lecture 3+4: concussion and fencing response Flashcards by Emily Pereira

true or false: any athelete with suspected concission should not be removed from paly

false

they should be removed

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the therepist should be able to

1) recognize, remove aand eveulate
2) rule out sever neurology inkiry or cervical spine injury
3) know symtoms and track

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what is the defintion of concussion

any transcient post traumatic alteration in mental staus of indivuals

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what is a sports related convisou

traumatic brain injury induced by biomechanical formces

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concussion symtoms are instant

no they can also be delayed

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what is the MOI of concussion

direct blow to the head face neck or elwhere on the body with the force transmitted to the force (indirect)

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the right side of the brain controls the…

left side of the body (creativeity, msuic art)

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left side of rbain control…

right side of body
reasioning
language
etc

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true or false: to have a concussion you need to be unconcous

false

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absolute rest is the best stragery

false

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what is scat 5

standarized tool for evualitedconcussions (in less than 10 mins)

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do most concussion happen in teenagers?

yes

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what are signs

reported by others

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what are symptoms

reported by athelte

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what are some signs that you can see when assessing concussion

slow answeres
lose consiou
cant remember things

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what are some common symptoms reported by athelte

headache
pressure
double vision
foggy

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what are the 4 factors that need to be evaluated fror accute concussion

cognitize
physical
behaviro/sleep
emotional

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what are the 4 cathergoeies that symtoms fall into

thinking/remembereing
physical
emotional/mood
sleep/behavior

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what are the 4 symptoms in thinking and remmebr

difficult thinking clearly
feeling slow
cant concentrate
cant remeber new info

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what are the 4 symtpoms of physical

headache or blurry vision
nausea/vomit/dizzy
sensitive to light with balance problem
tired

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what ar the 4 symtpoms of emotional/mood

irritiablity
stress
emotiona
nervous/anxious

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what are the 3 symptoms of sleep/behavior

sleeping more or less than usual

trouble falling asleep

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physical signs of acute concussion

LOc
headhache
poor condination
seizures
balance 
slow
neausau
vacant stare
slurrted speak
dizzy

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cognitive symtpms of accute concussion

unaware score/time/place/period
confused/slug
amneia
LOC

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emotional symtoms of consision

anxiety irritable sad mood change

what are the 3 most reported symtoms and pecentages

headache 75 concentration 57 fatigue 52

what are the 3 red falgs (danegr signs in adults)

neck pain/tenderness weakness tenderning tingling in arms and legs deterioting LOC

is assessing cervical spine injuries importants in concission

yes because it is reported alot in head injuries

what does SCAT stand for

sport consussion assessment tool

there is only an adult scat?

false, child scat for 5-12 years

explain baseline testing

must do preinjury testing to compare | performance variablity may be a key meSURE OF ACCUTE concussion diagnorsos

what is assessment of concussion ON FIELD

``` witness (know the MOI) see transcient Symtpmos know athlete personality be able to discern variation knowledge of previous medical histroy ```

what is the clincal assessment with a doctor of a concussion

relying on atherly self report relying on at assessment need scat 5 and notes

what are other tests besides scat 5

vestibular ocular motor screen | king devick test

what is return to learnand play

steps before brain can be used to learn and play

true or false: you need to return to play before learn

false | learn first

what is second impact syndrome

when a player is not fully recovered from first consussion suffers a second blow to the head

what does second impact syndrome cause

loss of autoregulation of the circualtion to the brain =brain edma and increased pressire =can lead to cerebral herniation

true or false: athlete must not return to play until properly assessment and followed by HCP

truw

what are the signs and symtpoms of second impact syndrom

``` stoned no LOC you will see serious symtoms 15s-sev minutes loss of eye movement resp. failure dialed pupils ```

study scat 5

kefk

what are the steps for head injury assessment

1) PPE and 911 if uncnous 2) stab head 3) LOC and ABC 4) rule out conission, rule out spinal

what is orientation x 4T

time palce person even

what are some orientation querstion

what month what is the date/day of the week what year what time

true or fals: ahtlete should be filling out the scat themselved

true

what are the 2 types of amnesia

retrograde and anterograde

what is retrogade amnesia

does not remeber anuthinh BEFORE trauma | ask: what day, score, how did they get here, where are we

what is anterograde amnesia

athelte does not remmeber anything that happened after the trauma

what is another name for anterograde amnesia

post traumatic amnesia (PTA)

what questions can you use to assess anterograde amnesia

what happned/ how did you get hurt | words from scat

are the vision ttests off field or on field

off

can you check for CSF on field

yes

how do you rule out spinal>

``` palpate c spine cord signs tingling burning number vitals (can be done off field) re assess sings and symptoms ```

what are the red flags for head injury

``` unconcous open skull fracure csf unrepsonsive pain on movement abnomral vitals increasing headache ```

what is a mild GSC score

14-15

what is a moderate GSC score

9-13

what is a secore injury is gsc

3-8

do you have to treat for shock with concussion

yes

what is the rhomberg test

off field feet together arms at the side close eyes if swaying: ppstove

what is the graducate removal for the field without spian l

``` supine all fours back on heels on knee standing and walking ```

what happens if there is an increase in symtpms

return to previous postioon

true or false: you cna only use spinal board for spinal injiury

if spinal injury, when do you remove equip

before boarding

if not spinal, when do you remove equip

sidelines

WHAT IS IMPORTANT FOR SIDELINE ASSESSMENT

``` recheck vitals/ SS finger to nose concnetraion balance exercise tests rhombert ```

is explanation important for concussion

yes

explain concussion eduation

what is it SS steps home moinotoring

explain home monitoring

instructions printed out to relative okay to sleep what to watch out for

its bad for a cunssion person to sleep

false

what are some signs to watch for at home in conussion terms

worsening headache vomittied slurred speach seizures

what is imporatnt for initial rest

avoid alcohol aboild drugs and sleeping tablets do notnuse adbsil

what is the fencing response

unatural position of arms immediately following a concussion

if you see fencing response, you should wait to call 911

false you need to call 911

how is fencing respnse triggered

an acceleration/decleateion injury to the brain

fencing response comes severol seconds before consission or after

after