Concussion Injury Managment
Do you have a Concussion?
Have you sustained a blow to the head or body which has caused you to suffer some confusion, difficulty remembering events surrounding the incident or you have developed some symptoms following the incident such as headache, dizziness, balance problems, over fatigue, etc. You may have suffered a mild head injury.
If Concussed, What do I do?
Seek Immediate Medical Care if:
- Loss of Consciousness or memory difficulties > 15 minutes
- Neurological function deterioration, Changes in Pupils, Seizure activity
- Deterioration of Vital signs or Mental Status
- Any Associated Injury à bleeding, fracture, spine, neck pain
- Persistent or worsening signs/symptoms in observation following incident (see below)
ANY signs or symptoms → REST and do not over exert or play sports.
If symptoms are mild and improving over time:
- Follow home care recommendations until symptoms improve and contact THF for evaluation and guidance in return to full life activity and/or sports.
Concussion Home Care Recommendations
REST is the critical factor!
- get plenty of sleep – as long as they are able to be awakened with recognition of people/place, it is best to let them sleep – NO late nights/keep same bedtime and naps during daytime are encouraged if overly fatigued
- Reduce overall daily demands, physical, mental and emotional demands – energy levels are reduced with recovery and demands need to be adjusted to not OVER STRESS the body or mind
- Limit physical activity – NO weight training, high intensity cardiovascular exercise, running/jumping, high risk activities
- Limit mental activity, those that requires focus/concentration or thinking – Computer work, homework, reading, phones, text messaging, video games, NO high stimulus environments such as movie theaters, shopping, etc. – NO driving
- Manage emotional stressors – reduce responsibilities, choose supportive environments – SCHEDULE your stressors with plenty of recovery time following stressful activity
- DO NOT push through fatigue – this worsens the symptoms and delays recovery
- GOOD NUTRITION – get plenty of hydrating fluids – NO alcohol, recreational drugs – limit caffeinated drinks – eat well with adequate carbohydrates and protein to resupply energy levels by maintaining blood sugar levels
Your Primary GOAL is to reduce symptoms through rest, good nutrition and supportive environment
Red Flags to seek Emergent Care in Recovery Process
– Worsening Headaches – Seizures – Focal neurologic signs – Neck Pain – Change in state of consciousness – Difficulty in being awakened/overly drowsy – Repeated vomiting -Slurred speech – Inability to recognize people/location – Increased confusion – Unusual behavior change – Numbness/weakness in extremities – Increased irritability