WHAT IS THE INITIAL TREATMENT AT HOME?
Important ideas to follow:
WHEN DO I TAKE MY CHILD TO THE EMERGENCY ROOM (ER)?
You will need to visit the closest ER room if the symptoms are worsening, the headache can’t be controlled with acetaminophen, there is recurring vomiting and speech difficulty arises. Also, look for unusual eye movements, increasing confusion, balance issues or shaking, like with a seizure. Don’t forget, you can also call 911 if you are unable to travel to the ER yourself. There is no magic test or scan performed at the ER that can diagnose concussions. Majority of the time, they will or a CT Scan that unless you have cranial swelling, it will be negative.
SHOULD I BE EVALUATED BY A HEALTHCARE PROVIDER?
There should be a follow-up with the athletic trainer or team physician the next day after the athlete has awakened and you have seen and spoken with them. If symptoms other than a headache persist the following day, then the athlete should be evaluated by a physician, physician assistant or nurse practitioner that day.
WHAT IS THE RETURN TO LEARN PROTOCOL?
Any Athlete that has been diagnosed with a Head Injury should go see the school nurse so their teachers are notified of an injury. In Pittsylvania County, there is a protocol set up for schools to accommodate student-athletes with difficulties returning to the classroom after a Head Injury.
WHAT IS THE RETURN TO PLAY PROTOCOL?
Any Athlete that has been diagnosed with a Head Injury must have a certified healthcare provider to sign off on the athlete's participation for High School Athletics. The protocol consist of a graded return to activity that slowly progresses athletes back to full participation.
WHAT IS POST CONCUSSION SYNDROME (PCS)?
Post-Concussion Syndrome, or PCS, is the persistence of concussion symptoms for greater than six weeks post-injury. The majority of concussion symptoms will resolve within about two weeks, and with proper recovery almost all dissipate within a month. In cases where symptoms linger past six weeks, doctors may diagnose Post-Concussion Syndrome.
WHAT IS SECOND IMPACT SYNDROME?
Second Impact Syndrome (SIS) refers to the catastrophic events which may occur when a second concussion occurs while the athlete is still symptomatic and healing from a previous concussion. Even if SIS is not an established problem, there is NO debate that repeat concussions significantly worsen long-term outcomes. After athletes sustain one concussion, they are three times more likely to sustain a second concussion compared to other players who have not been concussed. Repeat concussions, even when mild, can increase the risk of post-concussive symptoms (PCS) such as headaches, memory loss, difficulty concentrating, etc. Chances of PCS are even more increased if the second injury occurs too soon, before recovery from the first has taken place. The higher the rate of concussions, the higher the risk of long-term cognitive dysfunction. The condition is often fatal, and almost everyone who is not killed is severely disabled
The definition of a concussion continues to evolve as more knowledge is gained. A "concussion" is a brain injury and should be evaluated by a healthcare professional that has been trained in evaluation and treatment. It is a complex process affecting the brain due to direct or indirect forces to the head. The disturbance of brain function occurs from changes in the metabolic/chemical processes of the brain rather than a structural injury such as a “bruise”. Even a “ding”, or “getting your bell rung” can appear mild but can be serious. It is not unusual for symptoms to start 24 - 48 hours after the initial injury. If a student-athlete sustain a concussion, please notify your Coach, School Nurse, and even Athletic Director so we can start the Concussion Protocol as required by VHSL.
Only use the Return to Play Protocols under the guidance of a Healthcare Provider.
Seek Healthcare Provider when Suspecting of a Head Injury!!! (This may be a MD, DO, PA, FNP, or ATC in Pittsylvania County, VA)
Smitty's Plan for Orthopedic Rehabilitation & Training