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.
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
- 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 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].
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
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 |

Critical Care Consultant , West Hertfordshire Teaching Hospitals NHS Trust


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


Consultant Neurosurgeon , National Hospital for Neurology and Neurosurgery, UCLH

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

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

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

Critical Care Consultant , West Hertfordshire Teaching Hospitals NHS Trust
Dr Bahar is a Critical Care Consultant at West Hertfordshire Teaching Hospitals NHS Trust, podcast host for "The Ranting Doctor Podcast" and "Conversations that matter in Healthcare" and author of "The Good Death Project - reflections on death and dying in Intensive Care Unit". Her special interests are in medical education, difficult communication, integrated palliative care, and physician wellbeing. She leads an annual difficult communication workshop, serves on the Intensive Care Society Education Committee, and is Module lead in Critical care for year 5 MBBS students from Brunel Medical school. Through her teaching, writing, and her podcast, she explores how we train doctors not just to be clinically competent, but emotionally intelligent, reflective, and human in high-pressure healthcare systems.

Clinical Specialist Occupational Therapist
Cathryn completed her Bachelor of Science in Occupational Therapy at the University of the Witwatersrand in Johannesburg, South Africa. Following a year of community practice Cathryn travelled to the United Kingdom. Cathryn is a practising Clinical Specialist Occupational Therapist (Stroke and neurology) working across the stroke pathway, from admission to early supported discharge within the community, focusing on neurological rehabilitation. She holds a Masters of Science in Advanced Clinical Practice (Adult Acute and Critical care).

Clinical Specialist Speech and Language Therapist , National Hospital for Neurology and Neurosurgery, London
Sue McGowan works as a Clinical Specialist Speech and Language Therapist (SLT) at the National Hospital for Neurology and Neurosurgery in London. Her clinical input is mostly with ventilator dependent patients on two neurointensive care units. She co-founded and still co-runs the hospitals’ multi-disciplinary Tracheostomy Team. She is on the committee of the Tracheostomy Clinical Excellence Network and has lectured nationally and internationally on Speech and Language therapy in neurosciences. She is an RCSLT Advisor in Critical Care and has contributed to and co-authored profession-specific and national guidance documents relating to the care of tracheostomy and neuroscience patients. She completed a MSc in Adult Critical Care at Imperial College London in 2005.

Consultant in Critical Care, King's College Hospital
Dr Victoria Metaxa is a full-time Critical Care and Major Trauma Consultant, at King’s College Hospital in London. She is a King's College London Honorary Clinical Senior Lecturer, and has a PhD in neurosciences and an MA in Medical Ethics and Palliative Care from Keele University. Her clinical interests include bioethics, end-of-life care, critical care outreach and the management of patients with haematological malignancies. Dr Metaxa is a member of the European Society of Intensive Care (ESICM) Ethics section, and the representative of the section in the e-learning committee. She is the UK National Outreach Forum board Secretary and a member of the Legal and Ethical Advisory Group of the UK Intensive Care Society (ICS).
Consultant Neurosurgeon , National Hospital for Neurology and Neurosurgery, UCLH
Mr Ahmed Toma is a Consultant Neurosurgeon at the National Hospital for Neurology and Neurosurgery, UCLH, and an Honorary Associate Professor at the UCL Queen Square Institute of Neurology in London. His clinical and research interests focus on cerebrospinal fluid (CSF) dynamics disorders and neurovascular surgery. He holds a postgraduate research degree in adult hydrocephalus and did a fellowship in interventional neuroradiology at Queen Square currently serves as Chairman of the CSF Group of the Society of British Neurological Surgeons (SBNS) and a member of the British neurovascular group (BNVG).

Professor of Anaesthesia, Intensive Care & Acute Care Medicine, University of Wolverhampton
Professor Tonny Veenith MBBS, PhD (Cantab), MRCP, FRCA, EDIC, FFICM is a leading clinician‑scientist in critical care, with a special interest in neurocritical care and acute neurological illness. He serves as Professor of Anaesthesia, Intensive Care and Acute Care Medicine at the University of Wolverhampton and Royal Wolverhampton Hospital. His internationally recognised research portfolio spans traumatic brain injury, neuroinflammation, critical illness, and acute neurological emergencies, supported by more than £12 million in competitive research funding secured over the past five years. He has a sustained international research profile with impactful outputs in leading medical journals, including JAMA, The New England Journal of Medicine, Nature Medicine, and The Lancet Respiratory Medicine.
Professor Veenith is the lead author of the UK’s national clinical guideline for the acute management of status epilepticus in adult intensive care, published by the Intensive Care Society. It now serves as the national standard for evidence‑based emergency neurological care (https://ics.ac.uk/resource/status-epilepticus.html). The guideline has shaped practice across UK critical care units and is widely recognised for its clarity, clinical relevance, and integration of emerging neurocritical care evidence. He is also a regional and national lead in academic training anaesthesia and intensive care medicine, holding roles including National Training Lead for the National Institute of Academic Anaesthesia and Macintosh Professor of the Royal College of Anaesthetists. He is a regular speaker at major national and international meetings on subarachnoid haemorrhage, traumatic brain injury, refractory status epilepticus, and neurocritical care pathways.
A committed educator and mentor, Professor Veenith has supervised MSc, MD, and PhD students whose work has been published in high‑impact journals and presented internationally, including at the European Society of Intensive Care Medicine and the Intensive Care Society. His leadership in curriculum development, digital innovation, and inclusive academic practice has shaped training programmes across multiple universities nationally in the UK and internationally.

Consultant Neurocritical Care & Neuroanaesthesia, The National Hospital for Neurology & Neurosurgery, London
Dr Manni Waraich is a Consultant Neurointensivist and Neuroanaesthetist at the National Hospital for Neurology & Neurosurgery, Queen Square, London and Clinical Lead for Neurosciences Critical Care. Dr Waraich is the national lead for the Intensive Care Society FUSIC® NeuroPOCUS module, leading the development of a UK training and accreditation pathway for NeuroPOCUS. Her clinical and academic interests focus on neurocritical care, non-invasive neuromonitoring, and the integration of point-of-care ultrasound into neurological practice. She has contributed chapters on neurocritical care and brain ultrasound to several major textbooks including the Oxford Handbook of Anaesthetic Emergencies, Neurology: A Queen Square Textbook, and Point of Care Ultrasound in Critical Care. Dr Waraich is currently completing an Executive Masters in Medical Leadership at Bayes Business School, City, University of London, with a focus on improving equity and collaboration across London’s neuroscience critical care services.

Consultant in Intensive Care Medicine and Anaesthesia, The Royal London Hospital
PJ was born in Iran and moved to the UK when he was 11 years old. He studied medicine at Guy’s and St. Thomas’ (UMDS) and after initially training to be a surgeon, he switched to anaesthesia and critical care medicine training in East London. He did his PhD with Mervyn Singer at UCL on mitochondrial dysfunction in sepsis and multiorgan failure before starting his consultant post at the Royal London Hospital in Whitechapel, London. His interests are metabolic response in critical illness and trauma. His current main focus is his passion for teaching: he runs the Critical Care MSc at Queen Mary University London and is a senior lecturer in the Critical Care and Perioperative Medicine Research Group at QMUL. He is also one of the associate editors of BJA Education. He was Programme Director for three editions of SOA (2023 to 2025) and is very excited to bring education, research and debate to this multi-professional meeting, as well as great social events in the evenings (another one of his passions!).
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