Keystone Physician - Summer 2011 - (Page 37)
adequate follow-up visits are scheduled to prevent overlooked long-term residual effects of the concussion. Education is the best way for parents, athletes and coaches to prevent or minimize the severity of concussions. Many resources are available, such as http://www.cdc.gov/TraumaticBrainInjury. Physicians need to be aware of the latest regulations governing care of concussions in Pennsylvania, and federal regulations may be pending as well. Coaches need to complete a concussion management course. A concussion form must be signed by both a parent or guardian and athlete before participation. Baseline testing is mandatory, such as SAC and BESS, ImPACT, SCAT, or SCAT-2 for all athletes. Even in light of recent stories of star athletes having severe, prolonged and career-threatening events and current legislative measures on the horizon, there are still many parents who say, “I got my bell rung and went right back into the game.” Coaches are still telling players to “just suck it up and get your head into the play.” Teaching athletes the safer way to play – “don’t lead with your head,” “don’t leave yourself open to a blindside hit” – and reporting any symptoms of a concussion form the cornerstone of preventing and minimizing the complications of mTBI. Family physicians should take that teachable moment to work with their local certified athletic trainers, coaches, athletes and parents in order to educate and pre-screen athletes to minimize complications after an mTBI, and to facilitate and coordinate the athlete’s safe return to play – for the game of life is complicated enough already.
This program is funded by a Grant from the PA Department of Health to the PAFP Foundation. Funding for the Grant is provided by TBI Implementation Grant # H21MC17232 from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA). Contents are the responsibility of the authors and do not necessarily represent the official views of HRSA.
Take the article post-test for a chance to win 50% off registration for the November 2011 or March 2012 PAFP Foundation CME Conference.
NCAA student info:
NCAA coach info:
NCAA SCAT 2 video:
NCAA sec 2i:
3rd International Concussion Conference:
Second Impact Syndrome:
Health and Human Services call center:
Brain Injury Helpline: 1-866-412-4755
HELP KIDS WITH CONCUSSIONS GET BACK TO SCHOOL
BrainSTEPS, a program of the PA Dept. of Health and PA Dept. of Education, is a team-based approach and involves rehab professionals, parents, teachers and the injured student. You can refer patients to this service through your local BrainSTEPS team (organized by county). Go to www.brainsteps. net/_orbs/about/BrainSTEPSReferral10-11.pdf www.pafp.com | 37
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