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National Winter Sports TBI Awareness Month

Winter is a great time for extreme sports like snowboarding, skiing, heli-skiing, ice hockey, ringette, broomball, and many more. However, there are high physical risks associated with such sports, especially brain injury. Owing to this, the month of January is recognized as National Winter Sports TBI (Traumatic Brain Injury) Awareness Month across the USA.

 

As National Winter Sports TBI Awareness Month, it is a great time to learn about TBIs, their precautions and raise awareness regarding it. People across the USA are increasingly noticing January as the month to take a little extra time in order to understand TBI.

Here are some facts about TBI that might interest you

Sports and recreational activities contribute to about 21% of all traumatic brain injuries among American children and adolescents. (Source)

Skateboarding, snowboarding, skiing, and motocross had the highest number of head and neck injuries. (Source)

There were about 61,000 TBI-related deaths in the United States in 2019. (Source)

So, what is a Traumatic Brain Injury (TBI)?

A violent blow or jolt can cause TBI to the head, such as getting shot in the head. Another way is through an object that goes through the brain.

 

Mild traumatic brain injury may cause temporary damage to your brain cells. The more severe ones may cause bruising, torn tissues, bleeding, and other physical damage to the brain. These injuries can cause long-term complications or also death in some cases.

Traumatic Brain Injury

Causes of TBI

A traumatic brain injury may happen in one of the two ways:

  • Closed brain injury – This happens when the brain tissues and blood vessels tear because of incidents like car accidents or head-fall in sports or by accident. A playful rough shake to babies when moved or shaken rapidly is known as Shaken Baby Syndrome, which is quite common.
  • Penetrating brain injury – Open head injuries may arise when a break occurs in the skull. For ex: a gun is shot in the head.

Who else can get a TBI?

Other people in certain professions or activities like construction workers, military members, and Police and law enforcement personnel also have a high risk of TBIs.

Types of TBIs 

Some of the most common types of traumatic brain injuries are sports-related concussion (SRC), epidural hematoma, PICA hemorrhage, second impact syndrome, subdural hematoma, epidural hematoma, and diffuse brain injury. While cerebral concussions rarely cause death, they can be the starting point for other brain injuries.

The most common TBIs as witnessed in winter sports players are mentioned below:

  • Concussions/Mild TBI: Concussions are the most common and mildest form of TBI. Concussions can lead to a brief loss of consciousness and sense for less than 30 minutes. People who have an MTBI/concussion can experience confusion for about a day, with no memory loss.
  • Moderate TBI: Common causes of concussion or mild TBI include a bump on the head, whiplash, or trauma to the skull and scalp. Symptoms can include confusion, dizziness, vomiting, and amnesia, which can last for around 24 hours.
  • Severe TBI: In severe TBI, individuals lose consciousness for around a week or more. They usually undergo CT and/or MRI scans, after which the future course of action is suggested. If the injury is severe, scans might show internal bleeding as well.
  • Nontraumatic TBI: Nontraumatic TBIs are also known as hypoxic/anoxic brain injuries. These can happen from strokes, seizures, choking, and near-fatal drownings due to the lack of oxygen flow into the brain.

Precautions to take for TBIs

Here are some tips from the American Association of Orthopedic Surgeons to make winter sports safer: 

Helmet
Always wear a helmet on all sorts of outdoor high-velocity sports.
Stop
Know when to stop. Most injuries also happen from exhaustion.
Weather Conditions
Be informed about the weather condition where you are going to play.
Location
Do not play winter sports activities alone or in secluded locations.
Medical Care
Ensure that there is medical care nearby.
Immediate Medical Attention
Seek immediate medical attention if injured.
Hazardous Conditions
Stay in bounds, adhere to the rules and watch for obstacles and hazardous conditions.

Medical treatment for people suffering from TBI

The first step after detecting a TBI is to be evaluated by a health professional.

Medical treatment for TBI

The process from detection to treatment is listed below:

  1. Complete rest – When recovering from a concussion, it is important to take care not to do any physical or cognitive activities that result in an increase in symptoms.
  2. Avoiding unnecessary medication – Medications such as NSAIDS & Aspirin should be avoided early in the acute stage of a concussion. Many stimulants, antidepressant medications, and even over-the-counter painkillers can mask symptoms that may delay recovery. Acetaminophen (Tylenol) is a popular medication that is often incorrectly used to treat acute symptoms such as headaches.
  3. Return-to-work protocol – Return-to-work/sports following a diagnosed concussion should follow a graded return-to-work protocol.
  4. Return-to-play protocol – The return to play protocol’s goal is to gradually prepare the body for physical exertion and eventually eliminate the return of any symptoms.

Medical initiatives regarding TBI

Brigham and Women’s Hospital in Boston has established a grading scale for TBIs. Their five-level grading scale with return-to-play guidelines is designed by experienced practitioners to grade head injuries, identify the severity and improve medications. Each grade addresses the necessary stages of recovery.

Treatment & Monitoring

Refinement in neurological care, treatment, and monitoring over the years

The differentiation between ‘primary and secondary TBIs’ arose around the 1990s. This was in response to the understanding of how medical conditions like hypotension and hypoxia can worsen brain injury.

 

This changed TBI care, treatment, and monitoring, majorly in 2 broad ways.

 

Prehospital care protocols started to be taken seriously, which ensured airway protection, regular oxygenation, and systemic perfusion before being admitted to a medical facility. It also began the process of using goal-oriented therapy in the critical care units.

Conclusion

TBI continues to be one of the major causes of fatal deaths in the American sporting community, with a rising awareness. New technologies and medicines are being developed to combat the after-effect of a TBI.

 

If you are looking to connect with rehabilitation care centers for TBI patients or professionals who are associated with the care of TBI, you can look into our healthcare database.

 

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