00115 JILL OLSON 12/20/2013 00:05 How do you, what kind of determines those symptoms on that paperhow do you

determine if its a concussion or something else? 00:29 So theres several ways that we need to manage concussions and theres several critical steps following a concussion that need to be treated correctly to make sure that they dont go down other avenues. Number one, we need to make sure they fully heal because the brain is so vulnerable during that time of healing, theyre much more vulnerable to having another concussion within that time. And if they have another concussion on top of their first one their chance of healing completely is diminished and their chance of having symptoms are much more complicated in the long term has increased. And that can put them into post-concussion syndrome. The other thing that is critical is that their brains are very soft, they could have a second concussion on top of that first concussion, it could be very mild, but it could send them into something called second impact syndrome. And that can be a critical shut down of the brain where the brain can literally shut down and use its ability to autoregulate itself. And youve heard of some athletes that maybe had just a mild blow to the brain after a fairly mild concussion, and suddenly they have this severe brain injury, or they may die in the midst of that, and thats called second impact syndrome. Thats the brains ability to autoregulate itself, and again, end in severe brain injury or death. So the management of those concussions is critical in that time of healing to prevent post concussion syndrome and to prevent second impact syndrome. The other thing that we need to do thats so important that they get the right medical care and right medical diagnostics, is to really sort through all those symptoms and make sure that indeed what were seeing as symptoms of a concussion are not, it may be something else, and that differential diagnosis is imperative to make sure is the nausea from a concussion or is it from something else? It could be dehydration, it could be the flu, it could be morning sickness, it could be a lot of things. So the headaches, if were still saying well theres this, theyre still having concussion syndrome, because they have chronic headaches, well Ive seen athletes that have chronic headaches that they still say oh no, you still have symptoms, you still have concussion symptoms, you cant go back to play because you have headaches, well along the line we failed to look at skeletal issues from the whiplash injuries they havent been diagnosed or assessed by anyone, and when you hit your head hard you have all of these, like a whip lash injury, so I had