Aims and Objectives:
- Highlight the mechanisms of injury of SRC
- Demonstrate the Management of SRC
- Differentiate the signs and symptoms from typical G Man memory loss
- 3 points would be nice!
“Sports Related Concussion (SRC) 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.” (McCrory et al. 2017)
Today’s lesson commenced with a demonstration of the dangers of SRC in field hockey with the Sheffield Hallam CB getting in the way of a typical strimmer strike. Dr. Shipman and Dr. Hillary Jones put their training to good use under the supervision of the rugby sponge man. The game restarted, and the Adel medical team were caught napping by a neat deflected goal from a crash ball into the D that Dr. Hillary would be proud of. 1-0 soon became 2-0 with well taken goal past the unsighted Gordon Ramsey. Adel continued to dominate territory but couldn’t find the net until Dr. Hillary rocketed a strimmer type shot into the top corner of the goal 2-1. Loss of short term memory is a sign of SRC and shouldn’t be ignored. Therefore, after consulting opinions from VAR and fans, the goal description was officially changed to “Dr. Hillary scuffed a cross which lobbed the keeper blinded by the sun”
Second half started with greater intensity from the Adel ‘first’ (aiders). Dominant wing play had highlighted that a second symptom of SRC had been identified by the Adel men. The Hallam player, who jabbed tackled the ball into his own face, was demonstrating long term memory loss. “He’s from your first team he is” Unfortunately this answer scored zero, the Hallam player was reminder of his lack of recall from the previous lesson at Church Lane in November where Mr. Strimmer demonstrated the same skill 4 times! Pay more attention young man! To aid in this players memory recovery Strimmer slotted home a short corner routine straight from Wednesday’s training. 2-2. Reciting the score is often used to test memory in the diagnosis pitch side and 2-3, 2-4, 2-5 should have been the desired answers but the umpires spotted infringements, so the correct answer remained 2-2.
Blurred vision, as minor as it seems, is equally as important and many other symptoms. This time the symptom was on display from the official after a well-timed substitution saw the Hallam player, full of energy, deliver a cross to an onrushing forward who glanced the ball off the edge of the stick onto his trailing leg to make the score 3-2.
Frustrations were now apparent, and Taylor was having flash backs so decided ‘if in doubt sit it out’ a very sensible decision when unsure of the diagnosis. It’s only a game. Shambles threw in a curve ball set of symptoms of intense staring followed by fits of anger which saw him give the treatment of a 2 min rest. This was a deliberate attempt to challenge the young medical students with their recognition of a hypoglycemic attack (due to his lack of chicken meal deal). The officials had ruined the lesson plan! Needless to say, Dr. Hillary slotted home number 3 from a well worked base line pull back and Dr. Shipman continued to try to kill of the opposition with the aid of the Adel bearded one, as the umpire referred to him.
18mins and 11 seconds to go and the real medical crew turned up and the game was stopped again to allow further assessment to those that took part in the demo. The officials were very keen to stress that 11 seconds may be important. The game resumed, and more carnage was caused as Biff, The Undertaker & Mr. Lacrosse repelled any Hallam attacks before strimmer gave Adel the lead from corner routine number 5 (Those 50 at training paid off). Lesson over? No Shambles decided it’s not over until the angry man shouts, so he and the other angry defender showed how angry they can get after Hallam levelled. I have no idea how it went it must have been Paddy’s fault based on the number of fines he picked up for Dr. Hillary to pick up.
So, to the last 11 seconds, well not quite but it sounds better, Adel pushed for the winner and to complete the lesson on SRC, the sponge man gave a demo of how poor skill performance should not always be considered a symptom. Trying to replicate those blessed with skill and ability on such water-based pitches, a 1 handed drive was enough to take the lead 5-4.
Sheffield Hallam 4’s (4) Leeds Adel 2’s (5)
The young medics passed the staged SRC demo and can proceed to next week’s lecture is on Gin and its isotonic properties lead by Dr. Hillary.
A speedy recovery to all
MOM – Strimmer who delivered several killer blows
DOD – The water-based specialist with a fear of showering after Dr. Shipman commented on how good he looks naked. “lock him up please”
Revision Notes – Management of Sports Related Concussions
- The player should be evaluated by a physician or other licensed healthcare provider onsite using standard emergency management principles and particular attention should be given to excluding a cervical spine injury.
- The appropriate disposition of the player must be determined by the treating healthcare provider in a timely manner. If no healthcare provider is available, the player should be safely removed from practice or play and urgent referral to a physician arranged.
- Once the first aid issues are addressed, an assessment of the concussive injury should be made using the SCAT3 or other side-line assessment tools.
- The player should not be left alone following the injury and serial monitoring for deterioration is essential over the initial few hours following injury.
- A player with diagnosed concussion should not be allowed to RTP on the day of injury.