National Athletic Trainers‘ Association Position Statement国家运动鞋协会职位声明.pptVIP

National Athletic Trainers’Association Position Statement: Management of Sport-Related Concussion Kevin M. Guskiewicz*; Scott L. Bruce?; Robert C. Cantu?; Michael S. Ferrara§; James P. KellyⅡ; Michael McCrea?; Margot Putukian#; Tamara C. Valovich McLeod***University of North Carolina at Chapel Hill, Chapel Hill, NC; ?California University of Pennsylvania, California, PA; ?Emerson Hospital, Concord, MA; §University of Georgia, Athens, GA; ⅡUniversity of Colorado, Denver, CO; ?Waukesha Memorial Hospital, Waukesha, WI; #Princeton University, Princeton, NJ; **Arizona School of Health Sciences, Mesa, AZ Recommendations Defining and Recognizing Concussion 1. The ATC should develop a high sensitivity for the various mechanisms and presentations of traumatic brain injury (TBI), including mild, moderate, and severe cerebral concussion, as well as the more severe, but less common,… 1. (continued)…head injuries that can cause damage to the brain stem and other vital centers of the brain. 2. The colloquial term “ding” should not be used to describe a sport-related concussion. This stunned confusional state is a concussion most often reflected by the athletes initial confusion, which may disappear within minutes,… 2. (continued)… leaving no outwardly observable signs and symptoms. Use of the term “ding” generally carries a connotation that diminishes the seriousness of the injury. If an athlete shows concussion-like… 2. (continued)… and reports symptoms after a contact to the head, the athlete has, at the very least, sustained a mild concussion and should be treated for a concussion. 3. To detect deteriorating signs and symptoms that may indicate a more serious head injury, the ATC should be able to recognize both the obvious signs (eg, fluctuating levels of consciousness, balance problems, and memory and concentration… 3. (continued)…difficulties) and the more common, self-reported symptoms (eg, headache, ringing in the ears, and nausea)