Concussion Management Update:
Summary of the Berlin Consensus Statement Sport-Related Concussion (SRC): traumatic brain injury induced by biomechanical forces – Can be from a direct blow to the head, or from an impulse elsewhere in the body that is transmitted to the head – SRC results in a range of signs and symptoms that typically resolve in sequential fashion, although some may be prolonged Sideline Assessment: – SCAT 5 is the most well-established and rigorously-developed instrument for sideline assessment – Repeated assessments are often necessary: SRC is an evolving injury, and some symptoms may be delayed Diagnosis: Suspected diagnosis of an SRC can include one or more of the following domains:
1. Symptoms: a. Somatic: ex. Headaches b. Cognitive: ex. Feeling like in a fog c. Emotional: ex. Irritability
2. Physical Signs: ex loss of consciousness, memory loss before or after the injury
3. Balance Impairments: ex. Problems with walking
4. Behavioral Changes: ex. Mood swings
5. Cognitive Impairments: ex. Slowed reaction times
6. Sleep/Wake Disturbances: ex. Drowsiness, trouble falling asleep
When a player shows signs or symptoms of an SRC: – The player should be evaluated by a licenced heath care provider (HCP) – If HCP is not immediately available, the athlete should be removed from play and a multimodal assessment should be conducted prior to return.
Player should not be left alone, and should be monitored for deterioration.
Rest: – After a brief period of rest (24-48 hours) athletes who have sustained a concussion are encouraged to gradually and progressively resume activity, without flaring-up symptoms (if your symptoms get worse, you’re doing too much!)