CT Scan Interpretation

PLEASE NOTE THAT THERE IS NO CME CREDIT AVAILABLE FOR THIS COURSE.

The CT Scan Interpretation Module, which offers 4 hours of CE credit, defines and identifies the five radiographic abnormalities on initial computerized tomography (CT) examination that correlate with outcome in the severe TBI patient.

Released: Sep 19, 2007

Guidelines for the Management of Severe TBI Course for Critical Care Nurses

The Brain Trauma Foundation (BTF) with an unrestricted educational grant from Codman, A Johnson & Johnson Company, is pleased to announce this dynamic and comprehensive educational program on traumatic brain injury (TBI) with a series of 12 online sessions designed for critical care nurses. The successful management of severe traumatic brain injury is one of the most challenging and rewarding patient populations for nurses in the intensive care unit setting.

These 12 sessions are directed at the overall critical care management of the patient with severe TBI from admission to discharge based on the BTF guidelines to improve patient outcomes. Each session reviews important components of the critical care management for patients with severe TBI and provides nursing contact hours. Nurses who complete all 12 will receive 13.8 CEUs.

This series of lectures will help promote in-depth nursing knowledge and the latest practical information based on the new third edition of the Guidelines for the Management of Severe Traumatic Brain Injury, which will be published in a future issue the Journal of Neurotrauma.

ICP Monitoring 1: Inhospital Guidelines for the Management of Severe TBI

PLEASE NOTE THAT THERE IS NO CME CREDIT AVAILABLE FOR THIS COURSE.

The first in our series on the new Guidelines for the Management of Severe TBI, this session is crucial for reviewing and acquiring new knowledge about normal neuroanatomy and neurophysiology. It is particularly geared towards critical care nurses who provide acute, life-saving management of patients following severe traumatic brain injury (TBI). Presented by Donald Marion, MD.

Released: Sep 1, 2007

ICP Monitoring 2: ICP Monitoring

PLEASE NOTE THAT THERE IS NO CME CREDIT AVAILABLE FOR THIS COURSE.

Intracranial pressure (ICP) monitoring is a crucial diagnostic procedure used to guide treatment of the severely brain injured patient in the ICU. This course describes the types, procedures, and complications involved in using ICP monitors and general treatments for intracranial hypertension. Presented by Jamshid Ghajar, MD, PhD, FACS.

Released: Sep 1, 2007

ICP Monitoring 3: Brain Tissue Oxygen Monitoring

Brain Tissue Oxygen (Pbt02) is a vital parameter measured to assess the outcome of the traumatic brain injury patient. This module defines and describes the role of brain tissue oxygen monitoring in TBI care. It also looks at the importance of ICP Monitoring, Cerebral Perfusion Pressure, and Cerebral Blood Flow, through the use of case studies and outcomes. Presented by Sylvain Palmer, MD, FACS, and Mary Kay Bader, MSN, CCRN, CNRN.

Released: Sep 1, 2007

ICP Monitoring 4: Advanced Cerebral Monitoring - Parenchymal Monitoring and Microdialysis

Presented by Geoff Manley, MD, PhD, this module describes concepts of advanced intracranial monitoring techniques such as parenchymal monitoring, PbtO2, SvjO2, microdialysis and transcranial doppler studies, as based on an ICP > 20 mmHG.

Released: Sep 1, 2007

ICP Monitoring 5: Troubleshooting for Monitoring Technology

Ensuring accurate measurement of intracranial pressure (ICP) and cerebral oxygenation in brain injured patients requires knowing interventions for common problems that can occur while using monitoring devices. This course discusses methods for troubleshooting ICP, brain tissue oxygen (PbtO2), and jugular venous oxygen saturation (SvjO2) monitors. Presented by Laura Iacono, MSN, RN, CNRN.

Released: Sep 1, 2007

ICP Monitoring Full 5 Activity Bundle

This course will focus on the insertion and use of ICP, brain tissue PbtO2 and other ancillary monitoring systems in the acute care of severe TBI patients. It is primarily geared toward medical practitioners who are inexperienced with inserting ICP catheters, but is open to experienced neurosurgeons as well.

Participants will learn to:

-Describe the indications, contraindications and patient selection for ICP and PbtO2 monitoring

-Identify necessary instrumentation for the insertion of ICP monitors

-Demonstrate the insertion and calibration of an ICP monitor

-Discuss pre- and post-procedure care and potential complications from monitor insertion;

-Analyze and interpret ICP, PbtO2 and other ancillary data;

-Identify troubleshooting tips for malfunctioning devices.

Informed Emergency Response: Integrate Emergency Medical Care for the Traumatically Brain Injured Patient

Presented by David Aylward, Director of COMCARE & Dr. Peter Letarte, Head of Neurosurgery at Edward G. Hines Veterans Hospital this presentation focuses on trend analysis & dispersed vs. regionalized care for informed response to TBI. It also looks at the current problem of emergency response today, vision of the future in terms of integrated emergency medical response and the role of the brain trauma community.

Released: Apr 22, 2008

NEW: BTF Guidelines in Practice Using a Case Study

Through the use of a case study this lecture will discuss the treatment guidelines for severe traumatic brain injury. The lecture will also comment on a trauma center’s compliance with the treatment guidelines for TBI and discuss how a trauma center can strategize to increase compliance through measurement of compliance.

Released: Dec 18, 2009, Expires: Dec 18, 2012

Nutrition Support in Patients with Acute Traumatic Brain Injury

This lecture looks at improving nutrition support for patients with acute TBI. Nutrition is a significant predictor of TBI mortality; together with prevention of arterial hypotension, hypoxia and intracranial hypertension it is one of the few therapeutic interventions that can directly affect TBI outcome.

Presenter Dr. Hatton's primary research focus area is critical care therapeutics and nutrition, specifically applied to the neurotrauma population. Since 1991 she has been a co-investigator in Phase II and Phase III clinical trials of drugs under investigation for treatment of traumatic brain injury. She has been a co-investigator of the clinical project in an NIH-funded, five-year program project grant evaluating mechanisms of brain injury and the systemic metabolic response. In 2005, Dr. Hatton joined Dr. Ed Hall at the Spinal Cord and Brain Injury Research Center as a collaborator in translational pharmacokinetic/pharmacodynamic investigations in traumatic brain injury.

DISCLOSURES

As a provider accredited by Accreditation Council for Continuing Medical Education, it is the policy of the Brain Trauma Foundation to require the disclosure of any financial interest or any other relationship the planners, managers, or faculty members and their spouse/partner have with the manufacturer(s) of any commercial product(s) discussed in an educational presentation. Faculty, planners, and managers reported the following:

Presenter: Dr. Jimmi Hatton, Pharm.D., FCCM, FCCP,Professor, Pharmacy and Neurosurgery & Chair, Pharmacy Practice and Science. Dr. Hatton has no disclosures to report.

Planner: Meredith P. Klein, MS, CHES, Director of Education, Brain Trauma Foundation. Meredith Klein has no disclosures to report.

Planner: Jamshid Ghajar, MD, PhD, FACS, President, Brain Trauma Foundation. Dr. Ghajar has no disclosures to report.

Released: Nov 8, 2008

Prehospital Management of Traumatic Brain Injury

Traumatic brain injury (TBI) is one of the most difficult challenges that EMS responders encounter, but research has shown that specific appropriate actions in the field can make a significant difference in patient outcome. Based on the Guidelines for Prehospital Management of Traumatic Brain Injury, the first scientific evidence-based protocols of their kind, this course covers the optimal assessment, treatment, and triage and transport decisions for both adult and pediatric TBI patients. This course is geared towards all levels of prehospital care providers.

There is no CME credit available for this course.

Released: Sep 1, 2008

Psychopharmacologic Treatment of Traumatic Brain Injury

Presented by Dr. Jonathan Silver this presentation aims to discuss the different types of psychiatric diagnoses related to TBI, neuropsychiatric sequelae and the pharmacological therapy used to treat specific TBI related psychiatric disorders. Risks, benefits, drug interactions and side effects will also be discussed.

Released: Jun 30, 2008

Results of the 2006 BTF National Trauma Center Survey

This presentation reviews the results of the 2006 BTF National Trauma Center Survey. It concludes that adherence to evidence-based guidelines for severe TBI has improved dramatically since 1991. Trauma center level and treatment protocols were associated with good adherence, suggesting that directing patients with severe TBI to Level I and Level II trauma centers with treatment protocols will improve outcome for these patients.

Presenter Dr. Dale Hesdorffer, Ph.D., serves as Associate Professor of Clinical Epidemiology in the Gertrude Sergievsky Center at the Columbia University Mailman School of Public Health. She received both her Masters in Public Health and her Ph.D. in Epidemiology there.

Released: Oct 10, 2007

TBI Guidelines 10: Acute Care Interventions: Anesthetics, Analgesics, and Sedatives

This 60-minute session discusses the pharmacologic options for administration of anesthetics, sedatives, analgesics and barbiturates in the treatment of the severe TBI patient. Presented by Laura A. Iacono, MSN, RN, CNRN.

Released: Sep 1, 2007

TBI Guidelines 11: Patient Refractory to ICU Management: Barbiturate Therapy

This 60-minute session describes high dose barbiturate therapy, which is the Guidelines' recommended second-tier treatment option for intracranial hypertension following severe traumatic brain injury. Presented by Jane McCormack, RN, BSN.

Released: Sep 1, 2007

TBI Guidelines 12: Management of Seizures and Nutrition to Improve Outcomes

Presented by Dr. Diana Kraemer, MD, this session aims to increase knowledge of risks factors, incidence, and treatment of seizures, as well as the general nutritional needs of critical care patients with TBI.

Released: Sep 1, 2007

TBI Guidelines 1: Correlative Neuroanatomy and Physiology for Severe TBI

The first in our series on the new Guidelines for the Management of Severe TBI, this session is crucial for reviewing and acquiring new knowledge about normal neuroanatomy and neurophysiology. It is particularly geared towards critical care nurses who provide acute, life-saving management of patients following severe traumatic brain injury (TBI). Presented by Ellen Barker, MSN, APN, CNRN.

Released: Sep 1, 2007

TBI Guidelines 2: Critical Care Assessment of the Adult Patient with Severe TBI

Nurses are regarded as primary front-line care providers with the necessary education, knowledge, and skills to manage patients with severe TBI. Patient assessment is at the core of critical care patient care and is primary in recovering the patient safely and quickly. Application of the BTF Guidelines will help the critical care nurse and/or the neurosurgical intensive care nurse improve traumatic brain injury assessment and management. Presented by Ellen Barker, MSN, APN, CNRN.

Released: Sep 1, 2007

TBI Guidelines 3: Effect of Guidelines-based Protocols in the ICU

This important session discusses the benefits of applying the BTF Guidelines in a critical care setting. The Guidelines encourage the review of critical care practice for the best evidence of principles of care for better treatment. Presented by Ellen Barker, MSN, APN, CNRN.

Released: Sep 1, 2007

TBI Guidelines 4: Initial Resuscitation and Postoperative Management in the Patient with Severe TBI - Mission Impossible: Reducing the Impact of Secondary Brain Injury

This session identifies key interventions to reduce the impact of secondary brain injury on patient outcomes. Presented by Mary Kay Bader, MSN, CCRN, CNRN.

Released: Sep 1, 2007

TBI Guidelines 5: CPP, ICP, and ICP Monitoring

This training session discusses the concept of advanced intracranial monitoring of ICP and CPP for severe TBI. Presented by Cynthia Blank-Reid, MSN, RN, CEN.

Released: Oct 10, 2007

TBI Guidelines 6: The Use of Hypothermia for Treatment of Severe TBI

This training session discusses the effects of temperature and neuronal injury, as related to hypothermia. Presented by Nancy Villanueva, PhD, NP and Leo Harris, PA.

Released: Sep 1, 2007

TBI Guidelines 7: Infection Prophylaxis

This 60 minute session discusses the reasons for infection prophylaxis in severe head injury patients focusing on the advantages and disadvantages. Presented by Jamie Ullman, MD, FACS.

Released: Sep 1, 2007

TBI Guidelines 8: DVT Prophylaxis, Prevention of PE and Complications of Immobility

This 30-minute training module discusses the research evidence that exists on the effectiveness of compression stockings, pneumatic devices and anticoagulation for thromboprophylaxis in severe TBI patients. Presented by Laura A. Iacono, MSN, RN, CNRN.

Released: Oct 10, 2007

TBI Guidelines 9: Benefits and Guidelines for Hyperosmolar Therapy

This 60 minute session discusses mannitol and hypertonic saline, both types of hyperosmolar therapy currently in clinical use for TBI. The goal of such therapeutic interventions is to effectively reduce ICP while preserving or improving CPP. Presented by Cynthia Blank-Reid, MSN, RN, CEN.

Released: Sep 1, 2007

The Basics of ICP Monitoring: Inhospital Guidelines, ICP Monitoring, and Brain Tissue Oxygen Monitoring

This course will focus on the detailing the Guidelines for the Management of Severe TBI, the insertion and use of ICP, and brain tissue oxygen monitoring. This course is primarily geared toward medical practitioners who are inexperienced with inserting ICP catheters, but is open to experienced neurosurgeons as well.

Participants will learn to:

-Describe the indications, contraindications and patient selection for ICP and PbtO2 monitoring

-Identify necessary instrumentation for the insertion of ICP monitors

-Demonstrate the insertion and calibration of an ICP monitor

The Silent Epidemic: Mild Traumatic Brain Injury "Part 1: Identification and Diagnosis"

PLEASE NOTE THAT THERE IS NO CME CREDIT AVAILABLE FOR THIS COURSE.

This activity was not created or produced by The Brain Trauma Foundation. The Brain Trauma Foundation is hosting this activity on our learning portal.

“The Silent Epidemic: Mild Traumatic Brain Injury "Part 1: Identification and Diagnosis" video is the winner of 5 Bronze Telly Awards. The Telly Awards honor the very best local, regional and cable television commercials and programs, as well as the finest video and film productions, and works created for the Web. Two awards are in the category of Online Video Education, and one of each were acquired in the categories of Online Video Documentary, Film and Video Documentary, and Film and Video Health & Wellness.”

This one hour Telly award winning video documentary presentation, featuring renowned Brain Injury experts, provides education to Medical Professionals to improve their awareness and recognition of Mild Traumatic Brain Injury, how it is defined, its prevalence, and pathophysiology. Also explored are the potential personal and societal cycles of failure associated with undiagnosed MTBI. Proper Diagnosis involves understanding signs and symptoms, establishing a history of head injury, and knowing which tools are most useful in establishing the diagnosis. Chapter topics include “Epidemiology”, “Definitions”, “Causes, Incidence, and Populations”, “Effects of TBI: Biomechanics and Pathophysiology”, “The Personal and Societal Cost of TBI”, “Diagnosis: Signs and Symptoms”, “Taking a History and Screening for Brain Injury”, and “Neuroimaging and Neuropsychological Evaluations”

“This video production is supported in part by Grant #H21MC06750 from the U.S. Department of Health and Human Services HHS), Health Resources and Services Administration (HRSA), Maternal Child and Health Bureau (MCHB), and New Mexico Aging and Long-Term Services Department (NM ALTSD). The views expressed in the interviews and commentary presented in this video are solely those of the individuals providing them and do not necessarily reflect the opinions of other presenters, NM ALTSD, HRSA, Vista Media Productions, or any of their affiliates or employees."

Released: Sep 1, 2009, Expires: Sep 1, 2012

The Silent Epidemic: Mild Traumatic Brain Injury Part 2: Management of MTBI

PLEASE NOTE THAT THERE IS NO CME CREDIT AVAILABLE FOR THIS COURSE.

This activity was not created or produced by The Brain Trauma Foundation. The Brain Trauma Foundation is hosting this activity on our learning portal as well as giving out credit for completing the activity.

This video documentary production, featuring renowned Brain Injury experts, provides education to Medical Professionals to assist them in the management of Mild Traumatic Brain Injury and its symptoms to improve recovery outcomes and enhance quality of care. Chapter topics include: “Role of the Primary Care Provider: Team Captain and Advocate”; “Best Paradigm of Care: Treatment Overview”; "Medical Complications"; “Medications to Manage Symptoms”; "Culturally Competent Care in Medication Management"; • “Return to Activity/Work”; "Avoiding Repeat Concussions"; "Optimizing Recovery: Structuring Office Visits"; "Optimizing Recovery: Patient and Family Education”; and “Referral”

“This video production is supported in part by Grant #H21MC06750 from the U.S. Department of Health and Human Services HHS), Health Resources and Services Administration (HRSA), Maternal Child and Health Bureau (MCHB), and New Mexico Aging and Long-Term Services Department (NM ALTSD). The views expressed in the interviews and commentary presented in this video are solely those of the individuals providing them and do not necessarily reflect the opinions of other presenters, NM ALTSD, HRSA, Vista Media Productions, or any of their affiliates or employees."

Released: Sep 23, 2009, Expires: Sep 23, 2012

Traumatic Brain Injury and Seizures: Myths, Realities and Practicalities

TBI: Seizures, Myths, Realities and Practicalities will look at the prevalence and importance of nonconvulsive seizures in moderate-severe TBI patients. Discuss management of acute symptomatic seizures and status epilepticus and when to use antiepileptic drugs.

Released: Nov 25, 2008

Why Protocol Management for Brain Injury?

This 60-minute presentation reviews the anatomy and pathophysiology of TBI and explains protocol developed by BTF for TBI management. It also reviews the outcomes of BTF protocol based care and discusses the value of rehab as related to long term outcome. Presented by Art Trask, MD, FACS.

Released: Jun 18, 2007