![]() ![]() 2004-2006 guidelines recommend waking every 3-4 hours if there was a loss of consciousness, prolonged amnesia, or significant and sustained symptoms.įollowing the first night, schedule a visit with a concussion specialist within the next 24-48hrs. However, you do not need to wake them unless you're concerned about their breathing or overall state. There are guidelines for which injured patients are candidates for head and brain imaging, and your doctor, trainer, or concussion specialist should be aware of these.ĭuring the night of the concussion, do monitor and check on the injured individual periodically. We're looking to be sure that they're not declining in this period, outside of the expected fatigue. Remember, we're not allowing the athlete (or concussed) individual to sleep for at least 3 hours after their injury. Seeking a concussion specialist early after your concussion can save you a lot of time, money, and suffering of symptoms. That's a 57 day (almost two months) recovery delay because of a four-day (less than a business week) delay in seeking medical care. Normal recovery youths saw their doctors, on average, at day 4 and recovered on day 20.ĭelayed recovery youths saw their doctors, on average, at day 8 and recovered on day 77. For example, the NCAA and professional organizations re-evaluate their athletes within 24-48hrs following concussion to confirm the diagnosis and begin integrative treatments.Ī 2020 pediatric concussion study found that the time an individual sees a doctor after a concussion can make a MASSIVE difference in their recovery times. It is crucial to be evaluated or re-evaluated by a concussion specialist EARLY after a concussion. Everyone made it through the first night. Signs of a skull fracture include bruising behind the ears (Battle sign), two black eyes (raccoon eyes), blood behind the eardrum, or clear fluid coming from the nose or ears.Ī "dangerous mechanism" includes a pedestrian being struck by a vehicle, being ejected from a vehicle, falling from a height of 3ft or more, or falling 5+ stairs. The bolded signs/symptoms are strong predictors of finding anatomical changes on the CT. Memory loss before the impact by more than 30min The Candian CT Head Rule is likely superior and includes: ![]() These are the Candian CT Head Rule and the New Orlean's Criteria. Your doctor, athletic trainer, or concussion specialist on the sidelines or in the ER will be considering a set of "rules" to determine if a head CT is needed. Ultimately, we don't want to miss a life-threatening issue (e.g., intracranial hemorrhage or cerebral edema) because our athlete slept through it.
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