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CHILDREN HEAD INJURY HINTS

From Steve Parker a Licensed Sports Trainer - www.SoccerSmart.Org

Steve Parker’s Checklist for Head Injuries in Youth Sports.

1) Chances are you will be the one managing your child’s head injury. Most practice or game fields don’t have medical personnel onsite. What you know can facilitate a safe return to sports. Rarely head trauma will lead to lifelong changes or worse. If at anytime during your child’s recovery you are not comfortable with his or her progress, seek medical care with a qualified concussion specialist.

2) With any head injury, always rule out a neck or spine complications. If the child is unconscious, do not move, check airway, breathing, and circulation. Call 911. If the child comes to and wants to move, check grip strength in both hands, have them move both feet, check for any numbness, palpate neck and spine for any tenderness. Wait for ambulance.

3) If the child did not loose consciousness, and is on the ground, do not move until they can get up on their own. If they are sitting, kneel behind them to support their neck and spine. Do the spine check and moves in #2. Ask them what happened to check memory problems. (what day it is, who they are playing, score, what they had for breakfast) They may not remember anything including their name; they may remember some things or they may remember everything and then start forgetting things later as the injury progresses. Some may not have any memory loss. They may start with a headache or develop one later. I tell parents not to give them anything for pain because I want to know if the headache is getting worse or better and their level of consciousness. Pain meds may mask both. If you go to the hospital, the MD will give them something after a CT scan. Other symptoms to watch for are dizziness, upset stomach, vomiting, dilated pupils, grogginess, light or sound sensitivity, or the inability to stay awake.

4) The first 24-48 hours are critical but that doesn’t mean they may not develop problems later I draw a graph to determine whether to go to the ER. If the symptoms get better and better, I watch them, waking them in the middle of the night to check pupils with a flashlight and check consciousness level. I make an appointment with a concussion doctor as soon as possible. IF AT ANYTIME, YOU DO NOT FEEL COMFORTABLE THAT THEY ARE DOING BETTER, GO TO THE ER! In rare cases the CT scan will reveal a hematoma which may need to be evacuated with surgery.

5) The least amount of stimulation to the brain will quicken the brains recovery. This means NO texting, video games, TV, reading, movies, homework, any physical activity, or even school. The more stimuli, the longer the recovery period. If they do go to school, the school personnel should be alerted to the fact that they had a concussion and be aware they may not be able to tolerate the school environment. Test should be postponed and more time should be given to finish schoolwork. Brain chemistry changes for a minimum of 7 days. Blood flow decreases for 10 days.

6) The “impact test” is the gold standard for concussion assessment. It is used by the NFL, NBA, NHL as well as many others. There are Docs that have been trained in concussion management using this test. Once the player has passed the test and has no symptoms, a gradual return to play is necessary to allow the brain to adjust to the activity. Ideally, over a 5 day period, the player is challenged with an ever increasing pulse rate and activity level to simulate playing in a controlled environment. At any t beats by dre black Friday sale uggs cyber monday north face black friday sale burberry cyber Monday uggs cyber monday kate spade cyber monday moncler black friday kate spade cyber monday north face black friday lululemon cyber monday gucci cyber monday celine cyber monday gucci cyber monday Versace cyber Monday pandora black Friday north face cyber monday kate spade black friday michael kors cyber Monday canada goose black friday uggs cyber monday uggs cyber monday the north face black friday north face cyber monday the north face black friday uggs cyber monday kate spade black friday Oakley cyber Monday kate spade black friday michael kors cyber Monday beats by dre cyber Monday north face cyber Monday north face cyber Monday lululemon black friday uggs black friday beats by dre cyber Monday canada goose black friday beats by dre black friday michael kors black friday canada goose black friday uggs cyber monday moncler black friday uggs cyber monday moncler cyber monday beats by dre cyber Monday gucci cyber monday canada goose cyber monday michael kors cyber monday beats by dre black friday beats by dre cyber Monday uggs cyber monday moncler cyber monday juicy couture black friday lululemon cyber monday juicy couture black friday hollister cyber monday coach cyber monday Oakley black friday bose cyber monday bose black friday Babyliss black friday michael kors black friday michael kors black friday michael kors black friday michael kors black friday michael kors Black Friday coach black friday