- Let's visualize the risk100 patients just like youOf 100 patients who get a CT scan...
- 3 patients will have a small bleed or skull fracture on CT that will heal on its own (there's a 3% chance of finding a minor injury that doesn't need treatment).
- 97 patients will have no bleed or skull fracture on CT (there's a 97% chance that a CT will find nothing wrong).
- Let's discuss the riskStudies show that people with LOW RISK injuries do not need a CT scan.
You may have a concussion.
A concussion can happen when the brain moves around in the skull.
A concussion is not a brain bleed.
Concussions do not show up on CT scan. Brain bleeds do. - You may have had a concussionConcussion symptomsA concussion is not a brain bleed. Concussion symptoms usually go away in a few days to 3 months. 10-30% of people with concussion have symptoms that last longer.
- "Not feeling right"
- Headache
- Nausea
- Balance problems or dizziness
- Blurry vision
- Confusion, concentration or memory problems
Brain bleed symptoms- Drowsiness or inability to wake up
- Worsening headache
- Slurred speech, weakness, numbness, or decreased coordination
- Repeated vomiting or seizures
- Unusual behavior
Return to the ED if you experience any of these symptoms - How do you treat a concussion?You may have had a concussion. Your symptoms may start tomorrow. You do NOT need a CT or MRI.Let the brain heal
- Rest… it’s safe to sleep and be left alone.
- Avoid activities that could cause another injury.
- If you must engage in these activities, take extra precautions to avoid an injury (e.g. wear a helmet).
- Do not drink alcohol.
Follow-upYou should follow up with your doctor or a concussion specialist to decide when it is safe to return to normal activities and if additional treatment might help you.
RISK DISCUSSION
