Traumatic Brain Injury (mTBI) in the Military Populace Presentation by Julie Minich-Castro MSN, RNC, ANP-C, FNP-C

Traumatic Brain Injury (mTBI) in the Military Populace Learning Objectives Differentiate Traumatic Brain Injury: -Symptoms -Severity levels -Types of TBI -Conditions often associated with TBI Demonstrate Understanding of the Traumatic Brain Injury evaluation: -Neuropsychological-cognitive deficits -Vestibular Neuro-optometric Identify post-concussion treatment of mild TBI

Traumatic Brain Injury (mTBI) in the Military Populace Outline 1. Review of TBI terms and Military acronym’s 2. Acquired brain injury VS Traumatic Brain Injury 3. Traumatic Brain Injury 4. Military specific TBI: 5. Incidence of TBI in military population-Defense and Veterans Brain Injury Center (DVBIC) 6. Manifestations of TBI 7. Post-concussion: 8. Evaluation-Military Acute Concussion Evaluation (MACE), physical assessment, imaging, neuropsychological testing, vestibular, optometric 9. Differential diagnosis –Military Malingering, Addiction, Depression, Stress Disorder, Somatization 10. DVBIC Tools and Recommendations 11. Long term care VS return to duty 12. Overlap of symptoms with PTSD

Traumatic Brain Injury (mTBI) in the Military Populace 1. Review of TBI terms and Military acronym’s

Traumatic Brain Injury (mTBI) in the Military Populace 2. Acquired brain injury VS Traumatic Brain Injury

Traumatic Brain Injury (mTBI) in the Military Populace 3. Traumatic Brain Injury Explanation Severity Classification Mechanisms of injury Epidemiology Causes Penetrating injury VS closed head trauma

Traumatic Brain Injury (mTBI) in the Military Populace 4. Military specific TBI: Blast-Combat Jump (Parachute) Combatives (Training)

Traumatic Brain Injury (mTBI) in the Military Populace 5. Incidence of TBI in military population-Defense and Veterans Brain Injury Center (DVBIC)

Traumatic Brain Injury (mTBI) in the Military Populace 6. Manifestations of TBI

Traumatic Brain Injury (mTBI) in the Military Populace 7. Post-concussion:  Symptoms- cognitive, physical impairment, psychologic  Syndrome- gender, substance abuse, age, previous TBI, concurrent illness, psychiatric history

Traumatic Brain Injury (mTBI) in the Military Populace 8. Evaluation-  Military Acute Concussion Evaluation (MACE)  Physical assessment  Imaging  Neuropsychological testing  Vestibular  Optometric

Traumatic Brain Injury (mTBI) in the Military Populace 9.Differential diagnosis – ◦ Military Malingering ◦ Addiction, Depression ◦ Stress Disorder ◦ Somatization

Traumatic Brain Injury (mTBI) in the Military Populace 10. DVBIC Tools and Recommendations Treatment/Rehabilitation-mTBI Patient education Management of symptoms

Traumatic Brain Injury (mTBI) in the Military Populace 11. Long term care VS return to duty

Traumatic Brain Injury (mTBI) in the Military Populace 12. Overlap of symptoms with PTSD

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