2014-2015 Concussion Education Program 2012-2013 Council Rock School District 2012 St. Mary Regional Trauma Center 2012-2013 Bucks County Intermediate Unit #22
Concussion by Numbers Youth concussion rates have more than doubled from 2005 through 2012 More people are looking for concussion, and athletes, parents, and coaches are being educated on the symptoms and importance of removal from participation as well as treatment (Rosenthal 2014) http://fsweb.bainbridge.edu
What is Concussion? Head & Body Collisions Caused by a bump, blow, or jolt to the head that can change the way your brain normally works. Concussions can also occur from a blow to the body that causes the head to move rapidly back and forth. Forces Acting on the Brain Sagittal- up/down Horizontal- left/right Coronal-shoulder to shoulder **No head gear technology, mouth guards, or helmets have been tested to incorporate and accommodate for all forces acting on the head/brain during a collision that can cause a concussion** http://www.cdc.gov/concussion/sports/
Concussion in Motion
http://www.rocketswag.com/health/injury/concussion/concussion-and-brain-function.html FUNCTIONAL INJURY
What happens to our brain? Cellular instability your brain runs on fuel, and when you sustain a concussion your brain has trouble delivering the needed fuel to the brain. The brain starts to run out of fuel; then symptoms begin to present themselves. McAvoy, Karen 2013 http://www.jcwebbstudios.com/2013/02/think-tank.html
Concussion Prevention Wear Seat Belt Use Car Seats properly Wear Bike Helmets Fall Prevention Initiatives Education of Signs and Symptoms
Headache or "pressure" in head Dizzy or lightheaded Vomiting or nausea Numbness or tingling Loses balance, drops things, trips Feels worn out/exhausted, tires easily Sleep issues Light or noise sensitive Blurry or double vision Physical Changes
Abnormal Eye Movements https://www.youtube.com/watch?v=nrqwnjaun4e
If text on a page starts to move in and out and you are having difficulty reading the text. This IS a symptom of concussion. It s your eyes telling your brain Something is wrong! I need a break!
Thinking and Learning Changes Confusion Trouble with Attention/Focus Memory Slower Processing Hard to organize thoughts/words/materials Misunderstands things Trouble organizing things Trouble making decisions Has Trouble planning, starting, doing, finishing a task
Behavior/Social Changes Restless or irritable Impulsive actions Easily upset and/or loses temper Sad or depressed mood Anxious or nervous Mood Swings Changes in friend & peer relationships Thoughts of helplessness/suicide
Warning!!!! Symptoms may not present themselves until 24hrs, 48hrs, or even 72hrs after the possible concussion!!!!!
SCAT 3 the SCAT3 is a standardized tool for evaluating injured athletes for concussion and can be used in athletes aged from 13 years and older. it supersedes the original SCAT and the SCAT2 published in 2005 and 2009, respectively Evaluation
REMEMBER A typical high school athlete can take up to 4 weeks to become symptom free in all 3 categories (Physical, Cognitive, & Emotional). 85-90% of concussion recover Proper concussion management by the student, parents, medical team, and academic team is essential for proper and safe return to learn and play
Returning to a Student Athlete Return to Learn BrainSTEPS Referral post 4 weeks Return to school/play protocol followed Concussion Reported to Athletic Trainer Parent Noti ied Guidance/Nursing Noti ied by Parent/AT Return to Play Step 1: No Activity Step 2: Once Cleared start light aerobic exercise keeping heart rate low Step 3: Sport specific exercises with no contact/low impact drills Step 4: Non-contact drilling more complex skills Step 5: Full contact practice Step 6: Return to play Medical recommendations shared with School Contacts Parent to contact Medical Professional * MUST BE ASYMPTOMATIC IN EACH STAGE TO MOVE ONTO THE NEXT
Consequences Second Impact Syndrome Post Concussion Syndrome