The Curbsiders Internal Medicine Podcast | MedEd | FOAMed | Internist | Hospitalist | Primary Care | Family Medicine
#58: Concussion, traumatic brain injury, and post-concussive syndrome
Manage episode 187242541 series 1345893
Get a-HEAD of concussions (aka traumatic brain injuries) with tools, tips, and tricks from The Concussion Guy, Dr. Evan Ratner, Medical Director of Gridiron Heroes. Learn to recognize concussions/traumatic brain injury, what questions to ask, physical exam maneuvers, and how to counsel patients and families on safe return-to-learn/play.
Full show notes available at http://thecurbsiders.com/podcast
Case from Kashlak Memorial: 29F with no significant PMH presents to primary care office less than 24 hours after she accidentally struck her head on the metal of her car door. She experienced temporary altered consciousness lasting about one hour along with a headache. No nausea, vomiting, speech, or vision changes. She rested at home last night, but didn’t feel up to reading, or watching TV. She drove herself to your office today.
02:33 Listener feedback
05:35 Picks of the week
12:15 Getting to know our guest
19:41 Defining and classifying concussion
23:00 What questions to ask your patient
26:34 Physical exam for patient with concussion
28:50 Use of neurocognitive testing in concussion
30:45 Specifics of testing eye movements and balance
35:00 Who needs imaging?
41:51 Recap of what we’ve learned so far
43:40 Can you let someone with a concussion go to sleep?
47:08 Return-to-learn protocol
50:30 Return-to-play protocol
52:30 Post-concussive syndrome
53:55 Medications for post-concussive symptoms
58:58 Second impact syndrome
64:40 Counseling the patient with multiple concussions
67:08 Take home points
69:09 The Curbsiders recap their favorite teaching points
Tags: concussion, post, concussive, syndrome, tbi, traumatic, brain, injury, return, play, school, cognitive, rest, treatment, diagnosis, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, medicine, medical, primary, physician, resident, student
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