Tag Archives: protocol

Concussion Lawsuit Puts Focus on Tracking Concussed Athletes After They Leave the Playing Field and Engage in Other School Activities; Experts Weigh In

(Editor’s Note: What follows is an excerpt from an article that appeared in the March issue of Concussion Litigation Reporter)

A high school football player in New York has sued Staten Island and its Education Department, claiming they failed to follow proper city and state protocols when the student participated in a gym class, before he had been cleared from a concussion he suffered on the football field, and suffered a subsequent concussion.

The plaintiff was a member of a junior varsity football team when on Sept. 26, 2015 he suffered a concussion during a game. Protocol dictated that he could not resume athletic activities until he had been declared symptom-free for at least 24 hours and received written authorization from a physician.

Such an authorization must be maintained as part of the student’s permanent health record, according to the complaint. The plaintiff also alleges that the city’s Education Department requires that the prohibition applies to all physical activities within the school, including before- and after-school programs, physical education, recess and leagues.

But on March 16, 2016, during a PE class, he was convinced by his classmates to participate in a field hockey game in the school gymnasium. He suffered a second concussion, when he tripped and fell. This has caused him to suffer from “classic concussion symptoms,” such as dizziness, inability to concentrate and nausea, according to the complaint.

The boy’s mother has alleged …

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Dolphins Slammed for Failure to Follow Concussion Protocol, NFL Releases Statement

The NFL just released the following statement:

The NFL and NFLPA have reviewed the application of the Concussion Protocol by the Dolphins’ medical staff in the January 8th Steelers-Dolphins game.

The Miami Dolphins were notified in a letter co-signed by Dr. Hunt Batjer, Co-Chair of the NFL Head, Neck & Spine Committee and Dr. Thom Mayer, Medical Director for the NFLPA, that the NFL-NFLPA review determined that the Protocol was not strictly followed. The letter further advised the Dolphins that they must engage their staff in a full review of the Protocol and conduct additional education, if necessary. The Dolphins were also advised that any future deviation from the Protocol may result in enhanced discipline, including monetary fines assessed against the Club.

In the second quarter, Dolphins quarterback Matt Moore incurred a hit to the chin and mouth area which drew a roughing the passer penalty. Mr. Moore was attended to by medical staff on the field and on the sideline. The team doctor took appropriate steps to promptly and fully involve the Unaffiliated Neuro-trauma Consultant (UNC) in the medical evaluation of the player and review of the video. They jointly cleared Mr. Moore to return to the game, but did not recognize that Mr. Moore presented a documented symptom, bleeding from the mouth, that required further evaluation in the locker room under the protocol. There is no indication that competitive issues had an impact on the care that Mr. Moore received, nor did Mr. Moore demonstrate any concussion symptoms either during or at any time following the game.

It is important for us to ensure everyone understands and follows the Protocol and that we continue to reinforce its importance. The co-chairmen of the NFL’s Head, Neck and Spine Committee sent a memo to the medical staffs of the clubs participating in the playoffs reminding them of that point.

The objective of the Concussion Protocol is to ensure a standardized process composed of best practices is used to identify and manage potential concussions. Concussion diagnosis and management is often a difficult and complex exercise, compounded by hectic game conditions. Accurate diagnosis and management of concussion requires a collaborative approach among experienced physicians on the sideline, each acutely aware of his or her responsibilities and all committed to the strict application of the protocol designed to protect players.

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UK Multidisciplinary Team Presents First of its Kind Protocol for Traumatic Brain Injuries in Equine Sports

Health providers, researchers and other professionals from the University of Kentucky who work in the area of traumatic brain injury developed and presented the Saddle Up Safely Concussion Assessment Tool and Return to Riding Protocol for Concussions in Equine Sports at the 5th International Consensus Conference on Concussion in Sports in Berlin, Germany, this past fall.

The conference was hosted and organized by Fédération Internationale de Football Association (FIFA), International Ice Hockey Federation (IIHF), International Olympic Committee (IOC), World Rugby, and Fédération Equestre Internationale (FEI) and has evolved into the world’s most influential process for policy makers on concussions in sport. 

Representing UK at the conference were Dr. Dan Han, associate professor of Neurology, Neurosurgery, and Physical Medicine & Rehabilitation at the UK College of Medicine, Bill Gombeski, senior advisor at UK HealthCare,  Fernanda Camargo, associate extension professor at the UK College of Agriculture, and Carl Mattacola, professor in the Athletic Training Program at the UK College of Health Sciences. Also playing a major role in the development of the concussion tool but unable to attend the conference were Dr. Erika Erlandson, assistant professor of Physical Medicine & Rehabilitation at the UK College of Medicine, and Jill Stowe, director of Equine Programs at the UK College of Agriculture. The multidisciplinary effort represented Saddle Up Safety (SUS), the Kentucky Neuroscience Institute (KNI), the Sports Medicine Research Institute (SMRI), the Spinal Cord and Brain Injury Research Center (SCoBIRC), Physical Medicine & Rehabilitation (PM&R), the Equine Program, and UK HealthCare. 

The UK team identified key questions that needed to be addressed in advance, identified and reviewed relevant articles, and developed early recommendations which they presented to conference attendees. 

“It was clear that in the area of equestrian sports concussion and return to riding protocol, that UK is one of the world leaders,” Gombeski said. “Individuals attending the conference from around the world discussed the work that the UK group shared and to learn more about using the concussion assessment tool and return to riding guidelines that members of the Saddle Up Safely program created.” 

The Return to Riding Protocol for Equine Sport is the first of its kind for equine specific head injury. Presentations (5 in total) by the UK team members will be published in the May 2017 issue of the British Journal of Sports Medicine. The conference recommendations created this year will come out online in February.

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