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First Comprehensive Pediatric Concussion Guidelines Released — Physician’s First Watch

Medical News |
June 26, 2014

First Comprehensive Pediatric Concussion Guidelines Released

By Amy Orciari Herman

Edited by Susan Sadoughi, MD, and Lorenzo Di Francesco, MD, FACP, FHM

The first comprehensive pediatric concussion guidelines were launched on Wednesday by the Children's Hospital of Eastern Ontario and the Ontario Neurotrauma Foundation. The guidelines were developed by a panel of more than 30 experts from Canada and the U.S., including family practitioners, emergency medicine clinicians, and neurologists.

The guidelines offer recommendations according to a concussion "timeline": preparticipation screening, management of acute symptoms, discharge, interim assessment, and re-assessment after 1 month. A useful step-by-step approach is offered for each phase of management.

"These guidelines are exceedingly clear and comprehensive," said a Boston pediatrician who served as an external reviewer of the guidelines. "I think this will be an indispensable resource for caregivers in a wide range of care settings, and also be accessible for the general public."

Reader Comments (3)

James Nelson Physician, Neurology, pinehurst north carolina

great program

Atholl Malcolm Other Healthcare Professional, Other, Private Practice

Much work is done in the community by neuropsychologists. I suggest, therefore, that this discipline is included in the list of professionals. Also, there is new research on the use of EEG in examining for concussion in athletes, specifically in using normative data bases (qEEG) to examine for EEG changes. Often these are more sensitive to brain injuries, See the work of McCrea. The findings would also apply to pediatric cases. Having said that,, thank you for this great initiative.

harry nudelman m.d. Physician, Pediatrics/Adolescent Medicine, retired

guide lines would be very helpful

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