Now we're going to talk about one of the most
serious injuries that can happen and that's
called a concussion. It happens when the brain
inside the skull moves because of an abrupt
stop or a striking of the head and the brain
literally slaps the inside of the skull. Coup
is one direction. contrecoup is the other.
In serious head injuries that abrupt stop
can basically shut the brain down so fast
that the patient falls unconscious. That is
an automatic 911 call, even if they begin
to recover afterwards. It's still a 911 call
because that type of traumatic injury is bad
enough that it could develop into a life threatening
issue. But in this scenario let's say that
he did not get knocked unconscious. Let's
just say that this player might be feeling
other signs and symptoms that could indicate
they have a mild to a severe concussion. So
one of the first things that they might indicate
is that their head hurts. That's pretty common.
They just hit it. But one of the other things
we want to check for, can you look at me,
can you look right at my nose, is can they
follow your finger? Are they able to track
with their eyes? Try to hold your head still
and just watch with your eyes. There you go.
That's good. Can you see me clearly? Is it
nice and clear? So blurred vision, that's
an indicator that there might be some swelling
in there so we want to watch for that. We're
also going to check for dizziness, loss of
balance. He's kind of listing off to one side
or the other or when I looked into his eyes
I could see that his eyes, he looked like
he just came off from like a merry-go-round
where his eyes are kind of trying to track
with me but they're going around and around.
That's an indicator that they may be dizzy
and not being able to keep their balance as
well. I'm then going to move on down and look
for signs of nausea or vomiting. They might
also have a loss of memory where they're just
not sure what they were doing, where am I,
do you know you were playing soccer? Soccer?
Why am I at the soccer field? So they might
have this acute loss of memory which is another
indicator of a pretty serious concussion.
If any of these signs and symptoms are present
- dazed, confused, all of these put together,
we are going to call 911 and get the ambulance
on the way. This is a situation where though
it might be a mild to moderate concussion
with no life threatening issues we don't want
to take any chances. If we're going to make
an error, err on the side of the patient.
Get them into the ER and make sure we get
them checked out. This is a child that's going
to need to be monitored for the next 24 hours
to make sure we don't have any progressive
issues as the swelling might increase and
the symptoms become worse. The goal is that
the symptoms are already present and they're
going to get less and less. That's the idea.
Now make no mistake, and this is a big issue
right now nowadays, if this child has any
one or more concussion symptoms they are not
to go back to work or play until they get
a clean bill of health from the healthcare
professional that states that they've been
symptom free for x amount of time and now
they can go back to play.