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Publications

Here you will find online publications released by the Military Health System. You can search for a specific publication by either scrolling down the page or entering a keyword in the search box.

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Neurobehavioral Symptom Inventory (NSI)

Publication
7/31/2020

The NSI is used as a subjective measure for symptom reporting. The NSI is a 22-item symptom inventory of non-specific but common mild TBI symptoms.

Insomnia Severity Index (ISI)

Publication
7/31/2020

The ISI is a brief, validated, seven-item self-report questionnaire useful for the initial assessment of insomnia symptom severity and ongoing monitoring of treatment response.

Glasgow Coma Scale (GCS)

Publication
7/31/2020

The GCS is used to assess the consciousness and neurological functioning of a person who has just received a TBI. The total score is the sum of the scores in three categories: eye-opening response, verbal response and motor response.

Epworth Sleepiness Scale (ESS)

Publication
7/31/2020

The ESS is widely used in the field of sleep medicine as a subjective measure of a patient's sleepiness. The test is a list of eight situations in which you rate your tendency to become sleepy on a scale of 0 - no chance of dozing, to 3 - high chance of dozing.

Assessment and Management of Visual Dysfunction Associated with Mild TBI Clinical Support Tool

Publication
7/31/2020

This clinical support tool gives providers an approach to evaluate visual dysfunction following mild TBI and offers guidance regarding referral for further eye or visual evaluation and care.

Recommended Content:

Traumatic Brain Injury | TBI Resources | Traumatic Brain Injury Center of Excellence | TBI Educators | Provider Resources

Indications and Conditions for Neuroendocrine Dysfunction Screening Post Mild TBI Clinical Recommendation

Publication
7/31/2020

This clinical recommendation serves as a reference tool offering medical guidance following indications from post-injury neuroendocrine screening.

Recommended Content:

Physical Disability | TBI Screening | TBI Resources

Indications and Conditions for Neuroendocrine Dysfunction Screening Post TBI Clinical Support Tool

Publication
7/31/2020

This clinical support tool serves as a quick reference offering medical guidance following indications from post-injury neuroendocrine screening.

Recommended Content:

Traumatic Brain Injury | TBI Resources | TBI Screening

Vestibular Ocular Motor Screening (VOMS)

Publication
7/31/2020

The VOMS for Concussion Instructions is a clinical support tool for use with the MACE 2.

Management of Headache Following Concussion/mTBI Clinical Recommendation

Publication
7/31/2020

This clinical recommendation outlines the assessment and management of headache following mild TBI. It includes specific recommendations regarding how health care providers can help patients manage pharmacologic and non-pharmacologic treatment of post-traumatic headache (PTH).

Recommended Content:

Traumatic Brain Injury | TBI Symptoms | TBI Resources | Provider Resources | TBI Educators | Traumatic Brain Injury Center of Excellence

ICD-10 Coding Guidance for TBI

Publication
7/31/2020

DVBIC developed these training slides based on the latest coding guidance and the Military Health System Professional Services and Specialty Medical Coding Guidelines Version 5.0, to facilitate consistent and accurate coding for TBI diagnoses and related symptoms and conditions.

Recommended Content:

Traumatic Brain Injury | TBI Screening | TBI Resources | Traumatic Brain Injury Center of Excellence | Provider Resources | TBI Educators

Management of Sleep Disturbances Following Concussion/mTBI Acknowledgements and References

Publication
7/31/2020

This document acknowledges those who participated in the expert working group and provides the resources used to update the Management of Sleep Disturbances following Concussion/Mild TBI: Guidance for Primary Care Management in Deployed and Non-Deployed Settings clinical recommendation.

Management of Sleep Disturbances Following Concussion/mTBI Clinical Recommendation

Publication
7/31/2020

This clinical recommendation outlines how to identify and assess sleep disturbances; primary care manager initial treatment options; and recommended conditions for referral to sleep medicine.

Recommended Content:

Traumatic Brain Injury | TBI Symptoms | TBI Resources | Sleep | Traumatic Brain Injury Center of Excellence | TBI Educators | Provider Resources

PTSD Checklist (PCL-5)

Publication
7/31/2020

The PCL-5 is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD. The PCL-5 has a variety of purposes, including: monitoring symptom change during and after treatment, screening individuals for PTSD and making a provisional PTSD diagnosis.

Severity Rating for TBI

Publication
7/31/2020

TBI treatment requirements are based on the severity of injury. This table shows how severity is assigned based on duration of symptoms. Alteration in consciousness (AOC) is often described as being dazed, confused or “having my bell rung.” Post-traumatic amnesia (PTA) is not loss of memory but the inability to lay down new memories. This is often determined by finding out the first thing a patient remembers. It is important to note that a loss of consciousness (LOC) is required for a mild TBI diagnosis. When parameters fall in more than one category, the more severe category is usually assigned.

Patient Heath Questionnaire — Nine Symptom Checklist (PHQ-9)

Publication
7/31/2020

The PHQ-9 is a nine-item tool commonly used in the primary care setting to assess the presence and severity of depression symptoms.

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