Head Injuries and Concussion

Question 1

When assessing heads using SABCDE, what are we lookign for ?

Answer 1

When a d for neurlogial disabilitly, we use the ACVPU scale.

This rates them from A-U.

A = alert
C = confused
V = responds to vocal stimulus
P = responds to pressure stimulus
U = unresponsive

Question 2

What are the GCS score bands and what is it assessing?

Answer 2

Minor - GCS 13 to 15

Moderate - GCS 9 to 12

Severe - GCS 3 to 8

Anything less that 15 required spinal extraction and hospital is player is still not moving.

It is assesseing your eye response, verbal response and motor response.

Question 3

what ppint on ACVPU does a player need to be spoinal boarded or pitch ?

Answer 3

C = confused.

Transfereed to a warm room, and sent to hospital if no improvment.

Question 4

What are the criteria and scoring for glasgow coma scale ?

Answer 4

Best eye response
4 - eyes open spontaneously
3 - eyes open to speech
2 - eyes open to pressure stimulus
1 - no eye opening

Best vocal response
5 - alert (orientated in time, place and person)
4 - confused (the patient responds appropriately but there is some disorientation/confusion)
3 - inappropriate words
2 - incomprehensible sounds
1 - no verbal response

Best motor response
6 - obeys commands
5 - localises to pressure stimulus (a supraclavicular stimulus should be applied, and their hand should come up above the clavicle)
4 - withdrawal from a pressure stimulus
3 - abnormal flexion to a pressure stimulus
2 - extension to a pressurestimulus
1 - no motor response to a pressure stimulus

Question 5

11 On field indications for permanent removal from the field of play?

Answer 5

Convulsion
Tonic posturing
Ataxia
Suspected LOC (loss of consciuness)
Clearly dazed
Confirmed LOC
Oculomotor signs
Athlete not orientated in time, place or person (TPP)
Definite confusion
Definite behaviour change
On-field identification of sign or symptom of concussion