• Ann Emerg Med · Apr 2020

    Recommendations for the Emergency Department Prevention of Sport-Related Concussion.

    • Jeffrey J Bazarian, Neha Raukar, Gemmie Devera, James Ellis, Jeffrey Feden, Seth R Gemme, John Hafner, Rebekah Mannix, Linda Papa, David W Wright, Paul Auerbach, and American College of Emergency Physicians Sport-Related Head Injury Prevention Task Force.
    • Department of Emergency Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY. Electronic address: jeff_bazarian@urmc.rochester.edu.
    • Ann Emerg Med. 2020 Apr 1; 75 (4): 471-482.

    AbstractSport-related concussion refers to the subset of concussive injuries occurring during sport activities. Similar to concussion from nonsport mechanisms, sport-related concussion is associated with significant morbidity, including migrainous headaches, disruption in normal daily activities, and long-term depression and cognitive deficits. Unlike nonsport concussions, sport-related concussion may be uniquely amenable to prevention efforts to mitigate these problems. The emergency department (ED) visit for sport-related concussion represents an opportunity to reduce morbidity by timely diagnosis and management using best practices, and through education and counseling to prevent a subsequent sport-related concussion. This article provides recommendations to reduce sport-related concussion disability through primary, secondary, and tertiary preventive strategies enacted during the ED visit. Although many recommendations have a solid evidence base, several research gaps remain. The overarching goal of improving sport-related concussion outcome through enactment of ED-based prevention strategies needs to be explicitly studied.Copyright © 2019 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

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