Concussion

Question 1

mTBI

imaging
LOC
PTA
GCS

Answer 1

normal
0-30 min
< 24 hrs
13-15

Question 2

moderate TBI
imaging
LOC
PTA
GCS

Answer 2

norm/ab
30mins -24 hrs
>24 hours
1-7 days
9-12

Question 3

severe
imaging
LOC
PTA
GCS

Answer 3

norm/ab
>24 hours
>7 day
3-8

Question 4

is SRC more functional or structural injury

Answer 4

structural

-norm CT

-can be LOC

Question 5

metabolic crisis

Answer 5

After concussion, ion imbalance and increased metabolic demand occur while cerebral blood flow is reduced. This creates an energy mismatch called metabolic crisis, leaving the brain vulnerable to further injury.

ions leak, ATP freaks!

Question 6

criteria for concussion

Answer 6

MOI

1 symptom

Question 7

name some common symptoms of concussion

somatic

Answer 7

headache
dizzy
fatigue
visual blur/double
photophobia
balance

Question 8

name some common symptoms of concussion

cognitive

Answer 8

feeling slowed down
difficulty concentrating
foggt
memory dysfunction

Question 9

reduce

Answer 9

prevent concussion

*primary prevention

Question 10

primary prevention of concussion

Answer 10

policy or rule change

PPE

training strategies

concussion management

Question 11

remove

Answer 11

sideline eval

Question 12

what are the three R

Answer 12

recognize

remove

refer

Question 13

management of concussion initially

Answer 13

avoid risk of sustaining a subsequent concussion at all cost

avoid increased physical or cognitive demand on brain

not be left alone for first 24 hrs

not be sent home on their own

not allowed to drive

not be sent home alone

monitored sleep

avoid alco, prescrip meds

Question 14

most concussions resolve

Answer 14

10-14days in adults

children can be 4 wks

Question 15

children should not return to full contact sport until ___ days following resolution of symptoms

Answer 15

14 days

Question 16

what is relative rest

Answer 16

limited screen time
full ADLs in frist 2 days

Question 17

when can pts return to light intensity PA

Answer 17

24-48 hrs

Question 18

severity and PSac

Answer 18

determining outcome and severity

-number of symp
-duration

Question 19

PSaC

Answer 19

more than 3 persistent symp at rest

more than 4 weeks (30 or more days) following a concussion

Question 20

SIS

Answer 20

2nd concussion occurs before 1st properly healed

rapid and severe brain swellling

Question 21

VOMS-slow pursuit

Answer 21

ability to track objects at slow speeds

Question 22

VOMS saccades

Answer 22

horizontal and vertical

Question 23

VOMS: convergence

Answer 23

movement of both eyes in opp diections and see near target without double vision

Question 24

VOMS- vestibulo ocular reflex

Answer 24

invol automatic reflex that coordinates eye movements with head movements to maintain visual stability during motion