Bharadwaj, S; Rocker, J
Minor head injury: limiting patient exposure to ionizing radiation, risk stratification, and concussion management Journal Article
In: Current Opinion in Pediatrics, vol. 28, no. 1, pp. 121–131, 2016.
Abstract | BibTeX | Tags: *Brain Concussion/et [Etiology], *Craniocerebral Trauma/co [Complications], *Craniocerebral Trauma/ra [Radiography], *Radiation Injuries/pc [Prevention & Control], ALGORITHMS, Brain Concussion/ra [Radiography], Brain Concussion/th [Therapy], Brain Injuries/ra [Radiography], Brain Injuries/th [Therapy], Child, Craniocerebral Trauma/th [Therapy], Humans, Radiation Injuries/et [Etiology], Risk Assessment/mt [Methods], Tomography, X-Ray Computed/ae [Adverse Effects]
@article{Bharadwaj2016,
title = {Minor head injury: limiting patient exposure to ionizing radiation, risk stratification, and concussion management},
author = {Bharadwaj, S and Rocker, J},
year = {2016},
date = {2016-01-01},
journal = {Current Opinion in Pediatrics},
volume = {28},
number = {1},
pages = {121--131},
abstract = {PURPOSE OF REVIEW: We review recommendations from recent publications on the evaluation of minor head trauma. We focus on the risks of radiation from computed tomographies (CTs), the establishment of patient risk stratifications to help guide the necessity of emergent neuroimaging, and current thoughts regarding concussions. RECENT FINDINGS: Pediatric minor head injury is a common complaint in ambulatory settings. There is a significant amount of parental and practitioner anxiety regarding prognosis and whether or not to obtain CT imaging. New evidence has demonstrated the significant harmful effects of ionizing radiation. Recent studies have risk-stratified patients to identify those at risk of clinically important traumatic brain injury, to minimize the exposure to ionizing radiation for those who are at a low risk of any significant disorder. SUMMARY: Pediatric minor head injury is a common complaint, but the vast majority of those injured will suffer no significant consequences. The Pediatric Emergency Care Applied Research Network has created an algorithm to identify minor head trauma patients who require emergent head CTs versus those at low risk who do not require neuroimaging. Additionally, in recent years there has been an increase in the occurrence of concussions. We describe the characteristics of concussions, appropriate management, and the return-to-play guidelines.},
keywords = {*Brain Concussion/et [Etiology], *Craniocerebral Trauma/co [Complications], *Craniocerebral Trauma/ra [Radiography], *Radiation Injuries/pc [Prevention \& Control], ALGORITHMS, Brain Concussion/ra [Radiography], Brain Concussion/th [Therapy], Brain Injuries/ra [Radiography], Brain Injuries/th [Therapy], Child, Craniocerebral Trauma/th [Therapy], Humans, Radiation Injuries/et [Etiology], Risk Assessment/mt [Methods], Tomography, X-Ray Computed/ae [Adverse Effects]},
pubstate = {published},
tppubtype = {article}
}
Koller, D L
Team Physicians, Sports Medicine, and the Law: An Update Journal Article
In: Clinics in Sports Medicine, vol. 35, no. 2, pp. 245–255, 2016.
Abstract | BibTeX | Tags: *Sports Medicine/es [Ethics], *Sports Medicine/lj [Legislation & Jurisprudence], 0 (Prescription Drugs), Athletic Injuries/th [Therapy], Brain Concussion/th [Therapy], Humans, Legal, Liability, Malpractice, Prescription Drugs, travel, UNITED States
@article{Koller2016,
title = {Team Physicians, Sports Medicine, and the Law: An Update},
author = {Koller, D L},
year = {2016},
date = {2016-01-01},
journal = {Clinics in Sports Medicine},
volume = {35},
number = {2},
pages = {245--255},
abstract = {The recognition of sports medicine and promulgation of practice guidelines for team physicians will push general medical malpractice standards to evolve into a more specialized standard of care for those who practice in this area. To the extent that practicing medicine in the sports context involves calculations that do not arise in typical medical practice, the sports medicine community can help elucidate those issues and create appropriate guidelines that can serve to inform athlete-patients and educate courts. Doing so will help best set the terms by which those who practice sports medicine are judged. Copyright © 2016 Elsevier Inc. All rights reserved.},
keywords = {*Sports Medicine/es [Ethics], *Sports Medicine/lj [Legislation \& Jurisprudence], 0 (Prescription Drugs), Athletic Injuries/th [Therapy], Brain Concussion/th [Therapy], Humans, Legal, Liability, Malpractice, Prescription Drugs, travel, UNITED States},
pubstate = {published},
tppubtype = {article}
}
Heinmiller, L; Gunton, K B
A review of the current practice in diagnosis and management of visual complaints associated with concussion and postconcussion syndrome Journal Article
In: Current Opinion in Ophthalmology, vol. 27, no. 5, pp. 407–412, 2016.
Abstract | BibTeX | Tags: *Brain Concussion/di [Diagnosis], *Post-Concussion Syndrome/di [Diagnosis], *Vision Disorders/di [Diagnosis], Brain Concussion/th [Therapy], Humans, Ocular Motility Disorders/di [Diagnosis], Ocular Motility Disorders/th [Therapy], Post-Concussion Syndrome/th [Therapy], Risk Factors, Vision Disorders/th [Therapy]
@article{Heinmiller2016,
title = {A review of the current practice in diagnosis and management of visual complaints associated with concussion and postconcussion syndrome},
author = {Heinmiller, L and Gunton, K B},
year = {2016},
date = {2016-01-01},
journal = {Current Opinion in Ophthalmology},
volume = {27},
number = {5},
pages = {407--412},
abstract = {PURPOSE OF REVIEW: Concussions and their related sequelae have received significant attention given the high-profile media coverage from professional sports and recreational leagues. A better understanding of the diagnosis and symptom management may limit the long-term impact these injuries have on the affected individual. The aim of this review is to provide updated information for both diagnosis and ongoing management for visual symptoms of concussions. RECENT FINDINGS: New testing including a brief vestibular/ocular motor screening assessment and the importance of near point of convergence measurements may prove beneficial to the diagnosis and identification of patients at greater risk for developing postconcussion syndrome. Additionally, the development of postconcussion syndrome is more likely when symptom burden is greater upon presentation. SUMMARY: Currently, there is not a single testing method that can universally identify all individuals with concussion. Current management of concussion focuses on targeted treatment based upon symptoms and signs present at onset to decrease disease burden and help restore baseline functioning as soon as possible.},
keywords = {*Brain Concussion/di [Diagnosis], *Post-Concussion Syndrome/di [Diagnosis], *Vision Disorders/di [Diagnosis], Brain Concussion/th [Therapy], Humans, Ocular Motility Disorders/di [Diagnosis], Ocular Motility Disorders/th [Therapy], Post-Concussion Syndrome/th [Therapy], Risk Factors, Vision Disorders/th [Therapy]},
pubstate = {published},
tppubtype = {article}
}
Pham, H; Zemek, R
A 15-year-old rugby player with a head injury Journal Article
In: CMAJ Canadian Medical Association Journal, vol. 187, no. 3, pp. 200–202, 2015.
BibTeX | Tags: *Brain Concussion/di [Diagnosis], *Football/in [Injuries], Adolescent, Athletic Injuries/di [Diagnosis], Athletic Injuries/rh [Rehabilitation], Brain Concussion/ra [Radiography], Brain Concussion/rh [Rehabilitation], Brain Concussion/th [Therapy], Female, Glasgow Coma Scale, Humans, Physical Examination, Recovery of Function, Tomography, X-Ray Computed
@article{Pham2015,
title = {A 15-year-old rugby player with a head injury},
author = {Pham, H and Zemek, R},
year = {2015},
date = {2015-01-01},
journal = {CMAJ Canadian Medical Association Journal},
volume = {187},
number = {3},
pages = {200--202},
keywords = {*Brain Concussion/di [Diagnosis], *Football/in [Injuries], Adolescent, Athletic Injuries/di [Diagnosis], Athletic Injuries/rh [Rehabilitation], Brain Concussion/ra [Radiography], Brain Concussion/rh [Rehabilitation], Brain Concussion/th [Therapy], Female, Glasgow Coma Scale, Humans, Physical Examination, Recovery of Function, Tomography, X-Ray Computed},
pubstate = {published},
tppubtype = {article}
}
Laws, J
The Bright Spotlight on Pro Football Concussions Journal Article
In: Occupational Health & Safety, vol. 84, no. 10, pp. 4, 2015.
BibTeX | Tags: *Brain Concussion/et [Etiology], *Football/in [Injuries], *Motion Pictures as Topic, Brain Concussion/di [Diagnosis], Brain Concussion/th [Therapy], CANADA, Humans, UNITED States
@article{Laws2015,
title = {The Bright Spotlight on Pro Football Concussions},
author = {Laws, J},
year = {2015},
date = {2015-01-01},
journal = {Occupational Health \& Safety},
volume = {84},
number = {10},
pages = {4},
keywords = {*Brain Concussion/et [Etiology], *Football/in [Injuries], *Motion Pictures as Topic, Brain Concussion/di [Diagnosis], Brain Concussion/th [Therapy], CANADA, Humans, UNITED States},
pubstate = {published},
tppubtype = {article}
}
Smith, A M; Stuart, M J; Dodick, D W; Roberts, W O; Alford, P W; Ashare, A B; Aubrey, M; Benson, B W; Burke, C J; Dick, R; Eickhoff, C; Emery, C A; Flashman, L A; Gaz, D; Giza, C C; Greenwald, R M; Herring, S; Hoshizaki, T B; Hudziak, J J; Huston 3rd, J; Krause, D; LaVoi, N; Leaf, M; Leddy, J J; MacPherson, A; McKee, A C; Mihalik, J P; Moessner, A M; Montelpare, W J; Putukian, M; Schneider, K J; Szalkowski, R; Tabrum, M; Whitehead, J; Wiese-Bjornstal, D M
Ice Hockey Summit II: zero tolerance for head hits and fighting.[Erratum appears in Clin J Sport Med. 2015 Jul;25(4):379] Journal Article
In: Clinical Journal of Sport Medicine, vol. 25, no. 2, pp. 78–87, 2015.
Abstract | BibTeX | Tags: *Brain Concussion/pc [Prevention & Control], *Brain Injury, *Hockey/in [Injuries], *Violence/pc [Prevention & Control], Adolescent, adult, Brain Concussion/th [Therapy], Brain Injury, Child, Chronic/pc [Prevention & Control], Chronic/th [Therapy], Congresses as Topic, Evidence-Based Medicine, Head Protective Devices/st [Standards], Hockey/st [Standards], Humans, policy, Young Adult
@article{Smith2015a,
title = {Ice Hockey Summit II: zero tolerance for head hits and fighting.[Erratum appears in Clin J Sport Med. 2015 Jul;25(4):379]},
author = {Smith, A M and Stuart, M J and Dodick, D W and Roberts, W O and Alford, P W and Ashare, A B and Aubrey, M and Benson, B W and Burke, C J and Dick, R and Eickhoff, C and Emery, C A and Flashman, L A and Gaz, D and Giza, C C and Greenwald, R M and Herring, S and Hoshizaki, T B and Hudziak, J J and {Huston 3rd}, J and Krause, D and LaVoi, N and Leaf, M and Leddy, J J and MacPherson, A and McKee, A C and Mihalik, J P and Moessner, A M and Montelpare, W J and Putukian, M and Schneider, K J and Szalkowski, R and Tabrum, M and Whitehead, J and Wiese-Bjornstal, D M},
year = {2015},
date = {2015-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {25},
number = {2},
pages = {78--87},
abstract = {OBJECTIVE: To present currently known basic science and on-ice influences of sport-related concussion (SRC) in hockey, building on the Ice Hockey Summit I action plan (2011) to reduce SRC. METHODS: The prior summit proceedings included an action plan intended to reduce SRC. As such, the proceedings from Summit I served as a point of departure, for the science and discussion held during Summit II (Mayo Clinic, Rochester MN, October 2013). Summit II focused on (1) Basic Science of Concussions in Ice Hockey: Taking Science Forward; (2) Acute and Chronic Concussion Care: Making a Difference; (3) Preventing Concussions via Behavior, Rules, Education and Measuring Effectiveness; (4) Updates in Equipment: their Relationship to Industry Standards; and (5) Policies and Plans at State, National and Federal Levels to reduce SRC. Action strategies derived from the presentations and discussion described in these sectors were subsequently voted on for purposes of prioritization. The following proceedings include knowledge and research shared by invited faculty, many of whom are health care providers and clinical investigators. RESULTS: The Summit II evidence-based action plan emphasizes the rapidly evolving scientific content of hockey SRC. It includes the most highly prioritized strategies voted on for implementation to decrease concussion. CONCLUSIONS: The highest priority action items identified from the Summit includes the following: (1) eliminate head hits from all levels of ice hockey, (2) change body-checking policies, and (3) eliminate fighting in all amateur and professional hockey.},
keywords = {*Brain Concussion/pc [Prevention \& Control], *Brain Injury, *Hockey/in [Injuries], *Violence/pc [Prevention \& Control], Adolescent, adult, Brain Concussion/th [Therapy], Brain Injury, Child, Chronic/pc [Prevention \& Control], Chronic/th [Therapy], Congresses as Topic, Evidence-Based Medicine, Head Protective Devices/st [Standards], Hockey/st [Standards], Humans, policy, Young Adult},
pubstate = {published},
tppubtype = {article}
}
Master, C L; Balcer, L; Collins, M
Concussion Journal Article
In: Annals of Internal Medicine, vol. 160, no. 3, pp. ITC2–1, 2014.
BibTeX | Tags: *Brain Concussion, Brain Concussion/di [Diagnosis], Brain Concussion/pc [Prevention & Control], Brain Concussion/th [Therapy], Humans, Overviews, Patient Education as Topic, Prognosis
@article{Master2014,
title = {Concussion},
author = {Master, C L and Balcer, L and Collins, M},
year = {2014},
date = {2014-01-01},
journal = {Annals of Internal Medicine},
volume = {160},
number = {3},
pages = {ITC2--1},
keywords = {*Brain Concussion, Brain Concussion/di [Diagnosis], Brain Concussion/pc [Prevention \& Control], Brain Concussion/th [Therapy], Humans, Overviews, Patient Education as Topic, Prognosis},
pubstate = {published},
tppubtype = {article}
}
Bharadwaj, S; Rocker, J
Minor head injury: limiting patient exposure to ionizing radiation, risk stratification, and concussion management Journal Article
In: Current Opinion in Pediatrics, vol. 28, no. 1, pp. 121–131, 2016.
@article{Bharadwaj2016,
title = {Minor head injury: limiting patient exposure to ionizing radiation, risk stratification, and concussion management},
author = {Bharadwaj, S and Rocker, J},
year = {2016},
date = {2016-01-01},
journal = {Current Opinion in Pediatrics},
volume = {28},
number = {1},
pages = {121--131},
abstract = {PURPOSE OF REVIEW: We review recommendations from recent publications on the evaluation of minor head trauma. We focus on the risks of radiation from computed tomographies (CTs), the establishment of patient risk stratifications to help guide the necessity of emergent neuroimaging, and current thoughts regarding concussions. RECENT FINDINGS: Pediatric minor head injury is a common complaint in ambulatory settings. There is a significant amount of parental and practitioner anxiety regarding prognosis and whether or not to obtain CT imaging. New evidence has demonstrated the significant harmful effects of ionizing radiation. Recent studies have risk-stratified patients to identify those at risk of clinically important traumatic brain injury, to minimize the exposure to ionizing radiation for those who are at a low risk of any significant disorder. SUMMARY: Pediatric minor head injury is a common complaint, but the vast majority of those injured will suffer no significant consequences. The Pediatric Emergency Care Applied Research Network has created an algorithm to identify minor head trauma patients who require emergent head CTs versus those at low risk who do not require neuroimaging. Additionally, in recent years there has been an increase in the occurrence of concussions. We describe the characteristics of concussions, appropriate management, and the return-to-play guidelines.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Koller, D L
Team Physicians, Sports Medicine, and the Law: An Update Journal Article
In: Clinics in Sports Medicine, vol. 35, no. 2, pp. 245–255, 2016.
@article{Koller2016,
title = {Team Physicians, Sports Medicine, and the Law: An Update},
author = {Koller, D L},
year = {2016},
date = {2016-01-01},
journal = {Clinics in Sports Medicine},
volume = {35},
number = {2},
pages = {245--255},
abstract = {The recognition of sports medicine and promulgation of practice guidelines for team physicians will push general medical malpractice standards to evolve into a more specialized standard of care for those who practice in this area. To the extent that practicing medicine in the sports context involves calculations that do not arise in typical medical practice, the sports medicine community can help elucidate those issues and create appropriate guidelines that can serve to inform athlete-patients and educate courts. Doing so will help best set the terms by which those who practice sports medicine are judged. Copyright © 2016 Elsevier Inc. All rights reserved.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Heinmiller, L; Gunton, K B
A review of the current practice in diagnosis and management of visual complaints associated with concussion and postconcussion syndrome Journal Article
In: Current Opinion in Ophthalmology, vol. 27, no. 5, pp. 407–412, 2016.
@article{Heinmiller2016,
title = {A review of the current practice in diagnosis and management of visual complaints associated with concussion and postconcussion syndrome},
author = {Heinmiller, L and Gunton, K B},
year = {2016},
date = {2016-01-01},
journal = {Current Opinion in Ophthalmology},
volume = {27},
number = {5},
pages = {407--412},
abstract = {PURPOSE OF REVIEW: Concussions and their related sequelae have received significant attention given the high-profile media coverage from professional sports and recreational leagues. A better understanding of the diagnosis and symptom management may limit the long-term impact these injuries have on the affected individual. The aim of this review is to provide updated information for both diagnosis and ongoing management for visual symptoms of concussions. RECENT FINDINGS: New testing including a brief vestibular/ocular motor screening assessment and the importance of near point of convergence measurements may prove beneficial to the diagnosis and identification of patients at greater risk for developing postconcussion syndrome. Additionally, the development of postconcussion syndrome is more likely when symptom burden is greater upon presentation. SUMMARY: Currently, there is not a single testing method that can universally identify all individuals with concussion. Current management of concussion focuses on targeted treatment based upon symptoms and signs present at onset to decrease disease burden and help restore baseline functioning as soon as possible.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Pham, H; Zemek, R
A 15-year-old rugby player with a head injury Journal Article
In: CMAJ Canadian Medical Association Journal, vol. 187, no. 3, pp. 200–202, 2015.
@article{Pham2015,
title = {A 15-year-old rugby player with a head injury},
author = {Pham, H and Zemek, R},
year = {2015},
date = {2015-01-01},
journal = {CMAJ Canadian Medical Association Journal},
volume = {187},
number = {3},
pages = {200--202},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Laws, J
The Bright Spotlight on Pro Football Concussions Journal Article
In: Occupational Health & Safety, vol. 84, no. 10, pp. 4, 2015.
@article{Laws2015,
title = {The Bright Spotlight on Pro Football Concussions},
author = {Laws, J},
year = {2015},
date = {2015-01-01},
journal = {Occupational Health \& Safety},
volume = {84},
number = {10},
pages = {4},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Smith, A M; Stuart, M J; Dodick, D W; Roberts, W O; Alford, P W; Ashare, A B; Aubrey, M; Benson, B W; Burke, C J; Dick, R; Eickhoff, C; Emery, C A; Flashman, L A; Gaz, D; Giza, C C; Greenwald, R M; Herring, S; Hoshizaki, T B; Hudziak, J J; Huston 3rd, J; Krause, D; LaVoi, N; Leaf, M; Leddy, J J; MacPherson, A; McKee, A C; Mihalik, J P; Moessner, A M; Montelpare, W J; Putukian, M; Schneider, K J; Szalkowski, R; Tabrum, M; Whitehead, J; Wiese-Bjornstal, D M
Ice Hockey Summit II: zero tolerance for head hits and fighting.[Erratum appears in Clin J Sport Med. 2015 Jul;25(4):379] Journal Article
In: Clinical Journal of Sport Medicine, vol. 25, no. 2, pp. 78–87, 2015.
@article{Smith2015a,
title = {Ice Hockey Summit II: zero tolerance for head hits and fighting.[Erratum appears in Clin J Sport Med. 2015 Jul;25(4):379]},
author = {Smith, A M and Stuart, M J and Dodick, D W and Roberts, W O and Alford, P W and Ashare, A B and Aubrey, M and Benson, B W and Burke, C J and Dick, R and Eickhoff, C and Emery, C A and Flashman, L A and Gaz, D and Giza, C C and Greenwald, R M and Herring, S and Hoshizaki, T B and Hudziak, J J and {Huston 3rd}, J and Krause, D and LaVoi, N and Leaf, M and Leddy, J J and MacPherson, A and McKee, A C and Mihalik, J P and Moessner, A M and Montelpare, W J and Putukian, M and Schneider, K J and Szalkowski, R and Tabrum, M and Whitehead, J and Wiese-Bjornstal, D M},
year = {2015},
date = {2015-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {25},
number = {2},
pages = {78--87},
abstract = {OBJECTIVE: To present currently known basic science and on-ice influences of sport-related concussion (SRC) in hockey, building on the Ice Hockey Summit I action plan (2011) to reduce SRC. METHODS: The prior summit proceedings included an action plan intended to reduce SRC. As such, the proceedings from Summit I served as a point of departure, for the science and discussion held during Summit II (Mayo Clinic, Rochester MN, October 2013). Summit II focused on (1) Basic Science of Concussions in Ice Hockey: Taking Science Forward; (2) Acute and Chronic Concussion Care: Making a Difference; (3) Preventing Concussions via Behavior, Rules, Education and Measuring Effectiveness; (4) Updates in Equipment: their Relationship to Industry Standards; and (5) Policies and Plans at State, National and Federal Levels to reduce SRC. Action strategies derived from the presentations and discussion described in these sectors were subsequently voted on for purposes of prioritization. The following proceedings include knowledge and research shared by invited faculty, many of whom are health care providers and clinical investigators. RESULTS: The Summit II evidence-based action plan emphasizes the rapidly evolving scientific content of hockey SRC. It includes the most highly prioritized strategies voted on for implementation to decrease concussion. CONCLUSIONS: The highest priority action items identified from the Summit includes the following: (1) eliminate head hits from all levels of ice hockey, (2) change body-checking policies, and (3) eliminate fighting in all amateur and professional hockey.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Master, C L; Balcer, L; Collins, M
Concussion Journal Article
In: Annals of Internal Medicine, vol. 160, no. 3, pp. ITC2–1, 2014.
@article{Master2014,
title = {Concussion},
author = {Master, C L and Balcer, L and Collins, M},
year = {2014},
date = {2014-01-01},
journal = {Annals of Internal Medicine},
volume = {160},
number = {3},
pages = {ITC2--1},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Bharadwaj, S; Rocker, J
Minor head injury: limiting patient exposure to ionizing radiation, risk stratification, and concussion management Journal Article
In: Current Opinion in Pediatrics, vol. 28, no. 1, pp. 121–131, 2016.
Abstract | BibTeX | Tags: *Brain Concussion/et [Etiology], *Craniocerebral Trauma/co [Complications], *Craniocerebral Trauma/ra [Radiography], *Radiation Injuries/pc [Prevention & Control], ALGORITHMS, Brain Concussion/ra [Radiography], Brain Concussion/th [Therapy], Brain Injuries/ra [Radiography], Brain Injuries/th [Therapy], Child, Craniocerebral Trauma/th [Therapy], Humans, Radiation Injuries/et [Etiology], Risk Assessment/mt [Methods], Tomography, X-Ray Computed/ae [Adverse Effects]
@article{Bharadwaj2016,
title = {Minor head injury: limiting patient exposure to ionizing radiation, risk stratification, and concussion management},
author = {Bharadwaj, S and Rocker, J},
year = {2016},
date = {2016-01-01},
journal = {Current Opinion in Pediatrics},
volume = {28},
number = {1},
pages = {121--131},
abstract = {PURPOSE OF REVIEW: We review recommendations from recent publications on the evaluation of minor head trauma. We focus on the risks of radiation from computed tomographies (CTs), the establishment of patient risk stratifications to help guide the necessity of emergent neuroimaging, and current thoughts regarding concussions. RECENT FINDINGS: Pediatric minor head injury is a common complaint in ambulatory settings. There is a significant amount of parental and practitioner anxiety regarding prognosis and whether or not to obtain CT imaging. New evidence has demonstrated the significant harmful effects of ionizing radiation. Recent studies have risk-stratified patients to identify those at risk of clinically important traumatic brain injury, to minimize the exposure to ionizing radiation for those who are at a low risk of any significant disorder. SUMMARY: Pediatric minor head injury is a common complaint, but the vast majority of those injured will suffer no significant consequences. The Pediatric Emergency Care Applied Research Network has created an algorithm to identify minor head trauma patients who require emergent head CTs versus those at low risk who do not require neuroimaging. Additionally, in recent years there has been an increase in the occurrence of concussions. We describe the characteristics of concussions, appropriate management, and the return-to-play guidelines.},
keywords = {*Brain Concussion/et [Etiology], *Craniocerebral Trauma/co [Complications], *Craniocerebral Trauma/ra [Radiography], *Radiation Injuries/pc [Prevention \& Control], ALGORITHMS, Brain Concussion/ra [Radiography], Brain Concussion/th [Therapy], Brain Injuries/ra [Radiography], Brain Injuries/th [Therapy], Child, Craniocerebral Trauma/th [Therapy], Humans, Radiation Injuries/et [Etiology], Risk Assessment/mt [Methods], Tomography, X-Ray Computed/ae [Adverse Effects]},
pubstate = {published},
tppubtype = {article}
}
Koller, D L
Team Physicians, Sports Medicine, and the Law: An Update Journal Article
In: Clinics in Sports Medicine, vol. 35, no. 2, pp. 245–255, 2016.
Abstract | BibTeX | Tags: *Sports Medicine/es [Ethics], *Sports Medicine/lj [Legislation & Jurisprudence], 0 (Prescription Drugs), Athletic Injuries/th [Therapy], Brain Concussion/th [Therapy], Humans, Legal, Liability, Malpractice, Prescription Drugs, travel, UNITED States
@article{Koller2016,
title = {Team Physicians, Sports Medicine, and the Law: An Update},
author = {Koller, D L},
year = {2016},
date = {2016-01-01},
journal = {Clinics in Sports Medicine},
volume = {35},
number = {2},
pages = {245--255},
abstract = {The recognition of sports medicine and promulgation of practice guidelines for team physicians will push general medical malpractice standards to evolve into a more specialized standard of care for those who practice in this area. To the extent that practicing medicine in the sports context involves calculations that do not arise in typical medical practice, the sports medicine community can help elucidate those issues and create appropriate guidelines that can serve to inform athlete-patients and educate courts. Doing so will help best set the terms by which those who practice sports medicine are judged. Copyright © 2016 Elsevier Inc. All rights reserved.},
keywords = {*Sports Medicine/es [Ethics], *Sports Medicine/lj [Legislation \& Jurisprudence], 0 (Prescription Drugs), Athletic Injuries/th [Therapy], Brain Concussion/th [Therapy], Humans, Legal, Liability, Malpractice, Prescription Drugs, travel, UNITED States},
pubstate = {published},
tppubtype = {article}
}
Heinmiller, L; Gunton, K B
A review of the current practice in diagnosis and management of visual complaints associated with concussion and postconcussion syndrome Journal Article
In: Current Opinion in Ophthalmology, vol. 27, no. 5, pp. 407–412, 2016.
Abstract | BibTeX | Tags: *Brain Concussion/di [Diagnosis], *Post-Concussion Syndrome/di [Diagnosis], *Vision Disorders/di [Diagnosis], Brain Concussion/th [Therapy], Humans, Ocular Motility Disorders/di [Diagnosis], Ocular Motility Disorders/th [Therapy], Post-Concussion Syndrome/th [Therapy], Risk Factors, Vision Disorders/th [Therapy]
@article{Heinmiller2016,
title = {A review of the current practice in diagnosis and management of visual complaints associated with concussion and postconcussion syndrome},
author = {Heinmiller, L and Gunton, K B},
year = {2016},
date = {2016-01-01},
journal = {Current Opinion in Ophthalmology},
volume = {27},
number = {5},
pages = {407--412},
abstract = {PURPOSE OF REVIEW: Concussions and their related sequelae have received significant attention given the high-profile media coverage from professional sports and recreational leagues. A better understanding of the diagnosis and symptom management may limit the long-term impact these injuries have on the affected individual. The aim of this review is to provide updated information for both diagnosis and ongoing management for visual symptoms of concussions. RECENT FINDINGS: New testing including a brief vestibular/ocular motor screening assessment and the importance of near point of convergence measurements may prove beneficial to the diagnosis and identification of patients at greater risk for developing postconcussion syndrome. Additionally, the development of postconcussion syndrome is more likely when symptom burden is greater upon presentation. SUMMARY: Currently, there is not a single testing method that can universally identify all individuals with concussion. Current management of concussion focuses on targeted treatment based upon symptoms and signs present at onset to decrease disease burden and help restore baseline functioning as soon as possible.},
keywords = {*Brain Concussion/di [Diagnosis], *Post-Concussion Syndrome/di [Diagnosis], *Vision Disorders/di [Diagnosis], Brain Concussion/th [Therapy], Humans, Ocular Motility Disorders/di [Diagnosis], Ocular Motility Disorders/th [Therapy], Post-Concussion Syndrome/th [Therapy], Risk Factors, Vision Disorders/th [Therapy]},
pubstate = {published},
tppubtype = {article}
}
Pham, H; Zemek, R
A 15-year-old rugby player with a head injury Journal Article
In: CMAJ Canadian Medical Association Journal, vol. 187, no. 3, pp. 200–202, 2015.
BibTeX | Tags: *Brain Concussion/di [Diagnosis], *Football/in [Injuries], Adolescent, Athletic Injuries/di [Diagnosis], Athletic Injuries/rh [Rehabilitation], Brain Concussion/ra [Radiography], Brain Concussion/rh [Rehabilitation], Brain Concussion/th [Therapy], Female, Glasgow Coma Scale, Humans, Physical Examination, Recovery of Function, Tomography, X-Ray Computed
@article{Pham2015,
title = {A 15-year-old rugby player with a head injury},
author = {Pham, H and Zemek, R},
year = {2015},
date = {2015-01-01},
journal = {CMAJ Canadian Medical Association Journal},
volume = {187},
number = {3},
pages = {200--202},
keywords = {*Brain Concussion/di [Diagnosis], *Football/in [Injuries], Adolescent, Athletic Injuries/di [Diagnosis], Athletic Injuries/rh [Rehabilitation], Brain Concussion/ra [Radiography], Brain Concussion/rh [Rehabilitation], Brain Concussion/th [Therapy], Female, Glasgow Coma Scale, Humans, Physical Examination, Recovery of Function, Tomography, X-Ray Computed},
pubstate = {published},
tppubtype = {article}
}
Laws, J
The Bright Spotlight on Pro Football Concussions Journal Article
In: Occupational Health & Safety, vol. 84, no. 10, pp. 4, 2015.
BibTeX | Tags: *Brain Concussion/et [Etiology], *Football/in [Injuries], *Motion Pictures as Topic, Brain Concussion/di [Diagnosis], Brain Concussion/th [Therapy], CANADA, Humans, UNITED States
@article{Laws2015,
title = {The Bright Spotlight on Pro Football Concussions},
author = {Laws, J},
year = {2015},
date = {2015-01-01},
journal = {Occupational Health \& Safety},
volume = {84},
number = {10},
pages = {4},
keywords = {*Brain Concussion/et [Etiology], *Football/in [Injuries], *Motion Pictures as Topic, Brain Concussion/di [Diagnosis], Brain Concussion/th [Therapy], CANADA, Humans, UNITED States},
pubstate = {published},
tppubtype = {article}
}
Smith, A M; Stuart, M J; Dodick, D W; Roberts, W O; Alford, P W; Ashare, A B; Aubrey, M; Benson, B W; Burke, C J; Dick, R; Eickhoff, C; Emery, C A; Flashman, L A; Gaz, D; Giza, C C; Greenwald, R M; Herring, S; Hoshizaki, T B; Hudziak, J J; Huston 3rd, J; Krause, D; LaVoi, N; Leaf, M; Leddy, J J; MacPherson, A; McKee, A C; Mihalik, J P; Moessner, A M; Montelpare, W J; Putukian, M; Schneider, K J; Szalkowski, R; Tabrum, M; Whitehead, J; Wiese-Bjornstal, D M
Ice Hockey Summit II: zero tolerance for head hits and fighting.[Erratum appears in Clin J Sport Med. 2015 Jul;25(4):379] Journal Article
In: Clinical Journal of Sport Medicine, vol. 25, no. 2, pp. 78–87, 2015.
Abstract | BibTeX | Tags: *Brain Concussion/pc [Prevention & Control], *Brain Injury, *Hockey/in [Injuries], *Violence/pc [Prevention & Control], Adolescent, adult, Brain Concussion/th [Therapy], Brain Injury, Child, Chronic/pc [Prevention & Control], Chronic/th [Therapy], Congresses as Topic, Evidence-Based Medicine, Head Protective Devices/st [Standards], Hockey/st [Standards], Humans, policy, Young Adult
@article{Smith2015a,
title = {Ice Hockey Summit II: zero tolerance for head hits and fighting.[Erratum appears in Clin J Sport Med. 2015 Jul;25(4):379]},
author = {Smith, A M and Stuart, M J and Dodick, D W and Roberts, W O and Alford, P W and Ashare, A B and Aubrey, M and Benson, B W and Burke, C J and Dick, R and Eickhoff, C and Emery, C A and Flashman, L A and Gaz, D and Giza, C C and Greenwald, R M and Herring, S and Hoshizaki, T B and Hudziak, J J and {Huston 3rd}, J and Krause, D and LaVoi, N and Leaf, M and Leddy, J J and MacPherson, A and McKee, A C and Mihalik, J P and Moessner, A M and Montelpare, W J and Putukian, M and Schneider, K J and Szalkowski, R and Tabrum, M and Whitehead, J and Wiese-Bjornstal, D M},
year = {2015},
date = {2015-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {25},
number = {2},
pages = {78--87},
abstract = {OBJECTIVE: To present currently known basic science and on-ice influences of sport-related concussion (SRC) in hockey, building on the Ice Hockey Summit I action plan (2011) to reduce SRC. METHODS: The prior summit proceedings included an action plan intended to reduce SRC. As such, the proceedings from Summit I served as a point of departure, for the science and discussion held during Summit II (Mayo Clinic, Rochester MN, October 2013). Summit II focused on (1) Basic Science of Concussions in Ice Hockey: Taking Science Forward; (2) Acute and Chronic Concussion Care: Making a Difference; (3) Preventing Concussions via Behavior, Rules, Education and Measuring Effectiveness; (4) Updates in Equipment: their Relationship to Industry Standards; and (5) Policies and Plans at State, National and Federal Levels to reduce SRC. Action strategies derived from the presentations and discussion described in these sectors were subsequently voted on for purposes of prioritization. The following proceedings include knowledge and research shared by invited faculty, many of whom are health care providers and clinical investigators. RESULTS: The Summit II evidence-based action plan emphasizes the rapidly evolving scientific content of hockey SRC. It includes the most highly prioritized strategies voted on for implementation to decrease concussion. CONCLUSIONS: The highest priority action items identified from the Summit includes the following: (1) eliminate head hits from all levels of ice hockey, (2) change body-checking policies, and (3) eliminate fighting in all amateur and professional hockey.},
keywords = {*Brain Concussion/pc [Prevention \& Control], *Brain Injury, *Hockey/in [Injuries], *Violence/pc [Prevention \& Control], Adolescent, adult, Brain Concussion/th [Therapy], Brain Injury, Child, Chronic/pc [Prevention \& Control], Chronic/th [Therapy], Congresses as Topic, Evidence-Based Medicine, Head Protective Devices/st [Standards], Hockey/st [Standards], Humans, policy, Young Adult},
pubstate = {published},
tppubtype = {article}
}
Master, C L; Balcer, L; Collins, M
Concussion Journal Article
In: Annals of Internal Medicine, vol. 160, no. 3, pp. ITC2–1, 2014.
BibTeX | Tags: *Brain Concussion, Brain Concussion/di [Diagnosis], Brain Concussion/pc [Prevention & Control], Brain Concussion/th [Therapy], Humans, Overviews, Patient Education as Topic, Prognosis
@article{Master2014,
title = {Concussion},
author = {Master, C L and Balcer, L and Collins, M},
year = {2014},
date = {2014-01-01},
journal = {Annals of Internal Medicine},
volume = {160},
number = {3},
pages = {ITC2--1},
keywords = {*Brain Concussion, Brain Concussion/di [Diagnosis], Brain Concussion/pc [Prevention \& Control], Brain Concussion/th [Therapy], Humans, Overviews, Patient Education as Topic, Prognosis},
pubstate = {published},
tppubtype = {article}
}