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Dr. Allan H. Ropper and Dr. Kenneth C. Gorson, neurologists at St . Elizabeths Medical Center in Boston, reviewed the clinical aspects of concussion in The New England Journal of Medicine last month and wrote that people who are dazed after a head injury but who do not lose consciousness may have sustained the mildest form of concussion.
Dr Cantu said there was some form of concussion legislation in 46 out of 50 states in the USA.
While the vast majority of TBIs are classified as mild in the form of concussion, 45,000 to 90,000 troops suffer from moderate to severe TBIs, resulting in extended, life-altering complications.
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In contact collision sports such as football there's a risk of having chronic neurological injury secondary to repetitive trauma to the brain, either in the form of a concussion, and perhaps even sub-concussive blows.
In the last three seasons, the N.F.L. has begun a campaign aimed at player safety in the form of greater concussion awareness, fines for helmet-to-helmet hits and greater protection for quarterbacks.
What is a knockout punch and how does it work?A knockout blow is a form of cerebral concussion, a common scourge in other sports such as American football, football and hockey.
Four raters (two naïve and two expert) independently viewed video footage of 25 NRL concussions and completed the Observational Review and Analysis of Concussion form for the purpose of this inter-rater reliability study.
Fig. 1 The Observational Review and Analysis of Concussion (ORAC) Form.
There appears to be value in expert raters, but less value for naive raters, in using the new Observational Review and Analysis of Concussion (ORAC) Form.
For every CIR activation, cases were reviewed for a medically diagnosed concussion using the Observational Review and Analysis of Concussion (ORAC) Form to record the game circumstances and detail the suspected injury and the presence or absence of the six concussive signs [8].
For 162/167 (97%) uses of the CIR [12], and for all diagnosed concussions (n = 60), the Observational Review and Analysis of Concussion (ORAC) form [14] was used to record the game circumstances and details of the event as well as the presence or absence of six concussive signs (clutching or shaking head, slow to get up, gait ataxia, blank/vacant stare, unresponsiveness, and seizure).
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