Saving Brain, Restoring Function: The Acute Ischaemic Stroke Pathway

Join us for this comprehensive one-day programme exploring the complete patient journey from acute stroke presentation through rehabilitation and end-of-life considerations.

This intensive course covers critical decision-making in acute ischemic stroke (AIS) management. Expert faculty will guide participants through management, life-threatening complications with evidence-based approaches to decompressive craniectomy and post-operative neuromonitoring strategies.

Interactive panel discussions will tackle the challenges of post-stroke rehabilitation and crucial conversations around transitioning care featuring perspectives from both neurointensivists and general intensivists.

Ideal for Intensive care physicians and residents, stroke physicians and residents, and allied healthcare professionals involved in acute stroke care.

 

Programme Programme

08:45 - 09:00
Welcome and Introduction
Morning sessions will cover the patient journey from triage to neurocritical care management. The afternoon sessions will be interactive panel discussions with polls
Chairs: Dr PJ Zolfaghari and Dr Argy Zoumprouli


09:00 - 10:00
Triage and Transfer
Talks about video triage and stroke mimics and the transfer of the AIS patient to a neuroscience unit.
Speakers: Dr Rob Simister and Dr Carmen Lopez Soto


10:00 - 11:00
To MT or not to MT: MDT Decision making in ESU
Discussions around the MDT decision to accept a patient for MT, the use of CT stroke and CT Perfusion to assess suitability, AI in MT target identification with Brainomix.
Speakers: Dr Rob Simister, Dr Sanjeev Nayak and Dr Becky Campbell


11:00 - 11:30
Break


11:30 - 12:30
Life saving or long-life disability?
Discussion on the risk factors to develop malignant MCA and haemorrhagic transformation, who and when to decompress. Evidence based vs personalised neuromonitoring for optimal perfusion post decompressive craniectomy.
Speakers: Dr Manni Waraich and Mr Ahmed Toma


12:30 - 13:30
Lunch


13:30 - 15:00
Now the hard work starts - Rehabilitation
Panel discussion that will discuss strategies for ventilation weaning, decision making around tracheotomy – early or late. Managing the psychological and communication needs of the stroke patient.
Chair: Dr PJ Zolfaghari, Digital moderator: Dr Laura Dono
Panellists: Sue McGowan, Dr Andrew Paget, Dr Alison Cullen, Cathryn Holding and Matt Pountain


15:00 - 15:30
Break


15:30 - 17:00
Continuing the journey closer to home
Panel discussion continuing with the hypothetical case between neurointensivists & general intensivists covering difficult conversations around ongoing treatment, best interest and recent court cases around WLST in stroke patients.
Chair: Dr Argy Zoumprouli, Digital Moderator: Dr Laura Dono
Panellists: Prof Tonny Veenith, Dr Manni Waraich, Dr James Goddin, Dr Lubaina Bahar, Dr Victoria Metaxa and Dr Jon Martin

 


17:00 - 17:10
Closing remarks
Chairs: Dr PJ Zolfaghari and Dr Argy Zoumprouli  

Learning Objectives Learning Objectives

- Describe and apply the principles of timely recognition, triage, and transfer of patients with suspected acute ischaemic stroke, including identification of stroke mimics and use of video triage systems.
ICM HiLLOs: 5, 11, 12
ICS AHP Capabilities: Assessment & Decision Making; Communication; Systems & Pathways

- Critically appraise decision-making for mechanical thrombectomy, including interpretation of CT brain and CT perfusion imaging, patient selection, and the emerging role of AI decision-support tools.
ICM HiLLOs: 6, 11, 12
ICS AHP Capabilities: Clinical Reasoning; Evidence-Based Practice; Digital & Data Literacy

- Recognise and manage neurological deterioration following large vessel stroke, including malignant MCA syndrome and haemorrhagic transformation, and understand indications and timing for decompressive surgery.
ICM HiLLOs: 6, 12
ICS AHP Capabilities: Managing Complexity; Escalation of Care; Risk Management

- Explain principles of personalised neuromonitoring and optimisation of cerebral perfusion following neurosurgical intervention or thrombectomy to minimise secondary brain injury.
ICM HiLLOs: 6, 12
ICS AHP Capabilities: Monitoring & Interpretation; Use of Technology; Patient Safety

- Plan and contribute to early rehabilitation following critical illness due to stroke, including ventilator weaning, tracheostomy decision-making, communication support, and psychological care.
ICM HiLLOs: 8, 9
ICS AHP Capabilities: Rehabilitation & Recovery; Person-Centred Care; MDT Working

- Demonstrate effective multidisciplinary communication with patients and families around prognosis, goals of care, and uncertainty following severe stroke.
ICM HiLLOs: 1, 8, 9
ICS AHP Capabilities: Communication; Compassionate Care; Cultural & Ethical Practice

- Participate in and lead shared decision-making regarding tracheostomy, escalation, and de-escalation of treatment, including best-interests discussions after discharge from critical care.
ICM HiLLOs: 8, 9
ICS AHP Capabilities: Ethical Practice; Leadership; Advocacy

- Understand the legal and ethical framework underpinning withholding or withdrawal of life-sustaining treatment in stroke, including recent UK case law and its application to clinical practice.
ICM HiLLOs: 1, 8
ICS AHP Capabilities: Legal & Ethical Practice; Professional Accountability

- Coordinate safe repatriation and continuity of care closer to home, working across organisational boundaries between neuroscience centres and referring hospitals.
ICM HiLLOs: 5, 9
ICS AHP Capabilities: Systems Leadership; Integrated Care; Handover & Transitions

- Reflect on how multidisciplinary collaboration across the stroke pathway improves equity of access, patient outcomes, and experience, and identify opportunities for service improvement within local stroke networks.
ICM HiLLOs: 2, 9
ICS AHP Capabilities: Quality Improvement; Population Health; Service Development

Group bookings Group bookings

Group bookings can be made for multiple delegates and paid by credit card via the event booking page.

We are also able to invoice for group bookings of 10 or more delegates, or where the total value is over £1,000. Group bookings can only be made up to 6 weeks in advance of an event and must be paid in full prior to the event date to avoid tickets being cancelled.

To book a group via invoice, please download the form below, complete and return to [email protected].

 

Contact us Contact us

If you have any questions about the event or need any further assitance, please do contact us via:

Telephone: (+44) 0207 280 4350

Email: 



 

Pricing Pricing

Pricing

All prices are VAT exempt. Members benefit from significantly reduced rates.

Role

Member rate

Non-member rate

Consultant

£150

£265

SAS

£100

£170

Trainee

£100

£170

Nurse

£100

£170

AHP

£100

£170

Associate

£100

£170

Student

£50

£75

 

 

 

 

 

Speakers

Dr Lubaina Bahar

Dr Lubaina Bahar

Critical Care Consultant , West Hertfordshire Teaching Hospitals NHS Trust

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Cathryn Holding

Cathryn Holding

Clinical Specialist Occupational Therapist

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Sue McGowan

Sue McGowan

Clinical Specialist Speech and Language Therapist , National Hospital for Neurology and Neurosurgery, London

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Dr  Victoria Metaxa

Dr Victoria Metaxa

Consultant in Critical Care, King's College Hospital

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Mr Ahmed Toma

Mr Ahmed Toma

Consultant Neurosurgeon , National Hospital for Neurology and Neurosurgery, UCLH

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Professor Tonny Veenith

Professor Tonny Veenith

Professor of Anaesthesia, Intensive Care & Acute Care Medicine, University of Wolverhampton

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Dr Manni Waraich

Dr Manni Waraich

Consultant Neurocritical Care & Neuroanaesthesia, The National Hospital for Neurology & Neurosurgery, London

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Dr Parjam (PJ) Zolfaghari

Dr Parjam (PJ) Zolfaghari

Consultant in Intensive Care Medicine and Anaesthesia, The Royal London Hospital

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