scholarly journals 307 Diagnostic Anchoring: Multiple Injuries as an Explanation for Undiagnosed Mild Traumatic Brain Injuries in an Urban Level 1 Emergency Department

2018 ◽  
Vol 72 (4) ◽  
pp. S121
Author(s):  
C.C. Zalesky ◽  
R.K. Patzer ◽  
T. Moran ◽  
T. Espinosa ◽  
J. Ratcliff ◽  
...  
Keyword(s):  
Emergency Department ◽  
Brain Injuries ◽  
Traumatic Brain Injuries ◽  
Multiple Injuries ◽  
Mild Traumatic Brain Injuries ◽  
Urban Level ◽  
Level 1

scholarly journals Maintaining Medical Resources to Treat Paediatric Injuries during COVID-19 Lockdown Is Essential—An Epidemiological Analysis of a Level 1 Trauma Centre in Central Europe

2021 ◽  
Vol 18 (11) ◽  
pp. 5829
Author(s):  
Stephan Payr ◽  
Andrea Schuller ◽  
Theresia Dangl ◽  
Philipp Scheider ◽  
Thomas Sator ◽  
...  
Keyword(s):  
Brain Injuries ◽  
Trauma Surgery ◽  
Paediatric Population ◽  
Traumatic Brain Injuries ◽  
Trauma Centre ◽  
Trauma Patients ◽  
Medical Resources ◽  
Acute Injuries ◽  
Mild Traumatic Brain Injuries ◽  
Level 1

Background: This study examined the effect of the COVID-19 pandemic and the resulting decrease in the incidence of various categories of injuries, with the main focus on fractures and mild traumatic brain injuries in a paediatric population. Methods: This retrospective cohort study evaluated all children from 0 to 18 years of age presenting with an injury at the level 1 trauma centre of the University Clinic of Orthopaedics and Trauma Surgery in Vienna during the lockdown from 16 March to 29 May 2020 compared to records over the same timeframe from 2015 to 2019. Results: In total, 14,707 patients with injuries were included. The lockdown did not lead to a significant decrease in fractures but, instead, yielded a highly significant increase in mild traumatic brain injuries when compared to all injuries that occurred (p = 0.082 and p = 0.0001) as well as acute injuries (excluding contusions, distortions and miscellaneous non-acute injuries) (p = 0.309 and p = 0.034). Conclusions: The percentage of paediatric fractures did not decrease at the level 1 trauma centre, and a highly significant proportional increase in paediatric patients with mild traumatic brain injuries was observed during the COVID-19 lockdown. Therefore, medical resources should be maintained to treat paediatric trauma patients and provide neurological monitoring during pandemic lockdowns.

Incidence of Combat Sport-Related Mild Traumatic Brain Injuries Presenting to the Emergency Department From 2012 to 2016

2018 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Nicholas J. Lemme ◽  
Benjamin Johnston ◽  
Steven F. DeFroda ◽  
Brett D. Owens ◽  
Peter K. Kriz
Keyword(s):  
Emergency Department ◽  
Brain Injuries ◽  
Traumatic Brain Injuries ◽  
Combat Sport ◽  
Mild Traumatic Brain Injuries

scholarly journals Loss-to-follow up factors in emergency department-treated mild traumatic brain injuries

2010 ◽  
Vol 16 (Supplement 1) ◽  
pp. A270-A270 ◽  
Author(s):  
P. Hsu ◽  
J. Kraus ◽  
A. A. Afifi ◽  
F. Vaca ◽  
K. Schaffer
Keyword(s):  
Emergency Department ◽  
Brain Injuries ◽  
Traumatic Brain Injuries ◽  
Loss To Follow Up ◽  
Mild Traumatic Brain Injuries

scholarly journals Evaluation of Common Concussion Tools Used in a Sport’s Setting

2021 ◽  
Vol 18 ◽  
pp. 24-31
Author(s):  
Brady Armitage ◽  
B. Sue Graves
Keyword(s):  
Sports Medicine ◽  
Diagnostic Procedure ◽  
Brain Injuries ◽  
Traumatic Brain Injuries ◽  
Diagnostic Tools ◽  
Mechanism Of Injury ◽  
Mild Traumatic Brain Injuries ◽  
The Brain

Sports medicine advancements are continuously evolving allowing professionals to utilize tools to provide for their athletes’ care. These tools have allowed clinicians to better diagnose and determine the extent of an athlete’s injury. Over the last 20 years, an emphasis has been placed on mild traumatic brain injuries (mTBI) and/or concussions. This focus on mTBI and concussions has led to an understanding of the mechanism of injury (MOI), development of grading/severity scales of injury, and diagnostic tools for properly assessing an athlete suffering from an injury to the brain. Clinicians understanding of concussion has excelled in recent years, but with advancement in technologies and diagnostic tools, all professionals need to understand the importance of incorporating tools into the diagnostic procedure. Thus, the purpose of this review is to evaluate common tools in practice, as well as newer tools, that could be utilized by sports medicine professionals.

Long-Term Anesthetic-Dependent Hypoactivity after Repetitive Mild Traumatic Brain Injuries in Adolescent Mice

2016 ◽  
Vol 38 (3) ◽  
pp. 220-238 ◽  
Author(s):  
Bridgette D. Semple ◽  
Raha Sadjadi ◽  
Jaclyn Carlson ◽  
Yiran Chen ◽  
Duan Xu ◽  
...  
Keyword(s):  
Brain Injuries ◽  
Injury Severity ◽  
Vasogenic Edema ◽  
Head Injuries ◽  
Traumatic Brain Injuries ◽  
Return To Play ◽  
Brain Maturation ◽  
Long Term Outcomes ◽  
Mild Traumatic Brain Injuries

Recent evidence supports the hypothesis that repetitive mild traumatic brain injuries (rmTBIs) culminate in neurological impairments and chronic neurodegeneration, which have wide-ranging implications for patient management and return-to-play decisions for athletes. Adolescents show a high prevalence of sports-related head injuries and may be particularly vulnerable to rmTBIs due to ongoing brain maturation. However, it remains unclear whether rmTBIs, below the threshold for acute neuronal injury or symptomology, influence long-term outcomes. To address this issue, we first defined a very mild injury in adolescent mice (postnatal day 35) as evidenced by an increase in Iba-1- labeled microglia in white matter in the acutely injured brain, in the absence of indices of cell death, axonal injury, and vasogenic edema. Using this level of injury severity and Avertin (2,2,2-tribromoethanol) as the anesthetic, we compared mice subjected to either a single mTBI or 2 rmTBIs, each separated by 48 h. Neurobehavioral assessments were conducted at 1 week and at 1 and 3 months postimpact. Mice subjected to rmTBIs showed transient anxiety and persistent and pronounced hypoactivity compared to sham control mice, alongside normal sensorimotor, cognitive, social, and emotional function. As isoflurane is more commonly used than Avertin in animal models of TBI, we next examined long-term outcomes after rmTBIs in mice that were anesthetized with this agent. However, there was no evidence of abnormal behaviors even with the addition of a third rmTBI. To determine whether isoflurane may be neuroprotective, we compared the acute pathology after a single mTBI in mice anesthetized with either Avertin or isoflurane. Pathological findings were more pronounced in the group exposed to Avertin compared to the isoflurane group. These collective findings reveal distinct behavioral phenotypes (transient anxiety and prolonged hypoactivity) that emerge in response to rmTBIs. Our findings further suggest that selected anesthetics may confer early neuroprotection after rmTBIs, and as such mask long-term abnormal phenotypes that may otherwise emerge as a consequence of acute pathogenesis.

Effects of Recurrent Mild Traumatic Brain Injuries on Incidence, Severity, and Recovery of Concussion in Young Student-Athletes

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Theodore C. Hannah ◽  
Zachary Spiera ◽  
Adam Y. Li ◽  
John Durbin ◽  
Nickolas Dreher ◽  
...  
Keyword(s):  
Student Athletes ◽  
Brain Injuries ◽  
Traumatic Brain Injuries ◽  
Young Student ◽  
Mild Traumatic Brain Injuries

Preexisting conditions in older adults with mild traumatic brain injuries

Brain Injury ◽  
2021 ◽  
pp. 1-9
Author(s):  
Justin E. Karr ◽  
Grant L. Iverson ◽  
Harri Isokuortti ◽  
Anneli Kataja ◽  
Antti Brander ◽  
...  
Keyword(s):  
Older Adults ◽  
Brain Injuries ◽  
Traumatic Brain Injuries ◽  
Mild Traumatic Brain Injuries ◽  
Preexisting Conditions
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