Neurocritical Care Physician Teleneuroscience Medical Director @Intermountain Assistant Professor Neurology Fellow of @Stanford_Neuro Tweets mine
Salt Lake City, UT & Bay, CA
Joined November 2012
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Nick Murray retweeted
📊 Research Summary: For adults with acute #ischemicstroke presenting 4.5 to 24 hours after symptom onset, the addition of intravenous #tenecteplase before EVT did not improve 90-day clinical outcomes and showed no significant difference in safety compared with EVT alone.
#ESOC2026 @ESOstroke
ja.ma/42qT190
Nick Murray retweeted
IT cardene works best when started before any sign of ischemia in aneurysmal SAH @URNeurosurgery @URNeuroscience
🚨 New study in Clinical Neurology and Neurosurgery on aneurysmal subarachnoid hemorrhage (aSAH) management 🩸 🧠
Anticipatory initiation of Intrathecal Nicardipine (ITN)—given before clinical or imaging evidence of delayed cerebral ischemia (DCI)—significantly reduces DCI parenchymal infarcts compared to controls (31.3% vs 55.2%).
Key findings:
📉 Starting ITN prior to intra-arterial (IA) spasmolytics significantly lowers the need for serial IA treatments for recalcitrant vasospasm from 71.4% down to 23.1%.
🛡️ It is a safe intervention with no increased risk of EVD-related complications or meningitis.
⚠️ Timing is everything, because reactionary ITN given after DCI onset did not reduce the rate of additional infarcts or the need for serial IA treatments.
Question: Does this article change your practice?
#NeuroTwitter #NeuroCriticalCare #SubarachnoidHemorrhage #Vasospasm #NeuroSurgery
sciencedirect.com/science/ar…
ALT Infographic of the article by NotebookLM
Key 2026 updates in @pupillometry via an @Intermountain journal club today led by the OG @DaiwaiO84145 . Such a solid talk. Pros and cons of NPI in light of other metrics. Change > 0.7 or drop < 3.0 indicates possible neuro change. Discussion too of thoughtful post by @PulmCrit recently on the topic. #neurocritcal #CriticalCare @NeurOpticsInc @solvemed
Our new paper in Neurocritical Care presents the first TeleNCC Consensus Statement—defining best practice, minimum standards, and benchmarks for teleneurocritical care.
Here are the key takeaways 👇
#TeleNCC #NeurocriticalCare #Stroke @Intermountain link.springer.com/article/10…
Nick Murray retweeted
🧠📡 Proud to share the first-ever Teleneurocritical Care (TeleNCC) Consensus Statement — an NCS Guidelines paper I co-authored with 21 multidisciplinary experts!
Endorsed by AAN, AANS, CNS & ATA, this 33-page document covers 13 sections on standards for virtual neurocritical care in EDs and ICUs without 24/7 in-person coverage.
Key takeaways: models, organization, structural requirements, quality metrics, and the first pediatric TeleNCC recommendations.
#NeuroCritCare #Telemedicine #TeleNCC #Neurology #Neurosurgery #CriticalCare #MayoClinic @NeurocritCareJ @neurocritical @mayoclinicnccfl
ALT Notebook LLM summarizing the paper as an infographic of the concept of TeleNeuroCriticalCare (TeleNCC) similar to stroke -spoke and hub models but for other neurological emergencies that require TeleNCC expertise to help rural, remote and underserved populations.
Sunday morning @Intermountain is co-hosting with @neurocritical the World Coma Day 2026 Journal Club & Round table with ISICEM authors!! Register here smithbucklin.zoom.us/webinar… #neurocriticalcare @CuringComa #stroke #wcd2026 @YelenaBodien @SWahlster @Dr_Cit @chiara_robba @vfjn2
Mark your calendar and register for free for World Coma Day! This all-day, global online event will feature stories of remarkable recovery, science talks by medical experts, educational sessions & more. secure.qgiv.com/event/worldc…
Nick Murray retweeted
Just read an interesting paper, "Long-term outcomes of poor-grade aneurysmal subarachnoid hemorrhage"
New multicenter data (n=1,589) just published in the Journal of Neurosurgery looked at long-term outcomes in poor-grade aSAH. The headline finding was 51% long-term mortality.
What I found more interesting, among patients who received EVD before aneurysm treatment, 39% showed clinical improvement (GCS increase) after drainage.
Nick Murray retweeted
Efficacy of IV #Ketamine in Refractory/Super-Refractory Status Epilepticus: A Systematic Review and Meta-Analysis hubs.la/Q0443Ylg0
At #ISC2026 #ISC26 Abstract A104: Implementing and Improving #CodeICH -- Timely Door-To-Reversal in Anticoagulation-Associated ICH: Rate limiting steps and predictors in a Multicenter Observational Study. | Stroke ahajournals.org/doi/abs/10.1… #Stroke @Intermountain @gabe_fontaine
