Head injuries Flashcards
A player sustains a head injury and is unconscious for several seconds. On approach, the player is verbalising to voice and trying to get up. They have an RR of 18bpm and HR of 80bpm.
What is your next course of action?
Remove appropriately from the field of play. Assess, monitor and manage them appropriately and ensure they do not return to play
Concerning and incident to the head with the player already ambulatory and where other corresponding low risk factors also exist, the player does not require immobilisation?
True or false?
False
When carrying out a neurological assessment in the medical room and utilising the Glasgow Coma Scale, what is the lowest possible score for a GCS?
3
Where no suitably trained healthcare professional with day to day responsibility is contracted to the player’s club, the UK Government’s Concussion Guidelines for Non-Elite (Grassroots) Sport should be followed
True or false?
True
After a concussion, which of the following does The FA recommend for a 14-year-old player’s safe return to play?
You have 4 answers:
- Initial rest of 48 hours
- Earliest return to play of 21 days
- Combined stages 1-4 last minimum of 14 days
- Before progressing to stage 5 just be reviewed by health care professional
Can you name 4 correct statement regarding R2P with a player with concussion?
With regards to the Amsterdam consensus statement and a player who has a sports related concussion, which one of the following statements is incorrect?
A player cannot be returned to the field of play on the day of receiving and being diagnosed with a concussion
Symptoms and signs may present immediately, or evolve over minutes or hours, and commonly resolve within days, but may be prolonged
Children are more prone to receiving a concussion due to their thinner cranial bones and weaker neck musculature
Strong evidence exists regarding the benefits of physical activity and aerobic exercise treatment as early
Which one of the following statements includes players that are eligible to enter the exceptional care pathway within the FA concussion guidelines, assuming that all enhanced and exceptional care pathway criteria have been met?
Players over the age of 18
Where an appropriately trained healthcare professional, with a valid FA emergency pitch-side care qualification which includes concussion management training, is in place, the FA’s Concussions Guidelines should be followed.
True or false?
True
Regarding concussion, what does The FA recommend in the enhanced football setting?
That a doctor, experienced in concussion management, assesses throughout the process
That a baseline SCAT 5 or 6 is conducted on the player
That a clinical multimodal assessment (including repeat SCAT/SCOAT) should occur throughout the recovery period and be well documented
That there is clear education and a concussion documented program in place
According to The FA guidelines standard care pathway.
After how many days would you consider referring a footballer onto a specialist, who is still experiencing ‘persistent symptoms’ after a sports related concussion?
28 days
According to The FA concussion guidelines, what are the red flags?
DOUBLECHECK***
Any loss of consciousness
Deteriorating consciousness
Amnesia
Increasing confusion
Behavioural change
Any new neurological deficit
Seizure
Current anticoagulant therapy
Severe neck pain
Not one: Headache
Symptoms of raised intracranial pressure
(When considering the presence of a structural brain injury in a player who is deteriorating in the medical room post an on-field collision, which one of the following is not a symptom of raised intracranial pressure?)
Headache
Vomiting
Dizziness
Visual disturbances
(Hypotension - answer question)
According to the Amsterdam consensus statement on concussion:
The FA concussion guidelines, what is the definition of a mild and brief exacerbation of symptoms that a player is allowed to experience and still progress along the GRTP pathway?
Symptoms that cause no more than a rise of 2 points on a 0-10 scale and resolve within one hour
You suspect one of your players has suffered a sports related concussion during a game.
Whilst still pitch-side, The FA recommends you consider which of the following assessment criteria?
You may select multiple answers.
Presence of any one or more visual clues (e.g. LOC, unsteady gait, seizure, balance problem)
Presence of any one or more signs and symptoms (clinical presentation e.g. headache, dizziness, amnesia)
Maddock’s questions (e.g. what venue are we at, what time is it?)
Video footage, if available, to determine mechanism of injury
Initial presentation of player
