Cynthia Cross, MSN, CCRN, APN-c, is the traumatic brain injury coordinator for Atlantic Neuro-science Institute at Sparta Health & Wellness Center
Questions parents should ask if they suspect their child has had a concussion:
Many parents ask the questions: Did my child suffer a concussion during that game? How do I know for sure? They may have witnessed a collision during a game, but are not sure how to tell if, indeed, a concussive injury has occurred. First, parents should remember:
• the child does not need to lose consciousness to have sustained a concussion;
• a direct blow to the head is not needed to have sustained a concussion;
• concussion symptoms may not fully present themselves for a few days after injury.
Typically, the concussed athlete will have a headache that occurs in the same location on their head. If a specific point of impact occurred to the head, the headache can be at the point of impact or in a direct trajectory across from the impact site.
The concussion headache usually appears within the first 24 hours after an injury and is made worse when the child exerts themselves either physically or cognitively. They may feel fine while resting at home, but experience the headache when attempting school in the following days.
Another technique at the time of injury is to ask a series of questions at the sideline to determine if the child is experiencing any memory difficulties. The questions should ask things the athlete cannot find visual clues for answers. Good examples include, "who did we play yesterday?" and "who made the last score in the game?" If they cannot answer these questions, there may be an issue.
The most important thing to remember is if there is any the suspicion of a concussion, it is best to remove the athlete from the game or practice. Remember, symptoms may show up two to three days later as the child attempts to return to their normal
If your child has had a loss of consciousness or is confused, go to your nearest Emergency Department. Otherwise, if you suspect your child has suffered a concussion, contact a healthcare provider knowledgeable in concussion for safe return to play such as The Center for Concussion Care at Sparta Health & Wellness Center.
The center can be reached at 908- 522-6146.