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SPORTS MEDICINE :
MEDICAL: PHYSICIANS :
MEDICAL: CONDITIONS: CONCUSSIONS :
MEDICAL: DIAGNOSIS :
MEDICAL ORGANIZATIONS : AMERICAN ACADEMY OF PEDIATRICS (AAP):
AAP National Conference:
Sports Medicine Doctors to Review Tools for Diagnosing Concussions
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Sports Medicine Doctors to Review Tools for Diagnosing Concussions
Carla Kemp, Senior Editor
CME
AAP News
October 25, 2016
http://www.aappublications.org/news/2016/10/25/Concussion102516
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Among the tools Drs. Peterson and Walter will discuss are the Sport
Concussion Assessment Tool, 3rd Edition (SCAT3), Balance Error Scoring
System (BESS) and vestibular-ocular assessments.
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Many pediatricians are aware of the SCAT3, which is the main concussion
test used on the sidelines. Many also use the tool in the office, although
there are not a lot of data on its usefulness in the clinic setting, said
Dr. Peterson, a member of the AAP Council on Sports Medicine and Fitness
Executive Committee.
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They also may talk about the King-Devick Test and C3 Logix, which Dr.
Peterson called hot topics in concussion management.
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The big take-home point is that these are really tools, he said. Its not
that theres a good gold standard diagnostic test for concussions, and
nothing really replaces your clinical judgment, but there are certain
tools that can help you hedge your bet a little bit, help you make a
better decision.
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Attendees then will have a chance to do some of the tests on each other.
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We really want the meat of this to be how to assess someone who you think
might have a concussion or to assess if someone is fully recovered from
their concussion and might be ready for return to play, Dr. Peterson said.
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Although injured athletes typically are assessed during a game,
pediatricians still can expect to see many of them.
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Most athletic trainers and other people that are covering events arent
sending people to the emergency room for concussion anymore, which has
been a real improvement in concussion care, so pediatricians are very
likely to run into these patients in their clinic, Dr. Peterson said. In
addition, all states have laws requiring a medical provider to provide
written clearance before a concussed athlete is allowed to return to play.
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The biggest challenge pediatricians face in diagnosing concussions or
determining if an athlete is ready to return to play is unfamiliarity, he
said. If you see a lot of concussions, its very easy.
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Sometimes youll have situations where the families or the coaches or the
athletic trainers legitimately know more about the disease than you do
because theyve had more experience with it, Dr. Peterson said. So giving
pediatricians tools they can use so they can work through an examination
in a stepwise manner, I think can improve their confidence.
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For more coverage of the AAP National Conference & Exhibition visit
http://www.aappublications.org/collection/cme
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The complete article may be read at the URL above.
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Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@xxxxxxxxxx
http://workface.com/e/daviddillard
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