title: Recognizing and managing concussion in school sport.
abstract: Every country around the world enjoys some sort of sport. The Olympics sees countries from all over the globe participate in elite sport, in both winter and summer competitions. Australia is widely known for cricket and rugby; America is known for baseball and gridiron football (among others). These sports are played at an elite level as well as beginners from early ages as young as 4 years in the backyard. Yet, it is also these sports that can deliver a ball at the speed of 100 km/h (football), 105 km/h (baseball), 112 km/h (rugby), 150 km/h (cricket), and 211 km/h (soccer). This is the same force that a car collision can produce. That force eventually finds a target, and in some cases, unfortunately, it is a head. Damage to the brain is not only from the impact of the ball hitting its target but rather also the shearing forces of acceleration-deceleration injury that can cause extensive injuries. There has been much discussion of late regarding concussion in sport and the accumulative effects of head blows resulting in varying degrees of memory loss and dementia later in life. The media have been saturated with heightened awareness of chronic traumatic encephalopathy. This, however, is still being researched. It is true that each concussion compounds the one before, but rather than focus on the injury, managers/coaches and sporting codes should be focusing on the identification and proper management of a suspected concussion and the return-to-play protocols. This is especially important in our schools where growing brains need nurturing. Neuroscience nurses are at the forefront of educating school children, teachers, and coaches through partnering with local schools. This article will focus on concussion recognition and management in school sport.
authors.affiliation: Questions or comments about this article may be directed to Vicki Evans, RN MCN, at Vicki.Evans@health.nsw.gov.au. She is a Clinical Nurse Consultant, Royal North Shore Hospital, St. Leonards, New South Wales, Australia.
authors.forename: Vicki
authors.initials: V
authors.lastname: Evans
mesh_terms: D000293:Adolescent; D001265:Athletic Injuries / Q000175:diagnosis* / Q000451:nursing* / Q000517:prevention & control / Q000628:therapy; D001924:Brain Concussion / Q000175:diagnosis* / Q000451:nursing* / Q000517:prevention & control / Q000628:therapy; D001925:Brain Damage, Chronic / Q000175:diagnosis / Q000451:nursing / Q000517:prevention & control / Q000628:therapy; D002648:Child; D015600:Glasgow Coma Scale; D006801:Humans; D009483:Neuropsychological Tests; D012008:Recurrence; D012017:Referral and Consultation; D012573:School Nursing