Concussions And Head Injuries
The skull protects the brain against penetrating trauma, but does not absorb all the impact of a violent force. The brain is cushioned inside the skull by the surrounding cerebrospinal fluid. Despite this, an abrupt blow to the head, or even a rapid deceleration, can cause the brain to contact the inner side of the skull. There is a potential for tearing of blood vessels, pulling of nerve fibers and bruising of the brain.
Sometimes the blow can result in microscopic damage to the brain cells without obvious structural damage visible on a CT scan. In severe cases, the brain tissue can begin to swell. Since the brain cannot escape the rigid confines of the skull, severe swelling can compress the brain and its blood vessels, limiting the flow of blood. Without adequate blood flow, the brain does not receive the necessary flow of oxygen and glucose. A stroke can occur. Brain swelling after a concussion has the potential to amplify the severity of the injury.
A blow to the head can cause a more serious initial injury to the brain. A contusion is a bruise of the brain tissue involving bleeding and swelling in the brain. A skull fracture occurs when the bone of the skull breaks. A skull fracture by itself may not necessarily be a serious injury. Sometimes, however, the broken skull bones cause bleeding or other damage by cutting into the brain or its coverings.
What Is The Difference Between A Concussion And A Contusion
The key difference between concussion and contusion is that a contusion is an extravasation of blood beneath the skin or within the viscera while a concussion is a transient period of unconsciousness following a violent blow to the head. First of all, a concussion happens when a large area of the brain is injured.
Managing Concussions: The Nfl Protocol
Because each player and each concussion is unique, there is no set timeframe for recovery and return to participation under the NFLs current guidelines. The decision to return a player who has a concussion back to practice and games resides with the team physician managing the concussion protocols and is confirmed by an independent neurological consultant , who is consulted specifically for the players neurological health.
After a player is diagnosed with a concussion, the protocol calls for a minimum of daily monitoring. The players past concussion exposure, medical history and family history are considered, creating a more complete picture of his health. The protocol progresses through a series of steps, moving to the next step only when all activities in the current step are tolerated without recurrence of symptoms. Communication between the player and the medical staff during the protocol is essential.
When the team physician gives the player final clearance, the player has a final examination by the INC assigned to his team. As part of this examination, the INC will review all reports and tests documented through the players recovery. Once the INC confirms the conclusion of the team physician, the player is considered cleared and is eligible for full participation in the next game or practice.
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Long Term Effects Of A Concussion
Some symptoms of a concussion develop hours or days after the traumatic brain injury occurred. These symptoms include:
- Trouble concentrating
- Irritability and other personality changes
- Sensitivity to light and noise
- Sleep disturbances
- Depression and other psychological problems
- Disorders of smell and taste
Long-term effects of concussion are rare. In fact, the vast majority of people see any symptoms resolve within a few weeks. Only about 20 percent of people might suffer from post-concussion syndrome, where they continue to experience symptoms after six weeks. However, the more concussions you get, the more likely you are to suffer long term consequences, especially if you dont give your brain enough time to heal between injuries.
At some level, concussions result in a brain injury, so were certainly worried about the accumulative affects of concussions, says Gregory Hawryluk, MD, neurosurgeon and concussion specialist at University of Utah Health. Were starting to learn that perhaps these seemingly minor blows to the head, when theyre accumulative, can lead to depression and behavior change. In fact, we think that some suicides may be linked to the brain damage that results from multiple concussions.
What To Do If You Have A Concussion
If you think you have a concussion, stop what you are doing and seek medical help.
If you think your child or teenager might have a concussion:
- make them stop what they are doing
- stay with them
- get them to a doctor as soon as possible
If the person is unconscious, call 911. Do not:
- move the person
- remove any equipment, like a helmet or padding, in case of an injury to the spine
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What Tests Can Be Used To Assess My Athletes Brain To See If They Are Ready To Go Back To School Or Sport
After the hands on neurological examination is complete, other neuropsychological tests can be used to assess a student-athletes ability to go back to school and sport.
ImPACT neuropsychological test
The immediate post-concussion assessment and cognitive test is a concussion management tool used to help diagnose and evaluate student athletes. This computerized test measures a student athletes visual and verbal memory, reaction time, and processing speed.
The 30-minute test is ideally performed before the start of a sport season and after a head injury . Evaluating the test results and comparing with the baseline test helps care providers document brain function and see if it has returned back to a student athletes healthy normal. It can assist with treatment decisions and help determine when its safe for a student athlete to return to their activity.
Hospital or Organization Concussion App
Some sports health centers within hospital systems have developed their own concussion app. These tablet-based, mobile tools are used to report and assess concussion and symptoms.
What Causes Bruising And Internal Damage To The Brain
When there is a direct blow to the head, the bruising of the brain and the damage to the internal tissue and blood vessels is due to a mechanism called coup-contrecoup. A bruise directly related to trauma at the site of impact is called a coup lesion . As the brain jolts backward, it can hit the skull on the opposite side and cause a bruise called a contrecoup lesion. The jarring of the brain against the sides of the skull can cause shearing of the internal lining, tissues, and blood vessels leading to internal bleeding, bruising, or swelling of the brain.
Suffered A Concussion We Can Help
Suffering a concussion is often misconstrued as mild. However, when concussions arent easily detected, long-term complications can be the outcome. If youve suffered a severe concussion in an accident that could have been avoided, you may be eligible to pursue a legal claim and hold the responsible parties accountable for their negligence. We are here to help protect your rights.
Big cases require big resources. Our team of skilled attorneys is experienced in handling insurance companies that often search for reasons to deny a claim or offer low settlements. We have a proven track record of getting our clients the compensation that they deserve.
Contact Dolt, Thompson, Shepherd & Conway, PSC at 242-8872 to learn how we may assist you.
Does A Concussion Occur Exactly Where The Blow To The Head Occurs Are There Worse Areas Of The Brain To Have A Concussion
The force of a hit can cause a concussion on the part of the brain that was directly hit or on the opposite side of the brain .
Different areas of the brain control different functions, so blows to your head can predict your symptoms. A concussion to the back of the brain causes balance issues, fogginess, neck pain and difficulty concentrating. These symptoms usually predict a longer recovery from a concussion.
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Can I Recover Compensation For A Concussion Or Post
If theres medical proof that your concussion stems from an accident caused by someone else, you certainly can.
Consider, though, that filing a claim is different from actually collecting.
To successfully recovery compensation, your personal injury lawyer will need to prove:
Most cases being with a pre-litigation negotiation with the insurance company for the person or company that caused your injuries. If that negotiation is unsuccessful, your case may then proceed to court.
When Should I Seek Medical Advice After Concussion
After a concussion/mild head injury, it is important that, if possible, you are accompanied by a responsible adult.
While unlikely, there is a small risk of developing complications, so if you experience any of the following concussion signs and symptoms in the next few days you should go to your nearest Emergency Department as soon as possible:
- Loss of consciousness
|DO find out more in our factsheet Mild head injury discharge advice||DON’T play any contact sport for at least three weeks without consulting your doctor|
|DO get further information on when to seek medical attention on the NHS website||DON’T return to driving until you feel you have recovered. If in doubt, consult your doctor.|
The information on this website should not replace a clinical examination. If you have not been examined then contact your GP or call 111. In case of a medical emergency, please call 999.
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Is A Concussion A Brain Bruise
Is a concussion a brain bruise A cerebral contusion, or intracerebral hematoma, is a type of traumatic brain injury that is essentially a bruise to the brain causing bleeding and swelling. Unlike a concussion, which is more widespread, contusions are localized to a specific area in the brain.
How To Prevent Concussions
You can reduce your risk of getting a concussion by wearing the correct helmet and other athletic safety gear during sports activities. Always make sure the helmet and other gear fit properly and are worn appropriately. Ask a coach or other sports professional about safe playing techniques, and make sure to follow their advice. The CDC provides an extensive overview of
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Major League Baseball’s Concussion Policy
‘s policy was first started in 2007, and injured players are examined by a team athletic trainer on the field. On 29 March 2011, and the announced that they have created various protocols for the league’s concussion policy. The new policy includes the following protocols:
- All teams are to run baseline neurocognitive testing for all players and umpires using the ImPACT system during spring training or after a player signing.
- If a player sustains head impact during a game, the play is stopped and the player’s injury is assessed.
- A Certified Athletic Trainer can evaluate and treat a player during a game.
- If the trainer seems that the player has sustained a concussion and seems that it is necessary, he or she can remove the player from the game and move to the clubhouse for further evaluation.
- The Team Physician may also evaluate the player in the clubhouse. Player completes the SCAT3form in the clubhouse. If the player seems to not have sustained a concussion, he can return the game.The trainer can then evaluate the player throughout the entirety of the game after the injury occurs. If the player is thought to have a concussion, the team, the trainer, and team physician can determine whether to place the player on the 7-day or 10 day injured List .
- If a player on a 7-day concussion IL is still unable to return to play after nine days, he is automatically transferred to a 10-day IL.
Dangers Associated With Repeated Concussions
Repeated concussions have been linked to a variety of neurological disorders among athletes, including , , and .
Repeated concussions or mild-to-moderate have also been established to have effects on the motor dysfunction and movement disorders, however a systematic review has concluded that more investigation is needed to fully understand the long term effects of concussions and TBIs.
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What To Do If Youve Suffered A Concussion From An Accident That Was Not Your Fault
Fortunately, most concussions resolve on their own in a short amount of time, leaving no lasting symptoms or issues. However, some people do experience long-lasting symptoms that affect their ability to function and/or their quality of life, and someresearch shows that just a single concussion can cause permanent changes to the brains structure.
People whose lives have been negatively affected by a concussion that resulted from an accident that wasnt their fault may be able to sue. A personal injury lawsuit brought against the party at fault could lead to compensation for medical bills, pain and suffering, and more.
Vehicle Design And Maintenance
- Seat belts
Research has shown that, across all collision types, it is less likely that were worn in collisions involving death or serious injury, rather than light injury wearing a seat belt reduces the risk of death by about 45 percent. is controversial, with notable critics such as suggesting that their use may lead to a net increase in road casualties due to a phenomenon known as . However, actual observation of driver behaviors before and after seat belt laws does not support the risk compensation hypothesis.Several important driving behaviors were observed on the road before and after the belt use law was enforced in Newfoundland, and in Nova Scotia during the same period without a law. Belt use increased from 16 percent to 77 percent in Newfoundland and remained virtually unchanged in Nova Scotia. Four driver behaviors were measured at various sites before and after the law. Changes in these behaviors in Newfoundland were similar to those in Nova Scotia, except that drivers in Newfoundland drove slower on expressways after the law, contrary to the risk compensation theory.
A well-designed and well-maintained vehicle, with good brakes, tires and well-adjusted suspension will be more controllable in an emergency and thus be better equipped to avoid collisions. Some mandatory schemes include tests for some aspects of , such as the UK’s or German conformance inspection.
- Center of gravity
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Better Than He Ever Was Before
So would you say then that.. because you write, I think it was in a sorry, it was in an interview with Jennifer Sheehan that you said that youre better in so many things that you ever were before. And does that have to do with this attitude?
It has, you know, thats a really good question. It does have to do with this attitude. The attitude is the roots of all the scenarios that I go through short, long-term in life and especially with the difficulties that I experienced daily with my brain injury. I still use that every day, because like you mentioned, I do still have difficulties with my brain injury you know.
Is Traumatic Brain Injury The Same As A Concussion
A concussion occurs as a result of a sudden back and forth movement of the head and brain and can happen even if you do not strike your head forcefully or lose consciousness. The sudden jarring or whiplash effect of a car accident can be enough to cause a concussion. There may be cuts or bruises on your head or face after a car accident, or there may be no visible signs that you may have sustained a concussion. In fact, it is not uncommon for car accident victims to suffer a concussion and not realize it. Many ask whether a concussion is the same as a traumatic brain injury the answer is yes a concussion is a type of traumatic brain injury.
Concussion is a type of traumatic brain injury
A concussion is classified as a mild traumatic brain injury . A concussion is the most common type of brain injury following a car accident. While the classification suggests that it is mild, this is only relative to severe traumatic brain injury which causes catastrophic brain damage . That being said, do not let the term mild mislead you mTBI such as a concussion can also have very serious consequences. In most cases, those who suffer mTBI go on to a full recovery, but for the unfortunate few, the symptoms can last indefinitely, and have a devastating impact.
Symptoms of a concussion
Other signs of traumatic brain injury
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How Many Concussions Are Too Many When Should An Athlete Retire From Their Sport
There is no general agreement on when to retire from sports due to head injuries. There are many factors to consider including:
- Number of head injuries/concussions.
- How long it took to fully recover from each concussion.
- How close together, in time, each concussion occurred.
Each concussion ups the odds of having another concussion. Each concussion is different. Each persons reaction and ability to recover is different. You and your healthcare provider should discuss your history of concussions and be able to decide what is in you or your loved ones best interest.
A Concussion Is A Brain Injury
When David Seifer could not get off the ice on his own, his father, Mitch Seifer, knew that his injury was serious. The 10-year-old hockey player had wiped out after being crosschecked to the head. He was later diagnosed with a concussion at the Hospital for Sick Children.
David, now 16, remembers immediate nausea, then dizziness and a major headache.
“The way he reacted I knew there was an injury to his brain,” Mitch says.
While David’s head injuries didn’t lead to anything more serious, not all parents understand that a concussion is a brain injury, says McMaster University researcher Carol DeMatteo. That’s why she thinks we should get rid of the moniker and call a concussion what it is: “a mild traumatic brain injury.”
DeMatteo, an occupational therapist and associate clinical professor in the School of Rehabilitation Science, finds it disconcerting when parents say, “My child doesn’t have a brain injury, he only has a concussion” without realizing the two things are one and the same.
Typically a concussion is thought of as an injury caused by impact that probably won’t have long-term consequences, with symptoms that should be transient, DeMatteo says. But there is no universally accepted definition of the term, despite a variety of concussion scales around the world, she says.
But he admits that you can still “line up 20 doctors and you’ll get 20 different opinions” on what to call the old thump on the head.
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