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Spaulding Hospital-Traumatic Brain Injury Model System

February 4, 2021  Tri-model Systems Webinar on Chronic Conditions in Burn, SCI, TBI. SRHMS Spaulding Hospital-Traumatic Brain Injury Model System (SH-TBIMS) partnered with the Boston Harvard Burn Injury Model System (BH-BIMS) and Spaulding New England Regional Spinal Cord Injury Model System (SNERSCIMS) to host a publicly-accessible webinar focused on the trajectory of traumatic injuries developing into chronic conditions. The 1.5-hour webinar featured testimonials by 3 persons with chronic traumatic injuries (including a participant enrolled at SRH in the TBIMS National Database Study) who shared their personal experiences with the long-term impact of their injury and plenary addresses by Dr. Michael Choo, Chief Medical Officer for Paradigm Corp and Dr. Flora Hammond, Chair of the Executive Committee of the TBI Model Systems Program. December 29, 2020 –  Brain Imaging Predicts PTSD After Brain Injury. Science Daily Posttraumatic stress disorder (PTSD) is a complex psychiatric disorder brought on by physical and/or psychological trauma. How its symptoms, including anxiety, depression and cognitive disturbances arise remains incompletely understood and unpredictable. Treatments and outcomes could potentially be improved if doctors could better predict who would develop PTSD. Now, researchers using magnetic resonance imaging (MRI) have found potential brain biomarkers of PTSD in people with traumatic brain injury (TBI). August 23, 2020 –  Some COVID-19 Patients Taken Off Ventilators Remain in Persistent Comas, Doctors Find. NPR Doctors are studying a troubling development in some COVID-19 patients: They survive the ventilator, but don’t wake up. The persistent, coma-like state can last for weeks. August 18, 2020 –  Top Coma Experts Develop Three-Part Plan to Improve Patient Outcomes. UVA Today Leading coma experts have created an ambitious plan to help doctors better care for comatose patients and answer that most awful question: “Will my loved one wake up?” The three-part plan outlines key steps physicians and researchers should take in the coming years to improve patient care and deepen our understanding of coma and other conditions that reduce consciousness. The plan was developed by a blue-ribbon scientific advisory council as part of the Neurocritical Care Society’s Curing Coma Campaign, a major effort launched in 2019. July 24, 2020 –  Another COVID-19 Medical Mystery: Patients, Post-Ventilator, Who Don’t Wake Up. WBUR Leslie Cutitta said yes, twice, when clinicians from Massachusetts General Hospital called asking if she wanted them to take — and then continue — extreme measures to keep her husband Frank Cutitta alive. June 7, 2020 –  Some COVID-19 Patients Taken Off Ventilators are Taking Days or Even Weeks to Wake Up. Washington Post After five days on a ventilator because of covid-19, Susham “Rita” Singh seemed to have turned a corner. Around midnight on April 8, doctors at Houston Methodist Hospital turned off the sedative drip that had kept the previously healthy 65-year-old in a medically induced coma. “Her brain MRI was normal, which was great, but then the question became: What’s going on?” That question is baffling neurologists and rehabilitation physicians treating patients with severe covid-19 cases. A significant number of those who have spent long periods on ventilators are taking days or weeks — rather than hours — to awaken from medically induced comas. October 24, 2019 –  Hope for Patients with Traumatic Brain Injury. AAMC News Groundbreaking research at academic medical centers has led to new treatments for the millions of athletes, veterans, and car accident victims suffering from the debilitating effects of head trauma. Determining if a coma patient is conscious seems easy, right? Yet the error rate for detecting consciousness is 30-40%, says Joseph Giacino, PhD, program director and principal investigator for the Spaulding-Harvard Traumatic Brain Injury Model System April 13, 2019 –  Doctors Use Electrical Implant to Aid Brain-Damaged Woman. The New York Times More than 3 million Americans live with disabling brain injuries. The vast majority of these individuals are lost to the medical system soon after their initial treatment, to be cared for by family or to fend for themselves, managing fatigue, attention and concentration problems with little hope of improvement. On Saturday, a team of scientists reported a glimmer of hope. Using an implant that stimulates activity in key areas of the brain, they restored near-normal levels of brain function to a middle-aged woman who was severely injured in a car accident 18 years ago. Dr. Schiff and another team leader, Dr. Joseph T. Giacino, director of rehabilitation neuropsychology at Spaulding Rehabilitation Hospital and an associate professor at Harvard Medical School, presented the case at a brain-science convention in Washington, D.C., in an informal, public session. October 3, 2017 –  Spaulding’s TBI and Burn Injury Model System Sites Renewed by NIDILRR. Spaulding Rehab News Spaulding Rehabilitation Hospital announced today that both its Traumatic Brain Injury (TBI) Program and Burn Injury Rehabilitation Program have been selected as Model System sites by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). These selections combined with last year’s selection of Spaulding as a Spinal Cord Injury Model System Site make Spaulding the only provider nationally to be selected as a Model System in all three specialties at the same time. July 20, 2017 fMRI, EEG may detect consciousness in patients with acute, severe traumatic brain injury: Massachusetts General study the first to search for covert consciousness in ICU patients. ScienceDaily A new study finds that the use of functional magnetic resonance imaging and electroencephalography may be able to identify ICU patients with severe traumatic brain injuries who have a level of consciousness not revealed by the standard bedside neurological examination. August 2, 2016 When Dylan’s Skull Was Crushed in a Car Accident, Doctors Said Recovery Was Hopeless. They Were Wrong. Reader’s Digest The human mind has a previously hidden aptitude for recovery. Here is the story of one young man’s journey back from the brink. May 15, 2016 “Just keep going” story on patient Dylan Rizzo.  CBS News “Just keep goin'” are words that are easy to say, much harder to live by. Yet one young man who suffered a near-fatal injury is managing to live by that principle, and then some. Lee Cowan has his story.
May 9, 2016 Life or Death Decisions: The Brain’s “Self-Repair” Process May Go On for Years. NBC News Neuropsychologist Dr. Joe Giacino says that after a traumatic brain injury, the brain’s ability to repair itself may go on for a longer period of time than originally thought. 
June 11, 2015 – How One Brain Came Back from UnconsciousnessNY Magazine Despite its encircling fortress of bone, the human brain is especially vulnerable to physical insult. There are approximately 1.7 million traumatic brain injuries in the United States each year, and although most of them are mild or moderate, thousands result in severe brain damage. Those injuries always happen on the same day: day zero, a day that marks the start of a fateful and often flawed prognostic calendar.  October 14, 2014 – 2014 William Fields Caveness Award. Harvard The Brain Injury Association of America recently announced that Joseph T. Giacino, PhD, was selected as the recipient of the 2014 William Fields Caveness Award. Dr. Giacino serves as the Director of Rehabilitation Neuropsychology and Disorders of Consciousness Program at the Spaulding Rehabilitation Network and as an Associate Professor at Harvard Medical School. This award is presented to an individual who, through research on both a national and international level, has made outstanding contributions to bettering the lives of people who have sustained a brain injury.  August 14, 2013 – New Measure of Consciousness Track Our Waking States. Scientific American This fairly simple metric for neural activity could guide treatment for people with brain injuries. October 3, 2012 Spaulding Selected by NIDRR as Both TBI and Burn Injury Model System Sites. Spaulding Rehab News Spaulding Rehabilitation Hospital announced today that both its Traumatic Brain Injury (TBI) Program and Burn Injury Rehabilitation Program have been selected as Model System sites by the National Institute on Disability and Rehabilitation Research (NIDRR). These selections combined with last year’s selection of Spaulding as a Spinal Cord Injury Model System Site make Spaulding one of only two providers nationally to be selected as a Model System in all three specialties at the same time. February 29, 2012 –  Parkinson’s Drug May Help with Brain Injuries, Report Finds. NY Times Daily doses of a drug used to treat Parkinson’s disease significantly improved function in severely brain-injured people thought to be beyond the reach of treatment, scientists reported on Wednesday, providing the first rigorous evidence to date that any therapy reliably helps such patients. February 29, 2012 – Amantadine Speeds Recovery From Severe Traumatic Brain Injury. ABC News A drug used to treat the symptoms of Parkinson’s disease also speeds recovery from severe traumatic brain injuries, a new study has found. July 6, 2011 Rediscovering Consciousness in People Diagnosed as “Vegetative”. Discover Magazine Often people with bad brain injuries seem unresponsive, but many still have thoughts, feelings, and memories flickering in and out of consciousness. Can neuroscience rescue these lost brains? July 31, 2010 – Troops with Traumatic Brain Injury Face Long Road to Recovery. ABC News More than three months after being pulled from the water of the canal, Remsburg, 27, had emerged into consciousness. On Jan. 13, doctors said he was officially awake. Remsburg’s reawakening is one of several unexpected developments being documented at four special Department of Veterans Affairs “emerging consciousness” programs here and across the nation. Brain-damaged patients reduced to vegetative states by illness, accidents or wounds are waking up. July 21, 2009 – Doctors missing consciousness in vegetative patientsNew Scientist If there’s one thing worse than being in a coma, it’s people thinking you are in one when you aren’t. Yet a new comparison of methods for detecting consciousness suggests that around 40 per cent of people diagnosed as being in a vegetative state are in fact “minimally conscious”. August 3, 2007 – Man Regains Speech After Brain Stimulation. NY Times A 38-year-old man who spent more than five years in a mute, barely conscious state as a result of a severe head injury is now communicating regularly with family members and recovering his ability to move after having his brain stimulated with pulses of electric current, neuroscientists are reporting. March 23, 2007 – Doctors ‘Awaken’ Man 6 Years After Severe Brain Injury. ABC News In a scene reminiscent of Oliver Sacks’ book Awakenings, doctors have managed to partially rekindle the mind of a man who had been in a minimally conscious state for six years.

Conferences:

May 6, 2021 –  Harvard Medical Grand Rounds Speakers for this virtual Grand Rounds event collectively examined the post-acute sequelae of SARS CoV-2 (PASC, or Long covid). Dr. Joseph Giacino presented preliminary findings from the Spaulding REhabilitation and COVid Recovery study (RECOVR) study. He reviewed the results of ongoing data analysis on the functional impairment, outcome, and recovery of patients 6 months after hospitalization for severe COVID illness. March 2017 – 12th World Congress on Brain Injury Presentations. The Minimal Competency Guidelines for Rehabilitation of Persons with Disorders of Consciousness Therapeutic Options for the Recovery of Severely Brain Injured Patients: The Field of Neuromodulation May 2016 – Spaulding-Harvard TBIMS Severe TBI Stakeholder Summit. TBI Model System-Sponsored Stakeholder Summit Briefing Book Outcome Following Severe TBI: Bridging the Gaps Between Evidence, Practice and Policy March 2016 – 11th World Congress on Brain Injury Presentations. Disorders of Consciousness (I) Disorders of Consciousness (II) May 2006 – International Consensus Conference on Impairments of Consciousness Sponsored by Northeast Center for Special Care. PRWeb “What do we know about consciousness and what do we need to know?” Scientists and researchers in the field of brain injury, ethics, coma and coma-like states meet at International Consensus Conference on Consciousness sponsored by Northeast Center for Special Care and National Brain Injury Research, Treatment and Training Foundation (NBIRTT).