UCSF 2 nd Annual Primary Care Sports Medicine Conference ABCs of Musculoskeletal Care Sports Concussion Workshop November 30, 2007
|
|
- Sharlene McKenzie
- 1 years ago
- Views:
Transcription
1 UCSF 2 nd Annual Primary Care Sports Medicine Conference ABCs of Musculoskeletal Care Sports Concussion Workshop November 30, 2007 Bill Durney MBA, ATC UCSF Orthopaedic Surgery & Sports Medicine Practice Manager
2 Incidence Probably under- reported 300,000 per year sport related TBI in USA 20% per year in high school football Most often occur when: - 43% - Making a tackle - 23% - Being tackled - 20% - Blocking - 10% - Being blocked
3 Sports Concussion Signs and Symptoms Cognitive features Unaware of period, opposition, score of game Confusion Amnesia Loss of Consciousness Typical symptoms Headache of pressure in the head Vertigo Nausea Feeling dinged, foggy, stunned, or dazed Visual problems (e.g. stars, flashing lights, diplopia) Hearing problems tinnitus Irritability or emotional changes Physical Signs LOC or impaired conscious stare Poor coordination or balance Concussive convulsion/impact seizure Slow to answer or follow instructions Easily distracted, poor concentration Displaying inappropriate emotions (e.g. laughing, crying) Vomiting Vacant stare / glassy eyed Slurred speech Personality changes Decreased playing ability
4 Concussion Grading Scales At least 20 published head injury grading and return to play systems exist Cantu, Colorado, AAN most popular Remain controversial Most are impractical for clinical use All based on limited scientific evidence
5 1st International Symposium on Concussion in Sport Vienna 2001 ~Recommendations~ Injury grading scales be abandoned in favor of combined measures of recovery in order to determine injury severity (and/or prognosis) and hence individually guide return to play decisions. Clinical construct using an assessment of injury recovery and graded return to play recommended.
6 2nd International Symposium on Concussion in Sport Prague 2004 Continued support of Vienna conference recommendations New classification of concussion in sport: Concussion severity can only be determined in retrospect after all concussion symptoms have cleared, the neurological examination is normal, and cognitive function has returned to baseline. Simple Complex
7 Simple vs. Complex Simple: athlete suffers an injury that progressively resolves without complication over days. No neurophyschological screening Can be appropriately managed by primary care physicians and certified athletic trainers. Cornerstone of management is rest until all symptoms resolve and then a graded programme of exertion before RTP. Complex: athlete suffers an injury where persistent symptoms (including persistent symptom recurrence with exertion), specific sequelae (such as concussive convulsions), prolonged loss of consciousness (more than one minute), or prolonged cognitive impairment exist. evident with repeated concussive trauma Formal neuropsychological testing and other investigations should be considered. Managed by a multidisciplinary team of care.
8 Acute Sport Concussion On Field Management 1. Remove from play 2. Monitor athlete regularly 3. Medical evaluation Physical signs (Head, face, skull, neck, ENT, motor-sensory) Neurological (Pupillary( response, cerebellar testing, speech, coordination, etc.) Orientation (name, date, time, location?) Amnesia (opposing team, score, what was the last play, what happened?) Memory (immediate and delayed) Cognitive assessment (serial 7 s 7 s backwards from 100, months of the year backwards, digits backwards, etc.) 4. Return to play should follow a medically supervised stepwise process *Assessment tools (SCAT, ImPACT,, SAC, etc.)
9 SCAT Card
10 Return to Play Guidelines 1. No activity, complete rest 2. Light aerobic exercise 3. Sport specific exercise 4. Non-contact training drills 5. Full contact training after medical clearance 6. Game play Athlete continues to proceed to the next level if asymptomatic at the current level. If any post-concussion symptoms occur, the patient should drop back to the previous asymptomatic level and try to progress again after 24 hours. Return to sport decision should be made by a physician.
11
12
13 Following is a list of 10 guidelines from NATA to help prevent and ultimately manage concussions in youth, high school and collegiate settings: 1. If an athlete shows concussion-like signs and reports symptoms after a contact to the head, the athlete has, at the very least,, sustained a mild concussion and should be treated for a concussion. The terms ding and bell ringer are discouraged, because they downplay the significance of the injury. 2. In addition to a thorough clinical evaluation, formal cognitive and postural-stability stability testing is recommended to assist in objectively determining injury severity and readiness to return to play (RTP). NATA strongly recommends that youth leagues, high schools, colleges and a professional teams institute a testing program that incorporates baseline testing of athletes. 3. Once symptom-free, the athlete should be reassessed to establish that cognition and postural stability have returned to normal for that t player. 4. An athlete with a concussion should be referred to a physician n on the day of injury if he or she lost consciousness or experienced amnesia lasting longer than 15 minutes. 5. A team approach should be used in making RTP decisions after concussion. This approach should involve input from the athletic trainer, physician, athlete and any referral sources.
14 6. Athletes who are symptomatic at rest and after exertion for at least 20 minutes should be disqualified from returning to participation on the day of the injury. 7. Athletes who experience loss of consciousness or amnesia should be disqualified from participating on the day of the injury. 8. Because damage to the maturing brain of a young athlete can be catastrophic, younger athletes (under age 18) should be managed more conservatively, using stricter RTP guidelines than those used to manage concussion in the more mature athlete. Therefore, youth athletes are strongly encouraged to never return to play on the same day that a concussion is sustained. 9. Any athlete with a concussion should be instructed to rest, but complete bed rest is not recommended. 10. Because of an increased risk for future concussions, as well as for slowed recovery, athletes with a history of three concussions should be advised that terminating participation in contact sports may be in their best interest.
15 PLAY or NO PLAY? 1. A 15 year old football player comes off the field, sits on the bench, and is visibly crying and emotional. He reports that he wants to play and perform well, but seems slightly off and confused. He reports having a headache which resolves within 15 minutes.
16 PLAY or NO PLAY? 2. A 17 year old male basketball player was diving for a loose ball while an opponent fell on his head, impacting it onto the hardwood. The athlete loses consciousness for a few seconds, then gets up and walks to the sideline. He seems dizzy and confused, and has some amnesia. This is a state playoff game and the coach wants to know his status.
17 PLAY or NO PLAY? 3. A 15 year old male football player reports to your office 3 days after receiving a hit to the head in practice. He reports that he has had a headache since then but that it has been getting better. He has a big game coming up in two days and feels good now.
18 PLAY or NO PLAY? 4. A 15 year old male football player suffers a concussion 3 months ago. He thinks he was knocked out for 1 minute and is fine now. He has had 3 previous concussions. Do you let him play?
19 Appendix A - Graded symptom checklist (GSC) Time of 2 3 h 24 h 48 h 72 h Symptom injury after injury after injury after injury after injury Blurred vision Dizziness Drowsiness Excess sleep Easily distracted Fatigue Feel in a fog Feel slowed down Headache Inappropriate emotions Irritability Loss of consciousness Loss or orientation Memory problems Nausea Nervousness Personality change Poor balance/coord. Poor concentration Ringing in ears Sadness Seeing stars Sensitivity to light Sensitivity to noise Sleep disturbance Vacant stare/glassy eyed Vomiting Note: the GSC should be used not only for the initial evaluation but for each subsequent follow up assessment until all signs and symptoms have cleared at rest and during physical exertion. In lieu of simply checking each symptom present, the ATC can ask the athlete to grade or score the severity of the symptom on a scale of 0 6, where 0 = not present, 1 = mild, 3 = moderate, and 6 = most severe.
20 Appendix B - Physician referral checklist Day of injury referral 1. Loss of consciousness on the field 2. Amnesia lasting longer than 15 minutes 3. Deterioration of neurological function* 4. Decreasing level of consciousness* 5. Decrease or irregularity in respirations* 6. Decrease or irregularity in pulse* 7. Increase in blood pressure 8. Unequal, dilated, or unreactive pupils* 9. Cranial nerve deficits 10. Any signs or symptoms of associated injuries, spine or skull fracture, or bleeding* 11. Mental status changes: lethargy, difficulty maintaining arousal, confusion, agitation* 12. Seizure activity* 13. Vomiting 14. Motor deficits subsequent to initial on-field assessment 15. Sensory deficits subsequent to initial on-field assessment 16. Balance deficits subsequent to initial on-field assessment 17. Cranial nerve deficits subsequent to initial on-field assessment 18. Post-concussion symptoms that worsen 19. Additional post-concussion symptoms as compared with those on the field 20. Athlete is still symptomatic at the end of the game (especially at high school level) Delayed referral (after the day of injury) 1. Any of the findings in the day of injury referral category 2. Post-concussion symptoms worsen or do not improve over time 3. Increase in the number of post-concussion symptoms reported 4. Post-concussion symptoms begin to interfere with the athlete s daily activities (sleep disturbances, cognitive difficulties) *Requires the athlete be transported immediately to the nearest emergency department.
21 References Aubry M, Cantu R, Dvorak J, et al. Summary and agreement statement of the first international conference on concussion in sport, Vienna Br J Sports Med 2002; 36:6-7. Guskiewicz KM,, Bruce SL, Cantu RC, et al. Research based recommendations on management of sport related concussion: summary of the National Athletic Trainers Association position statement. Br J Sports Med 2006; 40:6-10. King N. Post-concussion syndrome: clarity amid the controversy? The British Journal of Psychiatry 2003;183: MacKenzie JD, Siddiqi F, Babb JS, et al. Brain Atrophy in Mild or Moderate Traumatic Brain Injury: A Longitudinal Quantitative Analysis. American Journal of Neuroradiology 2002; 23: McCrory P,, Johnston K, Meeuwisse W, et al. Summary and agreement statement of the 2nd international conference on concussion in sport, s Prague Br J Sports Med 2005; 39:
SOUTHWEST FOOTBALL LEAGUE CONCUSSION MANAGEMENT PROTOCOL
SOUTHWEST FOOTBALL LEAGUE CONCUSSION MANAGEMENT PROTOCOL NOTE: Revisions to the guidelines recommended in this Concussion Management Protocol will be made on an annual basis based upon current legislation.
THE MANAGEMENT OF CONCUSSION IN AUSTRALIAN FOOTBALL
THE MANAGEMENT OF CONCUSSION IN AUSTRALIAN FOOTBALL AFL Research board AFL MEDICAL OFFICERS' ASSOCIATION THE MANAGEMENT OF CONCUSSION IN AUSTRALIAN FOOTBALL This document has been published by the AFL
LIBERTY UNIVERSITY CONCUSSION PROTOCOL Page 1
Liberty University Sports Medicine Concussion / Traumatic Brain Injury Protocol The Liberty University Sports Medicine Department recognizes that head injuries, particularly sportinduced concussions, pose
Management of Sports-Related Concussions Smallville School District
Management of Sports-Related Concussions Smallville School District Medical management of sports-related concussion continues to evolve. Recently, there has been a significant amount of new research regarding
Defined as a complex process affecting the brain, induced by traumatic biomechanical forces.
Concussion Protocol Defined as a complex process affecting the brain, induced by traumatic biomechanical forces. May be caused by a direct blow to the head, face, neck or elsewhere on the body with force
IHSA Sports Medicine Acknowledgement & Consent Form. Concussion Information Sheet
Concussion Information Sheet A concussion is a brain injury and all brain injuries are serious. They are caused by a bump, blow, or jolt to the head, or by a blow to another part of the body with the force
CONCUSSION DEFINITION
Return to Learn and Return to Physical Activity Plan: Information for Parents and Student s CONTEXT Recent research has made it clear that a concussion can have a significant impact on a student'ss cognitive
Sport Concussion in New Zealand ACC National Guidelines
Sport Concussion in New Zealand ACC National Guidelines This guideline document has been produced to inform National Sports Organisations (NSOs), and recreation, education and health sectors in their development
Concussion: Sideline Assessment
Concussion: Sideline Assessment Damion A. Martins, MD Director, Orthopedics & Sports Medicine Program Director, Sports Medicine Fellowship - Atlantic Health System Director of Internal Medicine - New York
Concussion Guidance for the General Public
CONCUSSION FACTS A concussion is a brain injury. All concussions are serious. Concussions can occur without loss of consciousness. All athletes with any symptoms following a head injury must be removed
CONCUSSION PROTOCOL PARENT/GUARDIAN INFORMATION PACKAGE
CONCUSSION PROTOCOL PARENT/GUARDIAN INFORMATION PACKAGE November 2014 INTRODUCTION: PARENT/GUARDIAN CONCUSSION PACKAGE The parent/guardian concussion package has been developed to: Assist parent/guardians
Sport Concussion in New Zealand:
Sport Concussion in New Zealand: ACC National Guidelines January 2015 Developed with our partners: This guideline document has been produced to inform National Sports Organisations (NSOs), and recreation,
Texas A&M Sports Medicine Concussion Policy
Texas A&M Sports Medicine Concussion Policy 1. All Texas A&M student-athletes must read the NCAA Concussion Fact Sheet and sign the attached student athlete statement acknowledging that: a. They have read
University of Notre Dame Sports Medicine Department Intercollegiate Athletics Concussion Management Plan
Purpose: University of Notre Dame Sports Medicine Department Intercollegiate Athletics Concussion Management Plan Head injuries can pose a significant health risk for student-athletes competing in intercollegiate
UHSAA Sports Concussion Management Policy (Updated and Revised 8/17/2011)
1. Overview UHSAA Sports Concussion Management Policy 1.1. In response to the growing concern over concussion in athletics there is a need for High Schools to develop and utilize a Concussion Management
A Parent s Guide to Choosing a Sports Concussion Specialist Brain Injury Alliance of New Jersey Concussion in Youth Sports Committee
A Parent s Guide to Choosing a Sports Concussion Specialist Brain Injury Alliance of New Jersey Concussion in Youth Sports Committee The following is a guideline for parents to use when choosing a sports
Concussion Management Return to Play Protocol
Concussion Management Return to Play Protocol Returning to play following a concussion involves a stepwise progression once the individual is symptom free. There are many risks to premature return to play
Concussion Information for Parents/Guardians
Concussion Information for Parents/Guardians What is a concussion and what causes a concussion? A concussion is a brain injury that causes changes in how the brain cells function, leading to symptoms that
Sports Concussion Management Plan
Chesapeake Public Schools Sports Concussion Management Plan Developed in collaboration with The Children s Hospital of The King s Daughters Sports Medicine Program. CHKD Sports Medicine The official athletic
Concussion Management Program for Red Bank Catholic High School Athletic Department
Concussion Management Program for Red Bank Catholic High School Athletic Department *This document should be used as a framework for a successful concussion management program but is not intended to replace
Concussion in Sports
PSAL: Concussion in Sports and the Concussion Management and Awareness Act Dennis A. Cardone, DO Associate Professor Concussion Overview Concussion accounts for 1 of 10 sports injuries CDC: Estimated 2,651,581
Neuropsychological Assessment in Sports-Related Concussion: Part of a Complex Puzzle
Neuropsychological Assessment in Sports-Related Concussion: Part of a Complex Puzzle Jillian Schuh, PhD 1, 2, John Oestreicher, PhD 1, & Linda Steffen, PsyD 1 1 Catalpa Health 2 Department of Neurology,
Skate Australia Concussion Guidelines
Skate Australia Concussion Guidelines Introduction Forces strong enough to cause concussion are common in all roller sports. Even though helmets are worn in most disciplines, the risk of concussion is
The FacTs: * All concussions are serious. A Fact Sheet for School Nurses
A Fact Sheet for School Nurses Assess the situation Be alert for signs and symptoms Contact a health care professional The FacTs: * All concussions are serious. * Most concussions occur without loss of
Traumatic Brain Injury in Young Athletes. Andrea Halliday, M.D. Oregon Neurosurgery Specialists
Traumatic Brain Injury in Young Athletes Andrea Halliday, M.D. Oregon Neurosurgery Specialists Variability in defining concussion Lack of reliable biomarkers for concussions Reliance on subjective system
AR159 February 9, 2015
AR159 February 9, 2015 1.0 PURPOSE AR CONCUSSION PROTOCOL The purpose of this protocol is to provide information regarding the prevention, identification and management of concussions. Everyone has a role
San Diego Sports Medicine Sport Concussion Policy Developed by the SDSM Committee on Sports Concussion Updated 2/11
San Diego Sports Medicine Sport Concussion Policy Developed by the SDSM Committee on Sports Concussion Updated 2/11 San Diego Sports Medicine (SDSM) has been a leader in the evaluation and treatment of
Laurel School Sports Medicine Traumatic Brain Injury (TBI)/Concussion Management Document
Laurel School Sports Medicine Traumatic Brain Injury (TBI)/Concussion Management Document Baseline Testing Laurel School Sports Medicine utilizes ImPACT neurocognitive testing as part of our concussion
CONCUSSION CHECKLIST FOR COACHES
Sports Medicine CONCUSSION CHECKLIST FOR COACHES 1. Read through the material included in the Concussion Packet for Coaches 2. Know the signs and symptoms of a concussion 3. Send the following forms home
Athol-Royalston Regional School District Management of Sports-Related Head Injuries
Medical management of sports-related concussion continues to evolve. Recently, there has been a significant amount of new research regarding sports-related concussions in high school athletes, including
Concussion Education. Sports Medicine. ohsusportsmedicine.com 503 494-4000
Concussion Education What is a concussion? A concussion is a common, yet mild traumatic brain injury resulting from a force or impact to the head. Examples of such forces include: Head to Head Head to
Recognition and Care of Concussion
Recognition and Care of Concussion Seattle Sport Concussion Program: Philip D. Heywood MS, ATC, AT/L Enter department name here Objectives: Definition and Pathophysiology Concussion facts Recognizing Concussions
A PEEK INSIDE A CLOSED HEAD INJURY CLAIM... 1
A PEEK INSIDE A CLOSED HEAD INJURY CLAIM By: Douglas Fletcher Fernando Fred Arias Dr. Jim Hom April 11, 2014 CONTENTS A PEEK INSIDE A CLOSED HEAD INJURY CLAIM... 1 SYMPTOMATOLOGY... 2 CRITICAL INFORMATION...
Concussion Management Protocol for Kansas State University Sports Medicine Prior to participation in any athletic activity for Kansas State
Concussion Management Protocol for Kansas State University Sports Medicine Prior to participation in any athletic activity for Kansas State University, a student-athlete will have a pre-participation medical
ASAA Recommended School District Policy Components, Procedures and Forms Relating to the Management of Concussions in Student Athletes
ASAA Recommended School District Policy Components, Procedures and Forms Relating to the Management of Concussions in Student Athletes Adopted April 2014 CONTENTS Page 3.Rationale for Policy and Procedures
Concussion Training for Coaches
Concussion Training for Coaches INTRODUCTION Each day in our nation, hundreds of thousands of young athletes head out to fields, ice and gymnasiums to practice and compete in a wide variety of sports.
Staff, please note that the Head Injury Routine is included on page 3.
Staff, please note that the Head Injury Routine is included on page 3. This booklet explains what can happen after a concussion, how to get better and where to go for more information and help if needed.
Model Policy and Guidance for Pennsylvania Schools for Sports-Related Concussion/Mild Traumatic Brain Injury
INTRODUCTION This document is designed to provide guidance to Pennsylvania school boards of education in the development, establishment, and implementation of policies, protocols and programs for the prevention,
Spartan Kids Day Camps Ages 6-12 years old
Baseball 2015 DATES June 22-24 Spartan Kids Day Camps Ages 6-12 years old Spartan Camp Ages 13-18 years old Directed by Head Coach Jake Boss and his coaching staff, along with current and former Spartans.
Implementation of State Law and NFHS Playing Rules Related to Concussion and Concussed Athletes and Return to Play Protocol
CONCUSSION REGULATIONS UPDATED FOR 2015-16 DATE OF IMPLEMENTATON APRIL 26, 2013 Implementation of State Law and NFHS Playing Rules Related to Concussion and Concussed Athletes and Return to Play Protocol
THE PROTESTANT SEPARATE SCHOOL BOARD OF THE TOWN OF PENETANGUISHENE POLICY MANUAL. Student Concussion Protocol School Operations D 26
March 9, 2015 New Page 1 of 21 POLICY STATEMENT The Ministry of Education expects all school boards in Ontario to develop and maintain a policy on concussion as outlined in Policy/Program Memorandum No.
TBI TRAUMATIC BRAIN INJURY WITHIN THE MILITARY/VETERAN POPULATION
TBI TRAUMATIC BRAIN INJURY WITHIN THE MILITARY/VETERAN POPULATION What is TBI? An external force that disrupts the normal function of the brain. Not all blows or jolts to the head result in a TBI. The
Neuropsychological Assessment in Sports- Related Concussion: Part of a Complex Puzzle
Neuropsychological Assessment in Sports- Related Concussion: Part of a Complex Puzzle Jillian Schuh, PhD 1, 2, John Oestreicher, PhD 1, & Linda Steffen, PsyD 1 1 Catalpa Health 2 Department of Neurology,
Post-Concussion Syndrome
Post-Concussion Syndrome Anatomy of the injury: The brain is a soft delicate structure encased in our skull, which protects it from external damage. It is suspended within the skull in a liquid called
Guidance for Implementing the Massachusetts Regulations on Head Injuries and Concussions in School Athletics
Head Strong Guidance for Implementing the Massachusetts Regulations on Head Injuries and Concussions in School Athletics JANUARY 2012 Head Strong Guidance for Implementing the Massachusetts Regulations
TRAUMATIC BRAIN INJURY AND DOMESTIC VIOLENCE
TRAUMATIC BRAIN INJURY AND DOMESTIC VIOLENCE Women who are abused often suffer injury to their head, neck, and face. The high potential for women who are abused to have mild to severe Traumatic Brain Injury
LEHIGH UNIVERSITY SPORTS MEDICINE CONCUSSION MANAGEMENT PLAN
LEHIGH UNIVERSITY SPORTS MEDICINE CONCUSSION MANAGEMENT PLAN Table of Contents Definitions Education and Prevention Management o Concussion Education o Reducing Head Trauma Exposure o Football Helmet Facts
PLAY A SMARTER GAME A CONCUSSION MANAGEMENT PROGRAM RESOURCE
PLAY A SMARTER GAME A CONCUSSION MANAGEMENT PROGRAM RESOURCE TM PLAY A SMARTER GAME Clinicians have long recognized that balance control, cognitive processing and a detailed review of a symptoms checklist
RECOGNIZE :: REMOVE :: REFER :: RETURN
OCAMP Max s Law: Concussion Management Implementation Guide for School Administrators RECOGNIZE :: REMOVE :: REFER :: RETURN cbirt In the fall of 2001, high-school quarterback Max Conradt, 17, sustained
NHCS CONCUSSION & TRAUMATIC BRAIN INJURY EDUCATION REVIEW
NHCS CONCUSSION & TRAUMATIC BRAIN INJURY EDUCATION REVIEW A brief discussion about concussions based on the most current data The New NC Law & what it means The practices & procedures New Hanover County
Concussion (Mild Traumatic Brain Injury) and the Team Physician: A Consensus Statement *
SPECIAL COMMUNICATIONS Team Physician Consensus Statement Concussion (Mild Traumatic Brain Injury) and the Team Physician: A Consensus Statement * DEFINITION Concussion or mild traumatic brain injury (MTBI)
Portland State University Sports Medicine Returning Student Athlete Health Report Form
Portland State University Sports Medicine Returning Student Athlete Health Report Form All the following forms must be completed and submitted to the Sports Medicine Department annually. It needs to be
MYBRAINTEST. Computerized Concussion Testing
MYBRAINTEST Computerized Concussion Testing Best Practices for Sports Teams and School Athletic Departments A Guide for Coaches, Athletic Trainers, Physicians, and Parents Table of Contents About This
Rainy River District School Board SECTION 4
Rainy River District School Board SECTION 4 Students STUDENT CONCUSSION PROTOCOL PROCEDURE PURPOSE 4.74 The Rainy River District School Board is committed to the safety of all students. In the interests
Sports Medicine Basics In The Judo Athlete (Part 1)
Sports Medicine Basics In The Judo Athlete (Part 1) Robert S. Nishime, M.D. USA Judo Sports Medicine Subcommittee Judo Sports Medicine Seminar This course is meant to be an educational & informative seminar
Montreal Cognitive Assessment (MoCA) as Screening tool for cognitive impairment in mtbi.
Montreal Cognitive Assessment (MoCA) as Screening tool for cognitive impairment in mtbi. Suresh Kumar, M.D. AUTHOR Director of: Neurology & Headaches Center Inc. Neurocognitve &TBI Rehabilitation Center
Traumatic brain injury (TBI), caused either by blunt force or acceleration/
Traumatic Brain Injury (TBI) Carol A. Waldmann, MD Traumatic brain injury (TBI), caused either by blunt force or acceleration/ deceleration forces, is common in the general population. Homeless persons
Facts about Concussion and Brain Injury
Facts about Concussion and Brain Injury W H E R E T O G E T H E L P About Concussion Signs and Symptoms Getting Better Where to Get Help Resources U.S. Department of Health and Human Services Centers for
Attention & Memory Deficits in TBI Patients. An Overview
Attention & Memory Deficits in TBI Patients An Overview References Chan, R., et.al.. (2003). Are there sub-types of attentional deficits in patients with persisting post- concussive symptoms? A cluster
A patient guide to mild traumatic brain injury
A patient guide to mild traumatic brain injury Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
Brewton-Parker College Sports Medicine Student Athlete - Medical Policies & Procedures 2014-2015
Brewton-Parker College Sports Medicine Student Athlete - Medical Policies & Procedures 2014-2015 National Athletic Trainers Association Mission Statement The mission of the National Athletic Trainers Association
3. Overview: The next 8 pages contain the concussion management algorithms guiding garrison medical care at the time of injury to 7 days.
ATTACHMENT 2 (CONCUSSION MANAGEMENT IN THE GARRISON SETTING ALGORITHMS) TO HQDA EXORD DA GUIDANCE FOR MANAGEMENT OF CONCUSSION/MILD TRAUMATIC BRAIN INJURY IN THE GARRISON SETTING 1. General: Implementation
Concussion Management The Team Plan
Concussion Management The Team Plan Joseph F. Waeckerle M.D., FACEP Concussion Management The Team Plan Joseph F. Waeckerle M.D., FACEP Clinical Professor of Emergency Medicine, University of Missouri
Using the Shockbox Application on your Android Phone (ver 1.5)
Using the Shockbox Application on your Android Phone (ver 1.5) Impakt Protective thanks you for your Shockbox purchase. The Shockbox sensor and the application work together to provide you with immediate
The Athletic Trainer: Your Ally on the Sidelines, in the Schools, and in the Community. Philip Heywood M.S., ATC, L/AT
The Athletic Trainer: Your Ally on the Sidelines, in the Schools, and in the Community Philip Heywood M.S., ATC, L/AT What is a Certified Athletic Trainer Athletic Trainers Are: Unique health care providers
Returning to School After a Concussion: A Fact Sheet for School Professionals
Returning to School After a Concussion: A Fact Sheet for School Professionals Assess the situation Be alert for signs and symptoms Contact a health care professional What is a Concussion? A concussion
Combat Medic/Corpsman Algorithm
1 Concussion Management Combat Medic/Corpsman Algorithm (Pre-hospital/no medical officer in the immediate area) Traumatic Event or Head Injury Occurs: Concussion Possible A Any red flags? B Initiate MACE
BINSA Information on Mild Traumatic Brain Injury
Mild traumatic brain injuries (MTBI) occur through sporting, car and workplace accidents. Mild brain injury is not easily diagnosed. This fact sheet explains how it may be recognised and assessed, and
Head Injury. Dr Sally McCarthy Medical Director ECI
Head Injury Dr Sally McCarthy Medical Director ECI Head injury in the emergency department A common presentation 80% Mild Head Injury = GCS 14 15 10% Moderate Head Injury = GCS 9 13 10% Severe Head Injury
Policies, Procedures and Preparation
Sports Concussion: Policies, Procedures and Preparation Michael C. Koester, MD, ATC April 19 th, 2011 Chair, NFHS Sports Medicine Advisory Committee Chair, OSAA Medical Aspects of Sports Committee Director,
INTERMEDIATE GUIDE TO CONCUSSIONS
INTERMEDIATE GUIDE TO CONCUSSIONS (Recommended for Grade 4 Grade 8) Lesson: Recovering from a Concussion Focus: Recognizing Concussion Symptoms and Return to Play Guidelines Curriculum: - Personal and
Concussions and Mild Head Injury. Post Concussion Syndrome. Whiplash Injuries
Concussions and Mild Head Injury Post Concussion Syndrome Whiplash Injuries Treat the cause, not just the symptoms NeuroSensory Center of Eastern Pennsylvania 250 Pierce Street, Suite 317 Kingston, PA
Injury Law Center HEAD INJURY. Head injuries can be caused by car crashes, sports injuries, falls, workplace injuries and assaults.
Injury Law Center Note: This information is provided to give you a basic understanding of the injury. It is not intended as medical advice. You should consult a qualified medical provider. Description
Traumatic Brain Injury and Incarceration. Objectives. Traumatic Brain Injury. Which came first, the injury or the behavior?
Traumatic Brain Injury and Incarceration Which came first, the injury or the behavior? Barbara Burchell Curtis RN, MSN Objectives Upon completion of discussion, participants should be able to Describe
B U R T & D A V I E S PERSONAL INJURY LAWYERS
TRANSPORT ACCIDENT LAW - TRAUMATIC BRAIN INJURY Traumatic Brain Injury ( TBI ) is a common injury in transport accidents. TBI s are probably the most commonly undiagnosed injuries in a hospital setting.
Despite a significant increase in research dedicated. National Athletic Trainers Association Position Statement: Management of Sport Concussion
Journal of Athletic Training 2014;49(2):245 265 doi: 10.4085/1062-6050-49.1.07 Ó by the National Athletic Trainers Association, Inc www.natajournals.org position statement National Athletic Trainers Association
Incident/Injury Reporting and Investigation Policy Township of Tudor and Cashel
A. Policy Statement The is committed to the health and safety of employees, contractors, visitors and the general public. All incidents/injury shall be investigated to the extent warranted by their severity
The Military Acute Concussion Evaluation (MACE)
The Military Acute Concussion Evaluation (MACE) Louis French, PsyD, Michael McCrea, PhD, Mark Baggett, PhD ABSTRACT Traumatic brain injury (TBI), in both times of peace and times of war is a significant
NC State University Sports Medicine Concussion Policy
NC State University Sports Medicine Concussion Policy Table of Contents 1. NC State University Concussion Management Policies and Procedures 2 2. Concussion Management Procedural Outline 14 3. Concussion
Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) Normative Data
Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) Normative Data Version 2.0 Only 2003 Grant L. Iverson, Ph.D. University of British Columbia & Riverview Hospital Mark R. Lovell, Ph.D.
AVON MAITLAND DISTRICT SCHOOL BOARD ADMINISTRATIVE PROCEDURE NO. 319
AVON MAITLAND DISTRICT SCHOOL BOARD ADMINISTRATIVE PROCEDURE NO. 319 SUBJECT: Concussion Protocol Legal References: PPM 158 School Board Policies on Concussion Related References: OPHEA / Parachute Canada
Stanford University Club Sports Athletic Training Services Manual
Stanford University Club Sports Athletic Training Services Manual Preface The purpose of this manual is to provide the athletic trainer, coaches, and club sport athletes with guidelines as to how athletic
Adolescent Sports Medicine Update
Adolescent Sports Medicine Update AARON GRAY, MD DEPARTMENTS OF FAMILY MEDICINE & ORTHOPAEDICS UNIVERSITY OF MISSOURI. Objectives Understand unique diagnostic and management considerations of concussions
RECOVERING FROM A MILD TRAUMATIC BRAIN INJURY
RECOVERING FROM A MILD TRAUMATIC BRAIN INJURY An Information Guide BRAIN INJURY REHABILITATION SERVICE CONCUSSION CLINIC BURWOOD HOSPITAL TABLE OF CONTENTS AN INFORMATION GUIDE... 3 WHAT HAPPENS IN A TRAUMATIC
R ECOVERING F ROM M ILD B RAIN I NJURY/CONCUSSION A G UIDE FOR P ATIENTS
R ECOVERING F ROM M ILD B RAIN I NJURY/CONCUSSION A G UIDE FOR P ATIENTS Mild brain injury (or concussion) is relatively common and typically occurs as a result of a blow to the head during sports, a motor
Connecticut State Department of Education
Connecticut State Department of Education Dr. Dianna R. Wentzell, Interim Commissioner of Education Office of Student Supports and Organizational Effectiveness Charlene Russell-Tucker, Chief Operating
SUBSTANCE USE DISORDER SOCIAL DETOXIFICATION SERVICES [ASAM LEVEL III.2-D]
SUBSTANCE USE DISORDER SOCIAL DETOXIFICATION SERVICES [ASAM LEVEL III.2-D] I. Definitions: Detoxification is the process of interrupting the momentum of compulsive drug and/or alcohol use in an individual
The Indiana Trial Lawyer Association s Lifetime Achievement Seminar. Honoring Peter L. Obremsky. May 23-24, 2005
The Indiana Trial Lawyer Association s Lifetime Achievement Seminar Honoring Peter L. Obremsky May 23-24, 2005 The Use of Medical Literature in the Brain Injury Case Thomas C. Doehrman Doehrman-Chamberlain
Functions of the Brain
Objectives 0 Participants will be able to identify 4 characteristics of a healthy brain. 0 Participants will be able to state the functions of the brain. 0 Participants will be able to identify 3 types
Knowing about your Mild Traumatic Brain Injury (TBI)
Knowing about your Mild Traumatic Brain Injury (TBI) Knowing about mild TBI There is a distinction between visible injuries to the scalp ( Head Injuries ) and internal injuries to the brain itself ( Traumatic
Coaches Course Syllabus HB 2038 ~ Natasha s Law
Coaches Course Syllabus HB 2038 ~ Natasha s Law Introduction: This syllabus contains an outline of the required elements for the two hour coaches concussion education training mandated by HB 2038 (Sec.
Closed Automobile Insurance Third Party Liability Bodily Injury Claim Study in Ontario
Page 1 Closed Automobile Insurance Third Party Liability Bodily Injury Claim Study in Ontario Injury Descriptions Developed from Newfoundland claim study injury definitions No injury Death Psychological
Concussion Protocols and Procedures. Grades 6-12
Concussion Protocols and Procedures Grades 6-12 In accordance with 105 CMR 201.000, Head Injuries and Concussions in Extracurricular Athletic Activities, Belmont Public Schools require student athletes
75-09.1-08-02. Program criteria. A social detoxi cation program must provide:
CHAPTER 75-09.1-08 SOCIAL DETOXIFICATION ASAM LEVEL III.2-D Section 75-09.1-08-01 De nitions 75-09.1-08-02 Program Criteria 75-09.1-08-03 Provider Criteria 75-09.1-08-04 Admission and Continued Stay Criteria
Effective Services for People Living with Brain Injury
Effective Services for People Living with Brain Injury Jean Capler, MSW, LCSW Local Support Network Leader The Rehabilitation Hospital of Indiana Resource Facilitation Plan for Today Brain Injury 101 Challenges
Brain Injury Litigation. Peter W. Burg Burg Simpson Eldredge Hersh & Jardine, P.C. www.burgsimpson.com
Brain Injury Litigation Peter W. Burg Burg Simpson Eldredge Hersh & Jardine, P.C. www.burgsimpson.com Some General Facts About Traumatic Brain Injury TBIs contribute to a substantial number of deaths and
This document is a revision to the team physician
Team Physician Consensus Statement Concussion (Mild Traumatic Brain Injury) and the Team Physician: A Consensus Statement 2011 Update This document is a revision to the team physician consensus statement
BINSA Information on Brain Injury
Acquired Brain Injury (ABI) There are a number of ways an individual can suffer an acquired brain injury (ABI) Figure one - ABI causes Significant causes of ABI Traumatic Brain Injury (TBI) Traumatic Brain
MOTOR VEHICLE ACCIDENT QUESTIONNAIRE
MOTOR VEHICLE ACCIDENT QUESTIONNAIRE Thank you in advance for taking the time to complete this form, this will help us to better assess all of your pain concerns and provide you with the best treatment.
BASIC PRINCIPLES OF CONCUSSION MANAGEMENT - 2012
BASIC PRINCIPLES OF CONCUSSION MANAGEMENT - 2012 INTRODUCTION: Knowledge about concussion has grown enormously in the past two decades. Public awareness and interest in concussion, based on its prevalence