OT: Football and Head Injuries: Nothing Has Changed.

OT: Football and Head Injuries: Nothing Has Changed.

Submitted by stephenrjking on September 9th, 2016 at 12:05 AM

The NFL opener was a good game.

But I'm having trouble enjoying it. Because Cam Newton was hit in the head multiple times in this game. 

It wasn't penalized until the last, worst offense.

Newton never missed a single play.

Cam Newton remains in the game after taking blow to the skull: pic.twitter.com/1wDUXWisCG

— Deadspin (@Deadspin) September 9, 2016

 

Also don't forget this hit earlier, where the guy jumped to try to hit Cam with his helmet https://t.co/gj20cBK9Wc

— Chris B. Brown (@smartfootball) September 9, 2016

 

Penalty yards assessed = how much the NFL actually cares about player safety. https://t.co/YjZAcY0Bxg

— Matt Hinton (@MattRHinton) September 9, 2016

 

The NFL has a concussion protocol unless it’s an important moment

— Bill Barnwell (@billbarnwell) September 9, 2016

All the talk about head injuries the past few years. Nothing has changed.

Why do I care? I'm not a Panthers or Broncos fan, I prefer college to the NFL, etc.

But I like football. And head injuries are a serious, serious safety issue in the sport. They could be the death of it. They certainly have affected players. The culture of the sport needs to change--leading with the head, the way Broncos players did several times tonight, should never happen. 

And guys that get hit that hard should not be in the game. Even if it's a one-point game with two minutes to go.

Nothing has changed.

Brandon: I don't think Brady deserves any blame for what happened on the sidelines

Brandon: I don't think Brady deserves any blame for what happened on the sidelines

Submitted by wlubd on October 2nd, 2014 at 5:29 PM

WARNING - This is a Freep article. I will put link at bottom but have copied a few relevant quotes from their story just published.

Not trying to bombard the board but this was just posted and wow. Presented without further comment.

http://www.freep.com/story/sports/college/university-michigan/2014/10/0…

Michigan athletic director Dave Brandon said today that Brady Hoke had no fault in the handling of his quarterback's brain injury and that the ensuing firestorm will not affect how he evaluates the football coach's job status.
Brandon placed the blame on the school's medical staff for not quickly diagnosing the injury to Shane Morris and relaying the information to coaches, which led to the concussed quarterback staying in for another play and re-entering the game a few minutes later for yet another play.
"I don't think Brady deserves any blame for what happened on the sidelines," Brandon said. "Because Brady is responsible for coaching.

What Are Concussions and Why They Matter

What Are Concussions and Why They Matter

Submitted by TraumaRN on October 1st, 2014 at 3:55 PM

I'm cognizant that this information is a day late but it is still important and still worth educating everyone about. When people ask why I'm so mad, as a medical provider, this is why. 

 

What is a concussion?

A Concussion is a mild traumatic brain injury that interferes with normal function of the brain. You cannot “see” a concussion on a CT or MRI scan and it is a clinical diagnosis based on patient history and symptoms, you do not have to have loss of consciousness (LOC) to have a concussion. Car crashes and sports injury are the leading causes of concussions  Concussions occur as a result of imparted linear and rotational accelerations of the brain that causes neurons to potentially twist or shear causing cell damage or cell death. Headache is the most common sign of a concussion, along with confusion, difficulty sleeping, amnesia(retrograde or anterograde), dizziness, fatigue, loss of consciousness, nausea, vomiting, anxiety, visual disturbances, feeling "in a fog," sensitivity to light or sound, lack of focus, delayed motor responses, loss of balance, slurred speech, and vacant or glazed over stare.

 

Concussion Grading

From the American Academy of Neurology

•Grade I –Mild

–Short term confusion, post event amnesia, symptoms resolve in < 15 minutes

–NO LOC.

This is most likely what Shane had.

 

•Grade 2 –Moderate

–Symptoms last > 15 minutes

–Again NO LOC

 

•Grade 3 –Severe

–ANY Loss of Consciousness, plus above symptoms

 

Return to Play

Grade 1 Mild

–Remove from contest

–Examine every 5 minutes for amnesia or post concussive symptoms.

–Return to activity after 1 full week without symptoms

 

Grade 2 Moderate (symptoms last longer than 15 minutes)

–Remove from contest

–Cannot return to play that day

–Examine on site on a frequent basis for signs of evolving intracranial problems

–Medical re-examination the next day

–CT or MRI if symptoms last more than one week

–Return to activity after 1 full week without symptoms

 

Grade 3 Severe

–Ambulance transport from field

–Emergent medical full neurological exam to include brain and spine, with possible CT and/or MRI

–May go home that day with head injury instructions if otherwise stable

–Hospital admission if symptomatic

–For LOC < 1 minute, return to play only after asymptomatic for 1 week

–For LOC > 1 minute, return to play only after asymptomatic for 2 weeks

 

So why are concussions so dangerous in football??

Second Impact Syndrome

Second Impact Syndrome is a condition in which the brain swells rapidly and potentially fatally after a person suffers a second concussion before symptoms from an earlier one have subsided. It is often times fatal, and if not fatal then it leaves the person permanently disabled. It is caused by blood vessels in the brain losing the ability to regulate their own diameter and results in massive overload of blood to the brain causing rapid swelling as the skull is a fixed space. This usually leads to brain herniation and then death.

 

The 6 ‘No Go’ signs

•Loss of Consciousness

•Confusion

•Amnesia

•New and/or persistent symptoms, such as headache and nausea

•Abnormal neurological findings, such as balance issues, (remember Shane stumbling?)

•Progressive, persistent, or worsening symptoms

I was surprised no one mentioned or at least I haven’t seen anyone mention the 2012 Steelers/Browns game where James Harrison hit Colt McCoy.

McCoy sent back into the game 2 plays later and less than 5 minutes after being hit. The hit was a near mirror image of what happened to Shane. http://www.youtube.com/watch?v=IfFW-Yezv0k

 

What can we do about it?

The biggest thing is to increase awareness of the general public. Encourage the public to demand player safety. Unfortunately, this incident with Shane is not how you’d like to increase awareness. Rather it needs to start with education of parents, coaches and players as soon as they begin playing football(or other high impact sport) and continue throughout their career. The macho rub some dirt on it culture needs to stop right now. Eventually it will lead to a player being killed or disabled on the field. The push for helmets with impact sensors needs to continue. And if I am being frank, they should be mandatory across all levels of football and if they detect a hit with an impact that could cause potential brain injury pull that player from the game.

Mandatory coach education is a must, and I realize many places it is already the standard but it still is clearly is not enough as we have seen. Once you get to the major college and pro level certified athletic trainers and neurologists need to be on the sidelines or in the booth and preferably both. They need the power to override coaches and refs. Period. If we're to be serious about player safety this needs to happen on the college level immediately as the NFL is getting to this point already. 

Moreover, all high impact sport governing bodies need to be absolutely punitive when it comes to head injuries, if you directly target someone with a head or neck shot you are gone immediately from that game and from the next. No exceptions, even if it is accidental. It may sound harsh and I admit it is, but at this point it is necessary.   

If there is any doubt about a head injury sit the player out, start cognitive testing and no return to play on that same day even if the symptoms resolve or aren’t readily apparent. Brain injuries can take time before symptoms become readily apparent. 

Because really how important is a game compared to being alive?

 

 

Can we please walk it back in a bit?

Can we please walk it back in a bit?

Submitted by 1464 on October 1st, 2014 at 11:07 AM

I first want to state that I am glad that there has been such an outpouring of condemnation for all the broken things.  And there are a lot of broken things.

I know that a lot of people have expressed this opinion in other threads, but there hasn't been (to my knowledge) a thread that directly addresses this:

This movement is starting to creep into the "self-importance zone," in which it becomes less about the original offenses, and more about the reaction.  Don't get me wrong, the original petition was sorely needed.  I think that the Occupy Schissel movement last night was about as far as things should be taken.

I'm not advocating that anyone stop beating the drum, as the AD is PRAYING that people simply lose interest and stop.  I'm not advocating that people show up to games this year.  I'm not advocating we put down the swords and welcome a mascot with a sandwich board around his neck saying "EAT MOR CHIKEN!"

But I would not be surprised if the next thread to pop up on this blog is "SIGN MY WHITEHOUSE.GOV PETITION TO GET BRANDON REMOVED!!!!" 

There are so many things in this world to get overly worked up about.  Hong Kong, Chad Strong, among many unmentionable political and ethical issues that are common today.

The point I guess I am trying to make is this:

If you stage a hunger strike to fire the AD at Michigan, you've stopped making it about them, and started making it about you.  The further this is taken, the more absurd it looks, and the less credible everyone looks.

Schlissel releases statement re: Shane

Schlissel releases statement re: Shane

Submitted by wlubd on September 30th, 2014 at 5:37 PM

EDIT: Updated with non-microscopic font. (H/T to Maize and Brew for getting it up)

As the leader of our university community, I want to express my extreme disappointment in the events surrounding the handling of an on-field injury to one of our football players, Shane Morris. The health and safety of our entire student community, including all of our student-athletes, is my most important responsibility as university president.

I have been in regular discussion regarding this incident and its aftermath with Athletic Director David Brandon and the Board of Regents. I support the immediate protocol changes that the department's initial assessment has identified. I have instructed the Athletic Department to provide me, the Board of Regents, and other campus leaders with a thorough review of our in-game player safety procedures, particularly those involving head injuries, and will involve experts from the University of Michigan Health System in assessing its medical aspects.

Despite having one of the finest levels of team medical expertise in the country, our system failed on Saturday. We did not get this right and for this I apologize to Shane, his family, his teammates, and the entire Michigan family. It is a critical lesson to us about how vigilant and disciplined we must always be to ensure student-athlete safety. As president, I will take all necessary steps to make sure that occurs and to enforce the necessary accountability for our success in this regard.

Our communications going forward will be direct, transparent and timely. The University of Michigan stands for the highest level of excellence in everything we do, on and off the field. That standard will guide my review of this situation and all the University's future actions.

My thanks go to the many members of the University community who have taken the time to express their thoughts.