tag:blogger.com,1999:blog-618639792837880710.post5358180114599697964..comments2023-09-09T06:30:57.710-04:00Comments on Dedicated to the High School Athletic Trainer: ATSNJ Concussion SummitJoe Przytulahttp://www.blogger.com/profile/17872659808449420318noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-618639792837880710.post-39406703908538996492010-08-15T23:53:50.506-04:002010-08-15T23:53:50.506-04:00I spoke w/ Dr. Jordan after his talk about the pos...I spoke w/ Dr. Jordan after his talk about the possibility of screening. He felt it was too much of a hot potatoe to see it widely looked for in current athletics.<br /><br />Personally, I think the first place you'll see screening for genetic factors will be at the professional level. They look for everything else at the combine. Why wouldn't they screen for genetic factors that could predispose injury? Would it be any different then sickel cell or HIV? When making a monetary investment on a player, it only makes sense to minimize your variables.......???<br /><br />I think you'll hear more about this in the near future.enusshttps://www.blogger.com/profile/16844791082344040818noreply@blogger.comtag:blogger.com,1999:blog-618639792837880710.post-62128717211515293772010-08-15T23:44:02.068-04:002010-08-15T23:44:02.068-04:00Joe,
Thanks for the kind remarks on the Summit. I...Joe,<br />Thanks for the kind remarks on the Summit. It was a great day of discussion. Some clips from the summit can be found at: http://www.atsnj.org/special_concussionrelease.html<br /><br />I personally think the NJSIAA mandate (though not called a mandate but rather a recommendation) has to be viewed as such. After speaking with a medical legal attorney, his response was that you need to consider the recommendation and also think about "worst case scenario" What if your school adopts a more liberal policy and a kid is symptom free, passes their neurocognitive testing, exercise protocol and returns in 7 days...they then suffer another concussion that leaves them like Preston Plevertes....you would probably be liable or at least subject to scrutiny! <br /><br />The panel was pretty much in consensus. Treatment needs to be individualized and ALL the variables need to be considered. You can't mandate care as concussions should not be cared for using a "cookie cutter" approach (Cantu quote). Brolinson stated his concern that legislating care would drive the concussion under the table. All valid opinions. <br /><br />My gutt feeling is that the NJSIAA has created issues for EVERY party involved w/ the concussed athlete. The schools: created a legal nightmare if you adopt a more liberal approach then NJSIAA, AT: I think you've increased the likelihood that care could be based on personal bias vs clinical evaluation...some may delay evaluation of the better players w/ subtle symptoms to save their eligibility or you send every kid with any symptoms similar to concussion to the MD for evaluation of a concussion just to protect your butt. net result is less reliance on clinical findings and more on bias. Coach: come on, do they need any more excuses not to refer a concussed kid to the AT? Athlete: true, athletes aren't always open and forthright with their symptoms, but now throw in a mandatory 12 days out and my fear will be more witholding vs more being more open.<br /><br />Wait till existing legislation in Trenton passes and concussion care falls under the department of education! All the NJSIAA guidelines could be a mute point next year! But wait...should the Department of education be mandating concussion care either???<br /><br />It's a very popular topic that has received a lot of media attention. <br />That's a good and bad thing.<br /><br />I don't know that there is a simple and straight forward answer w/ these recommendations and legislation! I think the discussion of current research had the same conclusion..as much as we know, we don't know! <br /><br /> Good discussion though!enusshttps://www.blogger.com/profile/16844791082344040818noreply@blogger.comtag:blogger.com,1999:blog-618639792837880710.post-67027079335270019182010-08-12T16:30:25.349-04:002010-08-12T16:30:25.349-04:00I think concussion legistlation will prevent some ...I think concussion legistlation will prevent some kids from reporting symptoms. I've already seen how over-protective ATs keep kids out of the training room -right or wrong - this is just teenage human nature.sal mhttps://www.blogger.com/profile/04184669191268280952noreply@blogger.comtag:blogger.com,1999:blog-618639792837880710.post-52928930078881120912010-08-12T10:47:04.254-04:002010-08-12T10:47:04.254-04:00Dr. Ken- I use Impact here at EHS. We don't ...Dr. Ken- I use Impact here at EHS. We don't have a team MD; most of our athletes don't have private MD's. I interpret the results myself and use it with exertional testing to come to my conclusion. I already explained the new guidelines to our FB staff. From what I understand, the NJSIAA wanted to stanadarize the guidelines in the absence of an ATC.Joe Przytulahttps://www.blogger.com/profile/17872659808449420318noreply@blogger.comtag:blogger.com,1999:blog-618639792837880710.post-2505115627981858242010-08-10T13:17:05.816-04:002010-08-10T13:17:05.816-04:00Hi Joe,
Thanks for the reply. I am in the process...Hi Joe,<br /><br />Thanks for the reply. I am in the process of setting up our concussion policy, and have read the NJSIAA guidelines, and find them to be ambiguous on clearance for RTP. Do you use IMPACT or similiar program yet at EHS? If so, who reads them to determine RTP clearance? While I agree the issue of concussion needed to be seriously addressed, I feel this new policy is an "overreaction" to an area that previously had an "underreaction". It should be interesting this year... especially with the Football coaches!<br /><br />Kendrcieslakhttps://www.blogger.com/profile/03096433218078485649noreply@blogger.comtag:blogger.com,1999:blog-618639792837880710.post-35680092951182686552010-08-06T21:16:36.693-04:002010-08-06T21:16:36.693-04:00I specifically asked Eric Nussbaum at the conferen...I specifically asked Eric Nussbaum at the conference. It is an absolute minimum. Not certain if all need to be cleared by MD before R2play. NCAA the sameJoe Przytulahttps://www.blogger.com/profile/17872659808449420318noreply@blogger.comtag:blogger.com,1999:blog-618639792837880710.post-57887925325981801272010-08-06T16:20:23.272-04:002010-08-06T16:20:23.272-04:00Hi Joe,
I was unable to attend the summit, but it...Hi Joe,<br /><br />I was unable to attend the summit, but it looks like it provided some great info. My question is this: Am I correct in that the 7 day rule is not an absolute, but just a guideline recommendation that can be adjusted by the athletes own MD if needed. And what was the opinion of ATSNJ on whether all MTBI's need to be evaluated by an MD/DO prior to any RTP? Thanks for your reply in advance.drcieslakhttps://www.blogger.com/profile/03096433218078485649noreply@blogger.comtag:blogger.com,1999:blog-618639792837880710.post-68157426512237081812010-08-05T14:19:11.902-04:002010-08-05T14:19:11.902-04:00Athletes have been fudging their symptoms for year...Athletes have been fudging their symptoms for years. May only get worse from here. If they see something like the ESPN clip I posted, I think they may be more willing to be honest. But their lies a bigger issue doesn't it? Where are they learning about honesty? If we could change the way kids think about being honest then we wouldn't have to have this discussion.JHhttps://www.blogger.com/profile/16644525315506312319noreply@blogger.comtag:blogger.com,1999:blog-618639792837880710.post-45225275754367844442010-08-04T18:08:37.428-04:002010-08-04T18:08:37.428-04:00What I'm wondering is, with the new guidelines...What I'm wondering is, with the new guidelines, will athletes fail to report headaches because they don't want to be removed from the game, because they automatically are out for one week?Joe Przytulahttps://www.blogger.com/profile/17872659808449420318noreply@blogger.comtag:blogger.com,1999:blog-618639792837880710.post-55714495634548043862010-08-03T12:34:38.182-04:002010-08-03T12:34:38.182-04:00Very eye opening story if you haven't already ...Very eye opening story if you haven't already seen it.<br /><br />http://espn.go.com/video/clip?categoryid=3060647&id=5163151JHhttps://www.blogger.com/profile/16644525315506312319noreply@blogger.comtag:blogger.com,1999:blog-618639792837880710.post-66876685170478309672010-08-02T19:27:48.664-04:002010-08-02T19:27:48.664-04:00Yeah, those were cool presentations. Could geneti...Yeah, those were cool presentations. Could genetic therapy in post concussion TX be the future??Joe Przytulahttps://www.blogger.com/profile/17872659808449420318noreply@blogger.comtag:blogger.com,1999:blog-618639792837880710.post-83532787145373924582010-08-02T19:20:40.496-04:002010-08-02T19:20:40.496-04:00Although not useful in our day to day assessment a...Although not useful in our day to day assessment and management of concussions but my favorites from the day were the talks with Dr. Barry Jordan and how the ApoE e4 gene leaves you more susceptible to CTE and Dr. Anne McKee's stuff on tau protein buildup and brain malformations in autopsied football players...Unknownhttps://www.blogger.com/profile/00764722535018121722noreply@blogger.comtag:blogger.com,1999:blog-618639792837880710.post-77202921846713564762010-08-02T15:04:33.582-04:002010-08-02T15:04:33.582-04:00The only positive about concussion legislation is ...The only positive about concussion legislation is that is bringing the issue to the forefront of the discussion around youth sports.KPhttps://www.blogger.com/profile/15604166474077101084noreply@blogger.com