CONCUSSION

AWARENESS
WHAT THEY ARE, HOW
THEY HAPPEN, & HOW TO
PROTECT YOURSELF

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CONCUSSIONS ARE TBIS

Weve all done it -- accidentally knocked our head against something and

wondered whether it was serious. Its human nature to check for bleeding
and, usually finding none, we rub the spot that hurts and carry on. But thats
the insidious nature of concussions if there is any bleeding or swelling, its
internal.

Concussions are so pervasive that it has been estimated that three-quarters

of all Americans will experience at least one in their lifetime. Concussions

are a type of traumatic brain injury (TBI), which is a major cause of disability
and death in the United States.

TBIs contribute to more than 50,000 deaths in this country every year and

are a diagnosis in more than 280,000 hospitalizations and 2.2 million

emergency department visits. The leading causes of concussions seen in EDs
across the country include vehicle wrecks, sports, slips/falls, unintentional
blunt force traumas, and assaults.

HOW SERIOUS IS IT?

By their very nature, concussions are significant injuries. Experts stress that there is no such thing as a minor concussion
and that a loss of consciousness is not required for there to be a critical problem.
Concussions typically come in three grades.
Mild/Grade 1: A Grade 1 concussion is the least serious, occurring when the brain is injured but the person does not

lose consciousness and the degree of disorientation is low. The confusion lasts for only a short time.

Moderate/Grade 2: With a Grade 2 concussion, the degree of disorientation is higher and lasts longer than 15

minutes. It also may involve a persons not being able to recall certain details, such as incurring the injury (post-traumatic
stress amnesia).

Severe/Grade 3: A Grade 3 event causes unconsciousness (usually for only a brief period of time) or amnesia

regarding a larger range of details such as what occurred just before or just after the injury.

COMMON SYMPTOMS
The brain is a complicated organ, controlling the bodys functions and performing an incredible number of tasks. It is hardwired to protect
itself from injury, so oftentimes concussion symptoms might not be noticed for several days or weeks, if it all. Because each persons brain is
unique, no two concussions are the same.

Common emotional
symptoms include:

Common physical
symptoms include:

Common cognitive symptoms

include problems with:

Anxiety

Headaches

Numbness

Memory

Balance

Irritability

Fatigue

Dizziness

Judgment

Concentration

Depression

Nausea

Loss of smell

Speech

Coordination

Feeling overstimulated.

Blurry vision

Reflexes

Sleep.

Weakness

or taste

Tinnitus
Sensitivity to

light or noise.

VEHICLE ACCIDENTS
On average, there are 5.4 million non-fatal car collisions every year in

the United States. In 2012, more than 24,000 of those vehicle

wrecks were on Kentucky roads, resulting in just about every

injury imaginable. Although concussions can be the only injury
received in a traffic accident, more often than not they are suffered
along with more obvious bodily wounds such as broken bones, burns,
or paralysis. Even if you feel alright after an accident, it is always a good
idea to seek medical care. Brain injuries may take a delayed path, initially
having no symptoms or mild ones that worsen over time.

HOW CONCUSSIONS RESULT FROM WRECKS

Even without a direct hit to the head, a car accident can still jolt the brain enough to result in a

concussion.While few of us think about our high school lessons on Newtons laws of motion, those laws are always at
work, and they are the reason that a sudden deceleration can result in a brain injury.

To simplify the science behind it, just imagine yourself riding in a car. If the car suddenly stops, your body continues to

move forward at the same speed as the speed the car was traveling before it was stopped until some external force
stops it. In the best scenario, you were wearing your seatbelt and that acts to stop your body from hitting the dashboard
or windshield.

But your brain doesnt have its own seatbelt, so it continues at the same speed as the car until it hits the inside of your

skull.

The impact of a traffic accident causes the soft tissue of a drivers or passengers brain to crash back and forth against

the skulls inner wall, causing bruising, bleeding, and tearing of nerve fibers.

CONCUSSIONS IN SPORTS: THE NUMBERS

Concussions can happen in any sport, at any experience level. The University

of Pittsburghs Brain Trauma Research Center estimates that more than

300,000 sports-related concussions occur in the U.S. every year and that the
likelihood of suffering a concussion while playing a contact sport is as high as
19 percent per year of play.

The National Federation of State High School Associations estimates that

about 140,000 high school athletes suffer concussions every year, although
many go unreported.

The CDC reports that among the 38 million youths who participate in

organized sports in the United States, concussion is the most common injury
and has risen 57 percent among children (age 19 or younger).

LOOKING OUT FOR YOUNG ATHLETES

Its important to recognize that, for many players, it can be hard to admit
they are injured and be pulled from the game. Young athletes especially
may hide or downplay their symptoms because, among other
reasons, they:
Dont fully appreciate the health threats posed by concussions
Are eager to play

Dont want to disappoint their teammates

Think they can push through it.

Given the severity of the possible consequences, the American Academy of

Neurology recommends that any athlete suspected of having experienced a
concussion should be removed from play immediately, and the process of
returning should be gradual. Far too many players feel the pressure to
return prematurely instead of allowing themselves the time necessary for a
full recovery.

CONCUSSION RISKS IN YOUTH BASKETBALL

Basketball is the countrys most popular youth sport, played by one million children each academic

year. Contrary to many first impressions, it is also a contact sport. Collisions are common ball to
head, player to player, even head to floor.

About 375,000 children and teenagers are treated in hospital emergency rooms each year

for basketball-related injuries, and the proportion related to head trauma is on the rise.

A report in Official Journal of the American Academy of Pediatrics determined that basketball

accounted for more than nine percent of athletic concussions among 8- to 19-year-olds, placing it
second among youth sports, behind only football (22 percent).

Other researchers who examined ER visits for 5- to 19-year-olds found that traumatic brain

injuries associated with playing basketball, predominantly in the form of concussion, had spiked
70 percent between 1997 and 2007.

TODAYS NCAA PLAYERS & HEAD INJURIES

Todays basketball players are bigger and stronger than they used to be. For

example, the number of Division I players 6 feet 9 inches or taller

increased from 649 in the 2000-1 season to 681 in the 2008-9
season. This extra force and mass means physical collisions are more likely
to result in injury -- specifically concussions -- because players dont wear
head protection. While no helmet is concussion-proof, wearing one can help
protect athletes from serious brain injuries. The NCAA has begun treating
concussions as a priority and now requires its member institutions to have
a concussion-management plan outlining a return-to-play protocol for their
student-athletes.

CONCUSSIONS AT FOOTBALL PRACTICES & GAMES

According to the NCAA Injury Surveillance Center, ten percent of all college football players sustain brain injuries,

which is an average of 1,364 per year. The growing awareness that concussions can have serious long-term effects
has led the NCAA Football Rules Committee to adopt harsher penalties for targeting on the field, and every school is
required to have a concussion-management plan. Of course, football is a collision sport, with large bodies forcefully
knocking into one another.

Football is the most popular sport in the nation for high school boys, according to the National Federation of State High

School Associations, with 1.1 million boys playing. All those athletes need to practice their skills, and perhaps because
practices happen more often than games, there are more opportunities to get hurt.

Whatever the reason, high school and college football players are more likely to suffer a concussion during practices

than in a game (58 percent vs. 42 percent). Overall, college students had the highest rate of concussions during games,
with 3.74 per 1,000 games compared to 2.01 for those in high school and 2.38 for youths. High school
students had the highest rates during practices.

THE NFLS REPETITIVE HEAD TRAUMA CRISIS

Recently, a settlement was finally reached in a 2013 lawsuit

brought by more than 4,500 ex-professional players against

the NFL claiming that it failed to protect them adequately against
concussions and head injuries.The NFL agreed to pay $765
million to settle the claims, which is good news for the former
players who have developed health problems linked to repeated
blows to the head sustained on the football field.

The crisis has raised some concerns about the sports future. Though

a majority of Americans polled said they expect football to be just as

popular in 20 years, 50 percent said they would not want their son
to play the game.

NFLS CONCUSSION PROTOCOL

The NFL and the NFL Players Association have now agreed to follow guidelines designed to probe and

punish teams that violate the league's game-day concussion protocol. Discipline for violations involve

hefty fines and loss of draft picks. Among other rules, a player who has signs of a concussion on the
field and does not require transport for more serious injury must be removed and evaluated by the
Club medical team. The evaluation must include a sideline and/or locker room exam using the NFL

Sideline Concussion Assessment Tool and must be entered into the players medical record. If a
concussion is diagnosed, same-day return to practice or play is strictly prohibited.

SLIPS & FALLS IN THE ELDERLY

While young adults are often involved in serious car wrecks or

suffer sports injuries, its the elderly that are prone to slips and
falls. The CDC reports that falls were the primary reason that
people age 65 and older visited the emergency room from 2006
to 2010, accounting for almost 82 percent of their TBI-related
visits. And because concussions are often missed or
misdiagnosed, its important to be especially alert if you know
that an older adult has fallen or has a fall-related injury such as a
broken hip. Older people often take anticoagulant medication to
prevent blood clots, which makes them extremely vulnerable to
the effects of a bump or blow to the head. Furthermore,
concussions that happen to seniors usually take more time to
heal.

LINK BETWEEN CONCUSSIONS & DEMENTIA?

Of further concern is the increased risk of dementia in those who experience a concussion

at age 65 or older. Some researchers have found that there is about a 26 percent increased
chance that an older adult will get dementia if theyve fallen and had a mild concussion, as

opposed to an injury elsewhere on their body, such as a broken arm or leg. As for those who
suffer more than one traumatic injury to the brain, dementia risk more than doubles.
However, it is not yet known whether concussions actually cause or accelerate degeneration
of the brain.

FALL PREVENTION FOR THE ELDERLY

Common sense tips for reducing fall risk include these:
Make sure your glasses are the right prescription.
Wear shoes inside as well as outside.
Get moderate exercise to help improve balance.
Dont get up too quickly.
Remove throw-rugs in your house.

Install grab bars in your bathroom.

Keep your stairs free of clutter.

MULTIPLE CONCUSSIONS ARE DANGEROUS

Once someone has had a concussion, it becomes easier for them to have a second concussion. Every additional

concussion that occurs will increase the chances of a future concussion, and just as age can increase recovery times, so
can a history of concussions. A teenager with a fourth concussion may actually recover more slowly than a 65-year-old
with a first concussion.
Furthermore, people who get repeated head injuries can have permanent brain damage if they try to resume their

normal routine too quickly after a concussion. A second concussion soon after the first does not have to be very strong
for its effects to be permanently disabling or even deadly.
Brain swelling that occurs when a second concussion is sustained before a previous concussion is completely healed is

known as second-impact syndrome, and it can be fatal.

TREATMENT
If someone is still suffering from concussion-like symptoms and they continue

to be active, they could make their injury even worse. This is why its so critical
that people who experience a concussion not resume normal activities

(especially sports) until they have completely recovered. Rest means avoiding
general physical exertion as well as limiting activities that require thinking and
mental concentration. The best treatment is to allow time for the brain to
heal.

LEGAL OPTIONS & ASSISTANCE

AS A PERSONAL INJURY FIRM, WE HAVE HELPED MANY CLIENTS SUFFERING FROM BRAIN INJURIES SEEK FINANCIAL COMPENSATION
FOR MEDICAL BILLS, LOST WAGES, PAIN AND SUFFERING, AND MORE. IF YOU OR SOMEONE YOU LOVE SUFFERED A CONCUSSION,YOU
WANT A KENTUCKY BRAIN INJURY LAWYER THAT WILL BE AN ADVOCATE FOR YOU.
PROTECT YOUR RIGHTS BY CALLING THE JOHNSON LAW FIRM AT 606-433-0682 OR BY FILLING OUT OUR
CONSULTATION FORM FOR A FREE ASSESSMENT OF YOUR CASE.

www.billyjohnsonlaw.com