September 20, 2011: Reducing Severe Traumatic Brain Injury in the U.S.
Lisa C. McGuire, PhD, David W. Wright, MD, Arthur Kellermann, MD, MPH, Tanja Popovic, M.D., Ph.D., Shane Joiner
Centers for Disease Control and Prevention, Washington D.C.
Table of Contents
Reducing Severe Traumatic Brain Injury in the United States
0:02:48
Continuing Education Credits Course Code: PHGR10
0:03:11
CDC Grand Rounds Viewers
0:04:43
It's About Practice
0:05:52
It's All About YOU!!!
0:05:53
What Is a Traumatic Brain Injury (TBI)?
0:09:41
Public Health Burden of TBI in the United States: Approximately 1.7M TBIs Annually
0:10:11
Public Health Burden of TBI in the United States
0:10:42
Estimated Economic Costs of TBI
0:11:12
Causes of TBIs
0:11:46
Classifications of Traumatic Brain Injuries
0:13:30
Why Focus on Severe TBI?
0:13:45
Potential Consequences of Non-fatal Severe TBI
0:14:19
Primary Prevention of Severe TBI
0:15:19
Early Management of Severe TBI
0:16:26
Rehabilitation and Reintegration. A Comprehensive Approach.
0:17:24
Public Health Role in Addressing Severe TBI
0:18:32
Surveillance. Challenges and Way Forward.
0:18:51
Early Management
0:20:30
Rehabilitation and Community Integration
0:20:53
Public Health Role in Addressing Severe TBI. Importance of Partnerships.
0:21:29
Overview
0:22:55
Secondary Injury. Neurotoxic Cascade.
0:23:11
Neurotoxic Cascade after TBI
0:24:06
Failure of Past TBI Clinical Trials
0:24:35
Clinical Research Gaps
0:25:10
Research Gap: TBI Definition
0:25:13
TBI is a Heterogenous Disease
0:26:01
Research Gap: Developing Treatment
0:26:45
Multifaceted Approach
0:27:15
Lack of Evidence for Current Approach
0:27:33
Brain Trauma Foundation Guidelines
0:28:11
Hiding in Plain Sight: Progesterone is a Promising Treatment
0:29:05
Where Would We Be Without CDC?
0:30:03
Early Observations
0:30:48
Potential Mechanisms in TBI
0:31:17
Corroborative Research
0:31:38
Key Findings: Progesterone Was Safe
0:32:36
ProTECT III
0:32:51
Way Forward
0:33:17
A "Winnable Battle"
0:36:10
Driver Education: Ineffective
0:36:41
Public Education: Largely Ineffective
0:37:57
High-Visibility Enforcement: Effective
0:38:39
Primary Enforcement: More Effective than Secondary Enforcement
0:38:58
Alcohol-Impaired Driving: An Ongoing Challenge
0:39:44
Graduated Drivers Licensing (GDL) Laws: Effective
0:40:53
Motorcycle Helmet Laws: Effective
0:42:11
Safety Engineering: Effective
0:43:18
Built to Protect...
0:43:41
Economic Incentives: Effective
0:44:50
Policy Challenges in Acute Care and Rehabilitation
0:45:13
Policy Gaps
0:45:43
Policy Challenges
0:46:52
We Are Winning This Battle!
0:46:57
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    Brief Description
 
This session of CDC’s Public Health Grand Rounds addresses traumatic brain injury (TBI) challenges and explores promising policies, guidelines, and interventions such as progesterone treatments to further reduce the severity and number of cases of traumatic brain injury in the U.S.
 
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Sep 26, 2011 820 VA:09:22:6539:2011
 
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