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Unformatted text preview: HEAD Concussion a violent shaking of the brain- Mechanisms 1. Acceleration 2. Deceleration Contrecoup Effect when bleeding is on opposite side of impact Meninges Layers 1. Duramatter 2. Arachnoid Matter 3. Piamatter Cranial Nerves (12) 1. Olfactory (S)-smell 2. Optic (S)-vision 3. Occulomotor (M)-some eye muscles 4. Trochlear (M)-rest of eye muscles 5. Trigeminal (S,M)-sensory of facial region, movement of jaw muscles 6. Abducens (M)-lateral eye movement 7. Facial (S,M)-facial movement, taste, secretion of tears & saliva 8. Vestibucochlear (S)-hearing & equilibrium 9. Glossopharyngeal (S,M)-taste, control of tongue & pharynx, secretion of saliva 10. Vagus (S)-taste, sensation to pharynx, larynx, trachea & bronchioles 11. Accessory (M)-movements of pharynx, larynx, head & shoulders 12. Hypoglossal (M)-tongue movements Level of Consciousness- Amnesia 1. Retrograde General personal information (quality of response) 2. Post Traumatic 3. Cognitive Function- Symptoms 1. Headache 2. Dizziness 3. Nausea 4. Photophobia 5. Vomiting 6. Anger- Grades of Concussion 1(90-95%), 2, 3 // 4(coma), 5, 6(death)- Perla *EYES* are the pupils equal? They will react to light based on the REFLECT ACCOMODATION- Nystagmus *EYES* dancing eyes- Tinnitis *EARS* ringing in the ears- Return to Play Guidelines Grade 1 48 hours (AFTER symptoms are gone) 2 1 week 3 1 month Progression 1. Physical Activity 2. Weight Bearing 3. Sport Specific-If any of the symptoms return, start all over from the beginning- Second Impact Syndrome if you have ongoing symptoms, and you go out and re-damage the brain, there is a better chance of death. if you have ongoing symptoms, and you go out and re-damage the brain, there is a better chance of death....
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- Fall '08