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/

#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

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