Concussion care: simple strategies, big payoffs.
Consider any alteration of mental status that follows a trauma to be a concussion, whether or not there is also a loss of consciousness. Don't order neuroimaging routinely; it is not necessary for diagnosing concussion. Neuroimaging is important, however, for patients who exhibit prolonged unconsciousness, focal neurologic deficits, or worsening symptoms. Treat post-concussive headache, a common complaint, with acetaminophen or ibuprofen.
McConnell
Amanda
A
Department of Neurology, Ohio University College of Osteopathic Medicine, Athens, OH, USA. Am427597@ohio.edu
Shubrook
Jay
J
D000293:Adolescent; D001924:Brain Concussion / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D003952:Diagnostic Imaging; D006801:Humans; D008297:Male; D009460:Neurologic Examination; D020127:Recovery of Function