Concussion Recognition & Management

Resources

Continuing Medical Education Credit

Children's Hospital & Medical Center CME

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Experts in Concussion Recognition & Management

American Academy of Pediatrics (AAP) Team Model, a very important component that involves formation of a team to collaborate in caring for the student: Family Team; Medical Team; School Academic Team; School Physical Team.

American Congress of Rehabilitation Medicine (ACRM)

Brain Injury Association of Nebraska

CDC Injury Prevention & Control: Heads Up — to help you recognize, respond to, and minimize the risk of concussion or other serious brain injury.

CDC Concussion Definition and Pathophysiology

National Federation of State High School Associations (NFHS). Resources: Sports Medicine

Nebraska Concussion Coalition

Nebraska Department of Health & Human Services: Nebraska Injury Prevention Program

Nebraska Sports Concussion Network


REAP Concussion Management Program at Rocky Mountain Hospital for Children (Remove / Reduce, Educate, Accommodate, Pace)

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Legislation

Nebraska Legislative Bill LB 260 (2011): The Concussion Awareness Act (history of adoption)
Nebraska Revised Statutes, Sections 71-9101 to 71-9106
Nebraska Concussion Awareness Act Amendment (2014)

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Position Statements Regarding Concussion,
Statistics, & Reports

2015 Nebraska Sports Concussion Athletic Director Survey Results
2015 Nebraska Sports Concussion Head Coach Survey Results

2013 Nebraska Sports Concussion Athletic Director Survey Results
2013 Nebraska Sports Concussion Head Coach Survey Results
2013 Nebraska Sports Concussion Youth Survey Results

American Medical Society for Sports Medicine-2012. Harmon, KG, et al. American Medical Society for Sports Medicine position statement: concussion in sport. Br J Sports Med. 2013; 47:15-26.

American Academy of Neurology-2013. Giza C, Kutcher J, et al. Summary of evidence-based guideline update: Evaluation and management of concussion in sports. Neurology, 2013; 10.1212/WNL.0b013e31828d57dd.

Broglio SP, Cantu RC, Gioia GA et al. National Athletic Trainers Association: Management of Sport Concussion, 2014. J Athl Trng, 2014; 49:345-265.

Ciuffreda KJ, Kapoor N, Rutner D et al. Occurrence of oculomotor dysfunctions in acquired brain injury: a retrospective analysis. Optometry 2007; 78: 155-161.

Gessel, LM et al. Concussions Among United States High School and Collegiate Athletes. Journal of Athletic Training. 2007; 42(4): 495-503.

Hawryluk, G. W., & Manley, G. T. (2015). Classification of traumatic brain injury: past, present, and future. Handbook of Clinical Neurolology, 127, 15-21.

Institute of Medicine of the National Academies, Oct. 30, 2013. Sports-Related Concussions in Youth: Improving the Science, Changing the Culture.

Maerlender, A., Rieman, W., Lichtenstein, J., Condiracci, C. (2015). Programmed Physical Exertion in Recovery from Sports-Related Concussion: A Randomized Pilot Study. Developmental Neuropsychology, Published online, July 31, 2015; DOI:10.1080/87565641.2015.1067706.

Mueller, PhD, Frederick O. Annual Survey of Football Injury Research 1931-2010

Thomas, DG et al. Benefits of Strict Rest After Acute Concussion: A Randomized Controlled Trial. Pediatrics. 2015. 135(2): 1-11.

Zurich Statement 2013. McCrory P, Meeuwisse WH, Aubry M, et al. Consensus Statement on Concussion in Sport: the 4th International Conference on Concussion in Sport. Br J Sports Med. 2013; 47: 250-258.

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Return to Learn

BIRSST Resources on the NDE Concussion and Brain Injury Supports page (including BIRSST Team Contacts)
BIRSST Return to Academics Progression
BIRSST Tips for Teachers (to help with accommodations for an injured student)

Bridging the Gap From Concussion to the Classroom. Nebraska Department of Education.

Halstead ME, McAvoy K, Devore CD, Carl R, Lee M, Logan K, Council on Sports Medicine and Fitness, and Council on School Health. Returning to Learning Following Concussion. Am Acad Pediatrics, 132 (5) 948-957, Nov 2013.

Section 504 Education Plan: FAQ about Section 405 and the Education of Children with Disabilities

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Return to Play

Borg Rating of Perceived Exertion Scale. Use this scale as a way of measuring physical activity intensity level to help you evaluate a patient’s readiness to Return to Play.

Detailed Return to Play Progression, ImPACT, UPMC Sports Medicine Concussion Program Guidelines for Post-Concussion Rehabilitation

Example of Nebraska Sports Concussion Network Written Clearance / Permission Form

Sample NCHSAA Return to Play Clearance form

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Tools

Assessment & Management Guide

Acute Concussion Evaluation (ACE) Care Plan
Acute Concussion Evaluation (ACE) Care Plan: Physician / Clinician Office Version

CDC Heads Up: Tools for Providers

DSM-V Diagnostic Criteria for Neurocognitive Disorders
ICD-10 Diagnostic Criteria for Post-Concussion Syndrome, Medscape.

Graded Symptom Scale Checklist

Pocket Concussion Recognition Tool

SCAT3™ for ages 13 and up
Child-SCAT3™ for children ages 5 to 12

Recommended Sleep Needed by Age, National Sleep Foundation

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Video

Concussion Tools, Atlanta Children’s Hospital: 15 videos on Diagnosis, Treatment, Scenarios

Concussions: Heading for Change. NET Sports, 2014. Length = 26:39.
    Website
    Video

Conducting a Pediatric Concussion Evaluation, Children’s Hospital of Philadelphia

Evans Health Lab (to help patients understand concussion), by Dr. Mike Evans

I am not my label: Lily Sughroue, TEDx Lincoln. Length = 12:29.

What’s a Concussion, Anyway? Brain 101’s animation explains concussions to students. Length = 4:08.

You Look Great! — Inside a TBI. From the American Academy of Neurology 2011 Neuro Film Festival. Length = 6:20.

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Site Map


HOME PAGE
Module 1

Nebraska Concussion
Awareness Act

Module 2

Characteristics
& Epidemiology

Module 3

Symptoms
& Signs

1. The History
2. The Purpose
3. Education
4. Removal from Play
5. Clearance to Return to Play
6. Return to Learn
7. CME Credit
1. Concussion Defined
2. Facts & Myths
3. Brain Injuries
4. Characteristics
5. Epidemiology & Risks
6. The Problem
7. Multiple Injury Risks
8. After Effects
9. CME Credit
1. Hallmarks
2. Clinical Domains
3. Symptom Clusters
4. Symptom Subtleties
5. Emergency Signs
6. LOC, Amnesia, & More
7. See the Signs
8. Tools
9. CME Credit


Module 4

Assessment



Module 5

Management



Module 6

Delayed Recovery

1. Overview
2. Diagnosis
3. Clinical Assessment
4. Neurologic Assessment
5. Cognitive Assessment
6. Assessment Tools Summary
7. CME Credit
1. Overview
2. Managing Risk
3. Acute Management
4. Ongoing Management
5. Return to Activity
6. Return to Learn
7. Return to Play
8. CME Credit
1. Overview
2. Predictors & Contributors
3. Tx: Physical SxS
4. Tx: Cognitive SxS
5. Tx: Emotional SxS
6. CME Credit
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Site Credits

Content
Peg Ogea-Ginsburg
NDHHS Injury Prevention
Program Manager


Peggy Reisher, MSW
Brain Injury Association of Nebraska
Executive Director


Arthur Maerlender, PhD, ABPP
Center for Brain, Biology, & Behavior
Associate Director


Rusty McKune, ATC
The Nebraska Medical Center
Sports Medicine Coordinator


Kody Moffatt, MD, MS
Children’s Hospital & Medical Center
Director of Pediatric Sports Medicine


David R. Schultz, MEd, ATC
Nebraska Orthopaedic & Sports Medicine, PC
Sports Medicine Outreach Program Manager


Lori Terryberry-Spohr, PhD, ABPP
Madonna Rehabilitation Hospital
Brain Injury Program Manager
Narrators
Deirdre Barney
Mark Epp

Writer
Peg Sheldrick

Producer/Director
Chet Kincaid

Content Reviewer
Jann Howard

Content Assistant
Jordan A. Knapp
Center for Brain, Biology,
& Behavior
Research Assistant
Web Master
Laura Williams

Graphic Artist
Jenni Johnson

Interactions
Patrick Bate

Web Tech
Rakesh Adloori
Alex Epperson
Steve Exon

Videographers
John Beck
David Barry

Audio Engineers
Werner Althaus
Jim Lenertz

Video Editors
John Beck
Chet Kincaid
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How to Use this Course

Navigation

Concussion Recognition & Management
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Videos within this course are either from the NET documentary, Concussions: Heading for Change, which reside on the netNebraska.org site or were created for this course and reside on the NDHHS YouTube channel.
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