Gregory Kapinos, MD, MS, RPNI, HEC-C, FCCM

Brain Salvage Specialist: Neurointensivist, Neurosurgical Hospitalist, Neurophysiologist, Neurosonologist, Neuroimager, Thrombologist and Ethicist.

[W David Freeman, MD, FRSM, FNCS, FAAN @freemanwd]

Save the Date! May 21-24th 2025, Mayo Neuro and Intensive Care CPD at the Ritz Carlton Orlando, FL 🌴 🌞

“Time is Brain” for a number of neurologic emergencies including 🧠🩸“CODE ICH”
🔗 https://t.co/l45ayNX2kW

@neurocritical @enlscourse 5/24/2025
https://t.co/H6RWi5KBNE

[American Society of Neuroimaging @asneuroimaging]

Are you a physician, advanced practice provider, nurse, technician, or other health professional interested in #neurovascular #ultrasound or #transcranial #Doppler? The ASN offers an excellent program for credentialing in #neurosonology. Find out more at https://t.co/p7mkQGqnQg

[Gregory Kapinos, MD, MS, RPNI, HEC-C, FCCM @kapigreg]

#acns2024 best alarm system remains human eyes, but is it cost efficient? NA-CLTM program towards 24/7/365 monitoring for immediate detection of seizures to be reported to the EEGer MD.

[Gregory Kapinos, MD, MS, RPNI, HEC-C, FCCM @kapigreg]

#acns2024 QEEG detects ICP crises

[Gregory Kapinos, MD, MS, RPNI, HEC-C, FCCM @kapigreg]

#ACNS2024 My favourite poster, verifying validity of 2HELPS2B on first 30min of POCEEG: Good triaging tool as it replicates gradation along score, but imperfect screen with 6% FNR.

[Gregory Kapinos, MD, MS, RPNI, HEC-C, FCCM @kapigreg]

#ACNS2024 red orange band definition as narrow vs broad for spike composition of the PRA, flame shape, laterality, distinguishing artifacts, great qEEG DSA talk by Brandon Westover!

[Gregory Kapinos, MD, MS, RPNI, HEC-C, FCCM @kapigreg]

#ACNS2024 Nihon Kohden new rapid EEG device and sets for neonatal.

[Gregory Kapinos, MD, MS, RPNI, HEC-C, FCCM @kapigreg]

@ACNS_org #ACNS2024 good posters

[Gregory Kapinos, MD, MS, RPNI, HEC-C, FCCM @kapigreg]

@stephanamayer Exactly. Time to treat this type of ICP crises with neg PRx with a shot of norepi rather than osmoRx or HV.

[American Society of Neuroimaging @asneuroimaging]

ASN is launching an open access online journal that will focus on clinical applications of neuroimaging. We are looking for a social media editor, please complete & submit this form to apply: https://t.co/k87GxXz8cu

[Gregory Kapinos, MD, MS, RPNI, HEC-C, FCCM @kapigreg]

Freezing from undisclosed Parkinson, sure, gait has some features, stuporous look can match, but he seems very much unaware and not memorizing, so focal temporal seizures still more likely than PD. Interrogating his recollection of pre per post sxs is key. https://t.co/0HKozzop9j

[Gregory Kapinos, MD, MS, RPNI, HEC-C, FCCM @kapigreg]

Exactly. Consciousness alteration disorders are diverse with each domain being specific. #postconcussivedisorder with brain fog, cognitive difficulties, lightheadedness DO NOT present as blank stares. #nonconvulsiveseizures do. https://t.co/Rkf1EoV9mg

[Gregory Kapinos, MD, MS, RPNI, HEC-C, FCCM @kapigreg]

US Capitol top doc who cleared McConnell is lying. Any neurologist can tell these events weren’t “lightheadedness” by def, but blank stares which can suggest nonconvulsive seizures. Post concussion sd also not giving you blank stares but fog https://t.co/Od3d2HjHPK via @bpolitics

[Eric S. Rosenthal @ericrosenthalmd]

Grateful for the leadership of @neurollama leading us through this Delphi process. These “Practice Standards for the Use of Multimodality Neuromonitoring” now out in @CritCareMed enable advocacy for personnel, technology, reporting, education, & analytics https://t.co/ax9ogzUfBz

[Vasculearn Network @Vasculearn]

What a great #ISTH2023 — and a huge thank you to @AnticoagPharmD for taking over our Twitter account and keeping everyone updated on the latest and greatest #thrombosis news!

[SNACC @SNACCNeuro]

When was the last time you visited the Neuroanesthesia Classroom? This online roadmap for residents rotating through #neuroanesthesia links keywords to PBLDs, quizzes, & topic-specific peer-reviewed articles. #FOAMed #neuroscience https://t.co/OT9bARiu2l

[Alex Spyropoulos @AlexSpyropoul]

Big news-Andexanet with 50% hospital mortality reduction vs PCC in DOAC-associated bleeding #ISTH2023 @NATFthrombosis @AnticoagForum @EuropeanTHA @PERTConsortium @ThrombosisUK @ThrombosisCan @TromboseLeiden @EuropeanTHA @escardio @thrombosisday @isth @HofNorthwellDOM

[Gregory Kapinos, MD, MS, RPNI, HEC-C, FCCM @kapigreg]

@salia_farrokh @tigernole13 @senelson13 Not sure I like this: MDZ too short acting c/t LRZ but gradation is great. MINDS not best c/t Cushman. Using VPA PHB once only, as “adjunct”, is misleading, better as core standing w/ LRZ prn. Dexmed and prop drips great but intensive. Last step MDZ drip too short acting c/t PHB.

[Gregory Kapinos, MD, MS, RPNI, HEC-C, FCCM @kapigreg]

@katereillymd @stephanamayer Exactly, this is why I push for using what ACF DOAC GLs and ACEP GLs recommend: 2,000 flat dose for DOAC reversal, reserving 25-50IU/kg per weight and INR to WAICH and 50IU/kg solely to hemophiliacs. Costs saved on Kcentra by this strategy can be reinvested towards Andexanet!

[Gregory Kapinos, MD, MS, RPNI, HEC-C, FCCM @kapigreg]

@Nicole_Davis026 @AlexReynoldsMD @stephanamayer True, ideally fast access to Kcentra in the comparative arm. Im just bitter about arguments made solely based on pricing. With this logic, we would never have immunoRx in cancer as all these Abs are very expensive. No LEV as PHT more cost effective. No MRI as CT sufficient.