Remembering Advice from the ER After Brain Injury BrainLine

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• Dr. Jeffrey Bazarian Talks About Treatment of TBI in the Emergency Department
  Dr. Jeffrey Bazarian is an emergency physician with a strong research interest in traumatic brain injury. He is associate professor of Emergency Medicine, Neurology, and Neurosurgery at the Center for Neural Development and Disease, University of Rochester Medical Center. This is BrainLine's exclusive interview with Dr. Jeffrey Bazarian recorded on September 26, 2008. Transcript of the video here.
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• Dr. James Kelly Talks About Areas of the Brain Affected by Concussion
  Dr. James Kelly is professor of Neurosurgery and Physical Medicine and Rehabilitation at the University of Colorado Denver School of Medicine and associate director of the Colorado Area Health Education Center System. This is BrainLine's exclusive interview with Dr. Kelly recorded on July 11, 2008. Transcript of the program here.

A brief summary of current research.

Head injury attenders in the emergency department: The impact of advice and factors associated with early symptom outcome

McMillan, TM, McKenzie, P, Swann, IJ, Weir, CJ, and McAviney, A. Brain Injury, Volume 23 (6) June 2009 , pp 509 – 515.

People who come to the emergency department with a brain injury are often not admitted, but instead are sent home with advice. A follow-up study of these people found that although they were satisfied with the advice, memory for the specific details (eg. rest, alcohol/drugs, medication, work, sports) was relatively poor. And memory for the advice was worse for people with longer periods of post-traumatic amnesia (PTA). The study's authors recommend that people who come to the hospital with PTA of more than five minutes should be targeted for follow-up or inpatient admission.

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