This past Friday, I saw six patients who had assorted injuries from football games. Six.
There is a lot of debate on how to manage sports-related concussions.
The American Academy of Neurology essentially recommends discontinuing participation in the sport until symptoms resolve and appropriate evaluation … by a neurologist (or other physician with “proper training”) … prior to being cleared for participation.
The Consensus statement on concussion in sport (2008) recommends physical and cognitive rest until symptoms resolve and then a graded return to activity prior to medical clearance.
There is also an excellent but dated (1999) article in American Family Physician containing a summary of the then-current treatment recommendations for concussion. Several recommendations included discontinuing participation in the sport if several concussions occurred.
Anyone symptomatic when I see them gets taken out of sports and gym until cleared by their physician.
I also had another “oops” from Dragon Naturally Speaking related to the football injuries which was almost finalized in the medical record …
I dictated “… followed by hitting head on another player’s football helmet.”
Dragon spat out ” … swallowed getting hand in another player’s foot vomit.”
Haven’t seen foot vomit in a while, but I know I wouldn’t want to be getting my hand in it.