FaninAma
12/2/2014, 09:44 AM
From the American Academy of Family Physisicans.
THE FIRST CONCUSSION
The type of concussion most frequently encountered by a clinician covering an athletic event is the mild form known in sports as the “ding” or “bellringer.” As mentioned above, the major guidelines propose similar approaches to the management of these injuries. If concussion symptoms clear away within 15 minutes and if no associated loss of consciousness or post-traumatic amnesia has occurred, the athlete may return to play that day. Some guidelines would permit an immediate return to play once the player is asymptomatic7 (http://www.soonerfans.com/#afp19990901p887-b7); others recommend a 15- or 20-minute wait after symptoms have disappeared.3 (http://www.soonerfans.com/#afp19990901p887-b3),8 (http://www.soonerfans.com/#afp19990901p887-b8),12 (http://www.soonerfans.com/#afp19990901p887-b12)
When an athlete experiences symptoms of concussion that last for more than 15 minutes or sustains a concussion associated with post-traumatic amnesia, the major guidelines agree that the athlete should be removed from the contest and should not return to play until asymptomatic for at least one week.7 (http://www.soonerfans.com/#afp19990901p887-b7)–9 (http://www.soonerfans.com/#afp19990901p887-b9),12 (http://www.soonerfans.com/#afp19990901p887-b12) In practice, this means that an athlete who suffers a concussion during a Friday night contest and is subsequently restricted for one week may be able to play the following Friday evening. The athlete should undergo exertional testing, such as running drills and noncontact activity in practice, one to several days before returning to regular play. The guidelines also agree that an athlete who suffers any loss of consciousness should be removed from the game and should not be allowed to return to play for a minimum of one week.
Second-Impact Syndrome
Jump to section +
Abstract (http://www.soonerfans.com/#abstract)
Guidelines (http://www.soonerfans.com/#sec-1)
Evaluation (http://www.soonerfans.com/#sec-2)
Initial Sideline Evaluation (http://www.soonerfans.com/#sec-3)
Evaluation of the Athlete with Loss of Consciousness (http://www.soonerfans.com/#sec-4)
Second-Impact Syndrome (http://www.soonerfans.com/#sec-5)
Multiple Concussions (http://www.soonerfans.com/#sec-6)
Postconcussion Syndrome (http://www.soonerfans.com/#sec-7)
Return to Play (http://www.soonerfans.com/#sec-8)
Education (http://www.soonerfans.com/#sec-9)
Final Comment (http://www.soonerfans.com/#sec-10)
References (http://www.soonerfans.com/#ref-list-1)
All of the guidelines focus on the question of when it is safe for an athlete to return to play after an apparent concussion. Several serious risks are associated with premature return to play. The most serious is second-impact syndrome. This syndrome was first described in 1973.1 (http://www.soonerfans.com/#afp19990901p887-b1) Second-impact syndrome occurs in players who return to competition before the symptoms of a first concussion have completely resolved. A second blow to the head, even a minor one, can result in a loss of autoregulation of the brain's blood supply; this leads to a vascular engorgement and subsequent herniation of the brain that is usually fatal.3 (http://www.soonerfans.com/#afp19990901p887-b3) Since 1992, 17 cases of second-impact syndrome have been reported.15 (http://www.soonerfans.com/#afp19990901p887-b15) This translates to one or two cases per year resulting from injuries sustained in football alone.
I am assuming this is Petty's first concussion which it may or may not be. If it is his second or more then it becomes even more serious. I certainly think he had symptoms for longer than 15 minutes. I wathced as he left the field after the game against TT and he was covering his ears which indicated loud noises were causing him discomfort.
The question is what will the Baylor medical staff do? Will the Baylor coaching staff put any pressure on them to clear him? After seeing what happened to Ash at Texas Petty would be an idiot to jepordize his pro career with another concussion this year.
THE FIRST CONCUSSION
The type of concussion most frequently encountered by a clinician covering an athletic event is the mild form known in sports as the “ding” or “bellringer.” As mentioned above, the major guidelines propose similar approaches to the management of these injuries. If concussion symptoms clear away within 15 minutes and if no associated loss of consciousness or post-traumatic amnesia has occurred, the athlete may return to play that day. Some guidelines would permit an immediate return to play once the player is asymptomatic7 (http://www.soonerfans.com/#afp19990901p887-b7); others recommend a 15- or 20-minute wait after symptoms have disappeared.3 (http://www.soonerfans.com/#afp19990901p887-b3),8 (http://www.soonerfans.com/#afp19990901p887-b8),12 (http://www.soonerfans.com/#afp19990901p887-b12)
When an athlete experiences symptoms of concussion that last for more than 15 minutes or sustains a concussion associated with post-traumatic amnesia, the major guidelines agree that the athlete should be removed from the contest and should not return to play until asymptomatic for at least one week.7 (http://www.soonerfans.com/#afp19990901p887-b7)–9 (http://www.soonerfans.com/#afp19990901p887-b9),12 (http://www.soonerfans.com/#afp19990901p887-b12) In practice, this means that an athlete who suffers a concussion during a Friday night contest and is subsequently restricted for one week may be able to play the following Friday evening. The athlete should undergo exertional testing, such as running drills and noncontact activity in practice, one to several days before returning to regular play. The guidelines also agree that an athlete who suffers any loss of consciousness should be removed from the game and should not be allowed to return to play for a minimum of one week.
Second-Impact Syndrome
Jump to section +
Abstract (http://www.soonerfans.com/#abstract)
Guidelines (http://www.soonerfans.com/#sec-1)
Evaluation (http://www.soonerfans.com/#sec-2)
Initial Sideline Evaluation (http://www.soonerfans.com/#sec-3)
Evaluation of the Athlete with Loss of Consciousness (http://www.soonerfans.com/#sec-4)
Second-Impact Syndrome (http://www.soonerfans.com/#sec-5)
Multiple Concussions (http://www.soonerfans.com/#sec-6)
Postconcussion Syndrome (http://www.soonerfans.com/#sec-7)
Return to Play (http://www.soonerfans.com/#sec-8)
Education (http://www.soonerfans.com/#sec-9)
Final Comment (http://www.soonerfans.com/#sec-10)
References (http://www.soonerfans.com/#ref-list-1)
All of the guidelines focus on the question of when it is safe for an athlete to return to play after an apparent concussion. Several serious risks are associated with premature return to play. The most serious is second-impact syndrome. This syndrome was first described in 1973.1 (http://www.soonerfans.com/#afp19990901p887-b1) Second-impact syndrome occurs in players who return to competition before the symptoms of a first concussion have completely resolved. A second blow to the head, even a minor one, can result in a loss of autoregulation of the brain's blood supply; this leads to a vascular engorgement and subsequent herniation of the brain that is usually fatal.3 (http://www.soonerfans.com/#afp19990901p887-b3) Since 1992, 17 cases of second-impact syndrome have been reported.15 (http://www.soonerfans.com/#afp19990901p887-b15) This translates to one or two cases per year resulting from injuries sustained in football alone.
I am assuming this is Petty's first concussion which it may or may not be. If it is his second or more then it becomes even more serious. I certainly think he had symptoms for longer than 15 minutes. I wathced as he left the field after the game against TT and he was covering his ears which indicated loud noises were causing him discomfort.
The question is what will the Baylor medical staff do? Will the Baylor coaching staff put any pressure on them to clear him? After seeing what happened to Ash at Texas Petty would be an idiot to jepordize his pro career with another concussion this year.