Concussion 101: Knowing the Basics to Protect Your Athletes

2013 ◽  
Vol 6 (2) ◽  
pp. 163-174
Author(s):  
Theresa Miyashita

Sport-related concussions have recently been at the forefront of mainstream media, where the attention is now turning to the safety of our young athletes. With the recent rise of concussion lawsuits, coaches need to know concussion basics to protect their athletes and themselves. What we know about concussions has evolved, and it is critical that coaches understand these changes and how they impact the management of their teams’ injuries. In the absence of medical personnel, coaches are responsible for removing athletes from play if they have potentially sustained a concussion. Coaches must therefore understand the different mechanisms of injury, signs and symptoms, and the protocol to follow if they believe their athlete has sustained a concussion.

2012 ◽  
Vol 33 (6) ◽  
pp. E11 ◽  
Author(s):  
Krystal L. Tomei ◽  
Christopher Doe ◽  
Charles J. Prestigiacomo ◽  
Chirag D. Gandhi

Object Forty-two states and the District of Columbia have passed legislation based on the Lystedt law of Washington state, enacted in 2009 to protect young athletes who have sustained a concussion. The aim of this study was to note the several similarities and differences among the various laws. Methods Concussion legislation was compared for 50 states and the District of Columbia. Evaluation parameters of this study included stipulations of concussion education, criteria for removal from play, requirements for evaluation and return to play after concussion, and individuals required to assess young athletes. Other parameters that were not consistent across states were also noted. Results Forty-three states and the District of Columbia have passed concussion legislation, and an additional 4 states have pending legislation. All states with existing legislation support concussion education for coaches; however, only 48% require coaches to undergo formal education. Athletes must be educated on concussion in 86% of states and parents in 88.7%. Suspicion of concussion is a criterion for removal from play in 75% of states; signs and symptoms of concussion are criteria for removal from play in 16% of states. The individuals allowed to evaluate and clear an athlete for return to play differ greatly among states. Conclusions Injury prevention legislation holds historical precedent, and given the increasing attention to long-term sequelae of repeated head trauma and concussion, concussion legislation has been rapidly passed in 43 states and the District of Columbia. Although the exact stipulations of these laws vary among states, the overall theme is to increase recognition of concussion in young athletes and ensure that they are appropriately cleared for return to play after concussion.


2015 ◽  
Vol 64 (3) ◽  
pp. 252-258
Author(s):  
Daniela Pacurar ◽  
◽  
Maria Runcan ◽  
Anca Popescu ◽  
Gabriela Lesanu ◽  
...  

Munchausen syndrome and Munchausen by proxy syndrome belong belong to a group of disease called “factitious disorder” and are severe mental disorders having the “end” position for a healthy person to become patient, respectively to “create” a disease to another person, asking or requiring medical intervention for him/her. Munchausen syndrome by proxy is rare, but it is difficult to be recognized and confirmed, is a form of abuse, particularly against children, potentially lethal, often misunderstood. Many methods are used by adults counterfeiters to induce a false child’s condition: poisoning, injury, producing bleeding, infection. Complaints exposed by the mothers as belonging to the child are not for a personal benefit, but are justified by a desire to be a “hero” mothers and to play the role of the people most attached and thoughtful of their child. Diagnosis should include evaluation of the child, parents and family and is based on suggestive elements: child with multiple health problems that do not respond to treatment or recur under proper therapy, laboratory investigations discrepancies, child’s signs and symptoms disappear in the absence of the parent. The false disease of the child, intentionally distorted described by adult, do not really affect him/her, but the diagnostic process and medical treatment can cause pain and discomfort. Ethical and legal issues associated with MSBP involves healthcare professionals by the medical consequences on the child as a result of false complains described by the parent. Education of patient, family and medical personnel is a very important step in the recognition, prevention and treatment of MSBP.


2019 ◽  
Vol 54 (10) ◽  
pp. 1021-1029 ◽  
Author(s):  
Joel S. Brenner ◽  
Michele LaBotz ◽  
Dai Sugimoto ◽  
Andrea Stracciolini

Data on the psychosocial implications of sport specialization in pediatric athletes are lacking. Sport specialization often requires increased training hours and may predispose young athletes to social isolation, poor academic performance, increased anxiety, greater stress, inadequate sleep, decreased family time, and burnout. Sport specialization frequently introduces multiple stressors that could be expected to adversely affect mental health and function in young athletes and may increase the risk for burnout. This may be confounded by altered sleep duration and quality, increased drive for elite status, and perfectionistic personality types. The signs and symptoms of burnout in young athletes can be difficult to detect. It is important to be aware of the possible diagnosis of burnout in young athletes who display vague symptoms and a decrease in academic performance. The purpose of this review was to survey the available literature on sport specialization in young athletes and its association with mental health, sleep, the drive for success in sport, and burnout.


Author(s):  
Robert C. Cantu ◽  
Robert V. Cantu

Traumatic brain injury in sports encompasses a spectrum including injuries such as concussion, skull fracture, intracranial hemorrhage, malignant brain edema syndrome, and axonal shear. Knowledge of these injuries and their signs and symptoms is important for medical personnel covering a sporting contest or practice. The authors discuss each of these injuries, how they typically occur, and what the initial treatment entails.


Author(s):  
Robert V Cantu ◽  
Robert C Cantu

Traumatic brain and cervical spine injuries in young athletes encompass a wide spectrum, with some injuries occurring in otherwise ‘safe’ sports, and others in high-risk sports where head and cervical spine injuries are the norm. Athletic brain injuries include concussion, intracranial haemorrhage, malignant brain oedema syndrome, and axonal shear. In the cervical spine, injuries include muscle strains, contusions, fractures, or ligamentous disruptions with nerve root or spinal cord injury. Knowledge of these injuries and their signs and symptoms is important for the physician covering a sporting contest or practice. Additionally, preparedness for potential head or cervical spine injury must be addressed by health professionals providing sporting event coverage. This chapter reviews how traumatic brain and cervical spine injuries typically occur in young athletes. It also discusses what the initial treatment of these injuries should entail, along with a discussion of return to play considerations.


2020 ◽  
Vol 7 (1) ◽  
pp. 61
Author(s):  
Veeresh Pavate ◽  
Richard Hovey

Living with Thalassemia, means that the body is unable to produce normal levels of hemoglobin to carry oxygen throughout the body. Without sufficient levels of hemoglobin (due to inefficiency of bone-marrow to produce normal red blood cells), one can experience signs and symptoms, such as severe anemia, chronic fatigue and other serious health concerns. My interest in this topic is because, I live with this condition, but, also interested in the lived experience of the Thalassemia community. My research is a phenomenological exploration through interpretation of research participants’ narratives. The overarching goal of the proposed research is to investigate the contribution to the medical personnel who may use the findings from the study to improve the clinical care from not only from patient centered, but also from a whole person care perspective. There are various clinical and psycho-social challenges such as, academics, career, and family / friend relationship issues. Families address the treatment issues of Thalassemia on a continuum Extreme Drive - No Drive to improve their lives. Thalassemia was seen as a “fatal condition,” today it is a “manageable condition,” therefore, we need to learn, how best to thrive to lead a healthy lifestyle? Through this research I am hoping to share my story and with others to inspire people living with Thalassemia, to go beyond managing towards thriving.


2017 ◽  
Vol 2 (15) ◽  
pp. 9-23 ◽  
Author(s):  
Chorong Oh ◽  
Leonard LaPointe

Dementia is a condition caused by and associated with separate physical changes in the brain. The signs and symptoms of dementia are very similar across the diverse types, and it is difficult to diagnose the category by behavioral symptoms alone. Diagnostic criteria have relied on a constellation of signs and symptoms, but it is critical to understand the neuroanatomical differences among the dementias for a more precise diagnosis and subsequent management. With this regard, this review aims to explore the neuroanatomical aspects of dementia to better understand the nature of distinctive subtypes, signs, and symptoms. This is a review of English language literature published from 1996 to the present day of peer-reviewed academic and medical journal articles that report on older people with dementia. This review examines typical neuroanatomical aspects of dementia and reinforces the importance of a thorough understanding of the neuroanatomical characteristics of the different types of dementia and the differential diagnosis of them.


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