemorrhage.

Learning Objectives:

  • Describe best practices in blood pressure control for acute stroke and predict which patients will benefit from hyperosmolar therapy and decompressive hemicraniectomy
  • Summarize medical and surgical treatment strategies for intracerebral hemorrhage and strategies for antiplatelet and anticoagulation reversal
  • Explore how neuroimaging informs acute management and diagnostic determination in cerebrovascular medicine

Presentations:

  • 11:05 AM - 11:20 AM Central Time
    Pharmacy to Dose: Stroke Edition

    Salia Farrokh, PharmD, BCCCP, FNCS – Johns Hopkins Hospital

  • 11:20 AM - 11:35 AM Central Time
    More Than Just Choosing the Dose of Aspirin: Stroke Care in the ICU

    Casey Albin, MD – Emory University

  • 11:35 AM - 11:50 AM Central Time
    INTREPID Study

    David Greer, MD, MA, FCCM (he/him/his) – Boston Medical Center