Course 1: Physiological/Symptom Control and Interdisciplinary Care Team
Course 1 provides
A working definition of traumatic brain injury and introduce terminology as recommended by the American Congress of Rehabilitation Medicine and the Defense and Veterans Brain Injury Center.
Neuroanatomical and biology of blast-induced traumatic brain injury in the Wounded Warrior.
Identifying factors on outcomes and long-term consequences of blast induced traumatic brain injury in the Wounded Warrior.
The assessment and management of traumatic brain injury will be reviewed from the perspective of evidence-based interdisciplinary management.
An understanding of comorbidities (i.e. PTSD), polytraumatic injuries and symptom control will be discussed.
C1-U1: Evidence-based knowledge on the Pathophysiology of TBI Incurred During Military Service.
- Physiological Symptom Control and Interdisciplinary Care Team Module
- Traumatic Brain Injury
- Pathobiology of Blast Induced Neurotrauma
- Mechanism of Blast Injury
- General Medical Effects of Blast Injury
- Blast Induced Neurotrauma
Continuing Education Units: 2 Hours
- Discuss the rationale for the types of injury seen in OIF and OEF compared to previous wars.
- Discuss primary prevention mechanisms to decrease blast related injuries in the OIF and OEF wars.
- List the common causes of TBI: compare and contrast civilian versus military causes of mild TBI.
- Identify the epidemiology of the types of TBI: compare and contrast civilian versus military epidemiology.
- Describe the various classifications of TBI and discuss how blast injuries are classified.
- Discuss the mechanism responsible for TBI in the wounded warrior.
- Discuss the principles of blast wave physics as it relates to TBI in the wounded warrior.
- Discuss the following factors which contribute to the blast injury: high and low order explosives, location factors, distance factors.
- Discuss the difference between primary, secondary, tertiary and quaternary injury in TBI.
- Discuss gender-related types of TBI in the wounded warrior.
- Describe the current research relating to of pathobiology changes in the brain resulting from blast related TBI.
- Discuss the general medical effects other than TBI in blast induced injury.
- Discuss the consequences of repetitive blast induced head injury in the wounded warrior.
- Discuss the long-term outcomes relevant to blast induced TBI.
C1-U2: Evidence-Based Assessment of the Wounded Warrior who has Sustained a TBI.
- Outcomes of Blast Induced Injury
- Assessment of Traumatic Brain Injury
- TBI Evaluation and Treatment in the Veteran Population
Continuing Education Units: 1 Hour
- Describe the tools for classifying the severity of brain injury in the wounded warrior.
- Discuss the initial evaluation of TBI in the field: compare and contrast this with evaluation of mild TBI in the civilian population.
- Discuss the limitations of the battlefield assessment of TBI.
- Describe the factors that may complicate the assessment of TBI in the wounded warrior (i.e. PTSD, poly-traumatic injury).
- Recognize common medical problems in the post-acute phase of TBI in the wounded warrior.
- Identify common medical complications seen in the acute recovery period after TBI: compare and contrast civilian versus military individuals.
- Discuss the recommend evaluation of TBI in the non-acute patient.
C1-U3: Evidence-Based Management of the Wounded Warrior who has Sustained a Traumatic Brain Injury.
- Post-Concussion Syndrome
- Traumatic Brain Injury and Co-Occurring Disorder
Continuing Education Units: 1 Hour
- Discuss the guidelines for the treatment of TBI within the military health care system.
- Discuss the time related recovery paths of TBI recovery.
- Discuss the common scales used to track cognitive recovery.
- Discuss the typical course of recovery in TBI: compare and contrast the wounded warrior and civilian patient.
- Describe the benefits of interprofessional rehabilitation after TBI in the wounded warrior.
- Discuss a framework for intervention with post-acute medical manifestations in the wounded warrior with TBI.
- Discuss the recommendations for treatment (pharmacologic and non-pharmacologic) of post-concussion syndrome in the wounded warrior.
- Recognize indications and contraindications for pharmacological interventions for TBI.
Page last modified April 22, 2013