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UHM Journal-Based CME Volume 43, Issue 5

$225.00 Out of stock

  • Course Description
  • Course Credits

Table of Contents

  1. Executive summary: The Brain Injury and Mechanism of Action of Hyperbaric Oxygen for Persistent Post-Concussive Symptoms after Mild Traumatic Brain Injury (mTBI) (BIMA) Study
    LK Weaver, A Chhoeu, AS Lindblad , S Churchill , SH Wilson 

  1. Hyperbaric oxygen for mild traumatic brain injury: Design and baseline summary
    LK Weaver, A Chhoeu, AS Lindblad , S Churchill , SH Wilson

  1. Baseline neurological evaluations in a hyperbaric trial of post-concussive syndrome
    CS Williams, LK Weaver , AS Lindblad, S Kumar, DR Langford 

  1. Baseline EEG abnormalities in mild traumatic brain injury from the BIMA study
    CS Williams, MC Spitz, JF Foley, LK Weaver, AS Lindblad, MR Wierzbicki

  1. Linear analysis of heart rate variability in post-concussive syndrome
    S Mirow, SH Wilson, LK Weaver, S Churchill, K Deru, AS Lindblad 

  1. Sleep assessments for a mild traumatic brain injury trial in a military population
    JM Walker, NT James, H Campbell, SH Wilson, S Churchill, LK Weaver 

  1. Baseline vestibular and auditory findings in a trial of post-concussive syndrome
    A Meehan, E Searing , LK Weaver, A Lewandowski 

  1. Neuropsychological assessments in a hyperbaric trial of post-concussive symptoms
    SH Wilson, LK Weaver , AS Lindblad 

  1. Hyperbaric oxygen for persistent post-concussive symptoms: long-term follow-up
    LD Skipper, S Churchill, SH Wilson, K Deru, RJ Labutta, BB Hart

  1. Review of recent non-hyperbaric oxygen interventions for mild traumatic brain injury
    SH Wilson, M Rothe, AS Lindblad, LK Weaver

“The process to identify and disclose to learners the relevant financial relationships of the article’s authors and editors or to resolve their conflicts of interest is handled by the Journal Editors. Disclosure by authors is a standard component of published articles, and the editorial review process manages the resolution of any conflicts of interest. The UHMS Education Committee does identify, resolve and disclose relevant financial relationships for those involved in planning the journal-based CME activity evaluation mechanism and they are listed below.”

The content has been reviewed and is free of commercial bias. Any relevant relationships noted have been resolved prior to the start of the activity.

This activity reports no commercial support.

Name of Individual Individuals Role in Activity Name of Commercial Interest (If Applicable) Nature of Relationship
Renee Duncan Planner, Managing Editor None None
Stacy Rupert Planner, CME Coordinator None None
Enrico Camporesi, MD Planner, Editor None None


  • Non-Member: $225
  • Regular UHMS Member: $175
  • Associate UHMS Member: $125


As a result of completing this Journal-Based CME activity, participants should be familiar with and have gained knowledge of the following:

  1. The basic BIMA study design features.
  2. The participants’ overall baseline characteristics.
  3. The study’s tiered outcomes and assessment schedule.
  4. Military personnel with post-concussion syndrome differ from their civilian counterparts in the number and nature (blast or explosion) of injuries and have a higher rate of co-morbid post-traumatic stress disorder (PTSD) due to conflict sustained traumatic injuries. These factors may influence recovery and therapeutic response to medical intervention.
  5. Most elements of the standard neurological exam show low sensitivity in this population of military members suffering from post-concussion syndrome.
  6. Two non-standard tests (near point of convergence and sharpened Romberg test) showed relatively good sensitivity for detecting neurological deficits in patients with post-concussion syndrome.
  7. Thirty-nine per cent (39%) of patients with post concussion syndrome had EEGs indicative of mild encephalopathy months to years after injury not explained by concurrent medication use or co-morbid headache/PTSD.
  8. Focal slowing was found in only nine per cent (9%) and both generalized and focal in only six per cent (6%). No epileptiform activity was observed in any of the 273 EEGs performed.
  9. T2/FLAIR hyperintensities were paradoxically correlated with EEG abnormalities and not diagnostic of mTBI.
  10. The prevalence of heart rate variability abnormalities measured in BIMA study participants
  11. The potential effects of autonomic nervous system dysfunction in brain injury.
  12. The limitations of heart rate variability as an outcome in the BIMA study.
  13. To recognize that sleep disturbances are almost universal in those with mild traumatic brain injury (mTBI), and these individuals have greater risks for insomnia, obstructive sleep apnea, hypersomnia, and restless legs syndrome.
  14. To understand that those with mTBI and coexisting Post Traumatic Stress Disorder (PTSD) have a higher probability of either insomnia or obstructive sleep apnea than mTBI alone.
  15. To describe the use of simple screening methods to help identify insomnia, obstructive sleep apnea, hypersomnia, and restless legs syndrome.
  16. To understand the auditory and vestibular deficits associated with chronic symptoms of post-concussive syndrome in U.S. military service members
  17. To determine which auditory and vestibular-balance assessments are most sensitive in identifying deficits in the military population following concussion/ mild head injury population
  18. To explore an optimal auditory and vestibular test battery following concussion/mild head injury
  19. Active-duty or veteran participants with a mild traumatic brain injury (mTBI) and concomitant post-traumatic stress disorder (PTSD) reported higher symptom severity and exhibited lower quality of life than those with mTBI alone.
  20. Although worse-than-average scores tended to occur less often for neuropsychological assessments than for symptom and quality of life assessments in the mTBI cohort, their frequency was still high when compared to published norms, particularly for visuospatial and reaction time tasks.
  21. Participants with mTBI reported more severe symptoms as compared to published norms on post-concussive symptoms, PTSD, and pain scales.
  22. No standard of care treatment exists for post-concussive symptoms following mild traumatic brain injury, and there is a lack of consensus regarding a validated set of outcomes that can be used to evaluate a potential treatment effect in interventional studies for mTBI.
  23. Existing published studies based on non-HBO2 interventions, such as drug and behavior therapy, have typically been exploratory in their evaluation of an intervention effect. Such studies have generally utilized a combination of neuropsychological and self-reported symptom outcomes for assessment.
  24. Very few studies included in the review addressed the issue of concomitant PTSD and none of the studies reviewed discussed the potential impact of a placebo effect.


For over 45 years the UHMS has been the primary source of information for hyperbaric medicine and physiology worldwide. This evidence based, peer-reviewed scientific journal-based CME has as its goal to address identified professional practice gaps and provide a quality CME opportunity which will improve scientific knowledge and skills for undersea, hyperbaric and wound care physicians, nurses and technicians, and other clinicians and personnel whose practice includes undersea, hyperbaric medicine and wound care.

Target Audience – Included in the “goal”

Date of the activity’s original release – February 1, 2017
Termination date – February 1, 2020

Accreditation Statement: The Undersea and Hyperbaric Medical Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement: Physician CME: The Undersea & Hyperbaric Medical Society designates this journal-based activity for a maximum of 10 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

MOC ABPM: This activity has been approved by the American Board of Preventive Medicine for up to 10 MOC credits. Claiming ABPM MOC credit is appropriate for those who are ABPM diplomates.

Nursing/RRT Contact: Hours: 10

License types: RN, LPN, CNS, ARNP, CNA

Provided through the Florida State Board of Nursing and the CE is reciprocal for nurses in the United States. Florida nursing credits are reciprocal and approved for nurses within all states. Receiving credit for Florida providers is simple, attend the course and our staff will upload your credits directly to the Florida State database. For out of state credit, we provide all the necessary paperwork for you to file with the respective nursing board.

Full Disclosure Statement: All faculty members and planners participating in continuing medical education activities sponsored by UHMS are expected to disclose to the participants any relevant financial relationships with commercial interests. Full disclosure of faculty and planner relevant financial relationships will be made at the activity.

UHMS Disclaimer: The information provided at this CME activity is for Continuing Medical Education purposes only. The lecture content, statements or opinions expressed however, do not necessarily represent those of the Undersea and Hyperbaric Medical Society (UHMS), its affiliates or its employees.

The content has been reviewed and is free of commercial bias. Any relevant relationships noted have been resolved prior to the start of the activity.

Hardware/Software Requirements:

Hardware required for a learner to participate in this journal-based enduring material activity includes:

Computer with internet connection and a modern, updated browser
Note: If using IE 6, IE 7, or IE 8 we cannot guarantee that the courses will work.
Keyboard to take the quizzes

This journal-based enduring material activity is produced for online use.

Provider Contact Information

If at any time during participation in this online CME enduring material event, a learner can contact UHMS, by clicking on "Contact Us" tab located on the far right hand side of the main menu bar found at the top of the screen. Also, the contact phone number and email address (hotlink) is always displayed on the top center of the screen, under the main menu bar.

Undersea and Hyperbaric Medical Society (UHMS)
631 U.S. Highway 1, Suite 307
North Palm Beach, FL 33408
Phone: +1-919-490-5140/877-533-8467
Fax: +1-919-490-5140

Copyright © 2017 Undersea & Hyperbaric Medical Society, Inc. Undersea and Hyperbaric Medicine is a publication of the Undersea and Hyperbaric Medical Society, Inc., which holds the copyright thereto. No portion of this publication may be reproduced, displayed or transmitted in any form or using any information storage and retrieval system including photocopying (except for personal use) without prior written permission of the copyright owner.

Course Credits


Continuing Education Credits are provided when a participant passes the course with 60% or higher on their overall grade of the course quizzes. Each quiz also will allow two attempts. If a participant fails the course, the UHMS will allow a re-take of the course at a 50% discount to their designated full price rate.

The information provided at this CME activity is for Continuing Medical Education purposes only.  The lecture content, statements or opinions expressed, however, do not necessarily represent those of the Undersea and Hyperbaric Medical Society (UHMS), its affiliates or its employees.

Undersea and Hyperbaric
Medical Society (UHMS)
631 U.S. Highway 1, Suite 307
North Palm Beach, FL 33408
Phone: +1-919-490-5140
Toll Free: 877-533-8467
Fax: +1-919-490-5140

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