Concussion is “a complex pathophysiological process affecting the brain, induced by traumatic biomechanical forces.” Concussion results from acceleration and deceleration forces which may be caused either by a direct blow to the head, face, neck or elsewhere on the body with an 'impulsive' force transmitted to the head.
Bottom Line Recommendations: Concussion
Zemek R & TREKK Network
Zemek R & TREKK Network
Bottom line recommendations for the treatment and management of concussion. Updated: August 2018.
Bottom line recommendations for the treatment and management of concussion. Updated: August 2018.
Bottom Line: The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5)
Davis GA, Purcell L, Schneider KJ, Yeates KO, Gioia GA, Anderson V, Ellenbogen RG, Echemendia RJ, Makdissi M, Sills A, Iverson GL, Dvorak J, McCrory P, Meeuw...
Davis GA, Purcell L, Schneider KJ, Yeates KO, Gioia GA, Anderson V, Ellenboge...
The Child SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The Child SCAT5 is to be used for evaluating Children aged 5 to 12 years. For athletes aged 13 years and older, please use the SCAT5.
The Child SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The Child SCAT5 is to be used for evaluating Children aged 5 to 12 years. For athletes aged 13 years and older, please use the SCAT5.
Bottom Line: The Sport Concussion Assessment Tool 5th Edition (SCAT5)
Echemendia RJ, Meeuwisse W, McCrory P, Davis GA, Putukian M, Leddy J, Makdissi M, Sullivan SJ, Broglio SP, Raftery M, Schneider K, Kissick J, McCrea M, Dvora...
Echemendia RJ, Meeuwisse W, McCrory P, Davis GA, Putukian M, Leddy J, Makdiss...
The SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The SCAT5 is to be used for evaluating athletes aged 13 years and older. For children aged 12 years or younger, please use the Child SCAT5.
The SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The SCAT5 is to be used for evaluating athletes aged 13 years and older. For children aged 12 years or younger, please use the Child SCAT5.
Bottom Line: Management of Acute Symptoms Algorithm
Ontario Neurotrauma Foundation
Ontario Neurotrauma Foundation
This document is intended to guide health care professionals in diagnosing and managing pediatric concussion. See Page 48 of this document for the Management of Acute Symptoms Algorithm (Tool 2.1).
This document is intended to guide health care professionals in diagnosing and managing pediatric concussion. See Page 48 of this document for the Management of Acute Symptoms Algorithm (Tool 2.1).
Emergency Medicine Cases Podcast: Pediatric head injury
Dr. Rahim Valani and Dr. Jennifer Riley
Dr. Rahim Valani and Dr. Jennifer Riley
Episode 3:Dr. Rahim Valani and Dr. Jennifer Riley discuss their approach to the workup and management of both minor and major Pediatric Head Injury. They review two recent landmark studies (Kupperman PECARN & CATCH studies) describing clinical decision rules for performing CT head in minor pediatric head injury, as well as practical tips on instructing parents regarding back to sport activities after discharge. In major pediatric head injury, they discuss key clinical pearls on managing blood pressure, the use of hypertonic saline and managing raised intracranial pressure in the treatment of major head injury. Published online: April 2010.
Episode 3:Dr. Rahim Valani and Dr. Jennifer Riley discuss their approach to the workup and management of both minor and major Pediatric Head Injury. They review two recent landmark studies (Kupperman PECARN & CATCH studies) describing clinical decision rules for performing CT head in minor pediatric head injury, as well as practical tips on instructing parents regarding back to sport activities after discharge. In major pediatric head injury, they discuss key clinical pearls on managing blood pressure, the use of hypertonic saline and managing raised intracranial pressure in the treatment of major head injury. Published online: April 2010.
Bottom Line: Acute Concussion Evaluation (ACE): Physician/Clinician Office Version
Goia G, Collins M
Goia G, Collins M
The ACE is intended to provide an evidence-based clinical protocol to conduct an initial evaluation and diagnosis of patients (both children and adults) with known or suspected mild traumatic brain injury.
The ACE is intended to provide an evidence-based clinical protocol to conduct an initial evaluation and diagnosis of patients (both children and adults) with known or suspected mild traumatic brain injury.
Recommandations de Base: Commotion cérébrale (TCC léger)
Zemek R and TREKK Network
Zemek R and TREKK Network
Bottom line recommendations for the treatment and management of concussion - en francais. Updated: August 2018.
Bottom line recommendations for the treatment and management of concussion - en francais. Updated: August 2018.
Bottom Line Recommendations: Concussion
Zemek R & TREKK Network
Zemek R & TREKK Network
Bottom line recommendations for the treatment and management of concussion. Updated: August 2018.
Bottom line recommendations for the treatment and management of concussion. Updated: August 2018.
Recommandations de Base: Commotion cérébrale (TCC léger)
Zemek R and TREKK Network
Zemek R and TREKK Network
Bottom line recommendations for the treatment and management of concussion - en francais. Updated: August 2018.
Bottom line recommendations for the treatment and management of concussion - en francais. Updated: August 2018.
Bottom Line: The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5)
Davis GA, Purcell L, Schneider KJ, Yeates KO, Gioia GA, Anderson V, Ellenbogen RG, Echemendia RJ, Makdissi M, Sills A, Iverson GL, Dvorak J, McCrory P, Meeuw...
Davis GA, Purcell L, Schneider KJ, Yeates KO, Gioia GA, Anderson V, Ellenboge...
The Child SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The Child SCAT5 is to be used for evaluating Children aged 5 to 12 years. For athletes aged 13 years and older, please use the SCAT5.
The Child SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The Child SCAT5 is to be used for evaluating Children aged 5 to 12 years. For athletes aged 13 years and older, please use the SCAT5.
Bottom Line: The Sport Concussion Assessment Tool 5th Edition (SCAT5)
Echemendia RJ, Meeuwisse W, McCrory P, Davis GA, Putukian M, Leddy J, Makdissi M, Sullivan SJ, Broglio SP, Raftery M, Schneider K, Kissick J, McCrea M, Dvora...
Echemendia RJ, Meeuwisse W, McCrory P, Davis GA, Putukian M, Leddy J, Makdiss...
The SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The SCAT5 is to be used for evaluating athletes aged 13 years and older. For children aged 12 years or younger, please use the Child SCAT5.
The SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The SCAT5 is to be used for evaluating athletes aged 13 years and older. For children aged 12 years or younger, please use the Child SCAT5.
Bottom Line: Management of Acute Symptoms Algorithm
Ontario Neurotrauma Foundation
Ontario Neurotrauma Foundation
This document is intended to guide health care professionals in diagnosing and managing pediatric concussion. See Page 48 of this document for the Management of Acute Symptoms Algorithm (Tool 2.1).
This document is intended to guide health care professionals in diagnosing and managing pediatric concussion. See Page 48 of this document for the Management of Acute Symptoms Algorithm (Tool 2.1).
Emergency Medicine Cases Podcast: Pediatric head injury
Dr. Rahim Valani and Dr. Jennifer Riley
Dr. Rahim Valani and Dr. Jennifer Riley
Episode 3:Dr. Rahim Valani and Dr. Jennifer Riley discuss their approach to the workup and management of both minor and major Pediatric Head Injury. They review two recent landmark studies (Kupperman PECARN & CATCH studies) describing clinical decision rules for performing CT head in minor pediatric head injury, as well as practical tips on instructing parents regarding back to sport activities after discharge. In major pediatric head injury, they discuss key clinical pearls on managing blood pressure, the use of hypertonic saline and managing raised intracranial pressure in the treatment of major head injury. Published online: April 2010.
Episode 3:Dr. Rahim Valani and Dr. Jennifer Riley discuss their approach to the workup and management of both minor and major Pediatric Head Injury. They review two recent landmark studies (Kupperman PECARN & CATCH studies) describing clinical decision rules for performing CT head in minor pediatric head injury, as well as practical tips on instructing parents regarding back to sport activities after discharge. In major pediatric head injury, they discuss key clinical pearls on managing blood pressure, the use of hypertonic saline and managing raised intracranial pressure in the treatment of major head injury. Published online: April 2010.
Bottom Line: Acute Concussion Evaluation (ACE): Physician/Clinician Office Version
Goia G, Collins M
Goia G, Collins M
The ACE is intended to provide an evidence-based clinical protocol to conduct an initial evaluation and diagnosis of patients (both children and adults) with known or suspected mild traumatic brain injury.
The ACE is intended to provide an evidence-based clinical protocol to conduct an initial evaluation and diagnosis of patients (both children and adults) with known or suspected mild traumatic brain injury.
Concussions and Head Injuries in Children: Care Instructions
Resources on Concussion in a Virtual Environment (Recover)
Resources on Concussion in a Virtual Environment (Recover)
RECOVER (Resources on Concussion in a Virtual Environment) was a study being conducted by researchers at Alberta Health Services, the University of Calgary and the University of Alberta. To improve outcomes for children with concussion who are seen in emergency departments, the study developed tools to help physicians and nurses provide better care and to help families to learn more about, assess, and monitor concussion.
RECOVER (Resources on Concussion in a Virtual Environment) was a study being conducted by researchers at Alberta Health Services, the University of Calgary and the University of Alberta. To improve outcomes for children with concussion who are seen in emergency departments, the study developed tools to help physicians and nurses provide better care and to help families to learn more about, assess, and monitor concussion.
Living Guideline For Diagnosing And Managing Pediatric Concussion - Family Version
Ontario Neurotrauma Foundation
Ontario Neurotrauma Foundation
In 2019, the Ontario Neurotrauma Foundation worked with
concussion experts and researchers to create a living clinical
practice guideline for pediatric concussion.
In 2019, the Ontario Neurotrauma Foundation worked with
concussion experts and researchers to create a living clinical
practice guideline for pediatric concussion.
Guidelines: Consensus statement on concussion in sport-the 5(th) international conference on concussion in sport held in Berlin, October 2016
McCrory P, Meeuwisse W, Dvorak J, Aubry M, Bailes J, Broglio S, Cantu RC, Cassidy D, Echemendia RJ, Castellani RJ, Davis GA, Ellenbogen R, Emery C, Engebrets...
McCrory P, Meeuwisse W, Dvorak J, Aubry M, Bailes J, Broglio S, Cantu RC, Cas...
The 2017 Concussion in Sport Group (CISG) consensus statement is designed to build on the principles outlined in the previous statements and to develop further conceptual understanding of sport-related concussion (SRC) using an expert consensus-based approach.
The 2017 Concussion in Sport Group (CISG) consensus statement is designed to build on the principles outlined in the previous statements and to develop further conceptual understanding of sport-related concussion (SRC) using an expert consensus-based approach.
Guidelines: Guidelines for Diagnosing and Managing Pediatric Concussion: Recommendations for Health Care Professionals
Zemek R, Duval S, Dematteo C, Solomon B, Keightley M, Osmond M
Zemek R, Duval S, Dematteo C, Solomon B, Keightley M, Osmond M
This document is intended to guide health care professionals in diagnosing and managing pediatric concussion.
This document is intended to guide health care professionals in diagnosing and managing pediatric concussion.
Guidelines: Care of the Patient with mild traumatic brain injury
West TA, Bergman K, Biggins MS, French B, Galletly J, Hinkle JL, Morris J
West TA, Bergman K, Biggins MS, French B, Galletly J, Hinkle JL, Morris J
The purpose of this document is to provide recommendations based on current evidence that will help registered nurses, advanced practice nurses, and institutions provide safe and effective care to injured patients with a mild traumatic brain injury.
The purpose of this document is to provide recommendations based on current evidence that will help registered nurses, advanced practice nurses, and institutions provide safe and effective care to injured patients with a mild traumatic brain injury.
Concussions and Head Injuries in Children: Care Instructions
Resources on Concussion in a Virtual Environment (Recover)
Resources on Concussion in a Virtual Environment (Recover)
RECOVER (Resources on Concussion in a Virtual Environment) was a study being conducted by researchers at Alberta Health Services, the University of Calgary and the University of Alberta. To improve outcomes for children with concussion who are seen in emergency departments, the study developed tools to help physicians and nurses provide better care and to help families to learn more about, assess, and monitor concussion.
RECOVER (Resources on Concussion in a Virtual Environment) was a study being conducted by researchers at Alberta Health Services, the University of Calgary and the University of Alberta. To improve outcomes for children with concussion who are seen in emergency departments, the study developed tools to help physicians and nurses provide better care and to help families to learn more about, assess, and monitor concussion.
Living Guideline For Diagnosing And Managing Pediatric Concussion - Family Version
Ontario Neurotrauma Foundation
Ontario Neurotrauma Foundation
In 2019, the Ontario Neurotrauma Foundation worked with
concussion experts and researchers to create a living clinical
practice guideline for pediatric concussion.
In 2019, the Ontario Neurotrauma Foundation worked with
concussion experts and researchers to create a living clinical
practice guideline for pediatric concussion.
Guidelines: Consensus statement on concussion in sport-the 5(th) international conference on concussion in sport held in Berlin, October 2016
McCrory P, Meeuwisse W, Dvorak J, Aubry M, Bailes J, Broglio S, Cantu RC, Cassidy D, Echemendia RJ, Castellani RJ, Davis GA, Ellenbogen R, Emery C, Engebrets...
McCrory P, Meeuwisse W, Dvorak J, Aubry M, Bailes J, Broglio S, Cantu RC, Cas...
The 2017 Concussion in Sport Group (CISG) consensus statement is designed to build on the principles outlined in the previous statements and to develop further conceptual understanding of sport-related concussion (SRC) using an expert consensus-based approach.
The 2017 Concussion in Sport Group (CISG) consensus statement is designed to build on the principles outlined in the previous statements and to develop further conceptual understanding of sport-related concussion (SRC) using an expert consensus-based approach.
Guidelines: Guidelines for Diagnosing and Managing Pediatric Concussion: Recommendations for Health Care Professionals
Zemek R, Duval S, Dematteo C, Solomon B, Keightley M, Osmond M
Zemek R, Duval S, Dematteo C, Solomon B, Keightley M, Osmond M
This document is intended to guide health care professionals in diagnosing and managing pediatric concussion.
This document is intended to guide health care professionals in diagnosing and managing pediatric concussion.
Guidelines: Care of the Patient with mild traumatic brain injury
West TA, Bergman K, Biggins MS, French B, Galletly J, Hinkle JL, Morris J
West TA, Bergman K, Biggins MS, French B, Galletly J, Hinkle JL, Morris J
The purpose of this document is to provide recommendations based on current evidence that will help registered nurses, advanced practice nurses, and institutions provide safe and effective care to injured patients with a mild traumatic brain injury.
The purpose of this document is to provide recommendations based on current evidence that will help registered nurses, advanced practice nurses, and institutions provide safe and effective care to injured patients with a mild traumatic brain injury.
Evidence Summary: Management of paediatric minor head injuries. Safe discharge?
Hunter F
Hunter F
This summary answers the question: In paediatric patients with minor head injury, GCS (Glasgow Coma Score) 15 and no focal neurological deficit does a normal computed tomography brain scan allow safe discharge?
This summary answers the question: In paediatric patients with minor head injury, GCS (Glasgow Coma Score) 15 and no focal neurological deficit does a normal computed tomography brain scan allow safe discharge?
Evidence Summary: Management of paediatric minor head injuries. Safe discharge?
Hunter F
Hunter F
This summary answers the question: In paediatric patients with minor head injury, GCS (Glasgow Coma Score) 15 and no focal neurological deficit does a normal computed tomography brain scan allow safe discharge?
This summary answers the question: In paediatric patients with minor head injury, GCS (Glasgow Coma Score) 15 and no focal neurological deficit does a normal computed tomography brain scan allow safe discharge?
Systematic Review: Predictors of clinical recovery from concussion: a systematic review
Iverson GL, Gardner AJ, Terry DP, Ponsford JL, Sills AK, Broshek DK, Solomon GS
Iverson GL, Gardner AJ, Terry DP, Ponsford JL, Sills AK, Broshek DK, Solomon GS
This is a systematic review of factors that might be associated with, or influence, clinical recovery from sport-related concussion
This is a systematic review of factors that might be associated with, or influence, clinical recovery from sport-related concussion
Systematic Review: Rest and treatment/rehabilitation following sport-related concussion: a systematic review
Schneider KJ, Leddy JJ, Guskiewicz KM, Seifert T, McCrea M, Silverberg ND, Feddermann-Demont N, Iverson GL, Hayden A, Makdissi M
Schneider KJ, Leddy JJ, Guskiewicz KM, Seifert T, McCrea M, Silverberg ND, Fe...
The objective of this systematic review was to evaluate the evidence regarding rest and active treatment/rehabilitation following sport-related concussion (SRC).
The objective of this systematic review was to evaluate the evidence regarding rest and active treatment/rehabilitation following sport-related concussion (SRC).
Systematic Review: Psychosocial consequences of mild traumatic brain injury in children: results of a systematic review by the International Collaboration on Mild Traumatic Brain Injury Prognosis
Keightley ML, Ct P, Rumney P, Hung R, Carroll LJ, Cancelliere C, Cassidy JD
Keightley ML, Ct P, Rumney P, Hung R, Carroll LJ, Cancelliere C, Cassidy JD
Objective: To synthesize the best available evidence regarding psychosocial consequences of mild traumatic brain injury (MTBI) in children.
Objective: To synthesize the best available evidence regarding psychosocial consequences of mild traumatic brain injury (MTBI) in children.
Systematic Review: Prognosticators of persistent symptoms following pediatric concussion: a systematic review
Zemek RL, Farion KJ, Sampson M, McGahern C
Zemek RL, Farion KJ, Sampson M, McGahern C
Objective: To identify predictors of persistent concussion symptoms (PCS) in children following concussion.
Objective: To identify predictors of persistent concussion symptoms (PCS) in children following concussion.
Systematic Review: Interventions provided in the acute phase for mild traumatic brain injury: a systematic review
Gravel J, D'Angelo A, Carrire B, Crevier L, Beauchamp MH, Chauny JM, Wassef M, Chaillet N
Gravel J, D'Angelo A, Carrire B, Crevier L, Beauchamp MH, Chauny JM, Wassef M...
This systematic review investigated the effectiveness of interventions initiated in acute settings for patients who experience mild traumatic brain injury.
This systematic review investigated the effectiveness of interventions initiated in acute settings for patients who experience mild traumatic brain injury.
Systematic Review: Clinical decision rules for children with minor head injury: a systematic review
Pickering A, Harnan S, Fitzgerald P, Pandor A, Goodacre S
Pickering A, Harnan S, Fitzgerald P, Pandor A, Goodacre S
This study aimed to identify clinical decision rules for children with minor head injury and compare their diagnostic accuracy for detection of intracranial injury (ICI) and injury requiring neurosurgical intervention (NSI).
This study aimed to identify clinical decision rules for children with minor head injury and compare their diagnostic accuracy for detection of intracranial injury (ICI) and injury requiring neurosurgical intervention (NSI).
Systematic Review: Which symptom assessments and approaches are uniquely appropriate for paediatric concussion?
Gioia GA, Schneider JC, Vaughan CG, Isquith PK
Gioia GA, Schneider JC, Vaughan CG, Isquith PK
Objectives: To (a) identify post-concussion symptom scales appropriate for children and adolescents in sports; (b) review evidence for reliability and validity; and (c) recommend future directions for scale development.
Objectives: To (a) identify post-concussion symptom scales appropriate for children and adolescents in sports; (b) review evidence for reliability and validity; and (c) recommend future directions for scale development.
Systematic Review: Predictors of clinical recovery from concussion: a systematic review
Iverson GL, Gardner AJ, Terry DP, Ponsford JL, Sills AK, Broshek DK, Solomon GS
Iverson GL, Gardner AJ, Terry DP, Ponsford JL, Sills AK, Broshek DK, Solomon GS
This is a systematic review of factors that might be associated with, or influence, clinical recovery from sport-related concussion
This is a systematic review of factors that might be associated with, or influence, clinical recovery from sport-related concussion
Systematic Review: Rest and treatment/rehabilitation following sport-related concussion: a systematic review
Schneider KJ, Leddy JJ, Guskiewicz KM, Seifert T, McCrea M, Silverberg ND, Feddermann-Demont N, Iverson GL, Hayden A, Makdissi M
Schneider KJ, Leddy JJ, Guskiewicz KM, Seifert T, McCrea M, Silverberg ND, Fe...
The objective of this systematic review was to evaluate the evidence regarding rest and active treatment/rehabilitation following sport-related concussion (SRC).
The objective of this systematic review was to evaluate the evidence regarding rest and active treatment/rehabilitation following sport-related concussion (SRC).
Systematic Review: Psychosocial consequences of mild traumatic brain injury in children: results of a systematic review by the International Collaboration on Mild Traumatic Brain Injury Prognosis
Keightley ML, Ct P, Rumney P, Hung R, Carroll LJ, Cancelliere C, Cassidy JD
Keightley ML, Ct P, Rumney P, Hung R, Carroll LJ, Cancelliere C, Cassidy JD
Objective: To synthesize the best available evidence regarding psychosocial consequences of mild traumatic brain injury (MTBI) in children.
Objective: To synthesize the best available evidence regarding psychosocial consequences of mild traumatic brain injury (MTBI) in children.
Systematic Review: Prognosticators of persistent symptoms following pediatric concussion: a systematic review
Zemek RL, Farion KJ, Sampson M, McGahern C
Zemek RL, Farion KJ, Sampson M, McGahern C
Objective: To identify predictors of persistent concussion symptoms (PCS) in children following concussion.
Objective: To identify predictors of persistent concussion symptoms (PCS) in children following concussion.
Systematic Review: Interventions provided in the acute phase for mild traumatic brain injury: a systematic review
Gravel J, D'Angelo A, Carrire B, Crevier L, Beauchamp MH, Chauny JM, Wassef M, Chaillet N
Gravel J, D'Angelo A, Carrire B, Crevier L, Beauchamp MH, Chauny JM, Wassef M...
This systematic review investigated the effectiveness of interventions initiated in acute settings for patients who experience mild traumatic brain injury.
This systematic review investigated the effectiveness of interventions initiated in acute settings for patients who experience mild traumatic brain injury.
Systematic Review: Clinical decision rules for children with minor head injury: a systematic review
Pickering A, Harnan S, Fitzgerald P, Pandor A, Goodacre S
Pickering A, Harnan S, Fitzgerald P, Pandor A, Goodacre S
This study aimed to identify clinical decision rules for children with minor head injury and compare their diagnostic accuracy for detection of intracranial injury (ICI) and injury requiring neurosurgical intervention (NSI).
This study aimed to identify clinical decision rules for children with minor head injury and compare their diagnostic accuracy for detection of intracranial injury (ICI) and injury requiring neurosurgical intervention (NSI).
Systematic Review: Which symptom assessments and approaches are uniquely appropriate for paediatric concussion?
Gioia GA, Schneider JC, Vaughan CG, Isquith PK
Gioia GA, Schneider JC, Vaughan CG, Isquith PK
Objectives: To (a) identify post-concussion symptom scales appropriate for children and adolescents in sports; (b) review evidence for reliability and validity; and (c) recommend future directions for scale development.
Objectives: To (a) identify post-concussion symptom scales appropriate for children and adolescents in sports; (b) review evidence for reliability and validity; and (c) recommend future directions for scale development.
Key Study: Validation and refinement of a clinical decision rule for the use of computed tomography in children with minor head injury in the emergency department
Osmond MH, Klassen TP, Wells GA, Davidson J, Correll R, Boutis K, Joubert G, Gouin S, Khangura S, Turner T, Belanger F, Silver N, Taylor B, Curran J, Stiell ...
Osmond MH, Klassen TP, Wells GA, Davidson J, Correll R, Boutis K, Joubert G, ...
Methods: This multicentre cohort study in 9 Canadian pediatric emergency departments prospectively enrolled children with blunt head trauma presenting with a Glasgow Coma Scale score of 13-15 and loss of consciousness, amnesia, disorientation, persistent vomiting or irritability. Physicians completed standardized assessment forms before CT, including clinical predictors of the rule. The primary outcome was neurosurgical intervention and the secondary outcome was brain injury on CT. We calculated test characteristics of the rule and used recursive partitioning to further refine the rule.
Methods: This multicentre cohort study in 9 Canadian pediatric emergency departments prospectively enrolled children with blunt head trauma presenting with a Glasgow Coma Scale score of 13-15 and loss of consciousness, amnesia, disorientation, persistent vomiting or irritability. Physicians completed standardized assessment forms before CT, including clinical predictors of the rule. The primary outcome was neurosurgical intervention and the secondary outcome was brain injury on CT. We calculated test characteristics of the rule and used recursive partitioning to further refine the rule.
Key Study: Clinical Risk Score for Persistent Postconcussion Symptoms Among Children With Acute Concussion in the ED
Zemek R, Barrowman N, Freedman SB, Gravel J, Gagnon I, McGahern C, Aglipay M, Sangha G, Boutis K, Beer D, Craig W, Burns E, Farion KJ, Mikrogianakis A, Barlo...
Zemek R, Barrowman N, Freedman SB, Gravel J, Gagnon I, McGahern C, Aglipay M,...
Objective: To derive and validate a clinical risk score for persistent postconcussion symptoms among children presenting to the emergency department.
Objective: To derive and validate a clinical risk score for persistent postconcussion symptoms among children presenting to the emergency department.
Key Study: Effect of cognitive activity level on duration of post-concussion symptoms
Brown NJ, Mannix RC, O'Brien MJ, Gostine D, Collins MW, Meehan WP III
Brown NJ, Mannix RC, O'Brien MJ, Gostine D, Collins MW, Meehan WP III
Objective: To determine the effect of cognitive activity level on duration of post-concussion symptoms.
Objective: To determine the effect of cognitive activity level on duration of post-concussion symptoms.
Key Study: Comparison of PECARN, CATCH, and CHALICE rules for children with minor head injury: a prospective cohort study
Easter JS, Bakes K, Dhaliwal J, Miller M, Caruso E, Haukoos JS
Easter JS, Bakes K, Dhaliwal J, Miller M, Caruso E, Haukoos JS
Objective: To evaluate the diagnostic accuracy of clinical decision rules and physician judgment for identifying clinically important traumatic brain injuries in children with minor head injuries presenting to the emergency department.
Objective: To evaluate the diagnostic accuracy of clinical decision rules and physician judgment for identifying clinically important traumatic brain injuries in children with minor head injuries presenting to the emergency department.
Key Study: Predicting postconcussion syndrome after mild traumatic brain injury in children and adolescents who present to the emergency department
Babcock L, Byczkowski T, Wade SL, Ho M, Mookerjee S, Bazarian JJ
Babcock L, Byczkowski T, Wade SL, Ho M, Mookerjee S, Bazarian JJ
Objective: To determine the acute predictors associated with the development of postconcussion syndrome (PCS) in children and adolescents after mild traumatic brain injury.
Objective: To determine the acute predictors associated with the development of postconcussion syndrome (PCS) in children and adolescents after mild traumatic brain injury.
Key Study: Time interval between concussions and symptom duration
Eisenberg MA, Andrea J, Meehan W, Mannix R
Eisenberg MA, Andrea J, Meehan W, Mannix R
Objective: To test the hypothesis that children with a previous history of concussion have a longer duration of symptoms after a repeat concussion than those without such a history.
Objective: To test the hypothesis that children with a previous history of concussion have a longer duration of symptoms after a repeat concussion than those without such a history.
Key Study: Mild traumatic brain injury: a description of how children and youths between 16 and 18 years of age perform leisure activities after 1 year
Jonsson C, Andersson EE
Jonsson C, Andersson EE
Objective: To describe how children and youths perform leisure activities, 1 year after a mild traumatic brain injury (MTBI).
Objective: To describe how children and youths perform leisure activities, 1 year after a mild traumatic brain injury (MTBI).
Key Study: Identifying neurocognitive deficits in adolescents following concussion
Thomas DG, Collins MW, Saladino RA, Frank V, Raab J, Zuckerbraun NS
Thomas DG, Collins MW, Saladino RA, Frank V, Raab J, Zuckerbraun NS
This study of concussed adolescents sought to determine if a computer-based neurocognitive assessment (Immediate Postconcussion Assessment and Cognitive Test [ImPACT]) performed on patients who present to the emergency department (ED) immediately following head injury would correlate with assessments performed 3 to 10 days postinjury and if ED neurocognitive testing would detect differences in concussion severity that clinical grading scales could not.
This study of concussed adolescents sought to determine if a computer-based neurocognitive assessment (Immediate Postconcussion Assessment and Cognitive Test [ImPACT]) performed on patients who present to the emergency department (ED) immediately following head injury would correlate with assessments performed 3 to 10 days postinjury and if ED neurocognitive testing would detect differences in concussion severity that clinical grading scales could not.
Key Study: Identifying the specific needs of adolescents after a mild traumatic brain injury: a service provider perspective
Swaine BR, Gagnon I, Champagne F, Lefebvre H, Friedman D, Atkinson J, Feldman D
Swaine BR, Gagnon I, Champagne F, Lefebvre H, Friedman D, Atkinson J, Feldman D
Objectives: To identify the specific service needs of adolescents with mild traumatic brain injury (MTBI) and those of their parents through the perspective of expert service providers as well as to compare it to the perspective of adolescents and their parents obtained in a prior study.
Objectives: To identify the specific service needs of adolescents with mild traumatic brain injury (MTBI) and those of their parents through the perspective of expert service providers as well as to compare it to the perspective of adolescents and their parents obtained in a prior study.
Key Study: Visuomotor response time in children with a mild traumatic brain injury
Gagnon I, Swaine B, Friedman D, Forget R
Gagnon I, Swaine B, Friedman D, Forget R
Objective: To compare the visuomotor response times of children after a mild traumatic brain injury (mTBI) with those of noninjured children matched for age, sex, and premorbid level of physical activity.
Objective: To compare the visuomotor response times of children after a mild traumatic brain injury (mTBI) with those of noninjured children matched for age, sex, and premorbid level of physical activity.
Key Study: Validation and refinement of a clinical decision rule for the use of computed tomography in children with minor head injury in the emergency department
Osmond MH, Klassen TP, Wells GA, Davidson J, Correll R, Boutis K, Joubert G, Gouin S, Khangura S, Turner T, Belanger F, Silver N, Taylor B, Curran J, Stiell ...
Osmond MH, Klassen TP, Wells GA, Davidson J, Correll R, Boutis K, Joubert G, ...
Methods: This multicentre cohort study in 9 Canadian pediatric emergency departments prospectively enrolled children with blunt head trauma presenting with a Glasgow Coma Scale score of 13-15 and loss of consciousness, amnesia, disorientation, persistent vomiting or irritability. Physicians completed standardized assessment forms before CT, including clinical predictors of the rule. The primary outcome was neurosurgical intervention and the secondary outcome was brain injury on CT. We calculated test characteristics of the rule and used recursive partitioning to further refine the rule.
Methods: This multicentre cohort study in 9 Canadian pediatric emergency departments prospectively enrolled children with blunt head trauma presenting with a Glasgow Coma Scale score of 13-15 and loss of consciousness, amnesia, disorientation, persistent vomiting or irritability. Physicians completed standardized assessment forms before CT, including clinical predictors of the rule. The primary outcome was neurosurgical intervention and the secondary outcome was brain injury on CT. We calculated test characteristics of the rule and used recursive partitioning to further refine the rule.
Key Study: Clinical Risk Score for Persistent Postconcussion Symptoms Among Children With Acute Concussion in the ED
Zemek R, Barrowman N, Freedman SB, Gravel J, Gagnon I, McGahern C, Aglipay M, Sangha G, Boutis K, Beer D, Craig W, Burns E, Farion KJ, Mikrogianakis A, Barlo...
Zemek R, Barrowman N, Freedman SB, Gravel J, Gagnon I, McGahern C, Aglipay M,...
Objective: To derive and validate a clinical risk score for persistent postconcussion symptoms among children presenting to the emergency department.
Objective: To derive and validate a clinical risk score for persistent postconcussion symptoms among children presenting to the emergency department.
Key Study: Effect of cognitive activity level on duration of post-concussion symptoms
Brown NJ, Mannix RC, O'Brien MJ, Gostine D, Collins MW, Meehan WP III
Brown NJ, Mannix RC, O'Brien MJ, Gostine D, Collins MW, Meehan WP III
Objective: To determine the effect of cognitive activity level on duration of post-concussion symptoms.
Objective: To determine the effect of cognitive activity level on duration of post-concussion symptoms.
Key Study: Comparison of PECARN, CATCH, and CHALICE rules for children with minor head injury: a prospective cohort study
Easter JS, Bakes K, Dhaliwal J, Miller M, Caruso E, Haukoos JS
Easter JS, Bakes K, Dhaliwal J, Miller M, Caruso E, Haukoos JS
Objective: To evaluate the diagnostic accuracy of clinical decision rules and physician judgment for identifying clinically important traumatic brain injuries in children with minor head injuries presenting to the emergency department.
Objective: To evaluate the diagnostic accuracy of clinical decision rules and physician judgment for identifying clinically important traumatic brain injuries in children with minor head injuries presenting to the emergency department.
Key Study: Predicting postconcussion syndrome after mild traumatic brain injury in children and adolescents who present to the emergency department
Babcock L, Byczkowski T, Wade SL, Ho M, Mookerjee S, Bazarian JJ
Babcock L, Byczkowski T, Wade SL, Ho M, Mookerjee S, Bazarian JJ
Objective: To determine the acute predictors associated with the development of postconcussion syndrome (PCS) in children and adolescents after mild traumatic brain injury.
Objective: To determine the acute predictors associated with the development of postconcussion syndrome (PCS) in children and adolescents after mild traumatic brain injury.
Key Study: Time interval between concussions and symptom duration
Eisenberg MA, Andrea J, Meehan W, Mannix R
Eisenberg MA, Andrea J, Meehan W, Mannix R
Objective: To test the hypothesis that children with a previous history of concussion have a longer duration of symptoms after a repeat concussion than those without such a history.
Objective: To test the hypothesis that children with a previous history of concussion have a longer duration of symptoms after a repeat concussion than those without such a history.
Key Study: Mild traumatic brain injury: a description of how children and youths between 16 and 18 years of age perform leisure activities after 1 year
Jonsson C, Andersson EE
Jonsson C, Andersson EE
Objective: To describe how children and youths perform leisure activities, 1 year after a mild traumatic brain injury (MTBI).
Objective: To describe how children and youths perform leisure activities, 1 year after a mild traumatic brain injury (MTBI).
Key Study: Identifying neurocognitive deficits in adolescents following concussion
Thomas DG, Collins MW, Saladino RA, Frank V, Raab J, Zuckerbraun NS
Thomas DG, Collins MW, Saladino RA, Frank V, Raab J, Zuckerbraun NS
This study of concussed adolescents sought to determine if a computer-based neurocognitive assessment (Immediate Postconcussion Assessment and Cognitive Test [ImPACT]) performed on patients who present to the emergency department (ED) immediately following head injury would correlate with assessments performed 3 to 10 days postinjury and if ED neurocognitive testing would detect differences in concussion severity that clinical grading scales could not.
This study of concussed adolescents sought to determine if a computer-based neurocognitive assessment (Immediate Postconcussion Assessment and Cognitive Test [ImPACT]) performed on patients who present to the emergency department (ED) immediately following head injury would correlate with assessments performed 3 to 10 days postinjury and if ED neurocognitive testing would detect differences in concussion severity that clinical grading scales could not.
Key Study: Identifying the specific needs of adolescents after a mild traumatic brain injury: a service provider perspective
Swaine BR, Gagnon I, Champagne F, Lefebvre H, Friedman D, Atkinson J, Feldman D
Swaine BR, Gagnon I, Champagne F, Lefebvre H, Friedman D, Atkinson J, Feldman D
Objectives: To identify the specific service needs of adolescents with mild traumatic brain injury (MTBI) and those of their parents through the perspective of expert service providers as well as to compare it to the perspective of adolescents and their parents obtained in a prior study.
Objectives: To identify the specific service needs of adolescents with mild traumatic brain injury (MTBI) and those of their parents through the perspective of expert service providers as well as to compare it to the perspective of adolescents and their parents obtained in a prior study.
Key Study: Visuomotor response time in children with a mild traumatic brain injury
Gagnon I, Swaine B, Friedman D, Forget R
Gagnon I, Swaine B, Friedman D, Forget R
Objective: To compare the visuomotor response times of children after a mild traumatic brain injury (mTBI) with those of noninjured children matched for age, sex, and premorbid level of physical activity.
Objective: To compare the visuomotor response times of children after a mild traumatic brain injury (mTBI) with those of noninjured children matched for age, sex, and premorbid level of physical activity.