Safety

Second Impact Syndrome, Though Rare, Poses Catastrophic Risk To Concussed High School Athletes

Second-impact syndrome occurs when a high school athlete who sustains a head injury - often a concussion or worse injury, such as a cerebral contusion (bruised brain) - sustains a second head injury before symptoms associated with the first injury have cleared. The condition, while rare, causes a sharp increase in intracranial pressure that is almost always fatal, says Dr. Robert Cantu.

Advice for Parents When Child's Concussion Symptoms Persist Or Get Worse

Dr. Robert Cantu recommends parents seek additional testing and evaluation if their child's post-concussion signs and symptoms do not clear within a week to 10 days or increase in number or severity.

"Stepwise" Return to Play Recommended For Athletes Sidelined By Concussion For Several Weeks Or Longer

If an athlete has been sidelined by a concussion for several weeks or longer, Dr. Robert Cantu recommends that he follow a "stepwise" approach to return to play.

Second Impact Syndrome, Though Rare, Poses Catastrophic Risk To Concussed High School Athletes

Second-impact syndrome occurs when a high school athlete who sustains a head injury - often a concussion or worse injury, such as a cerebral contusion (bruised brain) - sustains a second head injury before symptoms associated with the first injury have cleared. The condition, while rare, causes a sharp increase in intracranial pressure that is almost always fatal, says Dr. Robert Cantu.

No Return To Play In Same Game After Suffering Concussion For Youth Athletes, Says Dr. Robert Cantu

Because of the risk to youth and high school athletes of suffering a second potentially fatal brain injury before the brain has healed from the initial injury - a condition called second impact syndrome - Dr. Cantu advises against allowing such athletes to return to play in the same game or practice after experiencing post-concussion signs or symptoms.

Parents and Athletes Need To Know Post-Concussion Signs and Symptoms, Says Dr. Robert Cantu

Dr. Robert Cantu says it is extremely important that parents and athletes recognize the signs and symptoms of a concussion.  Not only do athletes need to self-report symptoms, says Dr. Cantu, but they should let the coaching and medical staff know if a teammate is experiencing symptoms.  It just might save his life.

Every Concussion Is Different, Says Dr. Robert Cantu

While concussions share certain characteristics, every concussion is unique to that particular individual, says Dr. Robert Cantu, and requires individualized management.

Grading Concussion Severity After Symptoms Clear Is Important

Dr. Robert Cantu says that while there is debate about the importance of grading concussions, he sees value, especially where an athlete has suffered multiple concussions and where the grading is done after the signs and symptoms have cleared.

Concussion Defined

A concussion Is defined as trauma (e.g. usually but not always a blow to the head, face or neck) which causes the brain  to collide with the skull. A "concussion" is derived from the Latin concutere, meaning to shake violently. It is also often referred to as an MTBI (mild traumatic brain injury).

No Return to Play If Still Have Concussion Symptoms

Sports concussion expert Dr. Cantu says that no athlete should be allowed to return to play sports after a concussion if still experiencing symptoms.
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