Steven Bretow, DC

Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, An in-depth understanding of the protocols in triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community.

An extensive understanding of the injured with clinically coordinating the history, physical findings and when to integrate neurodiagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of "risk factors" in spinal injury.

Crash Dynamics and Its Relationship to Causality, An extensive understanding of the physics involved in the transference of energy from the bullet car to the target car. This includes G's of force, newtons, gravity, energy, skid marks, crumple zones, spring factors, event data recorder and the graphing of the movement of the vehicle before, during and after the crash. Determining the clinical correlation of forces and bodily injury. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

Neurodiagnostic Testing Protocols, Physiology and Indications for the Trauma Patient, Electromyography (EMG), Nerve Conduction Velocity (NCV), Somato Sensory Evoked Potential (SSEP), Visual Evoked Potential (VEP), Brain Stem Auditory Evoked Potential (BAER) and Visual-Electronystagmosgraphy (V-ENG) interpretation, protocols and clinical indications for the trauma patient.

Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-9 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare.

Documenting Clinically Correlated Bodily Injury to Causality, Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm.

Orthopedic Testing: Principles, Clinical Application and Triage, Integration of orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae.

Orthopedic Testing: Cervical Spine, Integration of cervical orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae.

Orthopedic Testing: Cervical Spine, Integration of cervical orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae.

Orthopedic Testing: Lumbar Spine, Integration of lumbar orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae.

Orthopedic Testing: Clinical Grand Rounds, how to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. How to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process.

Documentation, MRI Necessity and Trends in Spinal Treatment Protocols, Correlating history and a thorough clinical evaluation in determining the necessity for x-ray and MRI evaluations in the trauma and non-trauma patient. Considering whole spine patho-biomechanics in formulating treatment plans and long-term supportive care. Documentation requirements in transitioning from telemedicine to in-office care.

Accident Reconstruction: Terms, Concepts and Definitions, The forces in physics that prevail in accidents to cause bodily injury. Quantifying the force coefficients of vehicle mass and force vectors that can be translated to the occupant and subsequently cause serious injury.

Accident Reconstruction: Causality, Bodily Injury, Negative Acceleration Forces, Crumple Zones and Critical Documentation, Factors that cause negative acceleration to zero and the subsequent forces created for the vehicle that get translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors and the legal profession in reconstructing an accident.

Accident Reconstruction: Skid Marks, Time, Distance, Velocity, Speed Formulas and Road Surfaces, The mathematical calculations necessary utilizing time, distance, speed, coefficients of friction and acceleration in reconstructing an accident. The application of the critical documentation acquired from an accident site.

Accident Reconstruction: Research, Causality and Bodily Injury, Delta V issues correlated to injury and mortality, side impact crashes and severity of injuries, event data recorder reports correlated to injury, frontal impact kinematics, crash injury metrics with many variables and inquiries related to head restraints.

MRI, Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient, MRI interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient. - Kansas City,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

Chiropractors Triaging the Trauma and Non-Trauma Patients, Correlating clinical findings and the patient history in determining the correct course of care in triaging the patient utilizing orthopedic and neurological evaluations in the clinical setting. Understanding the parameters for immediate referrals vs. following the continuum of care to determine the necessity for referrals.

This course examines cinincal decision making in reference to MRIs. Also discusses scientific evaluation of Positional Weight Bearing (pwb) MRI and where it is best utilized.

An anatomical survey of causes of lower back pain with multiple approaches. Specializing in exercise rehabilitation.

An anatomical survey of the shoulder with therapeutic approaches for rehabilitation.

Review Signs and Symptoms of Concussion and the physics of Concussion. Best Testing and Utilizing the test results for optimal treatment approach

How to insure compliance with Insurance Codes as it applies to Chiropractic with an emphasis on examination codes.

This is an advanced course on the latest developments and advancement in neurology for diagnosing and treating disease.

Documentation, MRI Necessity and Trends in Spinal Treatment Protocols, Correlating history and a thorough clinical evaluation in determining the necessity for x-ray and MRI evaluations in the trauma and non-trauma patient. Considering whole spine patho-biomechanics in formulating treatment plans and long-term supportive care. Documentation requirements in transitioning from telemedicine to in-office care

This course is designed to cover the most frequently billed codes used in Chiropractic offices throughout the United States. Provides tools and resources that can be used to conduct audits of Evaluation and Management codes to determine that documentation supports the correct use of these codes.

Triaging the Trauma and Non-Trauma Patients, Correlating clinical findings and the patient history in determining the correct course of care in triaging the patient utilizing orthopedic and neurological evaluations in the clinical setting. Understanding the parameters for immediate referrals vs. following the continuum of care to determine the necessity for referrals

The morphological, physiological and functional changes that are caused by whiplash injuries.

In depth discussion of Traumatic Brain Injury and Concussion especially as it relates to motor vehicle accidents.

Principles of Chiropractic in traumatic conditions. Proper treatment, triage, and working within the Colossus model.

All the elements necessary to compile an excellent history in a whiplash accident. Necessary elements of a Physical Examination.

A course devoted to traumatic injuries; including anatomy review,causes, treatments and rehabilitation

Brain, neck, lower back trauma mechanisms from motor vehicle accidents. Case management of traumatic injuries. Ethics of treatment and triage of accident victims.

This course reviewed the anatomy, diagnosis, treatment and rehabilitation of knee injuries. Discussion of new methods of diagnosis and treatment.

Examination, Treatment and Prognosis in the care of Upper Extremity Injuries. Proper technique in Shoulder Manipulations.

Review the anatomy, manipulation, soft tissue treatment and contraindications to treating the rib cage and thoracic spine.

We reviewed Ethical Practice Standards, Scope of Practice andChiropractic Guidelines

We reviewed Ethical Practice Standards, Scope of Practice andChiropractic Guidelines

Gentle adjustive techniques and when to apply them, thoracic spine and rib cage. Review of Anatomy and contraindications.

The use of the most scientifically validated adjusting tool in Chiropractic. Techniques useful for inflammatory conditions where manual manipulation is too aggressive

Learned auxiliary techniques for patients to enhance Chiropractic treatment with rehabilitation exercises to accompany and potentiate treatment.

Successful approaches to soft tissue injuries and rehabilitation exercises.

The use of the most scientifically validated adjusting tool in Chiropractic. Techniques useful for inflammatory conditions where manual manipulation is too aggressive.

Perfecting Chiropractic Techniques on the shoulder, arm, elbow, wrist and hand w

Update of Sports medicine; rehab of shoulders, knees and hips.

A gentle chiropractic method focusing on balancing the body's energy systems akin to acupuncture.

Training in being a primary care position and all that entails including triage, when to refer, etc.