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      Kids & Concussions

      Pediatrician Dr. George Bengtson explained how to identify a concussion and what parents and coaches should do if a child is determined to have suffered a concussion.

      Definition of concussion: Mild traumatic brain injury which interferes with brain function

      Who gets concussions? (Concussions per 100,000 player exposures)

      Football 52
      Girls' Lacrosse 39
      Girls' Soccer 35
      Boys' Lacrosse 32
      Wrestling 22

      What's the big deal?
      Second Impact Syndrome
      Re-injury before recovery from previous injury
      Can lead to potentially lethal brain swelling
      Chronic post-concussion syndrome (long-term neurologic problems)

      Recognition/Symptoms
      If unsure, assume it's a symptom
      Loss of consciousness Headache
      Nausea/Vomiting Memory loss/confusion
      Lethargy Emotional lability
      Light/sound sensitivity Dizziness

      Early intervention by experienced personnel
      Importance of education for Coaches & Trainers
      Max's Law: No return to play (RTP) on same day
      Multiple instruments for evaluating athletes
      IMPACT
      SCAT
      ACE

      Treatments:
      Mostly observation and testing
      Multi-disciplinary (Physical/Occupational therapy, Speech, Ophthalmology)
      Prescription meds
      Fish oil, Tylenol

      The Big Question: Return to play?
      Step-wise program guided by symptoms
      Rest
      Light aerobics
      Sport-specific exercise
      Non-contact drills
      Full-contact training
      RTP
      At least 24 hours at each stage, returning to first stage if symptoms recur

      BEWARE OF QUICK, INFORMAL TRIAGE AND EARLY RETURN TO PLAY

      GET TO KNOW YOUR COACHES AND THEIR APPROACH TO THE PROBLEM