Disclosures 7/22/2015 MANAGEMENT OF SPORTS RELATED CONCUSSION. Brad Herskowitz MD Neurologist Baptist Hospital
|
|
- Myrtle Skinner
- 6 years ago
- Views:
Transcription
1 MANAGEMENT OF SPORTS RELATED CONCUSSION Brad Herskowitz MD Neurologist Baptist Hospital Disclosures I have no relevant financial conflicts of interest. I will not discuss off label or unapproved usage. 1
2 Objectives Understand the basic pathophysiology of concussions Recognize concussion signs and symptoms Be competent in primary care setting in evaluating and treating athletes with sports related concussions Be able to know when it is safe for an athlete to RTP or when to refer to a concussion specialist Why do we care so much about CONCUSSION? Major public health issue Frequent occurrence in sport Potential catastrophic or long term sequelae NFL We have the ability to change culture of sport Lystedt Law 2
3 Epidemiology million SRC occur annually (underestimate) McCrea et al 2004 studied 1,532 varsity HS football players in Wisconsin 29.9% reported previous concussion 15.3% suffered a concussion during current season but only 47.3% reported their injury Reasons: did not think injury serious or did not know it was a concussion, did not want to be held out of play Risk of repeat concussions greatest in first 7-10 days after RTP Epidemiology Increased rates last decade 9% high school injuries, 6% college Males: football, rugby, ice hockey and wrestling Females: soccer and basketball In comparable sports with same rules, Females 2x more concussions 3
4 Concussion Guidelines 1 st International Conference on Concussion in Sport, Vienna 2001 Consensus statement created 2 nd Prague 2004 Did away with concussion grading Simple vs complex 3 rd Zurich 2008 All classifications removed 4 th Zurich 2012 New tools, SCAT 3 Timing of treatments Sports Societies American Academy of Neurology (AAN) American Medical Society for Sports Medicine (AMSSM) National Athletic Trainers Association (NATA) Concussion in Sport Group (CISG)- 4 th International Consensus Conference of Concussion in Sport (Zurich, 2012) Definition (Zurich 2012) complex pathophysiologic process affecting the brain, induced by traumatic biomechanical forces that may be caused by a direct blow to the head, face, neck or other part of body with an impulsive force transmitted to the head. McCrory et al Rapid onset of short lived impairment of neuro fxn resolving spontaneously May have neuropath changes, but acute clinical symptoms reflect functional disturbance, not structural Graded set of neurological syndromes, with or w/o LOC Grossly normal neuroimaging studies 4
5 7/22/2015 Mechanism of Injury Rapid linear acceleration and deceleration Rotational or angular acceleration Midbrain/diencephal RAS Pathophysiology -Complex metabolic cascade: impaired neurotransmitter function abnormal concentration of ions depolarization decreased blood flow -Brain has increased vulnerability in post concussion state ENERGY CRISISIncreased need for energy coupled with decreased blood flow- BRAIN HAS TO WORK HARDER TO MEET SAME DEMANDS! Acute Assessment On Field ABC s Cervical spine injury- if concerned immobilize Assess for more serious brain injuryed for brain imaging Suspicion- REMOVE FROM PLAY Sideline HISTORY/ PHYSICAL/COGNITIVE/BALANCE TESTING SCAT 3 5
6 Signs and Symptoms Signs and Symptoms HEADACHE- 70% DIZZINESS- LOC- 10% Amnesia- rga, pta Symptoms typically present immediately but can be delayed 80-90% of athletes will have symptom resolution by 7-10 days miserable minority last longer Detailed Assessment- SCAT 3 6
7 Sideline Assessment If no evidence for concussion RTP Serial evaluations If diagnosed with a concussion Should not return to play same day of concussion SCAT 3 or other sideline assessment Player should not be left alone following injury, requires serial monitoring for several hours Arrange for appointment with HCP NEUROIMAGING Adds little benefit to concussion workup Use when suspicion of intracerebral or structural process exists: Focal abnormality Worsening symptoms Prolonged disturbance of conscious state Other imaging not recommended yet i.e. fmri, PET Patient Instructions No frequent awakenings, SLEEP is beneficial to athlete If level of consciousness is a concern, send to ER for imaging Avoid aspirin or NSAIDS Physical and mental rest No driving 7
8 OFFICE EVALUATION History Event Mechanism Symptoms History of concussion or risk factors Speak to trainer or parents Concerning symptoms for Imaging Worsening symptoms Pronounced amnesia Office Evaluation Physical Exam Neuro exam-look for focal deficits SCAT 3 Balance testing- BESS Office Evaluation- TOOLS SCAT 3 Objective Serial monitoring Computerized Neuropsychological Testing Provides objective assessment of cognitive function Usually follows symptom resolution Performed when clinically asymptomatic Determine academic restrictions 8
9 28 minutes Baseline before season Can be abnormal even with symptom resolution McGrath et al- Post exertion NP test failure 27%-normal IMPACT, abnormal Post exertion IMPACT Neuroimaging Typically normal in concussion Head CT Skull fracture, hemorrhage MRI brain May obtain if prolonged symptoms Others fmri, SPECT, DTI, PET- mainly research tools Concussion Management Physical Rest-not strict Cognitive Rest No TV, extensive reading, video games, etc. May need school accomodations Sleep- no naps Regular diet and hydration Gradual RTP 9
10 Concussion Management Medications Headaches- NSAIDS, acetominophen Insomnia- melatonin, trazodone, zolpidem, tricyclics Neurobehavioral- Amantidine, methylphenidate Depression- SSRI s Vestibular Therapy Management Gradual resolution within 7-10 days Gradual return to school and social activities that does not result in exacerbation of symptoms Step wise RTP strategy 10
11 Graduated RTP Protocol 24 hours per step If symptoms return to previous asymptomatic level Return To Play No symptoms Normal Physical exam Normal NP testing Off all medications Modifying Factors effecting RTP 11
12 Post Concussion Syndrome 15% with history of concussion >3 months Symptoms Headache- tension, migraine Irritability Dizziness Insomnia Depression/anxiety Cognitive/ memory Psychological factors When to Hang it Up? No clear criteria 3 concussions in a season- sit out season Retirement consideration Lower threshold for concussion Longer duration of symptoms and more severe Neurocognitive impairment SECOND IMPACT SYNDROME Does it exist? an athlete who has sustained an initial head injury, most of a concussion, sustains a second head injury before symptoms from the first concussion have cleared. This second injury is believed to result in catastrophic cerebral swelling which can be fatal Hypothesis- disordered cerebral autoregulation causing congestion and malignant cerebral edema with increased ICP and herniation LACK OF EVIDENCE THAT IT EXISTS 12
13 Second Impact Syndrome Single blow enough to cause cerebral swelling McCrory, cases in world literature, only 5 with repeated injury 14 autopsy- 11 with structural brain injury (SDH) Only described in North America, not Europe or Australia (rugby) Boxers at risk- why not more in boxers with repetitive head injury? BOTTOM LINE: increased risk for more severe injury if brain not healed Prevention Daneshvar et al 2011 Mouthguardshave benefit in prevention oral injury, but no evidence of concussion reduction Head gear and helmets show reduction in biomechanical forces, but have not translated to a reduction in concussion incidence Helmetsreduce head and facial injury in skiing and snowboarding and other sports Chronic Traumatic Encephalopathy First described dementia pugulistica, CTE 1996 Progressive neurodegenerative disorder caused by multiple concussions or subconcussive blows to the head Other causes? Steroid abuse, drug and alcohol abuse, Genetic predispositions, Depression/Stress Over 30 NFL players diagnosed with CTE, hockey, wrestling Signs and Symptoms Dementia/ memory loss, Aggression, Depression/ suicide, behavioral change 13
14 Chronic Traumatic Encephalopathy First described dementia pugulistica, CTE 1996 Progressive neurodegenerative disorder caused by multiple concussions or subconcussive blows to the head Other causes? Steroid abuse, drug and alcohol abuse, Genetic predispositions, Depression/Stress Over 30 NFL players diagnosed with CTE, hockey, wrestling Signs and Symptoms Dementia/ memory loss, Aggression, Depression/ suicide, behavioral change CTE Pathology-tau deposition in cerebral sulci distinct from AD, FTD APOE may be RF? Post mortem diagnosis Florida Concussion Bill A bill to be entitled 2 An act relating to youth and student athletes; 3 amending s , F.S.; requiring independent 4 sanctioning authorities to adopt policies to inform 5 certain officials, coaches, and youth athletes and 6 their parents of the nature and risk of certain head 7 injuries; requiring that a signed consent form be 8 obtained before the youth participates in athletic 9 practices or competitions; requiring that a youth 10 athlete be immediately removed from an athletic 11 activity following a suspected head injury; requiring 12 written clearance from a medical professional before 13 the youth resumes athletic activities; authorizing a 14 physician to delegate the performance of medical care 15 to a licensed or certified health care practitioner 16 and consult with or use testing and the evaluation of 17 cognitive functions performed by a licensed 18 neuropsychologist; amending s , F.S.; 19 requiring the Florida High School Athletic Association 20 to adopt policies to inform certain officials, 21 coaches, and student athletes and their parents of the 22 nature and risk of certain head injuries; requiring 23 that a signed consent form be obtained before a 24 student athlete participates in athletic practices or 25 competitions; requiring that a student athlete be 26 immediately removed from an athletic activity 27 following a suspected head injury; requiring written 28 clearance from a medical professional before the 29 student resumes athletic activities; authorizing a 30 physician to delegate the performance of medical care 31 to a licensed or certified health care practitioner 32 and consult with or use testing and the evaluation of 33 cognitive functions performed by a licensed 34 neuropsychologist; providing an effective date
15 7/22/2015 Conclusion Heterogenous/complex disorder Institution of safety guidelines and laws to protect the athletes Algorithms in place to assist LHCP and get athletes back on the field safely and timely Tremendous research/ Neuroimaging Bottom line is to make it safer for athletes and prevent long term sequelae THANK YOU!! Baptist Hospital Homestead Hospital West Kendall Baptist Hospital Baptist Children s Hospital Mariners Hospital Baptist Outpatient Services Doctors Hospital Miami Cardiac & Vascular Institute South Miami Hospital 45 15
Concussion Management and Update. Objectives
Concussion Management and Update Ricardo Guirola MD M Ed Pediatric Rheumatology Primary Care Sports Medicine Objectives Review definition, signs and symptoms Discuss the initial evaluation of a patient
More informationPEDIATRIC SPORTS RELATED CONCUSSIONS
Anna Mazur, PhD PEDIATRIC SPORTS RELATED CONCUSSIONS Disclosure No financial interests or funding 1 Presentation Outline Prevalence Predicting recovery: Post Traumatic Amnesia and Loss of Consciousness
More informationIT S ALL IN YOUR HEAD!
IT S ALL IN YOUR HEAD! CARING FOR CONCUSSIONS IN YOUR COMMUNITY Stephen K Stacey, DO CPT, MC, USA OUTLINE Definition Epidemiology Diagnosis Evaluation Recovery Sequelae Prevention Resources for providers
More informationMark J. Harary, MD Primary Care Sports Medicine St Charles Orthopedics, LLP
Mark J. Harary, MD Primary Care Sports Medicine St Charles Orthopedics, LLP Facts, Definitions, etc Appropriate Recognition Comprehensive Management Treatment Consequences of Concussions Neurocognitive
More informationDirector of Athletics
3341-8-1 Concussion Management Policy. Applicability Intercollegiate Athletics Responsible Unit Policy Administrator Intercollegiate Athletics/Director of Athletics Director of Athletics (A) Policy Purpose
More information6/20/2012. Concussion Michele Kirk, MD JPS Sports Medicine
1 2 3 4 5 6 7 8 9 10 Concussion Michele Kirk, MD JPS Sports Medicine Objectives Be able to recognize signs and symptoms of concussion Be familiar with sideline management Be aware of the Zurich Consensus
More informationPOLICY / PROCEDURE DOCUMENT Effective Date 08/19/2010. Concussion Assessment, Management, and Return to Play Guidelines
Beacon Medical Group Sports Medicine POLICY / PROCEDURE DOCUMENT Effective Date 08/19/2010 TITLE: Document of (Entity) POLICY: PATIENT POPULATION: Concussion Assessment, Management, and Return to Play
More informationSports Related Concussion. Joshua T. Williams, PT, DPT, OCS, SCS, CSCS
Sports Related Concussion Joshua T. Williams, PT, DPT, OCS, SCS, CSCS Concussion & Traumatic Brain Injury Glasgow Coma Scale Minimal Mild Mod Severe? Sports concussion Severe GCS 8 Moderate GCS 9-12 Mild
More informationDiagnosis and Management of Concussion. Dr. Kathryn Giles MD, MSc., FRCPC Cambridge Ontario
Diagnosis and Management of Concussion Dr. Kathryn Giles MD, MSc., FRCPC Cambridge Ontario Copyright 2017 by Sea Courses Inc. All rights reserved. No part of this document may be reproduced, copied, stored,
More informationDiagnosis and Management of Concussion. Dr. Kathryn Giles MD, MSc., FRCPC Cambridge Ontario
Diagnosis and Management of Concussion Dr. Kathryn Giles MD, MSc., FRCPC Cambridge Ontario Copyright 2017 by Sea Courses Inc. All rights reserved. No part of this document may be reproduced, copied, stored,
More information6/20/2012. Concussion. Michele Kirk, MD JPS Sports Medicine
Concussion Michele Kirk, MD JPS Sports Medicine 1 Objectives Be able to recognize signs and symptoms of concussion Be familiar with sideline management Be aware of the Zurich Consensus Statement and its
More informationImportance of Recognizing a Concussion
Importance of Recognizing a Concussion Peter Loo, MD CAQ-SM Medical Director of St. Francis Sports Medicine Credentialed ImPACT Consultant KVL Coach s Meeting August 3, 2016 Sisters of Charity of Leavenworth
More informationConcussion. Concussion is a disturbance of brain function caused by a direct or indirect force to the head.
Concussion Concussion is a disturbance of brain function caused by a direct or indirect force to the head. Disturbances of brain tissue is largely related to neurometabolic dysfunction rather then structural
More informationDisclosures. Sports and Recreation Concussions. 4 th International Conference on Concussion in Sports
Update: 4th International Consensus Conference on Concussions in Sports Stanley A. Herring, MD Director of Sports, Spine and Orthopaedic Health UW Medicine Co-Medical Director Seattle Sports Concussion
More informationCONCUSSIONS: What You Really Need to Know Dr. Emily Dixon
CONCUSSIONS: What You Really Need to Know Dr. Emily Dixon TriHealth Heads Count Concussion Medical Director Emily Dixon, DO Born and raised north of Kansas City, Missouri. Earned her medical degree from
More informationSam Schimelpfenig, MD, FAAP Team Physician, University of Sioux Falls Avera Medical Group
Sam Schimelpfenig, MD, FAAP Team Physician, University of Sioux Falls Avera Medical Group Understand the basic management principles of sports-related concussions Review some of the current literature
More informationConcussion 2013 A Program For Logan County
Concussion 2013 A Program For Logan County Boyd C Hoddinott MD, MPH Logan County Health Commissioner ----------------------------------- Kristy Wisner PT, DPT Mary Rutan Physical Rehab Center Consensus
More informationConcussions in Soccer: Assessment and Management. Ruben J. Echemendía, Ph.D.
Concussions in Soccer: Assessment and Management Ruben J. Echemendía, Ph.D. Legalese All opinions expressed in this presentation are my own and do not necessarily represent the views of US Soccer unless
More informationNew Frontiers in the Science of Concussion
New Frontiers in the Science of Concussion Mark R. Lovell, Ph.D., FACPN Chairman and Chief Scientific Officer Founding Director and Professor University of Pittsburgh Sports Concussion Program Copyright
More informationConcussion Facts & Stats
Jeffrey Liang, MD Concussion Facts & Stats 10% of all contact sport athletes sustain concussions yearly. 63% of all concussions occur in football. Estimated that up to 20% of football players will sustain
More informationCarleton College Concussion Safety Protocol
Carleton College Introduction Carleton College is committed to ensuring the health and safety of its student-athletes. To this end, and in accordance with NCAA legislation [Division III Constitution 3.2.4.16],
More informationConcussion Assessment, Management, and Return to Play Guidelines
Concussion Assessment, Management, and Return to Play Guidelines The following policy and procedures on neurocognitive baseline testing and subsequent assessment and management of concussions as well as
More informationConcussions in Youth Sports. Shaun T. O Leary, M.D., Ph.D. Neurosurgeon & Medical Director of Neurosciences at Northwest Community Healthcare
Concussions in Youth Sports Shaun T. O Leary, M.D., Ph.D. Neurosurgeon & Medical Director of Neurosciences at Northwest Community Healthcare Disclosure I am not a consultant for any products or methods
More informationCare of the Athlete after a Concussion
Care of the Athlete after a Concussion www.ibtimes.com CTE Conference 2016: Long Term Impacts of Concussion Jill Inouye, MD, CAQSM Disclosures Dr. Jill Inouye had no relevant financial relationships with
More informationPre and Post Concussion Management
Pre and Post Concussion Management Timothy A. Tolbert, Ph.D., ATC Clinical Coordinator Marshall University Athletic Training Program 1 Concussion A complex pathophysiological process affecting the brain,
More informationConcussion Information
What is a Concussion? Concussion Information Information taken from the Sports Concussion Institute http://www.concussiontreatment.com A concussion is defined as a complex pathophysiological process that
More informationBrain Concussion: A Stealth Injury. Christine Schulman, RN, MS, CNS, CCRN Trauma & Critical Care CNS Legacy Health, Portland, Oregon Director, AACN
Brain Concussion: A Stealth Injury Christine Schulman, RN, MS, CNS, CCRN Trauma & Critical Care CNS Legacy Health, Portland, Oregon Director, AACN Legacy Emanuel Medical Center Portland, Oregon Disclosures
More informationConcussions in Sport Definitions, Mechanisms, and Current Issues
Concussions in Sport Definitions, Mechanisms, and Current Issues Concussions are Everyone s Responsibility! If you do not LOOK FOR IT you will not FIND IT! Paul Echlin MD CCFP, Dip. ABFM, Dip. SM, CAQSM
More informationDavidson College Sports Medicine Concussion Management Policy
Davidson College Sports Medicine Concussion Management Policy Davidson College practices concussion management care based on the most current research and consensus statements from noted concussion experts.
More informationConcussions in Young Athletes. Matthew W. Murray, MD Primary Care Sports Medicine South Coast Physicians Moss Point, MS
Concussions in Young Athletes Matthew W. Murray, MD Primary Care Sports Medicine South Coast Physicians Moss Point, MS None Disclosures Objectives Define concussion and briefly explain pathophysiology
More informationPurpose: The purpose of this policy is to establish a protocol for defining concussions, recognizing symptoms of concussions, and determining the
Purpose: The purpose of this policy is to establish a protocol for defining concussions, recognizing symptoms of concussions, and determining the return to play of an athlete following a concussion at
More informationSport-Related Concussion. Daniel Seidman DO 6 August 2016
Sport-Related Concussion Daniel Seidman DO 6 August 2016 My Pertinent Qualifications - Current Fellow, PCSM - Henry Ford Hospital - Recent Graduate, FM - St. John Macomb-Oakland Hospital - Involved in
More informationThe Changing Landscape of Sports Concussions
The Changing Landscape of Sports Concussions Anthony G. Alessi MD, FAAN Director, UConn NeuroSport Sports Medicine Symposium August 2, 2016 Overview Significance Diagnosis Sideline diagnosis v Management
More information1. Begin light aerobic exercise such as walking, stationary bike, etc. No resistance training.
POLICY: Any athlete displaying signs or symptoms of a concussion, or if there is a high suspicion for concussion, an athlete will not be returned to competition or practice until they have written clearance
More informationSports Concussions. Objectives. Concussion Definition 9/16/2013. Melissa Schiff, MD, MPH
Sports Concussions Melissa Schiff, MD, MPH Objectives 1. Recognize signs and symptoms of concussion 2. Understand WA Lystedt concussion law 3. Understand return to play (RTP) requirements 4. Understand
More informationDepartmental Concussion Guidelines
Concussion Plan Departmental Concussion Guidelines The following guidelines have been developed in accordance with Alabama A&M s Mission Statement and service goal of providing quality healthcare services
More informationConflicts. Objectives. You can t hide. Epidemiology 4/16/2018. I have no relevant financial relationships to disclose.
The Concussion Epidemic What the EM provider needs to know Conflicts I have no relevant financial relationships to disclose. Certified ImPACT consultant NFL/KSI grant reviewer Paid consultant for Weber-Shandwick
More informationParamus Athletics. Paramus High School Athletic Department Protocol and Procedures for Management of Sports - Related Concussion
Paramus Athletics Paramus High School Athletic Department Protocol and Procedures for Management Medical management of sports-related concussions is evolving. In recent years, there has been significant
More informationSummary of evidence-based guideline update: Evaluation and management of concussion in sports
Summary of evidence-based guideline update: Evaluation and management of concussion in sports Report of the Guideline Development Subcommittee of the American Academy of Neurology Guideline Endorsements
More informationCONCUSSION MANAGEMENT PROTOCOL 2015
301-333 Terminal Avenue, Vancouver, BC Canada V6A 4C1 t: 604.568.1135 f: 604.568.1639 e: info@canadasnowboard.ca www.canadasnowboard.ca CONCUSSION MANAGEMENT PROTOCOL 2015 A CONCUSSION is a disturbance
More informationADHD and Concussion. Mary Alexis Iaccarino, MD
ADHD and Concussion Mary Alexis Iaccarino, MD Department of Physical Medicine and Rehabilitation Harvard Medical School Spaulding Rehabilitation Hospital MassGeneral Hospital for Children Sport Concussion
More informationReview of: NATA Position Statement Management of Sport Concussion.
Review of: NATA Position Statement Management of Sport Concussion www.csm-institute.com Topics: Education and Prevention Documentation and Legal Aspects Evaluation and RTP Other Considerations Strength
More informationINTERCOLLEGIATE ATHLETICS CONCUSSION ACKNOWLEDGEMENT AND STATEMENT
ACKNOWLEDGEMENT AND STATEMENT A FACT SHEET FOR STUDENT-ATHLETES WHAT IS A? A concussion is a brain injury that: Is caused by a blow to the head or body -From contact with another player, hitting a hard
More informationCONCUSSION AWARENESS, MANAGEMENT, AND ASSESSMENT FROM AN ATHLETIC TRAINER
CONCUSSION AWARENESS, MANAGEMENT, AND ASSESSMENT FROM AN ATHLETIC TRAINER Dr. Ryan Krzyzanowicz, DAT, ATC Clinical Associate Professor Program Director - Athletic Training Education University at Buffalo
More informationDr Mark Fulcher Sports and Exercise Medicine Physician Axis Sports Medicine Specialists
Dr Mark Fulcher Sports and Exercise Medicine Physician Axis Sports Medicine Specialists 16:30-17:25 WS #163: ACC Sports Concussion Guidelines 17:35-18:30 WS #175: ACC Sports Concussion Guidelines (Repeated)
More informationConcussion in Adventure Athletes Epidemiology and Current Guidelines. Aaron Provance, MD Medical Director
Concussion in Adventure Athletes Epidemiology and Current Guidelines Aaron Provance, MD Medical Director No financial disclosures 2 Outline Epidemiology Good, Bad and Ugly Rest Injury prevention Long Term
More informationNeurological Effects of Sports-Related Injury
Neurological Effects of Sports-Related Injury DAVID RUBIN, MD Disclosures Neither I nor my spouse/partner has a relevant financial relationship with a commercial interest to disclose Epidemiology 1.6 3.8
More informationConcussion: Recognizing, Managing and Assisting Athletes to Return to Play Safely
Concussion: Recognizing, Managing and Assisting Athletes to Return to Play Safely Todd Barron, MD Medical Director, WellSpan Neurosciences Medical Director, WellSpan Pediatric Neurology Agenda Safety in
More informationConcussion: A Treatable Injury MELISSA N. WOMBLE, PHD NEUROPSYCHOLOGIST, DIRECTOR INOVA SPORTS MEDICINE CONCUSSION PROGRAM
Concussion: A Treatable Injury MELISSA N. WOMBLE, PHD NEUROPSYCHOLOGIST, DIRECTOR INOVA SPORTS MEDICINE CONCUSSION PROGRAM THE CURRENT PROBLEM 1. WHAT IS A CONCUSSION? 2. ACUTE/SIDELINE EVALUATION 3. AT
More informationEmory Sports Medicine Injuries in Soccer 2018
Emory Sports Medicine Injuries in Soccer 2018 Emergency Evaluation of The Downed Athlete Dr. Jim Kyle, MD, FACSM Team Physician, Concord University Executive Director, The Kyle Group Regional EMS Medical
More informationConcussion update 2010
Concussion update 2010 UCSF 5 th Annual Primary Care Sports Medicine Conference December 4, 2010 Carlin Senter, M.D. Assistant Clinical Professor Primary Care Sports Medicine UCSF Orthopaedic Surgery and
More informationConcussion 2014-The Basics. mild Traumatic Brain Injury
Concussion 2014-The Basics AKA-mTBI mild Traumatic Brain Injury Dr. Michael C. Stewart Certified Chiropractic Sports Physician (CCSP- ACBSP)- 2006 Internationally Certified Chiropractic Sports Physician
More informationSports Concussion What the Clinician Needs to Know
I have no disclosures. Sports Concussion What the Clinician Needs to Know Carlin Senter, MD Associate Professor Co-Director UCSF Sports Concussion Program Primary Care Sports Medicine University of California
More informationSports Concussion: What Do We Really Know?
Sports Concussion: What Do We Really Know? Anthony G. Alessi MD, FAAN Director, UConn NeuroSport October 17, 2018 Overview Significance Diagnosis Sideline diagnosis v Management Concussion Tools Return-to-Play
More informationSPRINGFIELD CLINIC S
SPRINGFIELD CLINIC S HEAD INJURY MANAGEMENT GUIDE FOR PARENTS Given the complexities of concussion management, Springfield Clinic recognizes the importance of managing concussions on an individualized
More informationConcussion: The Basics. Bill Meehan, MD Micheli Center for Sports Injury Prevention Sports Concussion Clinic, Boston Children s Hospital
Concussion: The Basics Bill Meehan, MD Micheli Center for Sports Injury Prevention Sports Concussion Clinic, Boston Children s Hospital Definition Working definition Characteristics Trauma Impulse
More informationCONCUSSION INFORMATION When in Doubt, Sit Them Out!
CONCUSSION INFORMATION When in Doubt, Sit Them Out! A concussion is a type of traumatic brain injury that interferes with normal function of the brain. All concussions are brain injuries. The WIAA recommends
More informationNew Developments in the Management of Concussions. David Marshall, MD Medical Director Sports Medicine Program Children s Healthcare of Atlanta
New Developments in the Management of Concussions David Marshall, MD Medical Director Sports Medicine Program Children s Healthcare of Atlanta Concussions in the News June 7, 2009 New Guidelines on Young
More informationSports Concussion After the Injury. Carol Scott, MD UNR Student Health Center Sports Medicine September 22, 2016
Sports Concussion After the Injury Carol Scott, MD UNR Student Health Center Sports Medicine September 22, 2016 Goals Understand the initial assessment of concussion Become familiar with tools that aid
More informationRutgers University Sports Medicine Concussion Management Program
Rutgers University Sports Medicine Concussion Management Program The following document will serve as Rutgers University s policy on concussion management. It is a living document and subject to change
More informationForney ISD Protocol and Procedures for the Management of the Sports-Related Concussion
Forney ISD Protocol and Procedures for the Management of the Sports-Related Concussion Medical management of sports-related concussion is evolving. Recently, there has been a significant amount of research
More informationSchool of Hard Knocks! Richard Beebe MS RN NRP MedicThink LLC
School of Hard Knocks! Richard Beebe MS RN NRP MedicThink LLC Fall of a Teton How Bad is He Hurt? What REALLY happened inside Johnny s head? How common are these types of injuries? PONDER THIS What part
More informationConcussion. Concussions in Sports Medicine
Concussion Concussions in Sports Medicine Britt Marcussen, MD Primary Care Sports Medicine Department of Family Medicine University of Iowa Hospitals and Clinics Disclosures I have no financial or personal
More informationCONCUSSION MANAGEMENT Policies and Procedures
Policy Number: Cancellation: This is a new policy. CONCUSSION MANAGEMENT Policies and Procedures Location: This policy is to be available to all students, parents, teachers/principals, coaches, trainers
More informationConcussion Update and Case Presentations
Concussion Update and Case Presentations Cayce Onks, DO, MS, ATC Associate Professor Primary Care Sports Medicine Penn State Concussion Program Departments of Family Medicine and Orthopaedics I have no
More informationDear Newport News Athletic Parent/Guardian:
Dear Newport News Athletic Parent/Guardian: According to the Children s Hospital of the King s Daughter about one in ten local athletes in contact sports will sustain a concussion during a sports season.
More informationRIDGEWOOD BOARD OF EDUCATION PROGRAM /page 1 of 8 Management of Sports-Related Concussion M Management of Sports-Related Concussion
2431.4/page 1 of 8 M 2431.4 Medical management of sports-related concussions is evolving. In recent years, there has been significant research into sports-related concussions in high school athletes. As
More informationThe University of Nebraska Omaha Concussion Management Plan
Definition: The University of Nebraska Omaha Concussion Management Plan A concussion is a complex pathophysiological process affecting the brain, induced by traumatic biomechanical forces secondary to
More informationSport Concussion Updates:
Sport Concussion Updates: Engaging research to improve prevention & clinical care Johna K. Register-Mihalik, PhD, LAT, ATC Asst. Professor Department of Exercise and Sport Science Kevin Guskiewicz, PhD,
More informationConcussion. Benjamin Chun, MD Primary Care Sports Medicine
Concussion Benjamin Chun, MD Primary Care Sports Medicine 1 Disclosures I have no financial interest, arrangement or relationship that could be perceived as a real or apparent conflict of interest in the
More informationNorth Thurston Public Schools Concussion Information Sheet
North Thurston Public Schools Concussion Information Sheet Definition A concussion is a brain injury that may be caused either by a direct blow to the head, face, neck or elsewhere on the body with an
More informationHead Injury Testing & Management Protocol Boston University Athletic Training Services
Policy # Head Injury Testing & Management Protocol Title: Head Injury Testing and Management Protocol Distribution: Athletic Department, All clinical staff Effective date: 05/2010 Revision date: 06/2015
More informationConcussions UCLA Steve Tisch BrainSPORT Clinic
Concussions UCLA Steve Tisch BrainSPORT Clinic Concussion facts What is a concussion? A concussion is a traumatic brain injury (TBI) caused by a bump, blow or jolt to the head or by a hit to the body that
More informationSeth Smith MD, PharmD. Thank You!
Seth Smith MD, PharmD Thank You! Concussion Headlines!!! Concussion Headlines!!! Concussion rules put kids health before winning games The Miami Herald 8/21/12 FHSAA's implementation of legislation goes
More informationDisclosure Statement. Dr. Kadish has no relevant financial relationships with any commercial interests mentioned in this talk.
Disclosure Statement Dr. Kadish has no relevant financial relationships with any commercial interests mentioned in this talk. Head Trauma Evaluation Primary and secondary injury Disposition Sports related
More informationYAKIMA SCHOOL DISTRICT CONCUSSION MANAGEMENT POLICY
YAKIMA SCHOOL DISTRICT CONCUSSION MANAGEMENT POLICY A student athlete that has sustained a concussion will be managed by the following policy described below: 1. Concussion management policy shall be in
More informationNEBRASKA SCHOOL ACTIVITIES ASSOCIATION Member of the National Federation of State High School Associations
NEBRASKA SCHOOL ACTIVITIES ASSOCIATION Member of the National Federation of State High School Associations 500 Charleston P.O. Box 85448 Lincoln, Nebraska 68501 Phone: 402-489-0386 Fax: 402-489-0934 E-mail:
More informationThe Master s Academy Concussion Policy
The Master s Academy Concussion Policy Ann Williams,M.S.N., R.N. Robert O Quinn, MS, ATC, LAT Updated 2/6/2018 Outline I. Abbreviated policy II. Introduction III. Prevention and Education IV. Recognition
More informationDisclosures. Objectives 2/15/2014. Wright, Concussion Assessment, Management and Return to Sports
Concussion Assessment, Management and Return to Sports Wendy L. Wright, MS, APRN, FNP, FAANP Adult/Family Nurse Practitioner Owner Wright & Associates Family Healthcare Amherst Owner Wright & Associates
More informationWisconsin Lacrosse Federation
The purpose of this policy is to insure the safety of the players and to limit the liability of those protecting the safety of the players. The responsibility of player safety falls on everyone involved
More informationCurrent Recommendations for the Diagnosis and Treatment of Concussion in Sport: A Comparison of Three New Guidelines
JOURNAL OF NEUROTRAUMA 31:159 168 (January 15, 2014) ª Mary Ann Liebert, Inc. DOI: 10.1089/neu.2013.3031 Original Articles Current Recommendations for the Diagnosis and Treatment of Concussion in Sport:
More informationHeads up! Tackling the Topic of Concussions
Heads up! Tackling the Topic of Concussions Irvin Sulapas MD, FAAFP Assistant Professor Sports Medicine Department of Family & Community Medicine Baylor College of Medicine Disclosure I have no actual
More informationSUNY Cobleskill Depart of Sport and Exercise Concussion Management Policy. SUNY Cobleskill team physician-directed concussion management plan:
SUNY Cobleskill Depart of Sport and Exercise Concussion Management Policy SUNY Cobleskill team physician-directed concussion management plan: The following protocol has been established to adequately protest
More information04/08/2016 ACCESSIBILITY! ACCESSIBILITY! ACCESSIBILITY! AFFABILITY
Edward D. Snell, MD Director Division Primary Sports Medicine Head Team Physician Pittsburgh Pirates Allegheny Health Network Sports Medicine Xx/xx/xx ACCESSIBILITY! ACCESSIBILITY! ACCESSIBILITY! Athletes
More informationConcussion in Youth Athletes: Where Are We Heading?
Concussion in Youth Athletes: Where Are We Heading? Thomas L. Pommering, D.O. Division Chief, NCH Sports Medicine Assistant Clinical Professor, Departments of Pediatrics and Family Medicine The Ohio State
More informationand present Date: Amended January 2015
and present Concussionn Guidelines in the GAA 2013 2016 Adopted by LGFA Date: Amended January 2015 Table of Contents Summary Principles... 2 What is Concussion?... 3 Signs and Symptoms... 3 Pitch Assessment
More informationConcussion Information any student suspected of having a concussion must be immediately removed from play.
Concussion Information (BP/AR 6145.22) As medical management of sports-related concussion continues to evolve. Recently, there has been a significant amount of new research regarding sports-related concussions
More informationChecklist Creating an Athletics Concussion Management Plan
Checklist Creating an Athletics Concussion Management Plan Intro text No athletic safety issue has garnered more attention recently than concussions, a type of mild traumatic brain injury (TBI). The potential
More informationConcussion Policy. Guideline summary
Guideline summary RECOGNISE AND REMOVE - learn to recognise the signs and symptoms of concussion and remove a player from the field if ANY doubt. PROTECT OUR YOUNG ATHLETES England & GB Hockey recommends
More informationWhat is concussion? DR MARTIN RAFTERY CHIEF MEDICAL OFFICER NOVEMBER 2016
What is concussion? DR MARTIN RAFTERY CHIEF MEDICAL OFFICER NOVEMBER 2016 2 WHAT IS RUGBY? Short video CONCUSSION WHY IMPORTANT? 1. Can mimic more serious intra-cranial injury 2. Can lead to persistent
More informationINTERCOLLEGIATE ATHLETICS CONCUSSION MANAGEMENT PLAN
INTERCOLLEGIATE ATHLETICS CONCUSSION MANAGEMENT PLAN I. PURPOSE In an effort to better serve the healthcare needs of its student athletes, as well as to adhere to best practices recommended by the National
More informationConcussion Management Protocol
Concussion Management Protocol Lakeland Athletic Training Services Patient Information www.lakelandhealth.org 2 Concussion Home Care Instructions Dear Parent or Guardian: concussion during has possibly
More informationCONCUSSION GUIDELINES
CONCUSSION GUIDELINES EDITION 2017 Table of Content 11.1 Summary Principles... 2 11.2 Introduction... 3 11.3 What is Concussion?... 3 11.3.1 Concussion must be taken extremely seriously... 4 11.4 What
More informationConcussions: Diagnosis, Management and the world of known unknowns
Concussions: Diagnosis, Management and the world of known unknowns Alexander Rogers, MD Associate Professor Michigan Medicine 1 Disclosures I have no Financial Conflicts of Interest to Declare I will discuss
More informationPresented By: Corey Dean, MD, FAAP, FACP, CAQ Sports Medicine
Concussions Traumatic Brain Injuries (TBI) in Sports Presented By: Corey Dean, MD, FAAP, FACP, CAQ Sports Medicine Team Physician for Concordia University, Saline and Ypsilanti-Lincoln High Schools IHA
More informationUniversity of Central Arkansas Concussion Protocol and Management Plan
University of Central Arkansas Concussion Protocol and Management Plan 5/2018 It is often reported that there is no universal agreement on the standard definition or nature of concussion; however, agreement
More informationConcussion Management Procedures Grades 5-12
Concussion Management Procedures Grades 5-12 Medical management of sports-related concussion is evolving. Recently there has been a significant amount of research into sports-related concussion in high
More informationMount Michael Benedictine Concussion Management Policy & Protocol
Mount Michael Benedictine Concussion Management Policy & Protocol I. Definition of Concussion a. A concussion is a type of traumatic brain injury caused by a bump, blow, or jolt to the head. A concussion
More informationTexas State University Concussion Program for Varsity Athletes
Administrative Considerations o Emergency Action Plan placed in all venues including the Concussion Plan for all high risk sports. o Coaching education regarding EAP & Concussion Plan including signs &
More informationNew Frontiers in Sports Concussion
New Frontiers in Sports Concussion Sports Medicine and Performance Summit 22 October2016 William Haug, Jr., MD, CAQSM Advanced Orthopedics Altru Health System Disclosures No Disclosures to report Objectives
More information