Citation

Bazarian JJ, Raukar N, Devera G, Ellis J, Feden J, Gemme SR, Hafner J, Mannix R, Papa L, Wright DW, Auerbach P. Ann. Emerg. Med. 2019; ePub(ePub): ePub.

Affiliation

Department of Emergency Medicine, Stanford University, Palo Alto, CA.

Copyright

(Copyright © 2019, American College of Emergency Physicians, Publisher Elsevier Publishing)

DOI

10.1016/j.annemergmed.2019.05.032

PMID

31326205

Abstract

Sport-related concussion refers to the subset of concussive injuries occurring during sport activities. Similar to concussion from nonsport mechanisms, sport-related concussion is associated with significant morbidity, including migrainous headaches, disruption in normal daily activities, and long-term depression and cognitive deficits. Unlike nonsport concussions, sport-related concussion may be uniquely amenable to prevention efforts to mitigate these problems. The emergency department (ED) visit for sport-related concussion represents an opportunity to reduce morbidity by timely diagnosis and management using best practices, and through education and counseling to prevent a subsequent sport-related concussion. This article provides recommendations to reduce sport-related concussion disability through primary, secondary, and tertiary preventive strategies enacted during the ED visit. Although many recommendations have a solid evidence base, several research gaps remain. The overarching goal of improving sport-related concussion outcome through enactment of ED-based prevention strategies needs to be explicitly studied.

Copyright © 2019 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

Language: en