Concussion

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  • I want you all to watch a video on the outcome of letting an athlete go back to quickly..remember SIS 50% die and 100% will be disabled. I think after you see this video you will understand the position that Dr. Martinson and I are in with RTP decision
  • Concussion

    1. 1. CONCUSSION Angela Styers MS,ATC,AT Mohican Sports Medicine
    2. 2. Concussion  Prevention  Education of parents, coaches, and athletes  There does not have to be LOC  Important for athletes to report symptoms to prevent death from Second Impact Syndrome  Rule changes  NFHS  Tackling heads up  Well maintained Equipment  NOCSAE  There is not a concussion proof helmet!
    3. 3. Concussion Signs and Symptoms Headache Dizziness Disorientation Loss of Consciouness (LOC) Amnesia Nausea/vomiting Neck Pain Sleep Disturbances  Unable to concentrate/focus  Irritability  Visual Changes  Drowsiness  Fatigue  Tinnitus  Change in Personality
    4. 4. Concussion Pathophysiology
    5. 5. Concussion/Traumatic Brain Injury  This is a brain injury—not a “ding” or “rung bell”  Mostly self reported symptoms  A concussion is a change in the cellular function of the brain due to a traumatic injury.  Need to think of these as a traumatic brain injury  Once an athlete has had 1 concussion they are 3 times more likely to get another one.  We don’t know how many concussions are too many.  The Adolescent brain is not the same as the adult brain
    6. 6. Second Impact Syndrome(SIS)  This is a condition where the brain swells rapidly after a second impact before the first brain injury/concussion heals.  50% of athletes will die from SIS  100% will become disabled from SIS  It is so important to hold the athlete out until their concussion is healed.
    7. 7. Concussion Care  Pull immediately from practice  Have athlete see athletic trainer immediately if possible  If athlete is getting better release to parents  If athlete is worsening send to ER  If they have neck pain stabilize head and neck and call 9-1-1  Monitor ABC’s  If symptoms get progressively worse call 9-1-1  Have athlete follow up with either a doctor with sports medicine background, athletic trainer, or neurologist for RTP decisions
    8. 8. RTP protocol for Concussions Step 1-complete rest until asymptomatic Step 2-Light aerobic exercise (stationary bike) If symptoms return—back to step 1 Step 3-Sport specific exercise-running/conditioning drills--no head impact drills Step 4-Non-contact drills—resistance training- passing in football Step 5-Contact drills-after medical clearance Steps 6-Game play
    9. 9. Concussion  National AthleticTrainers Association Concensus on Concussion http://www.nata.org/jat/readers/archives/44.4/a ttr-44-04-434.pdf ESPN Outside the Lines, Nov. 2007 http://espn.go.com/video/clip?id=3094263&c ategoryid=null  ESPN E:60 Second Impact, May 2010  http://espn.go.com/video/clip?id=5163151
    10. 10. Concussion  Heads Up onTackling http://www.nata.org/consumer/headsup.htm

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