Other Concerns

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Other trauma to consider with head injuries are vascular bleeds. There are two basic types of this injury, subdural hematoma and epidural hematoma. These two injuries are life threatening and demand immediate medical intervention. Subdural hematomas are usually due to the shearing forces of acceleration and not impact. The blood vessels on the surface of the brain are torn and begin to bleed. The athlete probably will not loose consciousness. This is a slowly developing injury, if treatment is begun within the first four hours there is a much lower mortality rate.

Epidural hematomas are a much faster progressing injury. The athlete will first suffer a LOC, then have a lucid moment, followed by a rapid decline in mental function. Most epidural hematomas are associated with a skull fracture. Surgical intervention is a must to prevent death.

After an athlete has suffered a concussion he may suffer from post concussive syndrome. This can be seen after even grade 0 or 1 concussions. It is characterized by headaches, inability to concentrate, irritability, and fatigue. These symptoms usually appear within 48 hours and may last for weeks or months. A CT scan of the individual will usually show no problems. There is no definitive treatment other that to control the symptoms. It is important to limit the athlete’s activities if they are suffering post concussive syndrome.

The bottom line is the safety of the athlete. We have only one brain, when it is damaged it is for life. If there is any question with the disposition of a head injury, refer to the proper medical professional. Don’t take anything for granted.

©2000 - 2009 David Edell

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Last Update for AthleticAdvisor.com: 10/24/2009 12:09:35 AM