Recommendations for the Emergency Department Prevention of Sport-Related Concussion

Managing Pediatric Concussion in the Emergency Department

“…The mainstay of discharge planning is expectant management. 4 Although most children recover within 2 weeks of injury, 2 a recent large, multicenter study demonstrated that as many as 30% of children treated in the ED will have symptoms that persist for more than 1 month after injury. 10 Factors associated with prolonged recovery include older age, female sex, previous concussion with symptom duration of longer than 1 week, physiciandiagnosed migraine history, headache, sensitivity to noise, fatigue, answering questions slowly, and abnormal tandem stance.…”

“…The ED clinician plays an important role in counseling in regard to the risk of reinjury within the vulnerable window during which reinjury could result in prolonged postconcussive symptoms or, in rare instances, catastrophic brain swelling, often referred to as second impact syndrome. 4 In addition, emergency physicians play a vital role in anticipatory guidance. Several studies have demonstrated that patients recover more rapidly when concussion education and such guidance are delivered.…”

EuReCa _Serbia Trauma registry: Scene of accident, four-month analysis

“…Porastom broja godina starosti populacije povećava se i broj intervencija hitnih službi kao i broj pacijenata koji se voze na urgentna odeljenja, kao i broj hospitalizacija 12 . Brojne studije 13,14 ukazuju na benefit implementacije programa prevencije povreda usled pada kod starije adultne populacije kao i programe prevencije ostalih povreda 15,16,17,18 . Prema našem istraživanju najveći procenat povređivanja nastaje usled pada sa male visine u prebivalištu, te bi mere prevencije trebale biti usmerene ka programima sprečavanja njihovog nastanka.…”

Is the Sport Concussion Assessment Tool 5th Edition a useful concussion assessment tool in head‐injured patients presenting to the emergency department?

“…normal in concussion by definition, making the diagnosis of concussion symptom based, with no pathognomonic characteristics, biomarkers or pathophysiologic profiles to aid diagnosis. 5 Currently, there is no ED-specific assessment tool for concussion, and ED concussion management is often adapted from those used in sports. 6,7 ED-specific guidelines focus on ruling out more serious injuries with CT head scans and often concussion assessment is brief and nondescript.…”

“…Secondly, symptoms are non‐specific and numerous including features of somatic, cognitive, sleep‐related and emotional disturbance 4 . Thirdly, routine radiological imaging is normal in concussion by definition, making the diagnosis of concussion symptom based, with no pathognomonic characteristics, biomarkers or pathophysiologic profiles to aid diagnosis 5 …”