An injury to the brain that is not hereditary, congenital,
Acute Brain Injury
degenerative, or induced by birth trauma
An alteration in brain function, or other evidence of
brain pathology, caused by an external force
Traumatic Brain Injury 2 Mechanisms
*trauma impact
* traumatic inertial forces
Lack of O2, decreased nutrients to cells, exposure to
Non-traumatic brain injury toxins, pressure from tumor or blockage or other
neuro disorder
2nd most prevalent disability in U. S.
ABI Prevalence
* 13.5 million Americans
* non-accidental trauma cause of 80% of deaths in
children under 2yo
Children & TBI
* 2/3 of children under 3yo that are abused have TBIs
*falls cause 1/2 of TBI in 0-14yo
67% of women in domestic violence had TBI
domestic violence
symptoms
, *concussion
*LOC > 30 min
*loss of memory >24hrs
Mild TBI
*CGS 13-15
*normal CT or MRI
*any AMS at time of incident
*LOC up to 24hrs
*neuro signs of brain trauma
Moderate TBI
* CGS 9-12
*may have focal findings on CT
*LOC <24hrs
Severe TBI
*GCS 3-8
ACE - acute concussion eval
HELPS
WARCAT - warrior administered retrospective
Screens for TBI casualty assessment tool
TBIQ - traumatic brain injury questionnaire
ImPACT
OSU TBI ID
The non-profit organization that assists healthcare
JCAHO (Joint Commission) facilities by providing accreditation
3 year award
CARF (Rehabilitation The Organization that oversees the accreditation of
Accreditation brain injury programs
Commission) 3 year award
Federal Legislation
"To expand efforts to identify methods of preventing
TBI, to expand biomedical research efforts or to
TBI Act of 1996
minimize the severity of dysfunction as a result of such
an injury, and to improve the delivery & quality of
services through the State Demonstration projects."
HRSA - Health Resources Money to states to improve integration services,
Services Administration establish policy & procedure financial support
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