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Emerging Frontiers in Concussion - Session 2: Concussion Assessment and Clinical Profiles

Doctors Noel Zuckerbraun and Michael Collins present and discuss the latest research on concussions and traumatic brain injuries.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Conceptualize Concussion as a heterogeneous injury
  • Describe clincial subtypes of concussions
  • Improve their ability to interpret baseline and post-concussion assessment data
  • Better identify factors influencing performance during baseline and post-concussion assessment
  • Recognize the complexities of the psychometrics of the “reliability” of concussion assessment measures.
  • Describe challenges to Emergency Department concussion management in youth
  • Discuss and advocate for ED best practice for acute concussion management in youth

Reading Resources:

  1.  Collins, MW et al. Neurosurgery. 2016 Oct 12. Statements of Agreement From the Targeted Evaluation and Active Management (TEAM) Approaches to Treating Concussion Meeting Held in Pittsburgh, October 15-16, 2015
  2. Am J Orthop (Belle Mead NJ). 2016 Sep/Oct;45(6):352-356. Concussions in American Football. Womble MN1, Collins MW
  3. A revised factor structure for the post-concussion symptom scale: baseline and postconcussion factors. Kontos AP, Elbin RJ, Schatz P, Covassin T, Henry L, Pardini J, Collins MW. Am J Sports Med. 2012 Oct;40(10):2375-84
  4. Computer-related anxiety: examining the impact of technology-specific affect on the performance of a computerized neuropsychological assessment measure. Browndyke JN, Albert AL, Malone W, Schatz P, Paul RH, Cohen RA, Tucker KA, Gouvier WD. Appl Neuropsychol. 2002;9(4):210-8
  5. Assessing Symptoms in Adolescents Following Sport-Related Concussion: A Comparison of Four Different Approaches.
  6. Elbin RJ, Knox J, Kegel N, Schatz P, Lowder HB, French J, Burkhart S, Collins MW, Kontos AP. Appl Neuropsychol Child. 2016 Oct-Dec;5(4):294-302. doi: 10.1080/21622965.2015.1077334.
  7. Trends in visits for traumatic brain injury to emergency departments in the United States. Marin JR, Weaver MD, Yealy DM, Mannix RC. JAMA. 2014 May 14;311(18):191
  8. Use of modified acute concussion evaluation tools in the emergency department. Zuckerbraun NS, Atabaki S, Collins MW, Thomas D, Gioia GA. Pediatrics. 2014 Apr;133(4):635-42.
  9. Benefits of strict rest after acute concussion: a randomized controlled trial. Thomas DG, Apps JN, Hoffmann RG, McCrea M, Hammeke T. Pediatrics. 2015 Feb;135(2):213-23.
  10. Clinical Risk Score for Persistent Postconcussion Symptoms Among Children With Acute Concussion in the ED. Zemek R, Barrowman N, Freedman SB, Gravel J, Gagnon I, McGahern C, Aglipay M, Sangha G, Boutis K, Beer D, Craig W, Burns E, Farion KJ, Mikrogianakis A, Barlow K, Dubrovsky AS, Meeuwisse W, Gioia G, Meehan WP 3rd, Beauchamp MH, Kamil Y, Grool AM, Hoshizaki B, Anderson P, Brooks BL, Yeates KO, Vassilyadi M, Klassen T, Keightley M, Richer L, DeMatteo C, Osmond MH; Pediatric Emergency Research Canada (PERC) Concussion Team. JAMA. 2016 Mar 8;315(10):1014-25.

Disclosures:

Dr. Michael Collins has financial interests with the following proprietary entity or entities producing health care goods or services as indicated below:

Stockholder: Impact Applications Inc.

Dr. Noel Zuckerbraun has reported no relevant relationships with proprietary entities producing health care goods or services.

All presenters disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above.  No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (.1) continuing education units (CEU) which are equivalent to 1.0 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at http://ccehs.upmc.edu and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 12/14/16 | Last Modified On: 12/14/16 | Expires: 11/16/2018

TRANSCRIPT-ZUCKERBRAUN

TRANSCRIPT-COLLINS

Presenters

Michael Collins, PhD

Michael Collins, PhD Director, UPMC Sports Medicine Concussion Program
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Noel S. Zuckerbraun, MD, MPH

Noel S. Zuckerbraun, MD, MPH Associate Professor of Pediatrics, Children's Hospital of Pittsburgh of UPMC Fellowship Director, Division of Pediatric Emergency Medicine - See more at: http://www.chp.edu/find-a-doctor/service-providers/noel-zuckerbraun-5214#sthash.TLG1C8CI.dpuf
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