Beyond ICP - Using Brain Oxygen Monitoring in Managing Severe TBI

Presented by Mary Kay Bader RN, MSN, CCNS, CCRN, CNRN this presentation focuses on learning how to manage the severe TBI patient through brain oxygen monitoring in the clinical setting. The lecture will focus on pathophysiology, secondary injury, oxygen dynamics, case vignettes, a case study and the ICU phase of care.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Apr 21, 2008, Expires: Apr 21, 2011

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit

CT Scan Interpretation

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Sep 19, 2007, Expires: Sep 19, 2010

This activity offers: 4 hours of Category A AACN credit; 4 hours of Category 1 ACCME credit

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

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Sep 1, 2006, Expires: Sep 1, 2009

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit

ICP Monitoring 2: ICP Monitoring

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Sep 1, 2006, Expires: Sep 1, 2009

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Sep 1, 2006, Expires: Sep 1, 2009

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Sep 1, 2006, Expires: Sep 1, 2009

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Sep 1, 2006, Expires: Sep 1, 2009

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Apr 22, 2008, Expires: Apr 22, 2011

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Sep 1, 2006, Expires: Sep 1, 2009

This activity offers: 2 hours of Advanced CECBEMS credit; 2 hours of Basic CECBEMS credit; 2 hours of First Responder CECBEMS credit; 2.5 hours of Category A AACN credit; 2 hours of Category 1 ACCME credit

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Jun 30, 2008, Expires: Jun 30, 2011

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Oct 10, 2007, Expires: Oct 10, 2010

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Sep 1, 2006, Expires: Sep 1, 2009

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Sep 1, 2006, Expires: Sep 1, 2009

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Sep 1, 2006, Expires: Sep 1, 2009

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Sep 1, 2006, Expires: Sep 1, 2009

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Sep 1, 2006, Expires: Sep 1, 2009

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Sep 1, 2006, Expires: Sep 1, 2009

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit

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, Expires: Oct 10, 2010

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Sep 1, 2006, Expires: Sep 1, 2009

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Sep 1, 2006, Expires: Sep 1, 2009

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Oct 10, 2007, Expires: Oct 10, 2010

This activity offers: 0.5 hours of Category A AACN credit; 0.5 hours of Category 1 ACCME credit

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

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.

"The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians."

Released: Jun 18, 2007, Expires: Jun 18, 2010

This activity offers: 1 hour of Category A AACN credit; 1 hour of Category 1 ACCME credit