community experience ann l. engelland, md harrison and mamaroneck school districts barnard college...
TRANSCRIPT
Community ExperienceAnn l. Engelland, MDHarrison and Mamaroneck school districtsBarnard college health service
What we thought then….• Run them around
following head injury• Awaken patient
every two hours• Shine bright light in
eyes to check for ??• RTP often in same
game (dings and bell
ringers)
What we think we know now…• Rest is mainstay
• Sleep is therapy
• Recognize photophobia
• Sit out ‘til symptom-free
• “When eight-year-olds are hitting each other-in tackle practice—with roughly the same G-forces as college players, what’s badly needed is a paradigm shift, a universal up-draft in thinking.”
“This is your brain on football” by Paul Solotaroff
Rolling Stone Magazine, January 2013
How to make policy changes
NOT JUST POLICY CHANGE ala NYState Guidelines
NOT JUST by inducement from the Attorney General
IT’s about CHANGE BY RELATIONSHIPS, sometimes one at a time
My experience• 5 schools: – 4 public school districts– 1 college
• Private practice
• Policy-making in four settings• Book writing and blog • Twitter, Facebook • Google alerts
Ways to Teach• Faculty meetings• Staff in-services (health, athletics, guidance, social work,
psych)• Correct errors diplomatically• Make it easy and use checklists
• SECONDARY HEALTH OFFICE• CONCUSSION CHECKLIST• • Student:________________________ Grade:_______ Today’s Date:________• • Date of Injury:_______________ Notified by:______________________• Description of injury:_______________________________________________• • Current Sport:_____________ Counselor:___________________• • Date:• _____ Concussion package mailed/given & discussed with parent. • • _____ Add information on Database & PE alert list• • _____ Signed parental consent received • • _____ Email teachers/counselors alerting of concussion or head injury • • _____ Incident report if injury occurred on school property• • _____ Baseline/Prior Impact on file? If yes then have student re-test when symptom free Part C or consult School MD
to determine when to Impact• • _____ Check medical chart for previous concussions: List Concussion Hx dates:_________________• • _____ If medical note necessary for school attendance – then advise Counselor need for Concussion Team Meeting• • ______ Completed Part C returned – check w/ counselor to see how student is doing academically before sending School
MD paperwork• • _____ Email School MD Post MTBI & medical paperwork & advise School MD of Information in Bold below & feedback
from counselor/teachers RTL• SECONDARY HEALTH OFFICE• CONCUSSION CHECKLIST•
More ways to teach• Website development• School newsletter• Medical resources in community• Psychiatric and Neuropsych resources• Resource for the injured with guide to recovery
What NOT to emphasize• New helmets, bells and whistles• Different equipment• ImPACT testing unless very experienced• Long term disability risk ?• Beware of snake oil salespeople