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How to Manage a Sports Related Concussion

What is a concussion?
A concussion is a mild brain injury that causes a change in mental status that can occur with direct insult to the head. A concussion may also occur with movement of the body that cause acceleration/deceleration forces to the head.
 
What are the symptoms of a concussion?
  • Headache
  • Dizziness
  • Loss of consciousness
  • Amnesia
  • Difficulty concentrating
  • Confusion
  • Nausea and/or vomiting
  • Difficulty balancing
  • Sensitivity to light
  • Sensitivity to noise
  • Ringing in the ears
  • Drowsiness
  • Irritability
  • Sadness
When should I seek medical attention for a concussion?
  • A healthcare provider should evaluate every child or adolescent suspected of a concussion. 
  • If this occurs during a sporting event, the child should sit out the rest of the game
  • Your provider may conduct a standardized neuropsych assessment to help guide return to activities/sports
What is the best treatment for a concussion?
  • Rest, rest and more rest!
  • Absence from school may initially be necessary until one can concentrate on a task without exacerbating symptoms
  • Avoid excessive time texting, on the computer, watching television, playing video games or listening to loud music
  • Return to activity too soon can lead to worsening and prolonged symptoms.  A second injury to the brain while the brain is healing can lead to severe brain injury that is life-threatening
When can a child return to sports after a concussion?
A person with a concussion should not return to play until they no longer have symptoms at rest for at least 24 hours.  Return to play should then be a step-wise progression.  The child/adolescent should be symptom free for 24 hours before progressing to the next level of play:
  • Light aerobic exercise (e.g.: walking)
  • Sport-specific exercise
  • Non-contact training drills
  • Full contact practice
  • Return to play (Must first be cleared by a provider)
What resources are there for concussions?
Swedish’s Spine, Sports and Musculoskeletal Medicine team has developed a Sports Concussion Clinic with the following resources:
  • Baseline neurocognitive testing with a computerized exam called ImPACT can be done prior to playing a sport to assess changes and recovery if a concussion occurs.
  • Comprehensive concussion management, including clearance for return-to-play
Click here to learn more about the Sports Concussion clinic.  The team includes sports medicine physicians, psychiatrists, an athletic trainer, physical therapists and a neuropsychologist that can deliver individualized care for every athlete

How to eat more vegetables

Did you know half of your plate should be from vegetables? Here are some ways to get more vegetables into your family’s meals and snacks.
 
1. Experiment with a new vegetable each week or each month!

Check out your local farmers market or produce aisle for something new and seasonal. Search the web or your favorite cook book for ideas on preparation, and don’t be afraid! Find recipes with some of your other favorite flavors or styles and you may just find your new favorite vegetable.

2. Get sneaky

  • Pureed peppers, zucchini or carrots can be “snuck” into tomato sauces for pasta or pizza. Not even the pickiest eater will notice!
  • Cauliflower, carrots or sweet potato can be steamed and pureed into mashed potatoes or a casserole.
  • Have a ...

How to prepare your child for a stay at the hospital

We all know that Swedish provides top-notch pediatric services for the emergent needs of children and their families.  You may be surprised to find out that many children come to Swedish for a planned inpatient stay as well.  There can be various reasons why a child and their family might be anticipating a hospital stay.  Some examples may include having a surgical procedure that requires them to be monitored for a set period of time afterward, neurological video monitoring, or medical preparations for a procedure the following day.

Regardless of what service your child will be receiving at the hospital, there are ways in which you can better prepare them and yourself for what to expect during your stay.

At Swedish, Child Life Specialists help children and families cope with the hospital process.  Child Life Specialists are available to help educate and prepare children and families prior to surgery and/or an inpatient stay.  Some tips on how to prepare your child for an inpatient stay include .....

Talking to kids about cancer

What do I tell my kids?” 

This is often the first question I’m asked by a parent with a new cancer diagnosis.  One of the most important things for parents to remember is that they know their children better than anyone else and they love them more than anyone…they can trust themselves to do this well.
 
Beyond that general reassurance, however, there are some practical tips for talking with children about a cancer diagnosis. 
 
Prepare for the conversation 
 
Think about your goals for the conversation.  What does your child need to know?  How you can help your child understand what’s going on?  How do you want your child to feel after the talk?  Who should tell your child you have cancer and can the person talking to your child stay relatively calm?
 
When and where should I have this conversation?  You don’t have to wait until you have all the answers.  Be prepared to ...

Spiders and Bees and Bugs, Oh My! Treating insect bites and stings

Another beautiful Seattle summer is just around the corner.  As we stare out windows and wait for our long days of sunshine to begin, know this – the bugs are doing the same thing!  Any day now all our biting, stinging, and pinching friends will begin to appear.  Make sure you prevent bites with insect repellants.  The American Academy of Pediatrics recommends using repellants containing 30% or less of DEET for all children older than 2 months of age.  But if a bite happens, arm yourself (and your medicine cabinet) with a treatment plan to get your kids back outside ASAP.
 
Treatment for ...

Helping kids heal with music and technology

A young girl is cowering in the corner - it is the first day her care-taker has left her side. She has backed herself into a corner as far from anyone as possible. She appears to be filled with anxiety. Staff members and nurses try calming her, but nothing seems to work.

With her back turned, the little girl doesn’t notice a young man entering the room. He is holding a tool, one of which the full power and potential is still unknown to most. Even though he has witnessed its abilities before, what happens next still takes even him by surprise.

Not knowing what to say, he says nothing at all. He lifts his instrument and strikes the first chord. The girl stops. He continues to play. The girl turns and slides to the floor. The young man sinks to his knees, the same level as the girl. Strumming his ukulele the young man begins to sing. The little girl begins to scoot herself across the floor, 20 feet to where the young man kneels, closer and closer until her knees touch his.

There are gasps coming from the doorway, as a handful of hospital staff and nurses witness to an amazing transformation. In a flip of a switch, the little girl went from utter anxiety to calm and happy, soothed by the sound of music. As the young man finishes his song, the little girl smiles, reaches out her hand to touch his, then falls back, smiling and laughing.


This is the story of Melodic Caring Project Founder, Levi Ware, on his most recent visit to provide live music to pediatric patients at Swedish First Hill.

“I've been playing music for a long time and I've seen a lot of amazing things happen when music is introduced into certain situations. What happened on the Pediatric Unit at Swedish was one of the most wonderful, beautiful and undeniably powerful music experiences I've had.  ...

New Washington State Law to Help Children with Food Allergies

It is with great happiness that I update an earlier blog posted several months ago with the news that patients with food allergies now have a law that helps them afford their treatment.  On Friday March 28th, Governor Jay Inslee signed a law that makes Washington the most recent state in the country to set a mandate for medical coverage of elemental formulas in the treatment of Eosinophilic GI disorders (EGIDs).  EGIDs are a severe form of gastrointestinal inflammation that results from food allergy. 


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