What is Emergency Medicine - What is a concussion, exactly? How should returning to activities be advised to patients and parents?
According to conventional neuroimaging, a concussion is defined as trauma-induced brain dysfunction without structural damage. Although early loss of consciousness can accompany concussions, it is not necessary for diagnosis. A youngster may have amnesia, disorientation, headaches, dizziness, nausea, or vomiting at first. If CT imaging is performed, it will be normal, but magnetic resonance imaging may reveal minute diffuse axonal abnormalities (MRI). Recent recommendations advise against "brain rest" and instead support an instant but gradual return to some form of physical and mental activity. Athletes should be taken out of competition and strenuous activity as away, but if symptoms are mild, they may be allowed to walk quickly. Each youngster should receive specialized accommodations for their schooling. Screen use should be restricted based on symptoms because complete screen abstinence can increase social isolation and worsen mood issues. Think about decreasing brightness, length, and font size. Headaches, memory loss, sleep disturbances, and behavioral or psychiatric problems are examples of sequelae. The typical duration of concussion symptoms is 5-7 days, but in some kids, particularly younger kids, they might continue for weeks or even months. This risk should be discussed with parents and kids, and a clear follow-up with a primary care provider should be scheduled.
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