Diagnosis, Management and Treatment of Concussion in Children and Adolescents

September 16, 2013

A workshop at the Icahn School of Medicine at Mount Sinai, sponsored by the Department of Rehabilitation Medicine and the Department of Pediatrics – School-Based Health Center Program

In 2012, New York State enacted a concussion law mandating that all children concussed in school sports be removed from play for at least 24 hours and return to play and to school be determined by a physician. Concussion is an area where public policy rather than science is leading decision-making. This workshop reviewed the signs and symptoms of concussion, the neurophysiology of concussion, methods of identification, assessment and diagnosis and reviewed current best practices with regard to decision making about return to play and to learn.

The slides used in the presentations at the workshop are available below:

Introduction
Judith Avner, Esq.
Executive Director
Brain Injury Association of NYS
AVNER Presentation [PDF]

What is a concussion, and what are its long-term consequences?
Wayne A. Gordon, Ph.D.
Director, Brain Injury Research Center of Mount Sinai
Jack Nash Professor and Vice Chair
Department of Rehabilitation Medicine
Icahn School of Medicine at Mount Sinai
GORDON Presentation [PPT]

What is the Concussion Management and Awareness Act,
and how can I be compliant with it?
Sharon M. Edwards, M.D.
Associate Professor
Department of Pediatrics
Icahn School of Medicine at Mount Sinai
EDWARDS Presentation  [PPT]

Concussion evaluation: On the sideline and in the emergency department
Jennifer E. Sanders, M.D.
Pediatric Emergency Fellow
Icahn School of Medicine at Mount Sinai
SANDERS Presentation  [PPT]

Emergency department evaluation
Sylvia E. Garcia Figueroa, M.D.
Assistant Professor
Departments of Pediatrics and
Emergency Medicine
Icahn School of Medicine at Mount Sinai
GARCIA Presentation  [PPT]

Second injury syndrome
Tandir Choudhri, M.D.
Assistant Professor
Department of Neurological Surgery
Icahn School of Medicine at Mount Sinai
CHOUDHRI Presentation  [PPT]

Return to play and to learn graded protocol
Joseph Herrera, D.O.
Assistant Professor
Department of Rehabilitation Medicine
Icahn School of Medicine at Mount Sinai
HERRERA Presentation  [PPT]

Community experience
Ann Engelland, M.D.
Assistant Professor
Department of Pediatrics
Albert Einstein College of Medicine
ENGELLAND Presentation [PPT]

Accommodations and interventions
Joshua B. Cantor, Ph.D.
Associate Professor
Department of Rehabilitation Medicine
Icahn School of Medicine at Mount Sinai
CANTOR Presentation  [PPT]

Interventions
Anne Ambrose, M.D.
Assistant Professor
Department of Rehabilitation Medicine
Icahn School of Medicine at Mount Sinai
AMBROSE Presentation  [PPT]