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Concussion 101

Concussion 101. Nathan J. Wilmes. January 29, 2019. Definition of a Concussion. “trauma-induced alteration in mental status that may or may not involve loss of consciousness” -NATA Position Statement: Management of Sport Concussion, Proglio , PhD, ATC, et al.

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Concussion 101

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  1. Concussion 101 Nathan J. Wilmes January 29, 2019

  2. Definition of a Concussion “trauma-induced alteration in mental status that may or may not involve loss of consciousness” -NATA Position Statement: Management of Sport Concussion, Proglio, PhD, ATC, et al.

  3. Care for a Concussion Once reported, immediate monitoring of symptoms for 24 hours. Remove from activities that add or potentially add to worsening conditions. SCAT5 ImPACT testing for all….Not necessarily

  4. Care for a Concussion Once reported, immediate monitoring of symptoms for 24 hours. Remove from activities that add or potentially add to worsening conditions. SCAT5

  5. Care ContinuedLessen exposure to bright/blue light, noise, mental/physical overloadBut do not eliminateStay active as tolerated during recovery period

  6. Home Care (handout)22 Typical sign and symptomsImmediate referral list RecommendationsRTP… (see third point under “Before returning to Play, Your Child Must)

  7. Concussion RecoveryEat Healthy (fats)Get Plenty of SleepExercise RegularlyAlso…Proper Breathing Techniques/Neck Pain Relief

  8. Goal of Zero Reported Symptoms After this is achieved, a gradual return to play progression is mandatory per MSHSAA.

  9. Educational Resources www.nata.org“Practice and Patient Care” (fifth tab)“Concussion” (first topic under Health Issues)

  10. Mercy Providers Dr. Nick Greiner, DO St. Louis Football Club Dr. Brian Mahaffey, MD St. Louis Cardinals

  11. Why is Mercy Sports Medicine Different? • fully comprehensive, integrated sports medicine program with one health record. • Athletic trainers on the sidelines, the physicians in the offices, and the physical therapists in the clinics • Everyone works together as part of a complete cycle of care • Ability to “fast track” referrals to a concussion physician (aforementioned Dr. Mahaffey and Dr. Greiner) to ensure speedy care and treatments as efficient as possible

  12. Questions? Nathan Wilmes nathan.wilmes@mercy.net or 636-706-9827 cell

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