Wayne Hansen, DC CCSP

Signs and symptoms of a concussion or mild traumatic brain injury (mTBI) sustained during military service (while deployed and stateside), including the most common presenting symptoms Diagnostic criteria for concussion/mTBI and key information to elicit during a patient interview when military concussion/mTBI is suspected Prognosis for patients with concussion/mTBI Best practice treatments for the most common signs and symptoms of concussion/mTBI Resources for patients with concussion/mTBI and their families that provide useful information about concussion/mTBI and recovery.

The goal of this activity is to increase knowledge on the multiple uses of gepants for the management of migraine.

A review and update of techniques and topics pertaining to the practice of clinical neurophysiology in the evaluation and diagnosis of a variety of neurologic disorders. The course focuses on techniques and pitfalls, along with clinical correlation of various neurophysiological tests used for the evaluation of patients with peripheral nerve and neuromuscular disorders, epilepsy, central nervous system disorders, and sleep disorders. The areas of neurophysiology include: basic physiology; central and peripheral nervous system pathophysiology; nerve conduction studies techniques and interpretation, needle EMG technique and interpretation, EEG interpretation; evoked potentials; sleep disorders evaluation, and intraoperative monitoring.

Overview of ERP collection and interpretation.

Purpose of the registry is to confirm a minimum level of knowledge regarding the management of concussed individuals.

Review of MRI, CT and plain film studies. Review of new technologies and the use of those in practice.

Review of Platelet Rich Plasma (PRP) injections. Review of indications and contraindications. Review of studies for evidence based use of PRP. Hands on instruction.

Different aspects of brain physiology have different patterns of long-term recovery at 1 year after RTP postconcussion, based on a longitudinal, multimodal MRI study in young athletes.

The goal of this activity is to educate clinicians about the appropriate use of nonsteroidal anti-inflammatory drugs (NSAIDs) in the emergency department (ED) and urgent care settings for pain management.

a case review of traumatically induced cervical spine traumatic bulge of the intervertebral disc with concomitant grade 2 ligament injury was presented. Detailed anatomy and morphological presentation of normal and degenerative intervertebral disc presentation was demonstrated and reviewed. Review of morphological differences between disc bulge, disc herniation and disc protrusion was presented. Grade 1, Grade 2 and Grade 3 ligamentous sprains were reviewed and discussed. Radiographic analysis and objectification of grade 2 sprain was presented and its correlation to the AMA Guides to the Evaluation of Permanent Impairment 5th edition was reviewed. Interprofessional communication both verbally and through proper evidence-based documentation was emphasized and discussed.

Adapting cognitive processing therapy to treat co-occurring posttraumatic stress disorder and mild traumatic brain injury. Taught by Andrew J. Smith, PhD.

Imaging findings after traumatic hip dislocations. Different surgical options based on evidence. Surgical and non-surgical options for traumatic injuries. Taught by Travis Maak, MD.

Rehabilitation and treatment for vestibular injuries. Hands-on instruction and demonstration of techniques. Taught by Amber Donaldson, DPT, M Physio, SCS, CSCS®.

Review of case studies. Demonstration of manipulation techniques. Evidence based methods of treatment. Taught by Greg Bauer, DC & Perry Williams, DC.

Review of cases. Review of imaging techniques. Included MRI, Plain Film and CT images. Taught by Beverly Harger, DC, DACBR.

Certified in sport related treatment and diagnosis. Expertise in soft tissue and extremity treatment and diagnosis.

Basic EMT

Case study presentation outlining risk factors for increased injury susceptibility including prior surgical fusion. Comparison between MRI and plain film radiographic objective data was outlined and presented. Importance of interprofessional communication and review of prior medical records. Analysis of spinal compression fracture and surgical hardware was outlined.

An evidence-based understanding of time-related etiology of disc pathology considering the American Society of Neuroradiology's designation of protrusion, extrusion, and sequestration of spinal discs, Considering the signal intensity of discs in age-dating pathology and acquisition protocols for advanced spinal imaging.

A Literature Perspective, An evidenced-based model for spinal biomechanical engineering and pathobiomechanics considering the pathophysiological limits in translations, angular deviation, and rotational planes. Utilizing the Cartesian system in plotting vertebral points to demonstratively conclude an accurate diagnosis, prognosis and biomechanical treatment plan with the consideration of long-term care in the non-specific mechanical spine pain patient when necessary.

Clinical Grand Rounds of herniated, protruded, extruded, sequestered, and bulging discs. Differentially diagnosing vascular vs. mechanical spinal lesions and the necessity for urgent vascular, neurological intervention, Collaborating in a team environment utilizing a neuroradiologist, electrophysiologist, and neurosurgeon with the chiropractor as the primary spine care provider. Academy of Chiropractic

CPT Coding Guidelines for Initial and Established Patients with particular attention paid to Patient History, Review of Systems, Social and Family History, Physical Examination, and Medical Decision making. Specific differences in coding levels and required elements for a 99202-99203-99204-99205.

Using Documentation and Ethical Relationships, Pathways to improve coordination of care, and interprofessional communication with collaborating physicians. Maintaining ethical relationships in the medical-legal community through documentation and communication of demonstrable diagnosis, prognosis and treatment plans.

History of clinical biomechanics with an emphasis on the diagnosis and management of spine pain of mechanical/functional origin. Evidence-based symptomatic vs. asymptomatic parameters using peer-reviewed medical index literature. Computerized mensuration analysis of spinal biomechanical pathology. Comparison of demonstrable spinal biomechanical failure on imaging to clinical evaluation and physical examination.

Case reviews utilizing E/M, MRI, and x-ray mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan. Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic dilemmas and proper communication methods.

Module 1: Traumatic Brain Injury and Concussion Overview: This section is an in-depth overview of traumatic brain injury in concussion. It discusses that all brain injuries are traumatic and dispels the myth of a “mild traumatic brain injury.” Also, this covers triage protocols and the potential sequela of patients with traumatic brain injuries. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY Module 2: Head Trauma and Traumatic Brain Injury Part 1: This section discusses gross traumatic brain injuries from trauma and significant bleeding with both epidural and subdural hematomas. There are numerous case studies reviewed inclusive of neurosurgical intervention and postsurgical outcomes. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY Module 3: Head Trauma and Traumatic Brain Injury Part 2: This section continues with multiple case studies of gross traumatic brain injuries from trauma requiring neurosurgical intervention and also discusses recovery sequela based upon the significance of brain trauma. This module also concludes with concussion protocols in traumatic brain injury short of demonstrable bleeding on advanced imaging. Cleveland University, Kansas City, Academy of Chiropractic, Post- Doctoral Division, Long Island, NY Module 4: Concussion And Electroencephalogram Testing: This this section covers concussion etiology and cognitive sequela where gross bleeding has not been identified on advanced imaging. It discusses the significance of electroencephalogram testing in determining brain function and pathology (if present). This module also covers the understanding of waveforms in electroencephalogram testing in both normal and abnormal scenarios. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY Module 5: Concussion And Electroencephalogram Testing Pathological Results: This module covers amplitude, conduction and conduction delays as sequela to traumatic brain injury to diagnose concussion and traumatic brain injury in the absence of gross bleeding and advanced imaging. This section covers electroencephalograms and event-related potentials which measures the brain response that is a direct result of specific sensory or motor events. It is a stereotype electrophysiological response to a stimulus and provides a noninvasive means of evaluating brain function. In this module multiple case studies are discussed with ensuing triage protocols pending the results. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY