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Concussion Awareness: On the Field and In the Classroom. Jeff Beer, MA, LAT, ATC, CEAS Zach Dougal, MA, LAT, ATC. What exactly is a concussion ?. Forceful Blow to the head or neck Destruction of neurons Bruising of the brain tissue Brain damage over time (CTE)
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Concussion Awareness: On the Field and In the Classroom Jeff Beer, MA, LAT, ATC, CEAS Zach Dougal, MA, LAT, ATC
What exactly is a concussion? • Forceful Blow to the head or neck • Destruction of neurons • Bruising of the brain tissue • Brain damage over time (CTE) • Chronic Traumatic Encephalopathy • “Temporary” alteration/deficits in… • Cognitive function • Behavior/personality changes • Motor skills
Concussion Facts • According to the CDC there are 3.8 million sports and recreation related concussion per year in the U.S • Long term effects like headaches can last up to 6 months – 1 year after a concussion • Concussions occur even if an athlete is not “knocked out” • Multiple minor concussions can be worse than one big concussion
Associated Signs and Symptoms Things the person tells you… Things you can observe…. Personality changes Blank stare Changes to… Balance Coordination Reaction time Slowed spoken or physical responses Disoriented LOC Memory Loss Slurred Speech Uncontrollable emotions • Blurry/double vision • Confusion • Dizziness • Drowsy • Foggy/Groggy • Headache • Inability to focus, concentrate • Nausea • Sensitivity to light American Academy of Neurology
Current Treatment • Remove from participation • Concussion evaluation which may include the use of ImPACT, KD Test, SCAT2, etc. • Return-to-play protocol • Must be asymptomatic
Myths regarding Concussions • Wake them every 2 hours to monitor their symptoms • Control headaches with OTC medication • A ‘ding” and “getting my bell rung” are concussions • CT scans are the gold standard for diagnosing concussions • A negative CT scan = No Concussion
The Fallout • Effects on school work • “Educators should understand that recovering students may not be able to meet the usual expectations for class participation and homework completion until symptoms have cleared and neurocognitive function has returned to normal.” –McGrath, JAT, 2010.
Guidelines for RequestingAcademic Accommodations @ MU • Contact the proper medical professional to diagnose a concussion if one is suspected • Certified Athletic Trainer (Athletes) • Heather Banks, RN (Health Services) • Physician • Proper documentation must take place before any course of action can be taken with respect to increase testing time, missed class, etc • Medical Professional will determine at what level the student may need accommodations depending on the severity of injury • All documentation and communication will end with Bonnie O’Connell in the success center for verification and documentation to be distributed to professors on campus.
Take home tools • PAR, CRR App • AAN Website • AAN Concussion App
Resources • NATA Concussion Position Statement • AAN Website • Impact Articles • https://www.impacttestonline.com/customercenter/pdfs/ClinicalManual_2007-2012.pdf • Article 1.pdf • Article 2.pdf • Article 3.pdf • Article 4.pdf • Article 5.pdf • Head Games • MU Athletic Training Webpage