NCC
Neurointensivist
From Evidence to Practice
The Neurocritical Care Feed

A clinical scroll worth replacing the algorithm.

A living, clinically organized neurocritical care curriculum for clinicians who want more than isolated pearls. Follow the physiology, evidence, decision points, complications, and recovery of neurologic critical illness—one coherent installment at a time.

Enter the Neurocritical Care Feed →

24 clinical feeds • Sequential 15–20-minute briefings • Complete references

24
Clinical feeds
Physiology → Decision
Mechanism connected to bedside action
Evidence Hierarchy
Guidelines, trials, practice, and inference distinguished
Full References
Every installment ends at the source
What This Is

Built as a curriculum, not a collection of posts.

Neurocritical care cannot be practiced from disconnected facts. Cerebral physiology, systemic physiology, treatment effects, monitoring data, and the evidence base must be interpreted together. The Neurocritical Care Feed is built in coherent, multi-part sequences that move from first principles through stabilization, escalation, complications, recovery, and prognosis. Each installment can stand alone; together, they form a continuously expanding clinical reference.

Physiology before protocol

Mechanism matters because the same intervention can rescue one patient and harm another. ICP, CPP, CBF, autoregulation, COâ‚‚, oxygen delivery, ventilation, hemodynamics, fluids, and organ interactions are integrated into the decision.

Evidence without blur

Guidelines, randomized trials, observational data, foundational physiology, standard practice, expert consensus, and clinical inference are identified for what they are. Confidence and uncertainty are not hidden.

Decision points that change care

The emphasis is on thresholds, branches, tradeoffs, failure modes, and the next bedside action—not trivia detached from management.

A reference built to evolve

Recent evidence is actively sought, but recency is not mistaken for quality. Landmark studies and older guidance remain when they still define practice; superseded recommendations are identified as historical.

The Curriculum

Twenty-four feeds. One connected neuro-ICU map.

  1. 01 Acute Ischemic Stroke
  2. 02 Intracerebral Hemorrhage
  3. 03 Aneurysmal SAH
  4. 04 Cerebral Venous Thrombosis
  5. 05 Traumatic Brain Injury
  6. 06 Spinal Cord Injury
  7. 07 Status Epilepticus
  8. 08 EEG and Seizure Monitoring
  9. 09 Intracranial Pressure and Cerebral Edema
  10. 10 Anoxic Brain Injury
  11. 11 Coma and Disorders of Consciousness
  12. 12 Brain Death
  13. 13 Neuroinfectious Disease
  14. 14 Neuroimmunology
  15. 15 Neuromuscular Emergencies
  16. 16 Neurosurgical Critical Care
  17. 17 Neuro-oncology
  18. 18 Multimodality Neuromonitoring
  19. 19 Mechanical Ventilation
  20. 20 Shock and Hemodynamics
  21. 21 Renal, Electrolyte, and Acid–Base
  22. 22 Cardiovascular Critical Care
  23. 23 Toxicology and Temperature
  24. 24 Landmark Trials, Guidelines, and Controversies
The Standard

What every installment owes the reader.

The objective is not merely a longer summary. It is a clearer model of the patient and the decision in front of the clinician.

  1. 01 What is the dominant physiologic problem?
  2. 02 What changes management now?
  3. 03 What error or misconception does this prevent?
  4. 04 What does the evidence actually establish?
  5. 05 What remains uncertain, indirect, or controversial?

Written primarily for clinicians making decisions in the neuro-ICU, with enough context for fellows, residents, advanced practice providers, pharmacists, nurses, and other critical-care clinicians who want to understand the reasoning beneath the protocol.

Start Reading

Enter the clinical feed.

Choose a topic, begin with the first installment, or enter at the decision point you need today.

From evidence to physiology. From physiology to practice.