. [Net-Gold] RE: Mild Traumatic Brain Injury / Concussions- New Department of Defense Guidelines . Date: Wed, 3 Feb 2010 10:46:05 -0800 From: Lisa Kuipers RN <LKmeddetective@xxxxxxxxxxx> Reply-To: Net-Gold@xxxxxxxxxxxxxxx To: Net-Gold@xxxxxxxxxxxxxxx Subject: [Net-Gold] RE: Mild Traumatic Brain Injury/Concussions- New Department of Defense Guidelines Mild Traumatic Brain Injury/Concussions- New Department of Defense Guidelines Andrew Wilner, MD, Neurology, 07:44PM Jan 22, 2010 Concussions can significantly impact mental, physical, and social well-being. The best evidence on diagnosis and management of mild traumatic brain injury/concussion in adults has been published <http://www.rehab.research.va.gov/jour/09/46/6/contents.html> by the Veterans Administration and Department of Defense (1). The guidelines address diagnosis and management of patients who are evaluated for symptoms at least 7 days after the initial head injury. The well organized and comprehensive document (112 pages) includes definitions, classifications, charts, algorithms, and references. Algorithms address initial presentation, management of symptoms, and follow up of persistent symptoms. A useful structured interview for collecting head trauma event characteristics is included in the Appendix. The authors use the terms "concussion" and "mild traumatic brain injury" interchangeably. A Medscape article describing the document appears here. <http://www.medscape.com/viewarticle/714231> For those who would like to read more, the entire issue of the journal <http://www.rehab.research.va.gov/jour/09/46/6/contents.html> is devoted to the topic. http://boards.medscape.com/forums?128@xxxxxxxxxxxxxxx@.29f95ecb!comment=1 <http://boards.medscape.com/ forums?128@xxxxxxxxxxxxxxx@.29f95ecb!comment=1&cat=All> &cat=All Respectfully, Lisa Kuipers RN Nurse Consultant Southern California lkmeddetective@xxxxxxxxxxx 661 266 2165 office 661 810 0523 cell [Non-text portions of this message have been removed] .