JUNE 10-14, 2019   •  Las Vegas, NV
Navigating the Full Spectrum of Case Management • Mirage Convention Center

PP212 – Management of Concussion-Mild Traumatic Brain Injury VA/DOD CPG

PP212 – Management of Concussion-Mild Traumatic Brain Injury VA/DOD CPG

The VA and DOD created this Clinical Practice Guideline (CPG) to aid healthcare providers, with managing patients with Concussion-Mild Traumatic Brain Injury (MTBI). This CPG is intended to provide primary care providers and other health care providers including Nurse Case Managers with a framework by which to evaluate, treat, and manage individual needs of patients with a history of MTBI. A traumatic brain injury (TBI) is defined as a traumatically induced structural injury and/or physiological disruption of brain function as a result of an external force. A TBI is indicated by new onset or worsening of at least one of the following clinical signs immediately following the event: any period of loss of or a decreased level of consciousness, any loss of memory of events immediately before or after an injury, any alteration in mental state at the time of injury (confusion, disorientation, slowed thinking), neurological deficits that may or may not be transient (loss of balance, vision changes, sensory loss, aphasia), or intracranial lesion. The Centers for Disease Control and Prevention (CDC) estimate that approximately 2.2 million emergency department visits and 50,000 deaths occur annually due to TBI. In the 2014 CDC Report to Congress “Traumatic Brain Injury In the United States: Epidemiology and Rehabilitation,” data from the DOD states that 235,046 Service Members (or 4.2% of the 5,603,720 who served in the Army, Air Force, Navy, and Marine Corps) were diagnosed with a TBI between 2000 and 2011. Similarly, the Defense and Veterans Brain Injury Center estimates that over 1.7 million people sustain a TBI every year in the United States. Knowledge of this CPG and associated resources will enable the Case Manager to better meet the care management needs of these beneficiaries. The population for this CPG includes adults who are eligible for care in the VA and DOD healthcare delivery systems, including deployed and non-deployed active duty Service Members.


1. Define mild traumatic brain injury

2. Discuss clinical signs and related symptoms of mild traumatic brain injury

3. Discuss Case Management role in management of TBI symptoms