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Digital Seminar

The Complex Neuro Patient: Strategies to Take Your Practice to the Next Level

Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric)
Full Day
Audio and Video
Jun 07, 2017
Product Code:
Media Type:
Digital Seminar

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  • Assessments that Identify the RED Flags
  • Neuro Pharmacology Updates
  • Latest Management Strategies for: Neuro Trauma, Stroke, Seizures, Neuromuscular & Neurodegenerative Diseases

Does this sound familiar?

78-year-old Joe presents to the ER reporting he has a headache that just doesn’t go away, today his vision seems a bit blurry and he is experiencing more dizziness. His wife tells you something is “not right” and he seems more confused. Joes tells you it’s just the “flu”; everybody gets that this time of year and he doesn’t know why his wife made him come in.

What Joe left out of the story:

The fall he took on the ice two days ago; he didn’t want his wife to worry so he hadn’t told her. Instead he’s been taking aspirin hoping his headache will just go away.

Patients may present with or develop neurological symptoms at any time, making it essential that healthcare providers possess the ability—and confidence—to quickly assess these changes and intervene appropriately. Without the key piece of information that Joe left out of the story, are you sure you have all the skills necessary to spot the subtle changes? Are you prepared for the emergency that is happening right in front of you?

Join nationally-known speaker and neurological nursing expert, Sean Smith, RN, BSN, NREMT-P, C-NPT, CCRN, CMC, CFRN, FP-C, CPEN, for this in-depth look at the complex neuro patient. Every nurse needs to know these critical concepts in order to provide the best and most up-to-date care to patients and their families. Sean is well known for his ability to make complex concepts understandable and useful. Register today and be prepared to make the difference between a good and bad outcome when faced with your next neurological emergency.



* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please statement above.  For speaker disclosures, please see the faculty biography.

Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

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Nurses - Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.6 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric)'s Profile

Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric) Related seminars and products

Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric), is a humanitarian/flight nurse-paramedic who is triple board-certified in neonatal, pediatric, and adult critical care and emergency medicine. He brings 30+ years of education and team/leadership experience to his presentations from a career that includes global health, tropical medicine, research molecular neuroendocrinology, nuclear engineering technology, US Navy aviation/NASA manned space flight support, and high-performance teams/high-yield pedagogy, dozens of national/international conference presentations and various awards and honors. Author/co-author/review credits include a best-selling laboratory medicine textbook, a chapter on shock in Nursing Core Curriculum a section in the newly released Resuscitation Crisis Manual, numerous other industry-standard textbooks, and several professional association critical care/emergency medicine curriculums and board certification review courses (AACN, ANN, ENA, SCCM, etc.). Additionally, Sean routinely consults on clinical, legal, and certification matters for numerous high-profile hospital systems (Yale, Mayo, etc.). He holds an MSc in Pharmacy/Forensic Science, bachelor’s degrees in business administration, nursing, and molecular biology, and post graduate certificates in Forensic Death Investigation, Legal Consulting, and Tropical Medicine. In addition to being active in a number of professional associations (SCCM, AACN, WADEM, etc.), Sean is a life member of Mensa, The Emergency Nurses Association, and the Air Surface Transport Nurses Association. He has served on the executive committees and in various leadership roles of numerous charities and professional associations and has led/participated in 50+ medical missions (Dominican Republic, Honduras, Morocco, Liberia, Nepal, Iraq, Democratic Republic of Congo, and Haiti). Sean served as a clinician and educator during the largest Ebola and Cholera outbreaks in recent history and is currently active in building sustainable neonatal-pediatric cardiac critical care capacity in Iraq, as well as serving as part of a national-level multidisciplinary child sexual assault forensics team in Guyana, South America. Hobbies include Scuba diving and vintage science kits, tube amplifiers, and motorcycles.


Speaker Disclosures:
Financial: Sean Smith is an independent contractor. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Sean Smith is a member of the American Association of Critical Care Nurses, the Emergency Nurses Association, and the Society for Critical Care Medicine.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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Neuro Assessments: Identifying the RED Flags

  • Challenging Mental Status Exams
    • The Patient with Existing Dementia
  • The Down-n-Dirty Cranial Nerve Assessment
  • Glasgow Coma Scale
  • Identifying Red Flags
  • Effectively Communicating Changes

Neuro Trauma: The Latest Evidence-Based Strategies

  • Blunt & Penetrating Injuries
  • Symptom Management for:
    • Hypoxemia
    • Hypotension
    • Prophylactic Hypothermia
    • Nutrition Replacement
    • Normoglycemia
    • Hyperventilation
  • Surgical Emergencies & Post-op Care
    • Craniotomy & Craniectomy
  • Associated Mental Status & Cognitive Changes

Managing Increased Intracranial Pressure

  • Early & Late Symptoms
  • Non-invasive vs. Invasive Monitoring
  • ICP Waveform Analysis Made Easy

Neuro Pharmacology: New Thoughts on Old Therapies

  • Steroids
  • Osmotic Diuretics
  • Hypertonic Saline
  • Anti-Seizure Prophylaxis
  • DVT Prophylaxis
  • Thrombolytics & Anticoagulation
  • Reversal Agents
  • Infection Prophylaxis
  • Anesthetics, Analgesics & Sedatives

Timely Recognition and Treatment Recommendations for Stroke Syndromes

  • Acute Ischemic Stroke
  • Intracerebral Hemorrhagic Stroke
  • Hemispheric Findings
  • NIH Stroke Scale
  • Clinical Presentation & Management of Seizures
  • Differentiation of Seizure Type
  • Psychogenic Non-Epileptic Seizures (PNES’s)
  • Sudden Unexplained Death in Epilepsy (SUDEP)

Neurodegenerative & Neuromuscular Disease

  • The Patient with Alzheimer’s Disease
  • Assessing Altered Mental Status
  • The Patient with Pre-Existing Dementia
  • Tips to Spot Subtle Clues
  • Differentiating Diagnosis by Symptom Onset

The Patient with Multiple Sclerosis

  • Physical Assessment Challenges
  • The Patient with Muscle Weakness & Wasting
  • Key Criteria for Assessing Baseline

The Patient with Amyotrophic Lateral Sclerosis

  • Anticipating Complications
  • Early Recognition of Life-threatening Symptoms
  • What equipment is a MUST have at the bedside?
  • Difficult Airway Management

The Patient with Parkinson’s Disease

  • Symptom Management Challenges
  • Interventions for the Agitated Patient
  • Strategies for Effective Patient Compliance
  • Team Approach: Role of the Interdisciplinary Team & Family



  1. Assess neuroanatomy as applicable to complex neurologic patients.
  2. Breakdown neurologic assessment strategies and changes associated with pathologic conditions.
  3. Choose between head injury types, associated mental status, and cognitive changes.
  4. Communicate the latest strategies for timely recognition and treatment of stroke syndromes.
  5. Specify the clinical presentation and treatment recommendations for seizure types.
  6. Correlate increased intracranial pressures with expected causes and critical care management.
  7. Evaluate post-op management of neurosurgical patients.
  8. Breakdown essential management strategies for patients with neurodegenerative and neuromuscular disorders. 

Target Audience

Nurses, Physician Assistants.


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