Read on Twitter
Concussion & Second Impact Syndrome:
Why removal required
While SIS rare, it is real. If player knew risk of 2nd hit while symptomatic could end his career or even kill him, would he still re-enter?
Not just about long term (CTE)
We explore...
(Cont) #EPL #SafetyFirst
Why removal requiredWhile SIS rare, it is real. If player knew risk of 2nd hit while symptomatic could end his career or even kill him, would he still re-enter?Not just about long term (CTE)We explore...(Cont) #EPL #SafetyFirst
(2/5) Concussion:
Most common form of athletic head injury
Involves transient impairment of brain function due to external forces (rotational, acceleration, deceleration)
Most concussions don’t involve loss of consciousness
Still mainly clinical & diagnosis of exclusion
Most common form of athletic head injuryInvolves transient impairment of brain function due to external forces (rotational, acceleration, deceleration)Most concussions don’t involve loss of consciousness Still mainly clinical & diagnosis of exclusion
(3/5) Why Difficult Diagnosis:
Relies heavily on player to honestly report symptoms
Does not show up on CT/MRI
Wide variability in signs/symptoms & severity
Some symptoms disappear quickly; others are late onset
CANNOT adequately clear by 3 min protocol
Relies heavily on player to honestly report symptoms Does not show up on CT/MRIWide variability in signs/symptoms & severity Some symptoms disappear quickly; others are late onsetCANNOT adequately clear by 3 min protocol
(4/5) Second Impact Syndrome:
Defined as 2nd head injury before symptoms from 1st injury resolved
Preventable!
Rare but catastrophic injury
~ 50% fatal; ~ 100% neurologic disability
Rapid & diffuse brain swelling, herniation
Disproportionately affects young athletes
Defined as 2nd head injury before symptoms from 1st injury resolvedPreventable!Rare but catastrophic injury~ 50% fatal; ~ 100% neurologic disabilityRapid & diffuse brain swelling, herniationDisproportionately affects young athletes
(5/5)
SIS is the real danger of allowing an athlete back onto field.
Are clubs doing enough to educate players on SIS & would any player risk returning if they truly understood?
Not just about the brain...slower reaction times can 
risk for other significant injuries
SIS is the real danger of allowing an athlete back onto field.Are clubs doing enough to educate players on SIS & would any player risk returning if they truly understood?Not just about the brain...slower reaction times can risk for other significant injuries
