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Dr Byan Betty: Recognising concussion

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What is concussion? 

  • Mild brain injury 
  • Bump or blow to head – for example Falls, contact sport, car accidents, previous concussion. 
  • Can interfere with brain function and may or may not be associated with loss of consciousness 

Why does it occur? 

  • Brain like jelly – shakes or bounces around in the hard skull, causing minor injury 
  • Can cause bleeding within the skull – small or large. 
  • Can be cumulative – recurrent concussions – may in some cases longer term damage. 

How do we recognise? 

  • Affects brain function for short period of time. 
  • Immediate: dazed, confused, vomits, loss consciousness, poor balance, 
  • Longer term: headache continues, fatigue, poor concentration. 
  • Certainly more serious: drowsy, fit, slurrrd speech. 

How do we treat? 

  • Most  recover within 2 weeks. Children 4 weeks.  
  • Brain needs to rest – toughing it out or ignoring symptoms can make worse, Immediate rest 48 hours, Avoid loud music, screens, hard physical activity, alcohol. 
  • Return to work or sports activity once fully recovered – often hard for sports people to accept. 
  • If return before fully recovered- increased risk of second concussion which can be serious. 

Other things to watch out for? 

  • Symptoms worsening see a doctor as soon as possible. 
  • If persist more than 3-4 weeks long concussion syndrome – specialist support. 
  • Important any concussion reviewed with your Doctor. 
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