Concussion Scenarios

Concussions

Scenarios

Scenario 1

College Football - 1st segment

Multiple Select

Scenario 1

Signs and symptoms

• memory loss

• anterograde amnesia

• retrograde amnesia

• neck pain

• lack of strength

Poll

Scenario 1

What do you do?

• give athlete a high 5

• Activate EMS by calling 911

• Sit him up and get ready to leave the field

• Get the stretcher

Multiple Choice

Scenario 1

Which cranial nerve was tested during on-field evaluation?

• VII: Facial

• III, IV & VI

• V: Trigeminal

• XI: Accessory

• Huh?

Pause here

Scenario 1 - 2nd segment

Multiple Select

Scenario 1

Signs and symptoms

• dizzy

• anterograde amnesia

• retrograde amnesia

• Second Impact Syndrome

• loss of balance

Poll

Scenario 1

What do you do?

• activate EMS by calling 911

• continue monitoring athlete

• freak out

• call the team doctor over

Pause here

Scenario 1 - 3rd segment

Multiple Select

Scenario 1

Signs and symptoms

• anterograde amnesia

• loss of coordination

• retrograde amnesia

• headache

• Loss of memory

Multiple Select

Scenario 1

Red flags

• head worsening

• LOC

• loss of memory

• unequal dilated pupils

• vomiting or nausea

Poll

Scenario 1

What do you do?

• freak out

• continue monitoring athlete

• call the team doctor over

• activate EMS by calling 911

Scenario 2

Men's Soccer - 1st segment

Multiple Select

Scenario 2

Signs and symptoms

• abnormal posture

• LOC

• amnesia

• headache

• impact to the head

Multiple Choice

Scenario 2

What is the abnormal posture?

• Decorticate posture

• Decerebrate posture

• Unconsciousness

Poll

Scenario 2

Help Choco or other athlete?

• Choco

• other athlete

Multiple Select

Scenario 2

What do you do now?

• help Choco, then attend to other athlete

• activate EMS by calling 911

• Perform the BESS evaluation

• Immobilize the head and neck

Pause here

Scenario 2 - 2nd segment

Multiple Select

Scenario 2

Signs and symptoms

• abnormal posture

• LOC

• retrograde amnesia

• headache

• anterograde amnesia

Open Ended

Scenario 2

THINK! Why shouldn't you move the athletes?

Scenario 3

Woman's soccer - 1st segment

Multiple Select

Scenario 3

Symptoms

• dizzy

• LOC

• headache

• impact to the head with the ball

• pale

Poll

Scenario 3

What do you do?

• Let the athlete rest

• Monitor the athlete

• Perform a SAC, BESS and GSC evaluation

Pause here

Scenario 3 - 2nd segment

Multiple Select

Scenario 3

Symptoms

• dizzy

• headache

• fatigue

• feeling slowed down

• vomiting

Poll

Scenario 3

What do you do now?

• Let the athlete finish and get some rest

• Call 911

• leave the room, "Peace out!"

Pause here

Scenario 3 - 3rd segment

Multiple Choice

Scenario 3

Re-evaluate: What do you do know?

• Lay the athlete down in her bed and begin ingesting fluids and electrolyes

• Err on the side of caution and Call 911

Scenario 4

High School Football - 1st segment

Multiple Select

Scenario 4

Sign & Symptoms

• jaw pain

• feeling like "in a fog"

• headache

• helmet to helmet contact

Poll

Scenario 4

What do you do now?

• Call parents

• Tell the coach

• Perform a concussion evaluation

• Tell him that it doesn't sound too bad, he's ok.

Pause here

Scenario 4 - 2nd segment

Multiple Select

Scenario 4

Symptoms reported

• Confused

• Nervous

• Dizzy

• Neck pain

• "Don't feel right"

Poll

Scenario 4

What do you do now?

• Call the parents

• Tell the coach

• Take his helmet and refer to physician for further evaluation

• His scores are good so send him on his way

• Diagnose a concussion

Pause here

Scenario 4 - 3rd segment

Poll

Scenario 4

What do you do now?

• Quit

• Don't let the athlete play

• Let the athlete and coach do what they want

• Crawl up into a ball and start crying

Pause here

Scenario 4 - 4th segment

Multiple Choice

Scenario 4

What do you do now?

• Continue with the next phase of the RTP protocol

• Pause progression and let athlete rest

• Knowing you have to face the coach again, you quit

• Re-evaluate for a concussion using GSC, SAC & BESS

Pause here

Scenario 4 - 5th segment

Open Ended

Scenario 4

You do the hokey pokey and yell back, "__________!"