Discover and read the best of Twitter Threads about #tbi

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Traumatismo Craneoencefálico
#TCE #TBI

Abro hilo, iniciamos, y abierto a tus comentarios
👨‍💻👩‍💻

Iniciamos con Abordaje Prehospitalario e Inicial en el TCE (parte 1/2)

Ayúdame a difundir @eduk_salud @aline_zarate @dralexgiles @Afedokmate1 @GMonraz @GabiOrtz
Todos los órganos son importantes, pero uno de ellos está procesando esta información, abrió la 👩‍💻 , desbloqueó el 📱, se despidió de sus seres queridos en la mañana.
Si nos falla un órgano, podemos suplantarlo, y seguimos siendo nosotros mismos. Pero si falla el 🧠, eso cambia.
El TCE lo definimos como una lesión estructural cerebral resultado de una fuerza física externa transmitida a la cabeza que interrumpe la arquitectura y función normal del cerebro.
Este hilo, nos vamos a enfocar al TCE severo.
Read 38 tweets
THREAD. Please RT🙏🏼
1. Public breakdown. It’s my mom’s 76th b-day Thurs. She’s my sole caregiver from a bad car accident resulting in a #TBI. R Home #Foreclosed from my #medical bills/crappy #insurance. All I wanted 2 tell her is I found #investors to charitably save our home.⤵️
2. I know accidents are called that for a reason but my mom’s my best friend & everyday/hour she’s helping care for me. After all she has done & years she’s lost taking care of me, she doesn’t deserve to lose her/our forever home in the last 1/4 of her life w/a #disabled daughter
3. How can I recover and find an #angelInvestor that can save such a wonderful mother/daughter duo? We’re in our home paying rent as ordered by the court until an appeal is over & we’ll be out w/nowhere to go, live, survive. No family. We only have each other & our 3 ‘lil pups.
Read 17 tweets
A thread about Gary Bettman, the NHL & how the league of denial used Todd Ewen’s case to cast doubt on a link between repeated brain injuries and CTE

Thank you to @rwesthead for covering the concussion hearing in depth

#NHL #FridayReads #CTE

tsn.ca/widow-of-forme…
2/ The widow of Todd Ewen sued the National Hockey League on Tuesday, claiming the #NHL cynically exploited a botched analysis of her husband’s brain, which later tested positive for #CTE

Even in death, former players are not safe

#FridayFeeIing #TBI

scribd.com/document/40853…
3/ “Unbeknownst to Kelli Ewen, Dr Lili-Naz Hazrati served as an expert witness for the #NHL in multidistrict litigation...”

"Had [Dr. Hazrati] disclosed her conflicts of interest, Kelli would never have sent Todd's brain to her” Ewen said

#Concussion

nytimes.com/2018/11/30/spo…
Read 9 tweets
About 10 years ago, I was walking home from a slow-pitch baseball game and party with my team. I was a bit drunk, so I walked instead of driving. On the way home I was mugged from behind and woke up in the Rockyview Hospital in #YYC, with a #TBI #concussion. (1 of 13)
I've had multiple concussions from athletics. Football, hockey, rugby & skiing, plus ran over by a car, not once but twice. (think Super Dave Osborne) plus what I have learned since, repeated mildTBIs from the sports. Likely result, I have #CTE. I get worse each year, not better.
Here is what is happening now. I retired from my business some years ago and stopped working completely, 3.5 years ago. I have other progressive diseases besides #CTE, like #COPD #Arthritis #Cancer and more. It is a heavy load and crippling my abilities.
Read 16 tweets
Traumatismo Craneoencefálico Severo 🧠 #TCE

Abro hilo, iniciamos 👨‍💻 y abierto los comentarios

A propósito de la publicación del @PedCritCareMed

@MarianaPediatra @FOAMexico @CantillMauricio @FOAMedMX @FranLoachamin @PatologCritica @ecameselle @RobustosMD @naidxielli 🔁
90 artículos contribuyeron a la evidencia, 68 describían protocolos aplicados para el manejo

Documento intencionado a uniformar la práctica clínica y mejorar desenlace, intentando motivarla innovación y búsqueda en áeras donde la evidencia es escasa
Objetivo del algoritmo es su utilidad en el manejo general en #PedsICU en el TBI severo así como aspectos específicos

La #CT valora la extensión de la lesión cerebral y la necesidad potencial de intervención quirúrgica

El monitoreo de #ICP para guiar la terapia de la ICP y #CPP
Read 39 tweets
This is thoughtful thread from @SteveFainaru and underscores many of the issues raised in our @TheLancetNeuro Correspondence

1/

thelancet.com/journals/laneu…
In essence, the discussion on #CTE has been polarised as:
Either
- #CTE is fully defined disease, its recognition at autopsy is a simple 'yes' or 'no' decision and prevalence is know to be high
Or
- any other view = #CTE denier = in league with sport

No middle ground
2/
So, when >60 international experts note that the answer to many of the most important questions in #CTE is 'we don't know', and that this uncertainty should be acknowledged in reporting, the assumption is the authors must represent Option 2 and this is #CTE denial

3/
Read 7 tweets
This isn't a one-off. I played football at the university level. When you get a concussion, they don't send you to a neurologist, they send you to a musculoskeletal physician that specializes in sports injuries, who by their own admission have no idea when it comes to the brain.
Apart from that, they still use the ImPACT Test, or similar models that are quite simply garbage. I've been faking my way through these stupid tests since I was 14, players botch them intentionally to lower their baseline and hasten their return to play after a concussion.
It's well known that this happens, nobody talks about it, have to keep the players on the field. After suffering two concussions in two months, with symptoms still lingering today after four months, I should have been sent to someone who knows what they're talking about.
Read 6 tweets
With the opt in/out date deadline on Jan 18th 4 the @NHL #concussion lawsuit I wanted to revisit this breakdown from @SheillaDingus on the red flags of the settlement:

1/ A potential life & death situation is noted, in which the #NHL says “live or die...

advocacyforfairnessinsports.org/nhl-concussion…
we don’t care, just don’t ask us for any money.” Players are instructed to file a claim from the Additional Payment Fund—if they live long enough

2/ The NHL control of testing procedure immediately drew a red flag. It is notable that the cost of testing is NOT included....
in the total value of the settlement but is instead an uncapped fund under COMPLETE control of the NHL

It seems odd that no one to my knowledge has reported this

“In the big picture the cost of these exams is de minimus, particularly when the NHL is in control of these exams”
Read 12 tweets
Colin Campbell, the long-time disciplinarian — now the senior executive vice-president of hockey operations with the @NHL — is shown in correspondence to term anti-violence advocates alternately as “greenpeace pukes” & “tree huggers”

#SundayMorning #SundayFunday #SundayThoughts
2/ In a 2009 email to @TSN_Sports & Bob McKenzie (@TSNBobMcKenzie) Campbell seeks counsel in an apparent desire to help remove fighting from the game: “I hated fighting . . . had to do it though . . . particularly in the 70’s, but it is stupid.”
3/ And then, four years later, in an email to fellow TSN correspondent Darren Dreger (@DarrenDreger) Colin Campbell writes he is, in fact, “for fighting.”
Read 10 tweets
1/Bettman was consistent in answering the many questions in his deposition: Because there is no medical or scientific certainty, he said, there is no reason to warn @NHL players about the risks of #CTE Nor is there reason, even after the premature deaths...washingtonpost.com/opinions/the-n…
2/in recent years of several #NHL “enforcers” such as Bob Probert , Wade Belak, Rick Rypien, Derek Boogaard & Steve Montador to look for a link between fighting in hockey & brain injuries. “I think the sample has been too small,” Bettman said... #tbi washingtonpost.com/opinions/the-n…
3/when asked about the players who died “I would respectfully suggest that, as tragic and as unfortunate as it is, there isn’t even enough circumstantial evidence to draw any conclusions.” Asked whether he had ever spoken to family members of these players washingtonpost.com/opinions/the-n…
Read 4 tweets
1/ This is an anecdote that describes seeing & riding a punch in boxing. When a boxer sees the hit coming, they are trained to brace for it appropriately. They ride the hit @NHL #tbi realclearscience.com/blog/2014/01/t…
2/ So take the 2 anecdotes I just posted together. If you don’t see the hit, you’re at greater risk for injury. If you are able to see the hit and are conditioned to take hits safely, you are less likely to get injured. This is a corner stone to what @clarkjf is trying to do.
3/ Improve vision and processing to react faster/better and body/brain/neck strength and conditioning to take hits safely. I’m sure you know that if you deliver a hit, your body is ready for it and puts energy into the other person’s body. If you know you’re going to be hit you..
Read 4 tweets
Study on soccer. It shows that females who close their eyes during a header & are not seeing a hit coming may be at greater risk for #concussion So if you don’t see the hit, are not prepared for it, you may be at greater risk for being injured #TBI #nhl
sciencedirect.com/science/articl…
I am implementing Vision Training into @TPDHockey I train 1300 kids every week. They will all be getting a baseline test & vision training twice a week to better expand their peripheral vision to better prepare them for hits they wouldn’t see coming prior to this type of training
The anecdotes I will be posting the next couple hours/days are from @clarkjf
Read 3 tweets
Yesterday I created a thread in which my objective was to point out my horrible experience at the @DeptVetAffairs office when I returned back, for mid-tour leave, from combat operation in #Iraq. Mind you, this was Feb 2005.
I couldn't believe how I was treated! I was sobbing uncontrollably, shaking, & suicidal. I wanted to end it! No more pain! And then to top it off, we were escorted off of VA property because my brother was shouting at the VA staff as to why they weren't going to help me.
Although the point was well received by 99% of you, after reviewing the thread, I realized how selfish it was. I used "I" when I should've been using "WE". I was NEVER alone throughout my combat tours. Deployed troops bond, show esprit de corps, and latch onto one another.
Read 15 tweets
1/ If u have played the game the way I have, this clip is not that difficult to break down. Notice Wilson’s right skate before or at the initial point of contact. It is leaving the ice intentionally, which means he thrusts his body into an upward direction, which is towards the
2/ head of Reese. If we look at the left skate during the point of contact, Wilson is rising up onto his toe, as if he is trying to jump, hence the reason he ended up sitting on the dasher of his own bench after the hit. It is clear that Reese sees Wilson coming but that has very
3/ little to do with the fact that Wilson clearly makes contact with the head/jaw of Reese, in direct result of jumping and thrusting his body in an upward motion. Bc of this, we have a human being who may get the right diagnosis of a #concussion yet will he receive the treatment
Read 4 tweets

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