Today for #ConcussionWeek, we will discuss how you should counsel #pediatric #concussion patients on return to school/play.

Guidance is important, since most will not be seen in follow-up and it's important to avoid prolonged rest/school removal.

pubmed.ncbi.nlm.nih.gov/26130391/
Several RCTs have really changed how we look at activity after a #concussion diagnosis.

⭐️Early exercise protocols demonstrate improved recovery.⭐️

pubmed.ncbi.nlm.nih.gov/30715132/
So what does that mean for physical activity?

⭐️Evidence suggests early symptom limited exercise in the 1st week following injury. ⭐️

Avoid contact sports.

pubmed.ncbi.nlm.nih.gov/34600629/
📚Regarding School📚

Children may require accommodations for school but SHOULD be back within 2-3 days (even for listening–only days) if they can tolerate it

–CAN return to school before first f/u visit
–Use VVE to predict problematic school activities!

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More from @PEMatCHOP

12 Jan
#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.

pubmed.ncbi.nlm.nih.gov/32745919/
Read 14 tweets
11 Jan
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!
Read 8 tweets

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