Youth Sports Injury Prevention | Part 3 | Vail Valley Medical Center | Vail, Colorado

Youth Sports Injury Prevention | Part 3 | Vail Valley Medical Center | Vail, Colorado


I’m going to talk tonight about something
that I’m very passionate about and something that affects all of us as because
all of us have kids or have grandchildren that are
involved involved in the community with youth that we
have and we don’t want to see them get injured you know this is really part of the
national campaign to help raise awareness about some of the
overuse and traumatic injuries are seeing in our kids and what we can do to hopefully understand it better to
prevent these injuries so what injuries are on the rise well there’s insufficient rest after injuries i
talked about uh… before training and conditioning
that we see uh… your specialization just one sport and
year-round participation that’s one of the major factors how is it different they’re not just
little adults their skeletons are growing they have growth plates in their bones which carry loads differently
they cannot handle the same loads as adults uh… the tendons and lieutenants are also
stronger in adults and that will tend to pull the bones and uh… in which is important is that
the brains are not developed so that if they have a head injury uh… their brain is still developing they
can’t they can’t adapt to a concussion
or a head injury the same as with an adult so there’s been a lot of emphasis lately
on concussions uh… concussion is is that process
where there’s a traumatic injury to the brain it’s a metabolic disturbance that occurres
in the brain the way the neurons that make up the brain cells that make up the brain work there are huge consequences to that cognitive
dysfunction a traumatic encephalopathy with repetitive
injuries and even death and geoff brown is here tonight i think
uh… it gave me some refrain from issuing a stern he’s kind of an expert on this and the
special interests jeff could you to stand up for a minute he’s one of our great pediatirc
specialist here if he has a special interest in this afternoon interests and stop richard uh… this is also hit the mainstream
media and some cover sports illustrated principally because of the n_f_l_ issues
where these guys are getting traumatic brain injuries near committing suicide of they have major depression in their forties uh… there’s one uh… there is
one example of a college student who had traumatic brain injury basically traumatic encephalopathy
and he committed suicide so it’s something that brain doesn’t
take a joke and there’s also something we should all be
aware of in kids it’s called second impact syndrome i saw this young boy today he’s eight he participates in the park events here
he’s a great skiers also a gymnast he hit his head and he’s still having symptoms several
days later. If the kid is having symptoms they should not participate in sports and symptoms
vary they can be lethargy they can be a headache they can be you know difficulty walking uh… and they can
be more subtle just they’re not thinking clearly and kids will get this thing it’s called a second impact
syndrome where if they get hit with another injury it can even be a minor injury it can cause
basically ah… fatal injury and jacob snakenberg was actually student
here in colorado who sustained a concussion in a game didn’t tell anybody had some minor cognitive deficits and didn’t really report his symptoms to anyone and
a week later game took a hit that was a typical hit and he never
regained consciousness he got second impact syndrome some of the major ways to prevent this
really is with helmets and also not letting kids participate when they’re
hurt uh… prevention is the biggest thing
appropriate helmut use winter sports are big offenders because of speeds that are involved sledding is one of the ones that you
don’t think about the kids go sledding they slide down they plow their head into another kid
they get a concussion you might not even know it happened. It happened to my
daughter this year hockey skiing snowboarding we all see our kids now
now wearing helmets make them wear a helmut as we see so many patients come
in the hospital who were visiting here or who live hear that he
returned that were not wearing helmets they fall down or they get hit
they were skiing and in control and somebody collides into them and they get a concussion uh… any type of cycling sport or any kind
of contact sport really you have to wear a helmut the most important thing with helmut use is to
make sure that it fits appropriately as well you know hand-me-down helmets that don’t fit
well they are not going to protect your kid appropriately so the treatment really but they don’t
have to lose consciousness either there’s a big ms misconception that
somebody has to lose consciousness to have a concussion they can just have a bonk on the head and that can literally
create a concussion the treatment really is rest rest and rest
you have to keep them out until they’re back to normal uh… they do some testing in the schools
now to try and figure out more subtle cognitive deficit so those kids
that have been playing and I know j.c. that they do it at
ski club vail with the impact test where the kids take a test before the season and then if they have a head injury
during the season they’ll take the test again and they can see
if they’re off their baseline because sometimes it’s very difficult to detect but if you have any question you really have to keep the kid out and
uh… now there’s a law that requires that and this law just came in it’ll be effective next january
it was just passed last week for those of you may have seen it uh… and it’s basically based on a
case-by-case with jacob snakenberg and it requires coaches to bench a player when they
believe they have suffered a head injury they cannot go back into the game that day and it requires also medical
clearance from a physician or somebody who’s qualified to make a decision
medically about returning to play and most importantly it requires an
education process for any coaches uh… to take a free training to recognize the symptoms of a concussions so
hopefully we won’t have cases like snakenberg
in our community so in summary with concussion uh…a player should be removed from games or
practices if there are any signs or symptoms of concussion and they may not be return
to play the same day and rest is really the essential treatment
for this there are some medical therapies that if
you if it’s more severe then some of the physicians may prescribe it in most cases it just requires rest and prolonged rest
in many cases and the young athletes really are at increased risk for the second impact
syndrome and they must be managed conservatively

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