A 15 year old QB came in after a hard hit to the head. He lost consciousness and was confused after. Neuro exam was essentially normal. He didn't remember the event but was alert and oriented. Here is a similar cat scan of what he had:
As you can see by the bright white blood.....he had a little head bleed. I was shocked. The kid looked great. He ended up doing just fine. But still amazing to think high school, JV football can cause this kind of injury.
-ER Doc
10 comments:
Recently I went to a medical conference and attended a talk by two orthopods about sports injuries, especially head injuries. They recommended NOT going to the ER , and said to never CT these kids with head injuries ! I tolerated it as long as I could before responding about the subdurals, skull fractures and an ominous C2 fracture I have found. Their smirky paternalistic attitude to that made me get up and leave- after asking them if there were any neurologists giving talks on hip replacements.
Love the rant. I too was thinking WTF are Orthopods talking bout closed head injuries for
ER doc
Where I work, our orthopods run a concussion clinic. There are a few hospitals in the area that have them, although I am not sure what group runs them at other facilities. Has become a big thing lately...lots of college and HS sports in our state.
Coming from a college football background I can tell you that the biggest difference is the equipment, specifically the age of the helmets. The majority of schools don't have the money to have the helmets inspected and replaced if they are old. The padding is like anything else that is spongy, the older it gets the less absorbent it is. I have had 5 concussions, all with old Riddell helmets. Once I moved the newer generation of helmets in college, even with the increased force of the hits and size of everyone, I never had anything resembling a concussion. Bottom line, if your kid is wearing the same style of, or the exact same, helmet that you did, go buy them one off the shelf. It'll be the best $200 bucks you ever spent.
I saw so many hurt kids coming from football games when I worked in the ER. Now I see them in preop holding getting ready to go into surgery. And my husband wants our 1year old son to be a football player someday! He won't listen to my tales of concussions and broken bones.
Absolutely amazing fact about the the bright white blood, and also about the football baby is interesting to read.
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My proposal. Do AWAY with helmets all together! Why? You won't ram your head into someone when you don't have that false sense of security that a helmet brings. Of course that would require major rule changes - and essentially convert football back to its roots - ie rugby!
Our quarterback at Big State got hit hard a few weeks ago, and he's still been in every game since including the one where he took a hard hit to the helmet. Everyone wonders why we lost these last two weeks after winning the biggest game for the school in a decade.
Looking at the way he has played, I wouldn't be surprised if one of the team's orthopods gets hit with a wrongful death suit in the not too distant future because he signed of on the quarterback to play with a head bleed.
Our school system and community is getting very serious about potential head injuries during sports. Apparently of no significance is all the children riding bikes to/from school without a helmet in violation of the helmet law AND past the local police station......
and this is why my son will never play tackle football as long as he lives under my roof.
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