Coordinate and produce local community lectures to increase concussion awareness

  Healthcare Providers

Every case of concussion injury must be approached individually; gone are the days of applying a concussion grading system. Physical and cognitive rest is the mainstay of treatment. Arguably the most crucial role played by the healthcare provider in managing concussion is that of patient advocate. Our primary role is to insure that a concussion has fully resolved before allowing a student-athlete to return to unrestricted academic and athletic activity. Premature return to play or school can have disastrous consequences. Regular communication with school officials and coaches, which can be enhanced by tools found on this site, is crucial in securing the best possible environment for the student for both work and play

 

For healthcare providers who wish to effectively manage the patient who has sustained concussion injury (mild traumatic brain injury), it is imperative that they be entirely familiar with the current evidence-based standard of care.

 

The following links/resources provide the information essential to establishing the necessary knowledge base, presented in a succinct yet comprehensive fashion that the reader won't find onerous or overly time-consuming.

For essential overview of concussion diagnosis and management:

www.impacttest.com. Click on "Concussion Resource Center". On this page you will see subject categories along the top, all well worth reviewing. These include: Overview, Recommendations, Mild Traumatic Brain Injury, Primary Prevention, Diagnosis, Management, Communication and References. The italicized headings deserve special focus.

www.ATSNJ.org/resources_physicians. Under the "Information on Concussions" section you will find the best available current consensus statement and summary articles, all in PDF format. Of these articles, the following are essential:

Zurich Consensus Statement on Concussion in Sport

Update on Concussion: Here's What the Experts Say (Jour Fam Prac, Aug 2010)
Concussion in the Adolescent Athlete (Curr Prob Pedi Adoles Health Care 2010)
-This article includes an excellent, balanced discussion on the pros & cons of neuropsychological testing. To quote: "In summary, neuropsychological testing is meant to enhance, not supersede, clinical judgment".

Summary of Concussion Research

www.cdc.gov/concussion/HeadsUp/physician_tool_kit.html. This site is especially valuable in terms of the readily applicable tools made available at no cost to healthcare providers, found under "Information for Physicians". These include the Acute Concussion Evaluation (ACE) form and the Work and School version of the ACE Care Plan. You will find these items to be a valuable communication tool as it applies to school officials and employers. Well-presented Information for Patients can also be found here.

 

Beyond development of a core concussion management knowledge base, it is imperative for the healthcare provider to become familiar with state legislation as it applies to concussion injury. In Connecticut, Public Act 10-62 "An Act Concerning Student Athletes and Concussions" was passed and became effective on July 1, 2010. This bill mandates that coaches of interscholastic and intramural athletes sit for a comprehensive training course on concussion and head & neck injury. Subsequent to this training, the legislation requires that the coach remove from play any player who is suspected as having sustained a concussion, thereafter not to return to play until cleared by a healthcare provider trained in the diagnosis and management of concussion injury.

 

If you are a healthcare provider interested in shadowing a clinician who treats concussions, please contact admin@connecticutconcussiontaskforce.org

 

The CCTF has created school recommendation forms and on-field information forms that may be helpful during the management of a concussion.

Link to school recommendation form
Link to on-field information form
Link to Emergency Department Discharge Instructions