#Concussion Week! 🧵
Our first goals – review symptoms and accurate diagnosis.
Make sure to view the whole thread for some great videos to enhance your physical exam!
Symptoms:
Concussion symptoms can be grouped into 4 areas:
- Physical
-Sleep
-Cognitive
-Emotional
Symptom Review
Physical: HA, n/v, dizziness, balance and vision problems, photo/phonophobia
Sleep: Difficulty falling/staying asleep, sleeping more
Cognitive: Difficulty concentrating, remembering, feeling slow and foggy
Emotional: irritability, anxiety, depression, mood changes
Any robust diagnosis is supported by the physical exam. In #concussion, vestibular testing is critical . One battery is the visio-vestibular exam (VVE). VVE is reliable from the #ED and accurately distinguishes concussed v. non-concussed.
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!