Confusion or disorientation after the injury.Loss of consciousness at the time of the injury.If your child is unconscious or there is evidence of any the following then a trip to emergency is recommended to rule out ICH. While there are different types of ICH which I won’t explain for this article’s purposes, lCH is very dangerous and must be dealt with immediately. The goal at emergency will be to examine them for severe head trauma such as a fracture or cranial bleed where a ruptured blood vessel is bleeding within the skull (intracranial haemorrhage – ICH).
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If you have any questions or concerns about your child’s care, please feel free to contact me directly either through my cell phone 41 or email Sean Fletch Clinical Management What to do within the first 24-48 hoursĭepending on your level of confidence you may or may not want to take your child to the closest emergency room. We will provide any required letters for school and coaches/leagues as part of our service at no additional charge. This policy remains in effect until the client is cleared following completion of standardized return to play protocols and subsequent restoration of objectively quantified cognitive baseline measurements. The critical caveat to this statement is that the patient does NOT partake in any activity which poses any danger to another hit to the head or potential whiplash related injury. Our approach focuses on pre-injury cognitive testing and post-injury active care and education to get the patient reintegrated into their normal lives as quickly as possible. Baseline testing is a key to a faster and safer return to play. If you suspect a possible concussion do NOT let your child return to play until they have been evaluated by a clinic specializing in concussions. Returning an athlete back to play too early IS dangerous. Reliance on symptoms alone especially with young athletes is dangerous.
Referral to emergency or appropriate specialist if necessary. Clinical Management – Evaluation as close to within 48 hours to establish the nature and severity of the injury.Baseline Testing – Ideally establish a pre-injury cognitive baseline.We try to manage concussions from 2 perspectives We primarily follow the lead of the University of Pittsburgh’s Medical Centre (UPMC) which is one of the leading concussion centers in North America. There are still many misconceptions about concussions and what should be done when an individual is concussed. Following this summary we have attached a more detailed outline of Our Concussion Management Protocols and our Cognitive Baseline Testing. The goal of this summary is to give you as a parent an overview of our concussion management program.
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