Submit-concussion pointers (Eric Thelin episode 2)

Submit-concussion pointers (Eric Thelin episode 2)

Table of Contents

Desk of contents:

02:42 Post-concussion guidelines
06:06 No concussion guidelines in medical school
07:42 Rest after concussion
09:17 Return to sports concussion guidelines
11:36 Concussion guidelines for hospitals
13:25 Sport concussion patients

Concussion Tales podcast introduction

[00:00 Melanie] If I say there’s hope for full restoration for folks with a concussion, you say…?

[00:07 Professor McCrea] 100%!

[00:08 Professor Maas] And actually, you didn’t solely really feel it] you have been exterior the common medical system, as a result of they weren’t concerned with you.

[00:16 Professor Sitskoorn] Neuroplasticity truly opens you as much as the world. It makes it doable to develop; it makes it doable to rehabilitate.

[00:25 Professor Wilson] Traumatic brain injury has been referred to as a silent epidemic for that motive, as a result of it consists of adjustments and disabilities that aren’t apparent to different folks.

[00:35 Dr. Zasler] If, as a doctor, you felt you had nothing to supply a affected person, then I believe ethically, it’s essential say] “I don’t suppose there’s something I can give you. Possibly it’s best to see Dr. M.”

[00:48 Professor Diaz-Arrastia] Traditionally, we’ve referred to as this stuff delicate traumatic mind accidents, which means that, nicely… It could be a brain injury, but it surely’s not going to have nice penalties, proper? And that’s frankly not true.

In regards to the Concussion Tales podcast

[01:05 Melanie] Welcome to Concussion Tales, a Lifeyana podcast sequence full of hope. I’m right here to let you recognize that you’re not alone in your post-concussion restoration journey. My identify is Melanie and I spent six and a half years studying, experimenting, and coaching with a purpose to discover a method to heal myself from post-concussion syndrome.

After making a full restoration by the tip of 2018, I launched into this mission to make the restoration journey simpler for you. Because of this I began this podcast, wrote detailed blog post and downloadable guides, provide coaching and likewise the course that I want I had again once I was recovering — educating you every little thing that I wanted to know with a purpose to make my restoration occur.

On Concussion Tales, we dig deep whereas discussing hopeful tales of restoration in addition to the exhausting stuff within the messy center. Let’s dive proper in!

Eric Thelin

On this second episode with Eric Thelin, a Swedish brain injury researcher and resident doctor at Karolinska College Hospital, we are going to uncover how he’s creating a guidelines for Swedish GPs to assist them know higher what to do with sufferers after sustaining a concussion. He additionally shares and explains the best way sport concussion return to exercise protocols are useful to use in medical settings.

‘Delicate’ traumatic brain injury = concussion

By the best way, should you hear Eric talk about delicate traumatic brain injury, that is only a time period medical doctors usually use for concussion. With out additional ado, let’s take heed to Eric Thelin.

Submit-concussion pointers

Post-concussion guidelines

If I understood you accurately in Antwerp, you stated that you’re going to write concussion pointers primarily based in your analysis, proper?

[02:49 Eric] That’s right. So, we’re at the moment updating the rules for the administration of delicate traumatic brain injury sufferers or concussion sufferers in Stockholm with lingering signs.

[03:01 Melanie] Okay.

[03:02 Eric] We’re writing them to present GPs a guide, a form of flowchart. If a affected person has persistent complications, whom ought to I refer them to? The identical if a affected person has persistent sleeping issues, persisting vertigo, persisting something. I believe that can assist quite a bit. 

No concussion coaching in medical college

I don’t suppose that the GP is essentially tired of your issues. I believe the issue lies in that the GP is, most likely, to some extent, uninformed. That’s as a result of we aren’t getting taught something in medical college about concussion. 

You, as a affected person, fall between the cracks actually. You aren’t actually in neurology, you aren’t actually in neurosurgery, and you aren’t actually in rehabilitation medication. You fall someplace in between, which makes it very tough.

Concussion restoration with out medical doctors

I believe one other factor that we’d like to consider is that not every little thing requires medical doctors. I believe that for delicate TBI, so concussion sufferers, different para-medical specialties, equivalent to physiotherapists, occupational therapists can maintain super enchancment for these sufferers.

I recovered from house

[04:52 Melanie] Sure, I absolutely agree. In the long run, I did my restoration from house. And that’s primarily additionally what I’m serving to folks do by way of my web site. After all, it’s specialised information. In any case these years I’ve acquired so many issues that work and issues that don’t work. However nonetheless, I can inform folks what helped and what didn’t assist for me, and the way I did that. They will get better from house as nicely.

A physiotherapist, for instance, will most likely be a lot better than I at how somebody ought to transfer, particularly that individual. However ultimately, transferring, doing mind coaching or meditation usually are not stuff you want medical doctors for. So I absolutely agree together with your place. You simply have to know what to do. 

This bundle of instruments of care suppliers which you can go to, that shouldn’t be obtainable, and it’s the factor that must be obtainable on the level of entry. So, the GP or the care suppliers on the ER have to know what to present to sufferers.

No concussion pointers in medical college

No concussion guidelines in medical school

You simply talked about that, at college, you weren’t taught something about delicate traumatic brain injury, concussion, or post-concussion syndrome. Is it true?

Concussion with unfavourable CT or MRI

[06:18 Eric] No, I might say that I didn’t be taught something in medical college about concussion. The angle with delicate traumatic brain injury all the time is to form of display screen for many who may need a hemorrhage that requires surgical procedure. Whenever you don’t discover a hemorrhage, you form of undergo an algorithm. 

Go house and relaxation

When you most likely shouldn’t have a bleed, go house and relaxation for per week, don’t play video video games, don’t learn too many books, don’t keep up too late, don’t drink alcohol, and bye bye. That’s about it. That’s what you be taught. You don’t actually be taught what the proof is for something of this, or what to do if a affected person comes again to you afterward. We aren’t being taught that, which is a disgrace.

[07:27 Melanie] Sure, it’s a disgrace and one thing that completely wants to alter. Particularly now that the knowledge that has been uncovered by CENTER and TRACK TBI is on the market. 

Relaxation after concussion

Rest after concussion

There are some things which might be actually outstanding once I hear this. The very first thing is, you’re nonetheless fairly younger within the discipline. And also you simply talked about the phrase ‘relaxation’ as recommendation. That is what you have been taught at college?

[08:00 Eric] Sure. 

Resting the primary days after brain injury

Concerning acute damage, which means the primary week after you hit your head, I don’t suppose it’s essentially dangerous to take it straightforward. That may be the primary days after an damage, relying slightly bit on how exhausting you sustained it. These sufferers could also be influenced by alcohol or might have medication of their methods. 

Don’t relaxation your method to well being

It’s all the time good to chill out the primary days after an damage. However you shouldn’t be resting your method to well being. This isn’t one thing that you’ll relaxation off. You’re going to should stroll and train it off in the long term, undoubtedly.

[08:50 Melanie] Yeah. I’m not seeking to criticize college or one thing. I’m looking for out why a whole lot of sufferers nonetheless get the recommendation to relaxation. How persistent is it that our medical college students are nonetheless studying that relaxation is greatest after sustaining a concussion?           

Return to sports activities concussion pointers

Return to sports concussion guidelines

[09:17 Eric] I believe it’s good to have a tiered system. In case you are in sports activities and have a concussion, there’s the ladder to get again to exercise. 

Getting again to exercise after concussion

First, you begin with resting for a day or so, and then you definitely begin with some mild train. After that, you may attempt a 30-minute cardio coaching session. If that feels okay and also you don’t have any signs, you begin doing heavier train coaching. When you don’t have any signs after that, you may return to contact sports activities once more, like hockey or soccer.

Taking steps again in restoration

Nevertheless, should you do really feel signs, like a rise in complications, vertigo or nausea, you are taking a step again. You retain on that degree till you’re feeling tremendous earlier than escalating the extent of coaching. 

Concussion signs flare-ups

This concussion protocol is sort of debated: there isn’t a good proof for this. I believe it makes good sense to really feel your individual physique; to really feel how a lot and when the signs come. I’m not saying that it’s best to go to mattress and sleep for per week when the signs come. I believe it’s good to acknowledge that there could possibly be signs that you just need to take heed to and never push your self too exhausting.

Mind coaching: push and launch

[10:57 Melanie] That’s true. I all the time examine it to going to the gymnasium. The mind is rather like making an attempt to construct muscle within the gymnasium, in my expertise. No less than, the injured mind. Properly, additionally the wholesome mind. 

If you wish to prepare your mind, you need to push it slightly after which launch it. You push it slightly extra, and launch it. You don’t need to push by way of it, as a result of you’re going to get an damage. All people is aware of it. It’s the identical factor on your mind, from my perspective.

Concussion pointers for hospitals

Concussion guidelines for hospitals

So that you say that it might be a good suggestion to have a look at the return to sports activities concussion pointers and switch that to present protocols in hospitals and GPs, proper? 

[11:44 Eric] Yep.

[11:45 Melanie] So that’s one factor that we are able to use in typical medication pointers. And completely different nations may be taught from one another.

[11:52 Eric] Undoubtedly.

Change concussion pointers in hospitals

[11:52 Melanie] I believe it’s a actually fascinating concept that can generate quick progress if we have been to switch information from all sides, and see if it really works in different nations, or see if it really works in different settings, like in a hospital as an alternative of on the sports activities discipline. Do you’re feeling that that is one method to change protocols quickly as nicely?

[12:16 Eric] Yeah, undoubtedly. 

Most concussion sufferers are older folks

I believe it must also be acknowledged that often, when you’re working in sports activities for example, concussion impacts wholesome younger folks. They’re completely different, as a result of the vast majority of sufferers which have concussions at present are previous folks. In Sweden, the median age that’s admitted to emergency rooms is round 70. 

Due to this fact, it’s a downside: what sort of rehabilitation can we give to the aged? That most likely must be slightly bit completely different from the remedy that you just as a teenager get after an damage. 

Tailor-made concussion pointers

So it’s essential take a look at the affected person in entrance of you, after which tailor greatest observe rehabilitation protocols for that individual affected person. I do consider that for you, for example, it might be good to use some form of a sports activities protocol and tailor that to your expertise. 

Sport concussion sufferers

Sport concussion patients

An issue with sports activities concussion is that a whole lot of these concussion sufferers need to take part. They need to push themselves: they need to get on the market. There additionally could also be cash or a sports activities profession concerned. In the event that they do present signs and weak spot, they will be unable to play. They won’t get any cash, and they’re going to most likely not advance of their sports activities profession.

Concussion restoration for well being

Nevertheless, when you’ve got a greater and extra long-term aim, like getting wholesome, and also you don’t essentially should get better rapidly, you have got a protracted sport to play. Maybe sports activities protocols have to be tweaked to the traditional life that individuals who aren’t athletes reside. 

Tailoring post-concussion pointers

The rules undoubtedly have to be tailor-made to the precise age group that concussion sufferers are in, and their exercise degree, maybe even academic background and so forth.

[14:27 Melanie] Yeah. I can think about. It’s fairly a job you’ve got.

[14:33 Eric] Yeah.

[14:34 Melanie] I’m assured that you’ll uncover a whole lot of info and translate it into good post-concussion pointers and checklists for medical doctors.

Share your ideas with me?

Now, I might love to listen to from you. What do you are taking away from this episode? Is there one thing which you can apply to your life immediately? Head on over to and go away your remark now.

And if you wish to hear and skim extra Concussion Tales, actionable steps and inspiration, make sure to subscribe to the Lifeyana e-mail record whilst you’re there, so that you just by no means miss out on new supplies we continuously make for you.

Assist Concussion Tales

If you wish to assist this podcast, head on over to Thanks for listening to this concussion tales episode by Lifeyana. 

Might you be nicely, and will you be blissful.

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