Post Concussive Symptoms in Undiagnosed Mild Traumatic Brain Injury Patients Evaluated in the Emergency Department and Released

2.50
Hdl Handle:
http://hdl.handle.net/10755/162595
Type:
Presentation
Title:
Post Concussive Symptoms in Undiagnosed Mild Traumatic Brain Injury Patients Evaluated in the Emergency Department and Released
Abstract:
Post Concussive Symptoms in Undiagnosed Mild Traumatic Brain Injury Patients Evaluated in the Emergency Department and Released
Conference Sponsor:Emergency Nurses Association
Conference Year:1995
Author:Cohen, S.
Contact Address:, Denver, CO, USA
Co-Authors:Lee Hemminger
The purpose of this clinical project was to quantitate the number of missed mild traumatic brain injuries in blunt trauma patients evaluated in the emergency department and discharged. Mild traumatic brain injury is difficult to recognize at the time of injury because symptoms are vague or absent. However, a wide range of symptoms may develop days to weeks after the initial injury and have been documented as post concussive symptoms. The presence of these symptoms in patients with a history of this type of trauma may indicate that a minor to moderate injury to the brain had occurred. By recognizing patients at risk for post concussive symptoms, the emergency nurse can provide patient education and anticipatory guidance at the time of the initial injury. The patients evaluated in this project had presented to the ED of a regional Level I Trauma Center which sees approximately 40,000 patients a year. A two month period was selected to prospectively review all blunt trauma patients seen in the ED who had not been diagnosed with traumatic brain injury. Patients selected for the review met the following criteria: (1) a complaint related to a blunt mechanism of injury, (2) greater than 6 years of age, (3) seen and discharged from the ED, (4) English or Spanish speaking, (5) injury less than 12 hours old at the time of presentation, and (6) the availability of a phone number to facilitate follow up. Preliminary findings showed that approximately 18% to 25% of all patients followed in the project had one or more post concussive symptoms, yet were never diagnosed with traumatic brain injury in the ED or discharged with adequate instruction related to traumatic brain injury. The clinical project demonstrated that more traumatic brain injury with post concussive symptoms occurs after blunt mechanism of injury than previously recognized. The nursing staff will use this information to revisit the discharge instructions give to patients with diagnosed traumatic brain injury. The criteria for providing patient education to patients without the written diagnosis of traumatic brain injury who have sustained trauma from a blunt mechanism of injury will also be evaluated and expanded in order to improve care for these patients. [Clinical Poster Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePost Concussive Symptoms in Undiagnosed Mild Traumatic Brain Injury Patients Evaluated in the Emergency Department and Releaseden_GB
dc.identifier.urihttp://hdl.handle.net/10755/162595-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Post Concussive Symptoms in Undiagnosed Mild Traumatic Brain Injury Patients Evaluated in the Emergency Department and Released</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1995</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Cohen, S.</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">, Denver, CO, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">res@ena.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Lee Hemminger</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this clinical project was to quantitate the number of missed mild traumatic brain injuries in blunt trauma patients evaluated in the emergency department and discharged. Mild traumatic brain injury is difficult to recognize at the time of injury because symptoms are vague or absent. However, a wide range of symptoms may develop days to weeks after the initial injury and have been documented as post concussive symptoms. The presence of these symptoms in patients with a history of this type of trauma may indicate that a minor to moderate injury to the brain had occurred. By recognizing patients at risk for post concussive symptoms, the emergency nurse can provide patient education and anticipatory guidance at the time of the initial injury. The patients evaluated in this project had presented to the ED of a regional Level I Trauma Center which sees approximately 40,000 patients a year. A two month period was selected to prospectively review all blunt trauma patients seen in the ED who had not been diagnosed with traumatic brain injury. Patients selected for the review met the following criteria: (1) a complaint related to a blunt mechanism of injury, (2) greater than 6 years of age, (3) seen and discharged from the ED, (4) English or Spanish speaking, (5) injury less than 12 hours old at the time of presentation, and (6) the availability of a phone number to facilitate follow up. Preliminary findings showed that approximately 18% to 25% of all patients followed in the project had one or more post concussive symptoms, yet were never diagnosed with traumatic brain injury in the ED or discharged with adequate instruction related to traumatic brain injury. The clinical project demonstrated that more traumatic brain injury with post concussive symptoms occurs after blunt mechanism of injury than previously recognized. The nursing staff will use this information to revisit the discharge instructions give to patients with diagnosed traumatic brain injury. The criteria for providing patient education to patients without the written diagnosis of traumatic brain injury who have sustained trauma from a blunt mechanism of injury will also be evaluated and expanded in order to improve care for these patients. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:30:50Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:30:50Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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