FINISH ME FOOL! Concussion

Question 1

How long do concussion sx last?

Answer 1

7 to 10 days

Question 2

What is Persistent Post- Concussion Symptoms (PPCS)?

Answer 2

This is when concussion sx last more than 4 weeks for children and 14 days for adults. 10 to 20% of concussion pts

Question 3

What is second impact syndrome?

Answer 3

A second concussion before a patient has fully recovered from the first can have devastating effects. Ex- Goin back into the game after getting concussed and then getting hit again

Question 4

True/False: After concussion, there is increased cerebral blood flow.

Answer 4

FALSE
There is a decrease in cerebral blood flow

Question 5

Describe the 4 domains that may be impacted by concussion as defined by the Clinical Practice Guideline.

Answer 5

1. cervical musculature impairments
2. vestibulo-ocular impairments
3. autonomic dysfunction and exertional intolerance
4. motor function impairments

Question 6

Identify 3 patient factors that are associated with a LESS favorable recovery from concussion?

Question 7

Identify 3 patient factors that are associated with a MORE favorable recovery from concussion?

Question 8

T or F?
If diagnosed with concussion the athlete IS allowed to return to play on the same day

Answer 8

FALSE! they cannot return to play same day.

Do not return to work, physical activity, school that day

Question 9

When should you seek acute care after head injury?

Answer 9

• deteriorating cognition, orientation
• Within 4 hours post injury
• GCS less than 13* (different than in SCAT6)
• Cervical spinal injury
• open skull fracture or signs of undiagnosed skull fracture
• progressive symptoms or new neurologic signs: repeated vomiting (more than 2x), seizures, pupil asymmetry
• severe or rapidly worsening headache

Question 10

Should you let pt sleep 3 hours after head hit?

Answer 10

NOOOO
Closely monitor pt for 4 hrs after hit, no sleep in this time

Question 11

Below what score on the GCS is red flag level?

Answer 11

<15 is red flag

Question 12

How long is the relative rest period after concussion?

Answer 12

First 48 hours after trauma

Question 13

Which of the following is a red flag that warrants immediate medical attention according to the CPG?
A. Seizure
B. Post Traumatic Amnesia
C. Alteration in mental state
D. GCS of 14

Answer 13

A. Seizure
this is the most serious ting

Question 14

Which of the following tools can be used to screen patients for concussion on the field
A. VOMS
B. BESSTest
C. SCAT6
D. Head Impulse Test

Answer 14

C. SCAT6
Has on n off field components

Question 15

How long should a person rest for after concussion?

Answer 15

24 to 48 hours, no naps in this time, need to normalize sleep cycle

Question 16

True or False: Athletes with suspected concussion who are screened and cleared by the AT, can return to play that day?

Answer 16

True
Gotta trust the professionals

Question 17

What are the red flag BP and HR changes when changing positions with a pt with possible concussion?

Answer 17

≥20 mmHg drop in SBP or ≥10 mmHg DBP

Question 18

What is the increase in Baseline sx that is concerning after initiating exercise?

Answer 18

move 3 points on symptom analog scale
Ex- rest =3 exercise =6

Question 19

When can the Sport Concussion Office Assessment 6 be administered

Answer 19

3 days after moi

Question 20

When can the scat 6 be administered?

Answer 20

First 3 days after moi

Question 21

What is the Sub-symptom threshold for aerobic exercise?

Answer 21

NoMorethan 2point increase in symptom threshold compared to pre-
exercise esting value
2 is okie, but 3 is bad