Updated (19:43 CST with a new email, see below…
There are tons of you that write in, and I do my best to respond. Then there are some of you that I get an email and I immediately investigate, this email received from a fellow athletic trainer has me scratching my head and hoping this is not the norm (emphasis mine);
Good Morning Dustin:
I was at a wrestling meet to watch my son on Saturday and one of the wrestlers girlfriend was there. She is in college and her major is biology and exercise science and I am not sure where she goes to school. I see her book is Athletic Injury Management and then I see her study guide. I see on the study guide a section on concussion and grading of concussions. I told her that she should inform her instructor that the information is wrong as there is no grading system for concussions anymore. She said that is what her instructor had said however they still teach the grading because coaches understand the grading and it is to appease the coaches so they know how severe the concussion is. I just shook my head.
So in some colleges it sounds like grading of concussions is still being taught and if I had to hazard a guess, it is by instructors that do not teach athletic training students.
I just wonder how many other colleges are still teaching the grading systems because that is what coaches understand.
This is an outrage to me. Why are we convalescing to the coaches “feelings and education”. Why are we not, as the allied healthcare professional, educating the coaches on what is happening around them.
Sure, the conversations are uncomfortable at first, but it is our JOB to make them understand what they and we will be dealing with. It really is not hard to explain to coaches that concussions are a unique injury to each athlete. Once one is sustained and the recovery has begun then we will get a better picture of return. Until we get a clearer picture, I feel coaches at the levels below the professional ranks should assume the player is going to be out for a minimum of 8 days (that is the ABSOLUTE MINIMUM, IMHO). Yes, I would like to see it be longer, but as soon as we – as athletic trainers (need your help docs) – start to lay down an accepted and minimum time frame that eliminates a rush back for a game one week later we will begin to see some progress.
Doing it the way above does nothing to advance the information out there, advance your standing within the community, and if anything makes the athletic trainer look unprepared or behind in area of concussion. Perhaps you could use the “grading system” as context of what we DON’T do any more. But disseminating that information only creates even more minutia and problems.
If you know of any college/university teaching it this way, tell me, I would love to have a conversation and try to understand why. Even better I would love to Skype to the class and present some reasons as to why this is a bad idea.
Thanks for the emails everyone!
Avid reader of the blog and I work in Concussion Clinic in __________ , _________ is my boss.
In regards to the latest blog, heck yes on the grades… I really don’t want to mention a name but at our __ state meeting I was sitting in on the “student” program and the topic was concussion sideline eval and tools. Using iPads etc…
Anyway, this AT is a Head AT of a DIII school in Western __, talking about concussions and talked about grade 2 & grade 1. I about fell off the chair… and then he said it AGAIN!! I wanted to raise my hand and say what the heck are you talking about get in 2013 my friend – to think he teaches future ATs.
Granted I don’t know all, but I try.
Had a kid come into Concussion Clinic and his mom said that the AT at his school said he had a grade 2 concussion, I went a little bonkers, tried not to throw a colleague under the bus but man come on!
Anyway its out there still
It would be tough to question a colleague in the front of others, but perhaps questioning them will spark debate and eventual corrections. It is very frustrating to all of us that are trying our hardest to make sure the proper information is out there. That is probably the #1 reason for starting the blog.
Keep the emails rolling in…