Recognizing a concussion.

Discussion in 'Health Tips for the Martial Artist' started by Lisa, Apr 10, 2006.

  1. Lisa

    Lisa Don't get Chewed!

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    As martial artists and as coaches of others it is important to recognize the signs of a concussion, management of the Athlete with the concussion.

    I figured I would post a quick guide to recognizing and evaluating a concussion. I know of many coaches in all kinds of disciplines that have these simple signs/symptoms and managements on small cards that they carry with them to competitions for quick reference if they are ever needed. Good idea, IMO.

    REMEMBER: This is just a guide, if you are ever concerned with an athlete, sit them out of what they are doing and seek medical attention.

    A concussion is a result of an injury/trauma that causes a temporary change in mental state. The may be caused by a blow to the head, face or jaw or from a whiplash effect to the neck.

    Signs and symptoms to recognize a concussion are:

    Headache
    Dizziness/dazed feeling
    confused/disoriented
    distracted
    seeing starts/feelig "dinged" or stunned
    Double or blurry vision
    Sensitivity to light
    Ringing in ears slepiness/loss of consciousness
    Nausea/vomiting
    poor balance
    slow to follow instructions/respond to quesitons
    unusual/inappopriate emotions/personality changes

    When an athlete shows signs of a concussion they are not to return to play, not to be left alone and should be medically evaluated as soon as possible. They will require regular monitoring for deterioration and should be awaken every 2 ours overnight for the first 24 hours.
     
  2. Henderson

    Henderson Master Black Belt

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    Thanks, Lisa. Good stuff.
     
  3. stickarts

    stickarts Senior Master

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    Thanks Lisa!
     
  4. bluemtn

    bluemtn Senior Master

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    Sometimes with head injuries, the pupils are different- one might be dialated, the other constricted (as a somewhat extreme example). That's what I learned when I had taken a first aid course a while back.
     
  5. SFC JeffJ

    SFC JeffJ Grandmaster

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    Great stuff Lisa. I do however think you are just reasearching concussions so as to be better able to give me one.

    Jeff
     
  6. Lisa

    Lisa Don't get Chewed!

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    I am always prepared to do my modly duties :D
     
  7. Slippery_Pete

    Slippery_Pete Green Belt

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    this condition is called: aniscoria...it can be congenital or be caused by high-grade concussions or repeated concussions...be sure when first checking the athlete, if you are a ref, to check their eyes as the difference in pupil size may be normal for them ((i have aniscoria)) or if you are the athlete, make sure to tell your coach so they know...if the ref does not know and you get hit in the head and they look at your eyes, you could be DQ'ed

    also an athlete with a concussion should not be able to return to play until they are asymptomatic...or showing no signs...better safe than sorry guys

    it is imperative that all athletes wear a mouth guard when head contact is expected to occur...multiple studies have shown that wearing a mouth guard significantly decreases the severity of a concussion..mouth guard=a must!!
     
  8. Lisa

    Lisa Don't get Chewed!

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    Good points Pete! We had a really good discussion going on here about the importance of mouthguards. If you wish, go check it out and add any further comments you might have.

    I couldn't agree more with the better safe then sorry thing. Don't push yourself and follow the doctor's orders so that you can return without a relapse. :)
     
  9. Shirt Ripper

    Shirt Ripper Black Belt

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    Nothing like a little formal education and some personal experience to learn ya about stuff, eh?
     
  10. Slippery_Pete

    Slippery_Pete Green Belt

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    Yeah...there is nothing quite like it...

    they say that someone can tell you not to do something a thousand times but you will never learn not to do it until you have done it for yourself and experienced the consequences...its true...but i still havent learned my lesson
     
  11. Slippery_Pete

    Slippery_Pete Green Belt

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    "My hand is like a blur...of ki." - bignick

    nice signature by the way...
     
  12. Slippery_Pete

    Slippery_Pete Green Belt

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    Here we go...

    As a former athletic training student we have guidelines set about concussions...we were required to carry cards around that had this information on it...hint...suggestion...

    Signs/Symptoms
    Uncoordinated
    Sensitive to light and noise
    Unconscious
    Short term memory loss
    Foggy/Dazed
    Headache
    Dizziness
    Nauseaated
    Vacant stare
    Visual problems
    Slowed processing/reactions
    Confused/disoriented
    Sleep changes
    Personality changes

    Sideline Evaluation
    Basic Exam
    Alert and conversant
    Orientation
    Date, place, opponent, what happened
    Concentration
    Months in reverse
    Any four, random sequential numbers in reverse
    Memory
    Recall three words and three objects at zero and five minutes
    Recall recent newsworthy events
    Recall details of contest
    Exertional Tests
    40 yd. sprint
    5 push ups
    5 sit ups
    5 knee bends
    Single leg stance with eyes closed
    Straight line heel to toe walking
    Sport specific exertion
    Neurological Tests
    Strength, coordination, agility, and sensation

    Concussion Grades
    Grade One:
    No loss of consciousness
    Symptoms resolve in under 15 minutes
    Grade Two:
    No loss of consciousness
    Symptoms last longer than 15 minutes
    Requires physicians evaluation
    Grade Three:
    Loss of consciousness
    Prolonged signs/symptoms
    Requires immediate referral for medical care

    Return to Play Guidelines
    Same day return:
    All signs/symptoms clear in under 15 minutes
    Exertional tests do not cause return of signs/symptoms
    Return after grade two:
    Determined by physician
    Must be symptom free at rest and exertion
    Return after grade three or history of repeated concussions:
    Determined by physician
    Must be symptom free at rest and exertion


    I would like to say that concussions should not be taken lightly and they can cause some serious long-lasting effects if not treated correctly or if the athlete returns to play too soon...another injury while the athlete is symptomatic could result in tragedy...DONT TAKE THE CHANCE

    ...oh and if bignick reads this...dont pay attention to the repeated concussions RTP...:lookie:
     
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  13. rabbit

    rabbit Blue Belt

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    I know this is not sports related but I had a concussion by being hit by a beer bottle over the head. I went staggering into the bushes and managed to make it home then I went to the bath tub and took a cold bath (dont know why) and was moaning. After that I went and drank a beer and smoked cigarettes. That night I went to sleep normally. Is this bad? The reason for my post is to know if part of my recent mental illness is caused by a hard hit to the head and no medical treatment. Also would have this kind of injury in the past make me open to death by another head trauma? I would like to do boxing ot muay thai but I think my past head truama might make it more likely for me to die by another concussion. Is this true? Thank you
     
  14. Carol

    Carol Crazy like a...

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    Those are very serious questions. They are worthy of asking...but they should be asked of a doctor.

    I have also experienced a very bad concussion. A head injury is nothing to mess around with. See a doctor to be sure.

    Good luck to you!
     
  15. Lisa

    Lisa Don't get Chewed!

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    Umm...I gotta agree with Carol here. You should have seen a doctor. Head injuries are nothing to fool around with and continuing to drink afterwards is playing with fire.

    How long ago did this happen?
     
  16. KenpoSterre

    KenpoSterre Purple Belt

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    god I wish I had read this two days ago. got hit in the head very hard by a punch during sparring by a higher rank and got a headache that lasted for 26 horus though I didn't lose consciouness. I am better now but if I had known this I wouldn't have tried to continue sparring with the bad headache. God I feel stupid now.

    *moans and dies of stupidity*
     
  17. Kacey

    Kacey Sr. Grandmaster

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    You're 12 - no one expects you to know everything. However, have you discussed this with a parent? Concussions can have long-lasting effects if not treated, and you should be seen by a doctor. This reinforces the need to talk to your instructor - that other student could cause serious injury if not stopped - causing a concussion goes way beyond "excessive contact" and he needs to be stopped before he does something worse. And please tell a parent - even if the headache is gone. Residual swelling can cause problems in the future unless properly treated (if needed) - and it may not be needed - but why take chances with your brain?
     
  18. KenpoSterre

    KenpoSterre Purple Belt

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    my parents know. they were the ones that gave me mediacation to relieve it so I could sleep.
     
  19. Kacey

    Kacey Sr. Grandmaster

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    That's good - just wanted to check!
     
  20. rabbit

    rabbit Blue Belt

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    3 years ago123
     

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