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Concussion Return To Play

Concussion Expert Revises Return To Play Guidelines

Pioneering concussion expert, Dr. Robert Cantu, issues revised return to play guidelines focusing on loss of consciousness, post-traumatic amnesia, concussion number, and time signs and symptoms take to clear at rest and with progressive exertion as factors.
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No Return To Play In Same Game After Suffering Concussion For Youth Athletes, Says Dr. Robert Cantu

Because of the risk to youth and high school athletes of suffering a second potentially fatal brain injury before the brain has healed from the initial injury - a condition called second impact syndrome - Dr. Cantu advises against allowing such athletes to return to play in the same game or practice after experiencing post-concussion signs or symptoms.
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Second Impact Syndrome, Though Rare, Poses Catastrophic Risk To Concussed High School Athletes

Second-impact syndrome occurs when a high school athlete who sustains a head injury - often a concussion or worse injury, such as a cerebral contusion (bruised brain) - sustains a second head injury before symptoms associated with the first injury have cleared. The condition, while rare, causes a sharp increase in intracranial pressure that is almost always fatal, says Dr. Robert Cantu.
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"Stepwise" Return to Play Recommended For Athletes Sidelined By Concussion For Several Weeks Or Longer

If an athlete has been sidelined by a concussion for several weeks or longer, Dr. Robert Cantu recommends that he follow a "stepwise" approach to return to play.
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Second Impact Syndrome Risk Requires Caution in Return-to-Play Decision

The last five to ten years have seen a dramatic increase in the number of reported cases of second impact syndrome (SIS) which occurs when an athlete who sustains head trauma, i.e. a traumatic brain injury - often a concussion or worse, such as a cerebral contusion (bruised brain) - sustains a second head injury before signs of a concussion with the first have cleared.
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