1. Julie Minich-Castro MSN, RNC, ANP-C, FNP-C
Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About
Presentation by
Julie Minich-Castro
MSN, RNC, ANP-C, FNP-C

2. Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About
Learning Objectives
Recognize fundamentals of Traumatic Brain Injury in the Military
Identify the screening tools used in the military for post- deployment TBI evaluation
Understand the impact of TBI with Post Traumatic Stress Disorder
Recognize the impact of TBI on family, employment and the demands of the military
Understand the mission of the National Intrepid Center of Excellence (NICoE)-Military TBI Rehabilitation mission

3. Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About
Quick Review
Active Duty VS Reserve Care
Post-deployment-Automated Neuropsychological Assessment Metrics (ANAM)-big words and great screening tool!
Impact of Brain Injury with PTSD
Influence of Brain Injury
National Intrepid Center of Excellence (NICoE)-Military TBI Rehabilitation mission

4. Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About
1. Quick Review
TBI terms and Military acronym’s
Acquired brain injury VS Traumatic Brain Injury
Traumatic Brain Injury –severity, mechanisms, causes
Defense and Veterans Brain Injury Center (DVBIC) incidence
Manifestations of TBI
Post-concussion symptoms/syndrome
Evaluation-Military Acute Concussion Evaluation (MACE), physical assessment, imaging, neuropsychological testing, vestibular, optometric
Differential diagnosis –Military Malingering, Addiction, Depression, Stress Disorder, Somatization

5. Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About
 2. Active Duty VS Reserve Care

6. Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About
 3. Post-deployment:
Automated Neuropsychological Assessment Metrics (ANAM). Big words and great screening tool!

7. Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About
4.  Impact of Brain Injury with PTSD:
Psychological
Physical
Self-image

8. Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About
5. Influence of Brain Injury:
Children
Marriage
Extended Family
Military Demands-work
Social activities

9. Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About
6. National Intrepid Center of Excellence (NICoE)- Military mTBI Rehabilitation Mission.

10. Traumatic Brain Injury (mTBI) Military Matters and What We Don’t Talk About
References
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Ford, J. H., 2nd, Wise, M., Krahn, D., Oliver, K. A., Hall, C., & Sayer, N. (2014). Family care map: Sustaining family-centered care in Polytrauma Rehabilitation Centers. J Rehabil Res Dev, 51(8), doi: /jrrd
Haran, F. J., Alphonso, A. L., Creason, A., Campbell, J. S., Johnson, D., Young, E., & Tsao, J. W. (2015). Reliable Change Estimat
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Mac Donald, C. L., Johnson, A. M., Wierzechowski, L., Kassner, E., Stewart, T., Nelson, E. C., Brody, D. L. (2014). Prospectively assessed clinical outcomes in concussive blast vs nonblast traumatic brain injury among evacuated US military personnel. JAMA Neurol, 71(8), doi: /jamaneurol
Marion, D., Lattimore, T. B., & Helmick, K. M. (2015). The Military Acute Concussion Evaluation (MACE) is time sensitive. J Trauma Acute Care Surg. doi: /ta
McCrea, M., Guskiewicz, K., Doncevic, S., Helmick, K., Kennedy, J., Boyd, C., Jaffee, M. (2014). Day of injury cognitive performance on the Military Acute Concussion Evaluation (MACE) by U.S. military service members in OEF/OIF. Mil Med, 179(9), doi: /milmed-d
Quinlan, J. D., Guaron, M. R., Deschere, B. R., & Stephens, M. B. (2010). Care of the returning veteran. Am Fam Physician, 82(1),
Riley, G. A., & Hagger, B. F. (2015). Disclosure of a stigmatized identity: A qualitative study of the reasons why people choose to tell or not tell others about their traumatic brain injury. Brain Inj, 29(12), doi: /
Sobin, L., Kopp, R., Walsh, R., Kellman, R. M., & Harris, T. (2016). Incidence of Concussion in Patients With Isolated Mandible Fractures. JAMA Facial Plast Surg, 18(1), doi: /jamafacial
Sours, C., Zhuo, J., Roys, S., Shanmuganathan, K., & Gullapalli, R. P. (2015). Disruptions in Resting State Functional Connectivity and Cerebral Blood Flow in Mild Traumatic Brain Injury Patients. PLoS One, 10(8), e doi: /journal.pone
Stone, M. E., Jr., Safadjou, S., Farber, B., Velazco, N., Man, J., Reddy, S. H., Teperman, S. (2015). Utility of the Military Acute Concussion Evaluation as a screening tool for mild traumatic brain injury in a civilian trauma population. J Trauma Acute Care Surg, 79(1), doi: /ta
Thompson, J. M., Scott, K. C., & Dubinsky, L. (2008). Battlefield brain: unexplained symptoms and blast-related mild traumatic brain injury. Can Fam Physician, 54(11),
Tiar, A. M., & Dumas, J. E. (2015). Impact of parental acquired brain injury on children: Review of the literature and conceptual model. Brain Inj, 29(9), doi: /