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Should we treat concussion pharmacologically? The need for evidence based pharmacological treatment for the concussed athlete.

British Journal of Sports Medicine (Impact Factor: 4.17). 03/2002; 36(1):3-5.
Source: PubMed
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    ABSTRACT: Sport-related concussions are a subset of mild traumatic brain injuries and are a concern for many sporting activities worldwide. To review and update the literature in regard to the history, pathophysiology, recognition, assessment, management and knowledge of concussion. Searches of electronic literature databases were performed to identify studies published up until April 2013. 292 publications focussing on concussion met the inclusion criteria, and so they were quality rated and reviewed. Concussion is hard to recognize and diagnose. Initial sideline assessment via the Sports Concussion Assessment Tool 3 (SCAT3), Child-SCAT3 or King-Devick test should be undertaken to identify athletes with concussion as part of a continuum of assessment modalities and athlete management. Sports medicine practitioners should be cognisant of the definition, extent and nature of concussion, and should work with coaches, athletes and trainers to identify and manage concussions. The most common reason for variations in management of concussion is lack of awareness of-and confusion about-the many available published guidelines for concussion. Future research should focus on better systems and tools for recognition, assessment and management of concussion. Sport participants' knowledge of concussion should be evaluated more rigorously, with interventions for sports where there is little knowledge of recognition, assessment and appropriate management of concussion.
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    ABSTRACT: Objective : To provide athletic trainers, physicians, and other health care professionals with best-practice guidelines for the management of sport-related concussions. Background : An estimated 3.8 million concussions occur each year in the United States as a result of sport and physical activity. Athletic trainers are commonly the first medical providers available onsite to identify and evaluate these injuries. Recommendations : The recommendations for concussion management provided here are based on the most current research and divided into sections on education and prevention, documentation and legal aspects, evaluation and return to play, and other considerations.
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    ABSTRACT: Athletes with sports related concussions are increasingly seeking medical care for management and guidance for return to play. This article aims to provide an updated review of the management of youth sports concussions including preseason planning, on the field identification of concussion, clinical management of acute concussion, and discussion of prolonged symptoms including headache. Copyright © 2014 Elsevier Inc. All rights reserved.
    Physical Medicine and Rehabilitation Clinics of North America 08/2014; 25(4). DOI:10.1016/j.pmr.2014.06.002 · 1.09 Impact Factor

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