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Emergency Management of Concussions: Guided Notes

Jay Khadpe MD 0 Comments , , ,

Here are the questions and answers for the guided notes from our presentation on concussions by Drs. Kiel and McIntosh:

  1. What is the definition of a concussion?
Show Answer
A traumatic brain injury induced by biomechanical forces…resulting in the rapid onset of short-lived impairment of neurological function that resolves spontaneously.
  1. What is the number one risk factor for sustaining a concussion?
Show Answer
History of previous concussion
  1. Name some potential complications or sequelae.
Show Answer
Prolonged recovery, delayed RTP or work, psychosocial (anxiety, depression, BH, SI, etc), post concussive syndrome
  1. What is the first thing to do with an athlete you think is concussed on the sideline?
Show Answer
Pull them from the game
  1. What are some of the common SYMPTOMS of a concussion?
Show Answer
headache, dizziness, blurred vision, balance, memory, confusion
  1. What are the key components of the physical exam in a patient being evaluated for a concussion? (to exclude badness)
Show Answer
neck pain, double vision, weakness, tingling, severe or worsening headache, seizure, deteriorating consciousness, vomiting, increasing agitation, GCS, c-spine exam
  1. What SIGN or physical exam finding in concussions is pathognomonic for concussions?
Show Answer
None, there aren’t any
  1. What imaging findings are commonly seen in concussion?
Show Answer
None imaging should be normal in a concussion
  1. What are some key details to provide patients/ parents when discharging a patient with a concussion?
Show Answer
no sports, no practice, avoid visual or auditory stimulation (think patient should be bored), close PCP/SM follow up with graduated return to activities
  1. Describe a basic template for a return to school/ play/ work protocol
Show Answer
rest, half day school/work, full day school/work, watch practice, walk through practice, full or contact practice, return to game/play
The views expressed on this blog are the author's own and do not reflect the views of their employer. Please read our full disclaimer here. Any references to clinical cases refer to patients treated at a virtual hospital, Janus General Hospital.

Jay Khadpe MD

Associate Professor of Emergency Medicine
Associate Residency Director
University of Florida College of Medicine – Jacksonville

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