TBI Evaluation and Management (TEaM) (TEaM)
Mild Traumatic Brain Injury
About this trial
This is an interventional treatment trial for Mild Traumatic Brain Injury focused on measuring mTBI, Brain injury, Emergency medicine, Urgent care, Primary care, Concussion, Pediatrics
Eligibility Criteria
PROVIDER INCLUSION CRITERIA
- Actively practicing physician or APP in the CHOA System
- Primary practice in either ED, UC, and/or PCP
PROVIDER EXCLUSION CRITERIA
- Inability or unwillingness to provide written/electronic informed consent
- Unable to fulfill study training / education requirements
CHILD INCLUSION CRITERIA - RETROSPECTIVE
- School age (5-18 yoa)
- Evaluated in ED / UC / PCP within 72 hours of injury
- Discharged home from ED / UC / PCP (e.g., not admitted to hospital)
CHILD EXCLUSION CRITERIA - RETROSPECTIVE
- Non-English speaking
- Known severe developmental delay or known severe psychiatric history
- Known prior severe brain injury
- Known mTBI within past 3 months
- First mTBI visit outside of CHOA network
CHILD INCLUSION CRITERIA - PROSPECTIVE
- Meets above inclusion for retrospective portion plus:
- mTBI likely present as defined by:
- Positive diagnosis by clinician or mTBI OR
- Positive triage screen plus positive symptom checklist
CHILD EXCLUSION CRITERIA - PROSPECTIVE
- Does not meet above exclusion for retrospective portion plus:
- Requests to Opt-Out via e-mail or first phone contact
- Inability or unwillingness to provide verbal informed telephone consent/assent
Sites / Locations
- Children's Healthcare of Atlanta (CHOA) - Egleston Emergency DepartmentRecruiting
- Children's Healthcare of Atlanta- Forsyth, Northpoint and Town Center Urgent Care CentersRecruiting
- Children's Healthcare of Atlanta- Primary Care OfficesRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
TEaM Intervention Group
Control Group
Dedicated Provider Education plus Information Technology Support. The IT support includes addition of an eMR concussion screening, followed by an alert to the provider, followed by a structured assessment / evaluation template.
Standard medical protocol for the management of mTBI in children. This group will not receive interventional Provider Training on the TEaM concussion evaluation examination and utilization of the eMR template.