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Exploring the Essential Features of “Victoria Trott – Botulinum Toxin Injections for Chronic Migraine”
Speaker: Victoria Trott, PA-C, MMS, AQH
Duration: 1 Hour 07 Minutes
Format: Audio and Video
Copyright: Jan 09, 2023
Media Type: Digital Seminar
Description
Do you want to add Botox injections to your practice? The PREEMPT protocol for botulinum injections is the only FDA-approved injection pattern for chronic migraine. In this session, Victoria demonstrates the special techniques for its administration. By the end of this session, you will be ready to practice the PREEMPT Protocol using Botulinum Toxin Injections for Chronic Migraine Prevention.
Speaker
Victoria Trott, PA-C, MMS, AQH
Victoria Trott, PA-C, MMS, AQH, is a board-certified physician assistant with an added qualification in headache medicine. Victoria has focused her career on helping patients that are suffering from various headache disorders. Victoria has encouraged the application of new and emerging migraine and headache treatments for her patients. Her overall goal is to improve the quality of life of her patients suffering from these disabling conditions.
Speaker Disclosures:
Financial: Victoria Trott has employment relationships with the University of Maryland and the University of Maryland Graduate School. She was a previous speaker with Biohaven Pharmaceuticals, Teva, Abbvie, and Eli Lilly. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Victoria Trott is a member of the Maryland Academy of Physician Assistants, the American Academy of Physician Assistants, the American Academy of Neurology, the American Headache Society, and the National Headache Foundation.
Objectives
- Accurately identify and diagnose patients with chronic migraine using the International Classification of Headache Disorders (ICHD).
- Using the Botox criteria, properly select a patient for Botox injections for chronic migraine and educate the patient on the adverse reactions seen in the clinical trials and PREEMPT protocol.
- Determine the steps to correctly reconstitute a 200-unit vial of Botox to 5 units/0.1cc using non-preserved normal saline and draw the product into 1ml syringes using a 21g, 2-inch needle and place a 30G, ยฝ-inch needle on the 1ml syringe for injections.
- Using the PREEMPT protocol, choose the 31 injection sites for the Botox injections.
Outline
- Migraine Headaches
- Diagnosis
- Aura โ no Aura
- International Classification of Headache Disorders (ICHD)
- PREEMPT Protocol for Botulinum Toxins
- Criteria
- Documentation
- Potential Adverse Effect
- Insurance
- Injection Process
- Materials Needed
- Injection Sites (31 total)
- Corrugator Injections
- Procerus Injections -Frontalis Injections -Temporalis Injections
- Occipitalis Injections
- Paraspinal Cervical Injections
- Trapezius Injections
- Dosage (5 units per 0.1 ml each injection site)
- Frequency (every 12 weeks)
- Reconstitution
- Documentation
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physicians
- Physician Assistants
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