Concussion management and assessment in emergency department: Innovations in diagnostics, acute care, and long-term outcomes

https://doi.org/10.53730/ijhs.v6nS10.15353

Authors

  • Mohammad Saud Alreshidi KSA, National Guard Health Affairs
  • Ali Jamal Alanazi KSA, National Guard Health Affairs
  • Hamad Saleh Alotaysh KSA, National Guard Health Affairs

Keywords:

emergency doctors, training programs, education, concussion care, mild traumatic brain injury

Abstract

Background: A concussion, commonly referred to as mild traumatic brain injury (mTBI), presents substantial obstacles in emergency medicine. However, the current training provided to emergency physicians (EPs) appears to be insufficient. This systematic review assesses existing educational resources and training programs concerning mTBI for EPs, highlighting deficiencies in the literature. Methods: A thorough search was performed in EMBASE, MEDLINE, ERIC, and SCOPUS using targeted keywords associated with mTBI and medical education. Studies were included that evaluated training programs designed to enhance emergency personnel knowledge and practice related to mild traumatic brain injury. Results: The search identified only five pertinent studies, suggesting a severe dearth of research in this field. The studies demonstrated positive outcomes in knowledge acquisition; however, they were hindered by methodological limitations and varied training methods, which precluded any meta-analysis. Emergency physicians with additional training in pediatric emergency medicine exhibited improved compliance with best practices in the management of mild traumatic brain injury (mTBI). Conclusion: The imperative necessity of improving educational resources and standardized curricula to improve mTBI training for emergency physicians is emphasized in this review. 

Downloads

Download data is not yet available.

References

McCrory P, Meeuwisse W, Dvorak J, Aubry M, Bailes J, Broglio S, Cantu RC, Cassidy D, Echemendia RJ, Castellani RJ, Davis GA. Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016. British journal of sports medicine. 2017 Jun 1;51(11):838-47.

Eisenberg MA, Meehan III WP, Mannix R. Duration and course of post-concussive symptoms. Pediatrics. 2014 Jun 1;133(6):999-1006. DOI: https://doi.org/10.1542/peds.2014-0158

Barker-Collo S, Theadom A, Jones K, Ameratunga S, Feigin V, Starkey N, Dudley M, Kahan M. Reliable individual change in post concussive symptoms in the year following mild traumatic brain injury: data from the longitudinal, population-based brain injury incidence and outcomes New Zealand in the community (Bionic) study.

Piedade SR, Hutchinson MR, Ferreira DM, Cristante AF, Maffulli N. The management of concussion in sport is not standardized. A systematic review. Journal of safety research. 2021 Feb 1;76:262-8. DOI: https://doi.org/10.1016/j.jsr.2020.12.013

Lefevre-Dognin C, Cogné M, Perdrieau V, Granger A, Heslot C, Azouvi P. Definition and epidemiology of mild traumatic brain injury. Neurochirurgie. 2021 May 1;67(3):218-21. DOI: https://doi.org/10.1016/j.neuchi.2020.02.002

Shobeirian F, Ghomi Z, Soleimani R, Mirshahi R, Sanei Taheri M. Overuse of brain CT scan for evaluating mild head trauma in adults. Emergency Radiology. 2021 Apr;28:251-7. DOI: https://doi.org/10.1007/s10140-020-01846-6

Ali B, Lawrence BA, Miller T, Allison J. Products and activities associated with non-fatal traumatic brain injuries in children and adolescents–United States 2010-2013. Brain injury. 2019 Sep 19;33(11):1425-9. DOI: https://doi.org/10.1080/02699052.2019.1631483

Déry J, De Guise É, Bussières ÈL, Lamontagne ME. Prognostic factors for persistent symptoms in adults with mild traumatic brain injury: protocol for an overview of systematic reviews. Systematic reviews. 2021 Dec;10:1-8. DOI: https://doi.org/10.1186/s13643-021-01810-6

Mannix R, Bazarian JJ. Managing pediatric concussion in the emergency department. Annals of Emergency Medicine. 2020 Jun 1;75(6):762-6. DOI: https://doi.org/10.1016/j.annemergmed.2019.12.025

Donaworth MA, Grandhi RK, Logan K, Gubanich PJ, Myer GD. Is current medical education adequately preparing future physicians to manage concussion: an initial evaluation. The Physician and Sportsmedicine. 2016 Jan 2;44(1):1-7. DOI: https://doi.org/10.1080/00913847.2016.1135039

Wang-Flores H, Rogers A, Zamarripa A, Levasseur K, Benner C, Cohen D, Hoyle JD, Mahajan PV, Stanley R. 325 Variations in Emergency Department Pediatric Concussion Discharge Instruction Practices. Annals of Emergency Medicine. 2015 Oct 1;66(4):S117-8. DOI: https://doi.org/10.1016/j.annemergmed.2015.07.361

Carson JD, Rendely A, Garel A, Meaney C, Stoller J, Kaicker J, Hayden L, Moineddin R, Frémont P. Are Canadian clinicians providing consistent sport-related concussion management advice?. Canadian family physician. 2016 Jun 1;62(6):494-500.

Reisner A, Burns TG, Hall LB, Jain S, Weselman BC, De Grauw TJ, Ono KE, Blackwell LS, Chern JJ. Quality improvement in concussion care: influence of guideline-based education. The Journal of Pediatrics. 2017 May 1;184:26-31. DOI: https://doi.org/10.1016/j.jpeds.2017.01.045

Conaghan C, Daly E, Pearce AJ, King DA, Ryan L. A systematic review of the effects of educational interventions on knowledge and attitudes towards concussion for people involved in sport–optimising concussion education based on current literature. Journal of Sports Sciences. 2021 Mar 4;39(5):552-67. DOI: https://doi.org/10.1080/02640414.2020.1835223

Boudreaux J, Dolecheck J. Concussion education programs for high school football coaches: an overview. Journal of public health issues and practices. 2019;3(1):e136-. DOI: https://doi.org/10.33790/jphip1100136

Scott LC, Langdon J, Botnaru D, Hunt TN. Evaluating knowledge attainment and retention of a multimodal approach to concussion education in collegiate athletes. Athletic Training Education Journal. 2021 Jul 1;16(3):198-207. DOI: https://doi.org/10.4085/1947-380X-20-119

Hopkins RE, Bui T, Magliano D, Arnold C, Dooley M. Prescriber education interventions to optimize opioid prescribing in acute care: a systematic review. Pain Physician. 2019 Nov;22(6):E551-62. DOI: https://doi.org/10.36076/ppj/2019.22.E551

Itriyeva K, Feinstein R, Carmine L. Pediatric providers’ attitudes and practices regarding concussion diagnosis and management. International journal of adolescent medicine and health. 2019 Dec 18;31(6):20170070. DOI: https://doi.org/10.1515/ijamh-2017-0070

Published

15-01-2022

How to Cite

Alreshidi, M. S., Alanazi, A. J., & Alotaysh, H. S. (2022). Concussion management and assessment in emergency department: Innovations in diagnostics, acute care, and long-term outcomes. International Journal of Health Sciences, 6(S10), 2113–2119. https://doi.org/10.53730/ijhs.v6nS10.15353

Issue

Section

Peer Review Articles

Most read articles by the same author(s)

1 2 > >>