Saturday 10th December 2016 Module 2 In Practice Concussion Update heyne Lecture Theatre, RCSI

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1 Saturday 10th December 2016 Module 2 In Practice Concussion Update Venue: C heyne Lecture Theatre, RCSI Faculty of Sports and Exercise Medicine, RCPI & RCSI 121 St Stephen s Green, Dublin 2, Ireland Tel Fax sportsfac@rcsi.ie LinkedIn: Faculty of Sports and Exercise Medicine, RCPI & RCSI

2 Welcome address from Dean Dr Padraig Sheeran MB ChB, FFA RCSI, FRCS Ed., FFSEM, DTM&H, FJFICMI Consultant Anaesthetist - Our Lady s Children Hospital, Crumlin Dean of the Faculty of Sports and Exercise Medicine, RCPI & RCSI Dear Delegates, Following on from our very successful SEMSEP 2015/2016 programme, on behalf of the Faculty Board, I would like to welcome you to RCSI today for the second module in our Sports and Exercise Medicine Structured Educational Programme (SEMSEP) 2016/2017. The objective of the SEMSEP programme is to provide additional educational opportunities in the new specialty of Sports and Exercise Medicine to our Fellows and Members, but also to medical practitioners and other allied healthcare professionals who are interested to learn more about Sports and Exercise Medicine. The modules will be delivered during the academic year, and will address a number of topics. Our first module this year was dedicated to In Practice Olympic Games Update, and was well attended. We hope that today s module, In Practice Concussion Update, as well as the next two modules later on in the programme, In Practice Nutrition for Sports & Health/Anti-Doping Update & In Practice Managing Chronic Illness in Sport, will be as popular. On behalf of the Faculty Board, I would like to welcome you to RCSI this morning for SEMSEP Module 2 on In Practice Concussion Update. This is our second SEMSEP Module on this in light of ongoing developments in the research and knowledge on Concussion, and in particular the recent 5th International Consensus Meeting on Concussion in Berlin which will deliver it s findings in May 2017 with an updated Consensus Statement on Concussion in Sport, to follow on from the 4th Zurich statement. In the pre-hospital, pitch-side environment, it is the doctor who is ultimately held responsible for decisions made regarding player welfare. One of the areas of acute concern is Concussion in the Paediatric Patient/ Athlete. The faculty will set up an expert group of Paediatricians to examine Concussion in the Developing brain closely - this will involve a self funded trip to our recent Honorary Fellows Facility in Childrens Boston, Dr Lyle Michaeli. This morning s programme has been created to update you as to our current knowledge on concussion which is still an evolving science, add clarity where needed, and highlight what is important so that the doctors on the field of play can make the right decision with the best interests of the player being his absolute priority. This is the role of the Faculty of Sports and Exercise Medicine; to provide the education, training and support for our sports doctors in the challenging environment of competitive sport. I hope today s SEMSEP answers more questions than it creates. We look forward to the various modules being delivered by our team of SEM experts and guest speakers, and we value your feedback after each module. Dr Padraig Sheeran Dean of the Faculty of Sports and Exercise Medicine, RCPI & RCSI

3 SEMSEP 2016/ th December 2016 Module 2 In Practice Concussion Update Programme Co - Chairs: Prof Michael G Molloy & Dr Adrian McGoldrick Venue: Cheyne Lecture Theatre, RCSI Time Title Speaker 8.30am Registration in Concourse 8.45am Welcome Address from Dean Dr Padraig Sheeran 9.00am Concussion The New Paradigm Mr Kevin Moran 9.20am Concussion A GAA Perspective Mr Kevin Moran 9.30am Concussion A Rugby Perspective Prof John Ryan 9.40am Concussion A Soccer Perspective Dr Lucy Soden 9.50am Concussion A Boxing Perspective Mr Jack Phillips 10.00am Concussion A MMA Perspective Prof Dan Healy 10.10am Concussion A Horse Racing Perspective Dr Adrian McGoldrick 10.20am Concussion The Neurologist s View Dr Brian Sweeney 10.45am Break in Concourse 11.05am Paediatric Concussion Dr Niamh Lynch 11.30am 11.50am 12.30pm 1.10pm Concussion Update from 5 th Consensus Meeting in Berlin Concussion Research Study St James s Hospital & Trinity College Dublin Panel Discussion Close Prof Michael G Molloy Dr Adrian McGoldrick Dr Colin Doherty / Dr Matt Campbell This module is approved for 4 CPD credits HEALTH AND SCIENCE PROMOTION OF PHYSICAL ACTIVITY AND EXCELLENCE IN SPORT PERFORMANCE WE ARE COMMITTED TO BE THE LEADER AND PRIME REFERENCE IN EDUCATION, ETHICS AND SCIENCE FOR SPORTS AND EXERCISE MEDICINE IN IRELAND

4 Speakers Biographies MR KEVIN MORAN Mr Kevin Moran is a consultant surgeon in Letterkenny University hospital for 25 years. He is a Graduate of University College Dublin. He completed Surgical training at Royal College of Surgeons with fellowships in surgery from the Royal College of Surgeons in Ireland and Edinburgh. Mr Moran was awarded a Masters Degree in surgery from Johns Hopkins University School of Medicine Baltimore Md for original research on the modulation of deleterious immunological changes associated with trauma. He returned to Ireland as Lecturer in surgery in University college Dublin and the Mater Hospital and as Senior Registrar in University college hospital Cork and Beaumont Hospital. He is currently the Donegal Team doctor, special interest in and continues to study the relationship between player loading recovery programmes and injury prevention. Currently a member of the Medical, Scientific and Welfare Committee of the GAA and concussion lead for GAA. PROF JOHN RYAN FRCEM, FRCSED(A&E), FFSEM, DCH, DIPSPORTSMED Prof Ryan qualified from RCSI in He passed the FRCSEd (A&E) and the Diploma in Sports Medicine exam from Dublin University in He completed his Higher Specialist Training in Emergency Medicine in London, Brighton and Sydney. He was a Senior Lecturer in Brighton for five years before returning to St Vincent s University Hospital. He is a board member of the Faculty of Sports and Exercise Medicine. He has published many papers and book chapters on Sports Medicine related topics. His particular area of interest is in Acute Sports Injury Management and Research. For the last 2 years he has run a public concussion clinic at St Vincent s University Hospital. He is team doctor with Leinster Rugby and doctor to the Irish Under 18s Rugby Team. DR LUCY SODEN Lucy Soden qualified as a GP in She then went on to complete a Masters in Sports and Exercise Medicine in Trinity College Dublin. As well as working as a GP and in SVUH Emergency Department, she has worked with numerous sports including soccer, rugby and cycling. She is currently working with the FAI, as doctor to the Irish Women s Soccer Team. MR JACK PHILLPS Jack Phillips is a Consultant Neurosurgeon

5 Beaumont Private Clinic. FRCSI MD MA Cambridge Graduated UCC Intern St Vincent s Hospital University of Massachusetts 1971/72. Senior House Officer/Registrar St Finbarrs Hospital Cork 1973/4. Research Fellow Massachusetts General Hospital Neurosurgical Registrar Radcliffe Infirmary Oxford 1976/77. Lecturer and Senior Registrar Addenbrookes Hospital Cambridge 1978/79. Consultant Neurosurgeon Richmond Hospital Special interests Pituitary and Epilepsy Surgery. Sports Medicine and Medicolegal expert witness. PROF DAN HEALY Prof Dan Healy is a Consultant Neurologist in Beaumont Hospital and the RCSI. In 2006 he was appointed Consultant Neurologist at the Institute of Neurology, Queen Square and Royal Free Hospital in London. He completed a PhD in Human Evolution and Population Genetics at University College London ( ). His clinical interests are genetic disorders of the nervous system and disorders of Movement. DR ADRIAN MCGOLDRICK Dr Adrian Mc Goldrick is a Fellow of the Faculty of Sports and Exercise Medicine. He is a G.P., practicing in Newbridge, Co. Kildare since He has been a racecourse medical officer for 31 years and Turf Club Senior Medical Officer since January He has been joint coordinator of the Turf Club Research Group since 2004 and has co-authored multiple articles and abstracts with respect to the welfare of jockeys. He is a member of the Equestrian Helmet Technical Committee of N.S.A.I. and Convenor of Working Group 5 (Helmets for Horse Riders) of CEN, the European Standards Body. DR BRIAN SWEENEY Dr Brian Sweeney qualified in Medicine in UCD 1986 with Internship at St Vincent s Hospital. He Trained in Dublin, Cork and London at the National Hospital for Neurology and Neurosurgery, Queen Square. He is currently a consultant Neurologist at Cork University Hospital since He has acted as consulting neurologist for Munster Rugby for the past 15 years. DR NIAMH LYNCH Dr Niamh Lynch graduated from University College Cork in She undertook her basic paediatric training in Dublin and «

6 Speakers Biographies (contd.) her paediatric neurology fellowship in Vancouver, Canada, before returning to Cork in 2010 having been awarded the Denis O Sullivan Fellowship. Her area of reasearch was neonatal brain injury. She took up her consultant post in the Bon Secours Hospital in Cork in 2012 where she works as a paediatrician with a special interest in neurology. This year she established Ireland s first dedicated paediatric concussion clinic and sees patients from all over Ireland. DR COLIN DOHERTY Dr Colin Doherty is a consultant neurologist at St James s Hospital and lecturer in clinical medicine at TCD. He is a founding member of the Academic Unit of Neurology at TCD and head of Epilepsy Research. He is the director of the Dublin Mid-Leinster Regional Epilepsy Center which manages about 3,500 Patients with epilepsy and related disorders every year. His undergraduate degree was awarded by UCD (1991) and he trained in Medicine and Neurology at St Vincent s and Beaumont Hospitals and later at the Partners Neurology Residency Programme at Harvard Medical School, Boston (Brigham and Women s Hospital and Massachusetts General Hospital) where he was Chief Resident in his final year ( ). He then completed Fellowships in Epilepsy and Cognition at MGH ( ). He has published widely the areas of brain imaging in epilepsy, the genetics of epilepsy, functional imaging of language, dementia, clinical epileptology and brain injury. In the last few years he has become interested in the basic science, clinical evaluation and public health issues surrounding concussion. He was a board member of the Health Research Board ( ) and is a founder member and Medical Director of Epilepsy Research Ireland (ERI). DR MATT CAMPBELL Dr Matt Campbell currently leads the Neurovascular Genetics Research Group based in the Smurfit Institute of Genetics at TCD which he established in He is a lecturer in genetics at the same institution. His scientific interests surround the molecular biology and physiology of the vasculature associated with neural tissues. In 2006, he joined the Smurfit Institute of Genetics and was working under the mentorship of Prof Pete Humphries. This led to the development of a novel form of patented technology that was termed Neural Barrier Modulation. In 2012, he led a study examining the role of the NLRP3

7 inflammasome in the development of one of the most common forms of central retinal blindness, AMD, which led to the publication of an article in the premier international biomedical journal Nature Medicine. In 2013, Dr Campbell was awarded Ireland s most prestigious prize for young researchers, the President of Ireland Young Researcher Award (PIYRA) in addition to the international Genentech/ARVO fellowship. Recently, Dr Campbells work has extended to a clinical research programme investigating the role of the Blood Brain Barrier (BBB) in the context of mild TBI observed in rugby players. With the growing awareness of concussive and sub-concussive brain injuries in sports, much attention has focused on emerging evidence linking the development of chronic traumatic encephalopathy (CTE) to concussive injuries in athletes and military personnel.

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