Pediatricians may be most appropriate for managing concussions

I have a problem calling concussions “minor”. There is nothing minor about a brain injury that can cost children their dreams, normal mental and or physical function, or in some cases can cost them their lives. Even though there is a ton of information now available about concussions, which I’m glad to finally see, I still have some serious concerns. There are few cases of what I call hyper-awareness and it can lead to chaos. Hyper-awareness and ignorance is causing some concussed young athletes unintended neglect as they pass from one expert to another. Instead of treating a concussion like a “hot potato” condition (“it’s not mine”), professionals who receive concussed athletes should treat it delicately and focus on allowing the patient to heal properly.

Fortunately, pediatricians are starting to catch up and get assistance with formulating customized resting for concussed patients. They do this by relying on neurocognitive and vestibular assessment, baseline assessment and educated parents and teachers. Then the pediatricians can take better charge.

Rest is well understood now to allow a concussed brain its return to normal state of homeostasis. Rest attenuates the typical storm of neurotransmitters that overwhelms and inhibits the brain during a concussion.  Treatment however does not happen at the doctors office and very rarely it requires medication. What allows the developing brain to heal is strict following of the customized resting formulated at the school and at home as I presented to Dr. Nguyen, Smoak, and Jennifer Baxley at Charlotte Pediatric Clinic-Steele Creek located in Charlotte, NC.

Provided that major or more catastrophic injury was cleared, immediately after the injury, and prevention from exposure to another injury while healing, concussion treatment and management should stay at the watchful eye of the pediatrician who, to begin with, knows their young patients best.

Comments : 2

Tanja March 8, 2013 3:38 pm

I guess the difference would be that a soeccr player has a lot of control over how dangerous the soeccr game gets you could chose not to play in the rain, not to play with people much bigger than you, not to play without shin guards and you can control how aggressively you play and how close you decide to come to other players. If you see a player coming for you, you generally have time to get out of the way.In contrast, there is not much you can do to decrease the risk of labour. Serious complications are often unpredictable and can develop quickly. Thankfully they are also quite rare. I don’t think of normal uncomplicated labours as medical events even if they occur in a hospital! Same way I don’t think of a marathon as a medical event even though marathons are supervised by physicians and EMTs just in case (cardiac arrest is a rare but recognized complication of running a marathon).

Kamal March 10, 2013 12:45 pm

a month or so ago that he has no enemies, when he broguht up/implied Greg Papa going up against him in the Noon to 3 timeslot on 95.7, so I guess they’re still friends.I think Gary also had Greg Papa on as well from time to time, but yeah, Gary and Damon were pretty much the only people from KNBR who interviewed Greg Papa pre-95.7. As you were saying, since the Raiders were really bad, there wasn’t a point to have him on I guess, even though I’m sure KNBR being the 49ers flagship had something to do with that too.It was funny how Greg Papa was pretty much the only person who would defend JaMarcus Russell, even when Russell was really bad and there was no hope for him in the NFL. It really was like Fitz defending a bad Warriors decision. Greg Papa used to get a little testy on Chronicle Live whenever JaMarcus Russell was discussed, and would get ripped by the guests and made fun of.

Leave a comment