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Understanding Brain Concussion:  Facts, Assessment, and Intervention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conflicts of Interest ,[object Object]
Objectives ,[object Object],[object Object],[object Object],[object Object]
Case Example ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case Example ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case Example ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Concussion is Not New
Concussion in the Public Square ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Concussion in the Public Square ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Epidemiology of Traumatic Brain Injury (TBI) Centers for Disease Control (CDC) www.cdc.gov ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TBI Causes: From CDC - NCIPC
What is a Concussion? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ACRM - BSIG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CDC Mild TBI Work Group  Definitions Subgroup (2003) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DVBIC: Acute Management of Mild TBI in Military Operational Setting ,[object Object],[object Object],[object Object]
MTBI/Concussion Severity Grading ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MTBI/Concussion and LOC ,[object Object],[object Object],[object Object],[object Object],[object Object]
MTBI/Concussion Severity Grading ,[object Object],[object Object],[object Object]
Symptoms Following Concussion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Loss of Consciousness (LOC) and Post-Traumatic Amnesia (PTA) ,[object Object],[object Object],[object Object],[object Object]
Physical/Mechanical Force Variable ,[object Object],[object Object],[object Object]
Pathophysiology of MTBI ,[object Object],[object Object],[object Object],[object Object]
Neuro-metabolic Cascade of MTBI ,[object Object]
Symptoms Following Concussion:  How Specific? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Symptoms Following Concussion:  How Specific? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recovery and Treatment
Natural Course of Recovery ,[object Object],[object Object],[object Object],[object Object],[object Object]
Natural Course of Recovery ,[object Object],[object Object],[object Object]
Complicated Course of Recovery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recurrent MTBI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Post-Concussion Syndrome (PCS) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ICD-10 and DSM-IV Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nonspecificity of PCS Symptoms
Supporting Optimal Recovery from MTBI
Concussion: Immediate Medical Response ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Monitoring Early Recovery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Support Natural Course of Recovery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Support Natural Course of Recovery ,[object Object],[object Object],[object Object],[object Object],[object Object]
Support Natural Course of Recovery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Medstar-NRH Concussion Program
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Children’s National Medical Center (CNMC) Washington, DC
Rationale for Concussion Program ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Education and Baseline Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Concussion Management Protocol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NRH Concussion Management Protocol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NRH Concussion Management Protocol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NRH Concussion Management Protocol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NRH Concussion Management Protocol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NRH Concussion Management Protocol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Understanding Brain Concussion: Facts Assessment and Intervention

Notas del editor

  1. It can seem that this is a new problem, or one that no one paid attention to until recent things have turned it into a health care epidemic. Not the case. We have been dealing with concussion for a long time. Recent trends have highlighted
  2. Some estimate that there are 3.8 million concussions each year – very difficult to clarify how many because so many never are seen in emergency departments and/or are not reported to anyone. So, does that mean that most are trivial, quick to recover, and something we should not worry about? Too simplistic to think of it that way.
  3. There are at least 5-6 definitions of concussion from well-respected groups, which overlap substantially but not entirely. It may seem like it should be easy to define this, but unlike defining more severe levels of TBI, a definition of concussion or MTBI is somewhat elusive.
  4. Notice that this definition is applied if any of the four features are shown
  5. These points apply to MTBI – not moderate and severe TBI.
  6. Return to a slide from earlier – showing many of the symptoms associated with concussion. One part of clinical challenge is that common symptoms associated with concussion may be found in other disorders/conditions as well.
  7. Significant base rate of symptoms in other conditions that may co-occur with MTBI or in some cases there may be misattribution of symptoms to possible MTBI
  8. Working very closely with Children’s National Medical Center