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Digital Seminar

Botulinum Toxin Injections for Chronic Migraine

Victoria Trott, PA-C, MMS, AQH
1 Hour 07 Minutes
Audio and Video
Jan 09, 2023
Product Code:
Media Type:
Digital Seminar


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.


Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.

* Credit Note - ---

Earn up to 1.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 

Nurses - Pharmacology Nurse Practitioners

This self-study program offers 67 instructional minutes of pharmacology content which is designed to qualify for 1.0 contact hours toward your pharmacology requirement. 

Nurses - Nurses, Nurse Practitioners, and Clinical Nurse Specialists - ANCC

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 1.0 contact hours. Expires: 09/01/2025.

Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 1.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 1.0 self-study contact hours.

CE Broker

Nurses - Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 1.0 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Other Professions

This self-study activity qualifies for 1.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Victoria Trott, PA-C, MMS, AQH's Profile

Victoria Trott, PA-C, MMS, AQH Related seminars and products

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, the University of Maryland Graduate School, and receives a speaker honorarium from Abbvie Inc. She was a previous speaker with Biohaven Pharmaceuticals, Teva, and Eli Lilly. She receives a speaking honorarium and recording royalties from PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.
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.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Visit our FAQ page at or contact us at


  1. Accurately identify and diagnose patients with chronic migraine using the International Classification of Headache Disorders (ICHD).
  2. 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.
  3. 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, ½-inch needle on the 1ml syringe for injections.
  4. Using the PREEMPT protocol, choose the 31 injection sites for the Botox injections.


  • Migraine Headaches
    • Diagnosis
    • Aura – 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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ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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