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Sports Med 2. Head Injuries. Skull Fracture. MOI Blunt trauma to head ie ball to head S/S Severe headache, nausea, skin indentation Blood in ear or nose CSF (cerebrospinal fluid) may seep from ears and nose TX 911!!. Concussion . MOI Direct or indirect trauma to head
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Sports Med 2 Head Injuries
Skull Fracture • MOI • Blunt trauma to head ie ball to head • S/S • Severe headache, nausea, skin indentation • Blood in ear or nose • CSF (cerebrospinal fluid) may seep from ears and nose • TX • 911!!
Concussion • MOI • Direct or indirect trauma to head • Impulsive force transmitted to head • S/S • Confusion, headache, dizziness, nausea, nystagmus, trouble concentrating, abnormal pupil response • TX • Take out of practice/game, determine LOC, watch for symptoms to worsen, assess memory • *no longer grading concussions, or classifying as simple or complex*
Intracranial Hemorrhage • MOI • Blow to head • May be a slow bleed • S/S • Show signs of mild headache but then has severe head pains, dizziness, nausea, unequal pupils • TX • Referral to ER
Epidural Bleeding • MOI • Blow to head • S/S • Extremely fast bleeding, arterial • In 10-20 min. athlete will go from fine to having major symptoms! • TX • ER, surgery
Subdural Bleeding • MOI • Veins are torn that bridge the dura mater to the brain • Contrecoup (occurs at site opposite of impact) • S/S • Bleeding is slow, s/s may not appear for many hours • TX • 911 after s/s appear
Intracerebral Bleeding • MOI • Force trauma to brain • Bleeding within the brain • S/S • Deterioration of neurological function • TX • ER, 911
Post Concussive Syndrome • MOI • Happens after a head injury • S/S • Impaired memory, lack of concentration, anxiety, depression • TX • May not return to play unit symptoms are gone and have been cleared by a health care provider
Second Impact Syndrome • MOI • Second head injury before s/s of initial injury go away • Caused 50 deaths over the last decade • S/S • Appear stunned, within short time athlete may collapse, dilated pupils, loss of eye movement, respiratory failure • TX • Prevention
NFL concussion video • http://www.abcnews.go.com/search?searchtext=nfl+concussions&r=video