Thread by @PEMatCHOP

Welcome to #Concussion Week! For the next 7 days, we’ll be focusing on pediatric concussion.

Why?

The prevalence is high, there are updates to practice guidelines, and your ED/acute care management has an important impact on outcomes. 🧵

First, lets look at prevalence, follow-up and broad outcomes:

->200k/yr ED visits for pediatric concussion
-Only ~45% diagnosed in ED have f/u
-30% have symptoms >28 days, w/ physical, cognitive, emotional and social impacts

This #concussion week, we will
-Review concussion symptoms and accurate dx #FOAM #MedEd
-Discuss expected progression including recovery, expected time course, and when to refer early
-Outline recommended anticipatory guidance for recovery and activity management
-Have fun!

And of course, any good review needs references. Enjoy!

Zonfrillo, Acad Emerg Med, 2015
pubmed.ncbi.nlm.nih.gov/26111921/

Corwin, J Pediatr, 2014
Discusses characteristics associated with prolonged recovery

pubmed.ncbi.nlm.nih.gov/25262302/

Corwin, Clin J Sport Med, 2020
This paper explores characteristics of those with prolonged recovery
pubmed.ncbi.nlm.nih.gov/25262302/

Grubenhoff, Brain Inj, 2015
This publication reviews outpatient follow-up and return to school for children diagnosed with concussion in the ED.
pubmed.ncbi.nlm.nih.gov/26004755/

@CIRPatCHOP @PennNeurology @savir_org @PennInjury #MindsMatter