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2009 Management of Concussion and Mild Traumatic Brain Injury Clinical Practice Guideline by the VA - Coverage of Veterans Issues, Concussion, Research - Second Edition (Book and CD-ROM)
2009 Management of Concussion and Mild Traumatic Brain Injury Clinical Practice Guideline by the VA Coverage of Veterans Issues Concussion Research Second Edition - Book and CD-ROM Author:Department of Defense This up-to-date and comprehensive electronic book on CD-ROM plus ringbound book provides the best collection available anywhere of reports and documents on traumatic brain injury (TBI), with particular emphasis on military and veterans issues. This extensively researched collection includes material from the medical departments of the Department... more » of Defense (including the DoD Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury and Wounded Warrior Program), Veterans Administration, and CDC. There is extensive coverage of TBI, mild TBI, concussion, post-traumatic stress disorder (PTSD), and blast injuries. Authoritative documents provide detailed and practical information on assessment, symptoms, treatment, management, and much more. VA documents from the Evidence-based Synthesis program (Assessment and Treatment of Individuals with a History of Traumatic Brain Injury and Post-Traumatic Stress Disorder 2009) and the VA/DoD Evidence-based Practice Series (Management of Concussion and Mild TBI, 2009) are reproduced. The ringbound book is a reproduction of VA/DoD Clinical Practice Guideline for Management of Concussion and Mild Traumatic Brain Injury, March 2009. The incidence of TBI has significantly increased in the patient population of the DoD and VHA as a result of injuries during recent military and combat operations. In the past 8 years, TBI has emerged as a common form of injury in service men and women serving in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF). Although penetrating TBI is typically identified and cared for immediately, mTBI may be missed, particularly in the presence of other more obvious injuries. Due to numerous deployments and the nature of enemy tactics, troops are at risk for sustaining more than one mild brain injury or concussion in a short timeframe. As experience with this condition in OEF and OIF service persons and veterans accumulated, it became clear that screening for possible TBI in OEF and OIF veterans could contribute to ensuring that patients are identified and treatment implemented. In response to this need, VHA established a task force including members with expertise in Physical Medicine and Rehabilitation, Neurology, Psychiatry, Psychology, Primary Care, Prevention, and Medical Informatics to develop a screening tool and evaluation protocol. Although TBI is a significant public health problem, currently there are no validated screening instruments specific to TBI that are accepted for use in clinical practice. Therefore, the task force reviewed existing literature on screening for TBI, examined the efforts of individual military Medical Treatment Facilities (MTF s) and Department of Veterans Affairs (VA) Medical Centers that had implemented TBI screening locally, consulted with the Defense and Veterans Brain Injury Center (DVBIC), and considered data on the natural history of TBI. Based on these efforts, the task force developed a consensus document that included definitions, classification and taxonomy. Contents include Algorithms, Definitions, Classifications, Initial Presentation, Assessment of Symptoms and Severity, Treatment, Symptom Management, Follow-Up, Assessment of Persistent Symptoms, Consultation and Referral, Rehabilitation of Patients with Persistent Post-Concussive Symptoms (PPCS), Treatment of Physical Symptoms (Headache, Dizziness, Fatigue, Sleep Dysfunction, Pain, and others). Also included in this collection is a reproduction of the Veterans Administration (VA) Independent Study Course on Traumatic Brain Injury (TBI). This independent study presents an overview of Traumatic Brain Injury (TBI) issues that Primary Care practitioners may encounter when providing care to veterans and active duty military personnel.« less