#5. Concussion Flashcards Preview

EPHE 344 > #5. Concussion > Flashcards

Flashcards in #5. Concussion Deck (18):
1

An injury that results in complex pathophysiological process affecting the brain; a functional or microstructural injury to neural tissue.

concussion

2

"physical changes not evident on standard imaging but with new technology (DTI, fMRI, ect) we can see signs of axonal injury"

microstructural injuries

3

Neuronal disruption - Acute phase (0-10 days post injury):
-increase in _____ levels
-decreased ______ _______
-Cells cannot repair until ____ normalizes

calcium; oxidative metabolism; Calcium

4

Neuronal Disruption - Persistent Phase:
-_____ damage
-Cell death if ___ levels remain elevated
-_____ metabolism can be decreased for up to a month

axonal; Calcium; glucose

5

3 categories of concussion signs and symptoms?

somatic (physical body), cognitive, neurobehavioral

6

When is the best time to do the first SCAT?

before any injury occurs so you can get a good baseline reading.

7

Sign vs symptom?

Sign - something you can see
Symptom - something the patient tells you about

8

Examples of somatic concussion signs? (6)

-headache
-nausea/vomiting
-sensitivity to light
-sensitivity to sound/noise
-numbing or tingling
-balance and/or coordination problems

9

Examples of cognitive concussion signs? (4)

-feeling slowed down
-feeling in a 'fog'
-difficulty concentrating
-difficulty remembering

10

Examples of neurobehavioral concussion signs? (6)

-sleeping more or trouble sleeping
-drowsy
-fatigue
-sadness/depression
-nervousness
-irritable

11

"when an athlete suffers a second concussion before the first has fully resolved; results very but can be catastrophic"

secondary impact syndrome

12

Time that it takes to heal a concussion goes up _____ if you get another before the last one fully heals.

exponentially; 2 months --> 4 months --> 8 months --> 16 months --> 32 months

13

6 steps for when a concussion occurs?

1. Remove from play ASAP
2. Inform coaching staff you are removing them
3. Perform SCAT - wait 15 min for player to calm down
4. Refer for medical follow up
5. Ensure they have a safe ride home
6. Document injury

14

Three most common sideline assessment tools for concussion testing?

SCAT, King-Devick, ImPact

15

RTP protocol are started once an athlete is ____.

asymptomatic

16

The 6 steps in the RTP protocol each take how long? If any S&S appear during a phase what happens?

24 hours; the athlete must rest for 24 hours and try the previous stage

17

Research shows that ___ % of concussion cases return to sport too soon and ___ % return to school to soon.

43.5; 44.7

18

What does SCAT stand for?

Sport Concussion Assessment Tool