Saturday, December 07, 2013

Sensible thoughts on concussions

Given our inability to accurately measure the neurological damage from concussions, this seems like a prudent step.  From ScienceDaily:

Any athlete with concussion symptoms should not be allowed to return to play on the same day, according to the latest consensus statement on sports-related concussion. The updated guidelines are summarized in Neurosurgery, official journal of the Congress of Neurological Surgeons.

The fourth consensus report from the Concussion in Sport Group (CISG 4) represents the latest recommendations from an expert panel, sponsored by five international sports governing bodies. "The statement now makes clear that no athlete at any age or level of competition should be returned to play on the same day a concussion is diagnosed," write Drs. Allen K. Sills, Gary Solomon, and Richard Ellenbogen.

Wouldn't it be great, though, if the article were available for public view? Why can't these journals make articles of general public interest available to the public, like the New England Journal of Medicine does?


e-Patient Dave said...

Thanks, Paul. I'd like to add a dimension to your suggestion.

I understand the argument that many journals are struggling with how to have a functioning business if they give away everything. I'd like to propose one possible filter:

Where it's a matter of public safety,
and it would make a difference
if informed citizens banged the drum,
it seems we actually hold back public safety
if we don't TELL those citizens.

Paul Levy said...

Perfect summary, Dave.

Irvin said...

Neurosurgery published the consensus statement from CISG 4 this month, however the actual consensus statement has already been published by the British Journal of Sports Medicine. The article is also entirely free to download and read.

Just a little FYI. Great read!

Paul Levy said...

Thank you!

Ronen Gadot said...

Our company is dealing with the objective monitoring of recovery from concussion to aid in a better return-to-play decision making. See link to a nice item CBS has done on a pilot we are conducting in MN with 150 youth hockey players. This is one of 6 such pilots we are currently running in the US:

Ronen Gadot
ElMindA Ltd