I think I have had enough time to digest the information in the 4th Consensus Statement; it is enough time for me to give an opinion. WARNING: My opinion may differ than yours and you may even take umbrage with what I say. However I am going to give my honest opinion. To keep it as succinct as possible I will go in bullet form along with the statement itself.
In general I feel that we as the community in the “know” are muddying the waters more when it comes to concussions. I think there are reasons for this; litigation and emotion mainly. I still strongly feel that concussion identification and immediate assessment by trained personnel is non-complex; its simple. Sure others may think it is hard; I think changing the oil in the car is hard and complicated – a mechanic would find that a mundane task.
Secondly, the now undeniable MASSIVE issue with concussions is not the injury itself, rather, the mismanagement of concussion; which includes but not limited to assessment, rest, rehabilitation, return to learn and return to play. The newest consensus statement address some of this for the first time. Now, the paper…
SECTION 1: SPORT CONCUSSION AND MANAGEMENT
- The definition of concussion is more clear for the practitioner.
- Starting to address the psychological aspects of concussions – about time.
- Clearly states if no trained health care provider present that if any signs/symptoms present players must sit out.
- Clearly states that if concussion present, no RTP same day for ANYONE!
- Not really a fan of all the sideline assessments out there. No where does it say its mandatory for any of these; rather they are tools at our disposal to help identify concussions.
- Here is a novel approach people: use your training and ability to be in-tune with the athletes to make a solid clinical judgement. Oh, wait, not every sport team has an athletic trainer available? <–THIS IS THE PROBLEM WITH IDENTIFICATION AND ASSESSMENT.
- The Statement also clearly makes it a point that clinical judgement is the standard of care when it comes to all of this.
- Although currently there is not an objective measure of the injury on the brain they have opened the idea it may be coming.
- Neuropsych testing was a good section, the take-home point here is that baselines are not part of best practices and that they should not be used as a clearance device, except in the case of a trained neuropsych using the information.
- Loved the discussion on “rest”, really thought about it a lot since it came up in Zürich. The term “rest” is so Continue reading
If you all recall I went to Zurich in November to attend the “Concussion Conference”; mainly as an observer, but there was enough time and opportunity to impart my questions/knowledge as a practicing athletic trainer. Here are the links to DAY 1 and DAY 2 of my live blogging. By the way, the live blogging was WELL received and continues to provide great insight into what went on. I hope that I am asked back for the next conference, or any other conference that wouldn’t mind my attendance.
Now the information gathered at the conference has been hashed and rehashed and now appears as the 4th Consensus Statement (tweeted previously).
As part of the initiative the Standardized Concussion Assessment Tool (SCAT) was looked at and changes were made to the 2nd version from 2008. You can now find the new version by clicking SCAT3.
A new wrinkle was an assessment tool for the younger ages, the group decided on the “Child” version of the new SCAT3, that can also be found by clicking Child SCAT3.
Also included in the addendum of the Consensus Statement was a recognition pocket card, found by clicking Recognition Pocket Card.
All of the above is free and intended to be used as a resource for better concussion assessment and even early management of concussion. Please read the Statement regarding best practices. As always this blog is NEVER to be used to diagnose or treat a concussion. There is a lot to be absorbed and read; one thing is for sure we as athletic trainers and concerned/educated individuals now have the most recent information at our fingertips. I guess this blog is actually doing some good work :) A side note; how about this appearing during National Athletic Trainers Month? It might be a coincidence, but I find it serendipitous.
Well I am jacked, a bit nervous, and thankful for this opportunity.
I head out tomorrow and if all goes well – electricity/wi-fi/rules, etc. – I hope to be blogging the conference live back to you here in the States.
There are many people I would like to thank for donations; there was a total of 8 people and one group that chipped in and since some don’t want to be listed on the blog I will just say thanks to all of you. The donations offset the cost enough along with some handy savings, I was able to bring my wife along for a once-in-a-lifetime European date. One group can be thanked, that is my high school Athletic Booster Club, as they surprised me with a 50/50 raffle in the last football home game. I can also thank my parents as well for their kind donation.
This is mainly a “business” trip as I really want to get the information out to as many people as possible, often time we don’t get to hear about such things in a timely manner. That being said I will do the best I can; there is a 7 hour time difference to central time, meaning on Thursday I should begin at 4am CST (earlier on Friday). Regardless of the circumstances I do have wi-fi in the hotel so I can at the very least write a wrap up if needed (and it will be at a more convenient time for you). I will also have Twitter available, so one way or another you will get information!
Here is the Program for the event.
I will also try to be “journalistic” and see if I can get a few of the presenters and those in attendance to answer questions. The problem is that I don’t have any set questions to ask, feel free to include some in the comments section.
Again, I truly appreciate this opportunity and thank all of you who come to this blog, without the interest and massive amounts of hits a day this would never had happened.
Trying to keep up with all the concussion news is tough, even harder across the Pacific in Australia. I choose that particular spot because of the collision sports of rugby and Aussie Rules Football. In my most recent search of concussion Down Under I tripped across an article that was highlighting a current concussion issue with a player, Kade Simpson – by the way the official injury listed is jaw, but this article reports a concussion, obviously an inherent sporting issue to not report. Heck even the AFL is asking one of its teams to identify an injury that reportedly, denied by team, resulted in loss of consciousness; team merely stated he had blurred vision after a hard head knock (really?????)
Regardless I found this very interesting comment in the article;
Melbourne’s Daniel Bell and Western Bulldog Matthew Robbins have highlighted their own issues with concussion, while Dean Kemp and Chad Rintoul are among players who have won injury compensation.
It appears as though the concussion issue is hampering a lot of people who choose to take the risks in collision sports. I will see if I can dig up more.
The article mentions that there will be the 4th International Conference in Zürich later this year, can anyone get me an invite to this? I will gladly report back for all interested.
Also in the article from the Continue reading