4th Annual Concussion Across the Spectrum of Injury: Case Studies and the Latest for Diagnosis and Management Friday, February 24, 2017

Transcription

1 4th Annual Concussion Across the Spectrum of Injury: Case Studies and the Latest for Diagnosis and Management Friday, February 24, 2017 TARGET AUDIENCE Specialists in family medicine, internal medicine, pediatrics, neurology, emergency medicine, orthopaedic surgery, rehabilitation medicine, sports medicine, as well as nurses and other health care providers involved in the diagnosis and/or management of concussions such as physical therapists, occupational therapists, speech language pathologists, psychologists and athletic trainers. COURSE DESCRIPTION Concussion, also known as mild traumatic brain injury (mtbi), is a very common condition in the United States, accounting for 80% of all traumatic brain injuries with as many as 3.8 million injuries occurring yearly from sportrelated events alone, which may be an underestimation of its true incidence. Although the vast majority of individuals with a single concussion recover within days to weeks, a significant minority develop long-term problems which collectively are known as post-concussion syndrome, with recent evidence showing recovery is prolonged in the adolescent population. Recent evidence suggests that repetitive concussions, which are commonly seen in professional sports, can be associated with progressive cognitive, psychiatric and motor degeneration, which has recently been termed chronic traumatic encephalopathy. Although rare, second-impact syndrome is a catastrophic condition that can occur in adolescents and children who sustain a second concussion prior to recovering from a previous injury, typically resulting in death or severe disability. The body of literature about concussion is constantly changing and expanding and an annual medical conference is the perfect avenue by which to update medical professionals about these changes. These physicians and clinicians are responsible for returning these patients to school, play, work and all life activities and will benefit from updates that have been made in the literature over the past year. Clinicians will benefit from learning how to manage the sports and nonsports related concussion with many concussions occurring due to falls, motor vehicle accidents, assaults and military injuries. This full one-day course will include: addressing clinical assessment and management; emerging neuroimaging technologies to study and better understand concussion; advances in the research related to CTE; endocrine dysfunction in concussion; advances in the role vision plays in concussion; neuroplasticity of the developing brain and the effects of concussion; current research about active rehabilitation and getting patients back to life; the challenges of patients who are slow to recover; on field and training room experience; rehab treatment including assessment and treatment of cervical injuries in concussion; among other important topics in related to all concussion. It will provide practical clinical information that may be easily translated to practice. The course will consist of a series of didactic lectures. STATEMENT OF NEED Physicians and other clinicians need to: be familiar with signs and symptoms of concussion in order to identify injured patients; know when and when not to clear patients with suspected concussion to return to school, sporting and work/life activities; know when and to whom to refer patients with persistent concussion symptoms; and be familiar with how psychology groups are effective for patients with prolonged symptoms. Further physicians and other clinicians treating concussion patients need to be aware of the limitations of standard neuroimaging technologies regarding diagnosis and prognosis of concussion and advances that have been made in the field, and the advances in treating headaches in the population of patients with concussions- both pediatric and adult. Lastly these physicians and clinicians need to understand the cervical injuries that occur as a result of concussion and how to assess and manage them, understand the potential role of the pituitary gland in patients

2 with concussion, and understand the new technologic tools being offered for diagnosis and treatment and how to determine the usefulness of each. EDUCATIONAL OBJECTIVES After participating in this activity, clinicians should be able to: Obtain an appropriate history and physical examination to diagnose and/or recognize concussion in pediatric and adult patients Provide clear instructions to patients regarding return to school, sport and work/life activities following a concussion Identify chronic post-concussion problems and determine which patients to treat or refer to other health care professionals for additional treatments Determine how psychology groups are helpful to the population of patients with prolonged cognitive involvement and who is appropriate to refer to such groups Describe the utility and limitations of standard neuroimaging technologies in diagnosing and management patients with concussion Describe the advances made in the realm of treating headaches related to concussion Describe how to assess and treat cervical injuries resulting from concussion Identify potential pituitary gland dysfunction and perform appropriate testing or make appropriate referral Describe the tools and their appropriate use CME ACCREDITATION STATEMENT The NYU Post-Graduate Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CME CREDIT DESIGNATION STATEMENT The NYU Post-Graduate Medical School designates this live activity for a maximum of 7.50 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. NURSING CREDIT This program has been approved for 7.5 continuing nursing education contact hours. The NYU Meyers College of Nursing Center for Continuing Education in Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. PHYSICAL THERAPY CREDIT NYU Hospitals Center is a New York State Education Department approved provider for physical therapy and physical therapy assistant continuing education. This course is approved for a maximum of 7.50 physical therapy/physical therapy assistant contact hours (0.75 CEUs).

3 OCCUPATIONAL THERAPY CREDIT This course is approved for a maximum of 7.50 occupational therapy contact hours (0.75 CEUs). The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Level: Introductory Classification Code: Intervention BOC APPROVED PROVIDER STATEMENT NYU Hospitals Center is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. This program has been approved for a maximum of 7.20 hours of Category A continuing education. Certified Athletic Trainers are responsible for claiming only those hours actually spent participating in the continuing education activity. BOC Approved Provider Number: P2540 DISCLOSURE STATEMENT The NYU Post-Graduate Medical School adheres to the ACCME accreditation requirements and policies, including the Standards for Commercial Support, regarding industry support of continuing medical education. In order to resolve any identified Conflicts of Interest, disclosure information is provided during the planning process to ensure resolution of any identified conflicts. Disclosure of faculty and commercial relationships as well as the discussion of unlabeled or unapproved use of any drug, device or procedure by the faculty is listed on the following pages. MISSION STATEMENT The NYU Post-Graduate Medical School is committed to training physicians to provide excellent care of patients through life-long continuing medical education of the highest quality. Our overall goal is to enhance clinical competence and performance, and, where possible, improve patient outcomes.

4 NYU Post-Graduate Medical School FULL DISCLOSURE POLICY 4TH ANNUAL CONCUSSION ACROSS THE SPECTRUM OF INJURY: CASE STUDIES AND THE LATEST IN DIAGNOSIS AND MANAGEMENT February 24, 2017 It is the policy of the NYU Post Graduate Medical School to insure balance, independence, objectivity, and scientific rigor in all its directly provided or jointly provided activities. Because CME activities are conducted in the public interest, it is important to assure the public that education received by physicians and other health care professionals through whom patient care decisions are made is conducted with the highest integrity, scientific objectivity and in the absence of bias. A conflict of interest exists when individuals have both a relevant financial relationship with a commercial interest and the opportunity to affect the content of CME about the product or services of that commercial interest. The Accreditation Council for Continuing Medical Education (ACCME) holds providers of CME responsible for collecting information from its instructors, planners and managers of CME content and resolving those conflicts prior to the commencement of the CME activity. The intent of the conflict of interest resolution process is to assure that provider, faculty and planner relevant financial relationships with commercial interests and resultant loyalties do not supersede the public interest in the design and delivery of continuing medical education activities for the profession. The following have indicated whether they have received financial support for consultation, research or evaluation, have a financial interest relative to their presentation or will include the discussion of the unlabeled or unapproved use of a drug, device or procedure: Prin X. Amorapanth, MD, PhD- Presenter reports no relevant financial relationships Laura Balcer, MD, MSCE Planner and Presenter reports no relevant financial relationships. William B. Barr, PhD, ABPP- Presenter reports no relevant financial relationships Michael B. Cao, PsyD - Presenter reports no relevant financial relationships Dennis A. Cardone, DO Planner and Moderator reports no relevant financial relationships. Tara V. Denham, PT, MA- Presenter reports no relevant financial relationships Steven Flanagan, MD Planner and Presenter reports no relevant financial relationships. Christopher C. Giza, MD Presenter reports no relevant financial relationships Brian W. Hainline, MD- Presenter reports no relevant financial relationships Mark Herceg, PhD- Presenter reports no relevant financial relationships

5 Neera Kapoor, OD, MS- Presenter reports no relevant financial relationships John J., Leddy, MD- Presenter reports no relevant financial relationships Elizabeth Martori, MS, OTL Planner reports no relevant financial relationships. Mia R. Palazzo, PT, DPT, OCS, Cert. MDT- Presenter reports no relevant financial relationships Maurizio Porfiri, PhD - Presenter reports no relevant financial relationships John-Ross Rizzo, MD - Presenter reports no relevant financial relationships Arlene Silverio, MD- Presenter reports no relevant financial relationships Mara F. Sproul, MPA, CRRN, RN-BC Planner and Presenter reports no relevant financial relationships. Robert A. Stern, PhD- Presenter reports no relevant financial relationships Dr. Stern s presentation or will include the discussion of the unlabeled or unapproved use of experimental PET ligands (including AVID s AV-1451) Nikki Webb, MS, ATC- Presenter reports no relevant financial relationships Wexler, Tamara - Presenter reports no relevant financial relationships Holly A. Cohen, OTR/L, ATP, SCEM, OCS Planner reports no relevant financial relationships. Mattia Gilmartin, RN, PhD Planner reports no relevant financial relationships. Danielle Milbauer, MBA, CHCP Planner reports no relevant financial relationships. Geraldine Pagnotta, MPT, MPH Planner reports no relevant financial relationships. Thomas S. Riles, MD Planner reports no relevant financial relationships. The independent reviewer of this activity reports no relevant financial relationships.