Our patient initially presented with lethargy and a mild confusion lasting a only a few minutes, dizziness and a general feeling of discomfort. Further physical finding reviled a black eye, and no further abnormalities where noted.
Concussions may be graded as following:
Grade 1: No loss of consciousness, transient confusion, resolution of symptoms and mental abnormalities in <15min
Grade 2: No loss of consciousness, transient confusion, resolution of symptoms and mental abnormalities in >15min
Grade 3: Any loss of consciousness
Concussions are so common that it affects 128 people per 100,000 population in the united states. It has been reported that almost all physicians have been called on at some point to provide care at the scene or to treat the sequel of a concussion. Young children have been reported as having the highest rate of concussion, and sports and bicycle accidents accounting for the majority of cases of children 5 to 14 years old. Falls and vehicular accidents are the most common cause of concussions in adults.
- The New England Journal of Medicine. Concussion. 2007;356:166-72.
If you think someone may have a concussion, consider the following steps:
1. Check to make sure the scene is safe.
2. Check for loss of consciousness.
3. If the person is unconscious, check their ABC (airway, breathing, circulation)
4. Do not move the person unless absolutely necessary.
5. Check the person’s mental awareness.
6. Check the person’s eyes.
7. Watch for vomiting.
8. Keep the person awake for a period of time to see if their condition gets worse.
9. Be aware that complaints can subside only to appear later on and be worse.
10. Be aware that children can become worse very quickly