This transcript has been edited for clarity.
Christopher J. Chiu, MD: Welcome back to The Cribsiders on Medscape, where we do video recaps of our favorite Cribsiders episodes. On our pediatric medicine podcast, we interview leading experts in the fields to bring you clinical pearls, practice-changing knowledge, and answers to lingering questions about core topics in pediatric medicine. Justin, what are we talking about today?
Justin L. Berk, MD, MPH, MBA: Today, Chris, we are here to recap one of our latest episodes on concussion and mild traumatic brain injuries. Our expert was Dr Angela Lumba-Brown, a pediatric emergency medicine physician at Stanford University and concussion expert, and also one of the authors of the most recent guidelines on concussion management.
We discussed the diagnosis of concussion, treatment options, and return to play. The first thing we did was define concussion as a mild traumatic brain injury (mTBI). It's a head injury that results in some confusion or loss of consciousness, perhaps with some amnesia or other transient neurologic findings. As long as the Glasgow Coma Score is 13-15, it is considered a mild concussion. mTBI is a clinical diagnosis and does not require imaging.
Chu: We discuss some clinical tools that can be helpful to determine whether and when neuroimaging is indicated.
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COMMENTARY
Concussion in Kids: Why Rest May Not Be Best
Christopher J. Chiu, MD; Justin L. Berk, MD, MPH, MBA
DisclosuresJune 15, 2021
This transcript has been edited for clarity.
Christopher J. Chiu, MD: Welcome back to The Cribsiders on Medscape, where we do video recaps of our favorite Cribsiders episodes. On our pediatric medicine podcast, we interview leading experts in the fields to bring you clinical pearls, practice-changing knowledge, and answers to lingering questions about core topics in pediatric medicine. Justin, what are we talking about today?
Justin L. Berk, MD, MPH, MBA: Today, Chris, we are here to recap one of our latest episodes on concussion and mild traumatic brain injuries. Our expert was Dr Angela Lumba-Brown, a pediatric emergency medicine physician at Stanford University and concussion expert, and also one of the authors of the most recent guidelines on concussion management.
We discussed the diagnosis of concussion, treatment options, and return to play. The first thing we did was define concussion as a mild traumatic brain injury (mTBI). It's a head injury that results in some confusion or loss of consciousness, perhaps with some amnesia or other transient neurologic findings. As long as the Glasgow Coma Score is 13-15, it is considered a mild concussion. mTBI is a clinical diagnosis and does not require imaging.
Chu: We discuss some clinical tools that can be helpful to determine whether and when neuroimaging is indicated.
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Cite this: Concussion in Kids: Why Rest May Not Be Best - Medscape - Jun 15, 2021.
Tables
Authors and Disclosures
Authors and Disclosures
Authors
Christopher J. Chiu, MD
Assistant Professor, Department of Internal Medicine, Division of General Internal Medicine, Ohio State University School of Medicine; Lead Physician, General Internal Medicine, OSU Outpatient Care East; Department of Internal Medicine, Division of General Internal Medicine, Ohio State University Wexner Medical Center, Columbus, Ohio
Disclosure: Christopher J. Chiu, MD, has disclosed no relevant financial relationships.
Justin L. Berk, MD, MPH, MBA
Assistant Professor, Department of Medicine; Assistant Professor, Department of Pediatrics, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island
Disclosure: Justin L. Berk, MD, MPH, MBA, has disclosed no relevant financial relationships.