MEDICAL: CONDITIONS: CONCUSSIONS : CHILDREN : TREATMENT: Your Child Has a Concussion. Now What

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MEDICAL: CONDITIONS: CONCUSSIONS : CHILDREN : TREATMENT: Your Child Has a Concussion. Now What

David P. Dillard
Administrator



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MEDICAL: CONDITIONS: CONCUSSIONS :

CHILDREN :

TREATMENT:

Your Child Has a Concussion. Now What


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Your Child Has a Concussion. Now What

By Dr. Danielle Ransom

UHealthSystem.com

September 04, 2017 1:15 PM

http://www.miamiherald.com/living/health-fitness/article171192432.html

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Your child is in the thick of the game, running her heart out in a race
with an opponent to chase down the ball. Suddenly, that opponent throws an
elbow, striking your daughter in the temple. Your daughter crumples to the
field, lying motionless for what seems like an eternity. The referee stops
play and you and her coach rush to her side. She appears dazed, but is
alert and able to count the fingers held up by her coach. She walks to the
sideline without assistance and you think all is well.

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Then she surprisingly asks you what the score of the game is and why she
is on the bench, followed by complaints of dizziness, headache and feeling
like the sun is too bright. You consider concussion, but recall that she
didnt lose consciousness. You remember an article that instructed when in
doubt, sit them out until further medical evaluation if concussion is
suspected.

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A visit to the local urgent-care center reveals that your daughter has, in
fact, suffered a concussion and should rest until she feels better. You
are given a sheet with red flags that would warrant a trip to the ER if
they occur over the next 24 to 48 hours (unequal pupils, cannot be
awakened, severe headache that worsens, slurred speech, weakness,
numbness, decreased coordination, repeated nausea/vomiting, seizure,
unusual behavior, lost consciousness) and are told that you do not need to
wake her every hour to check on her symptoms.

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snip

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The International Concussion in Sport Group estimates that 33 million
children and adolescents internationally sustained a concussion in 2016.
In the United States, an estimated 1.1 million to 1.9 million
sports-related concussions occur each year in patients aged 18 and
younger. Adolescents, in particular, are at significantly greater risk and
are estimated to be five times more likely than other age groups to
sustain an injury. In addition, loss of consciousness is no longer a
reliable indicator of concussion, since it occurs in less than 10 percent
of injuries. Recovery estimates vary, ranging from a week to a month or
more in youth athletes.

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snip

First, find a concussion specialty clinic that offers a multidisciplinary
approach to management. Concussion is a multifaceted injury with
post-injury complaints ranging from physical, cognitive and emotional to
sleep-related symptoms. Each patient will experience concussion symptoms
differently.

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snip

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Next, ask the medical team how they plan to prevent any potential negative
outcomes during concussion recovery. Your childs provider should work with
you, your child and your family to construct a comprehensive,
symptom-relevant set of accommodations within the first week of recovery.
This should include a coordinated plan to work with school personnel in
implementing, monitoring and adjusting support recovery in the academic
setting.


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The complete article may be read at the URL above.

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