护士的角落

玫瑰学院了解脑震荡的严重性无论是在运动中还是在运动之外. That is why we've created a comprehensive 脑震荡管理计划 that begins the moment a concussion is suspected. 基于专业人员在脑震荡管理研究中提出的医疗最佳实践, 这个项目是为了让你的女儿以最安全的方式回到教室和操场上.

If you suspect your daughter has suffered a concussion, 请联系念珠的护士 nurse@floridacommercialautoinsurance.net and review these tabs for additional information. 

如果您认为您的女儿有医疗紧急情况，请拨打911.

首先， 不要惊慌. 绝大多数遭受脑震荡的人会随着时间的推移恢复到正常的功能. 表达恐慌可能会加剧学生的症状，因为他们可能会以父母的情绪为食. 脑震荡需要认真对待，但通常不会引起恐慌.

If you feel your student is having a medical emergency, call 911.

如果你的孩子被诊断出患有脑震荡，或者你觉得她可能患有脑震荡, 当务之急是尽快实施脑震荡管理计划. The first step in this process is both physical AND cognitive rest. Please see the definitions page 了解更多信息.

如果你的孩子还没有被诊断出患有脑震荡，而你觉得她可能患有脑震荡， 请联系念珠的护士 安排医生到我们认可的脑震荡治疗机构就诊直接联系他们.

The purpose of this program is to underscore the importance of specifically addressing the topic of head injuries sustained by 念珠 students and provide a consistent, 综合管理和安全返回活动的学生. A student’s best chance of full recovery from a concussion involves two critical components: cognitive and physical rest followed by a stepwise 回归学习(RTL) progression then a stepwise 重返游戏(RTP) progression.

重要的是要注意脑震荡的恢复是一个非常个性化的过程. 必须注意的是，不要将学生与脑震荡进行比较，因为他们正在经历康复过程.

In any circumstance where a concussion is suspected, 首先要做的是取消该学生/运动员在当天剩余时间内的进一步参与. 这就启动了脑震荡管理计划. For the academic (RTL) protocol to be initiated the student must be evaluated by an approved health care professional within 2 days and documentation must be provided to the school’s nursing office.

The recommendations in this document for the management of concussion are based on a review of the current best practices in concussion management from a wide variety of resources from across the country.

It is important that once the student has returned to school that they report to the nurse on a daily basis in order to monitor symptoms as well as to determine progression to the next stage within the return to academics guidelines. 如果护士不在，学生必须向运动教练报告 在午餐.

If a student remains in stages 1-3 for more than 2 weeks, 也许有必要安排一次与教务助理校长的会议, 辅导员, 和学生家长一起讨论下学期的行动计划.

通常不需要药物治疗，但在某些情况下，当考虑到睡眠和头痛时可能需要药物治疗. 在脑震荡恢复期间，请遵医嘱服用任何药物.

Any physician authorized or restricted medication use (especially Ibuprofen or Acetaminophen for pain management) must be reported to the nursing staff.

注意:在评估症状和RTP时，学生/运动员不应该使用药物.

Successful recovery from a concussion is a multi-脸ted process. 脑震荡后, 您的学生将密切合作，并成为脑震荡管理团队(CMT)不可或缺的一部分。. The 念珠 CMT is a team of individuals within the school and in the community to assist the student through the recovery from concussion. Members of the concussion management team include physicians, 管理员, 辅导员, 老师, 学校护士, 体能训练师, 教练或俱乐部领导, 父母, 以及学生自己. 在更复杂的情况下, it may be necessary to add more team members such as: neurologists, 心理学家, 神经心理学家, 更多的医生, 等.

The nurse acts as the point person for all members of the CMT. The nurse collects and disseminates information from and to all appropriate CMT members throughout the recovery process. 请通过护士提交有关学生康复过程的所有信件.

It is important that once the student has returned to school they report to the nurse as indicated in order to monitor symptoms as well as to determine progression to the next stage within the RTL guidelines. 如果护士不在，学生必须向运动教练报告.

与RTP进程类似，《全球十大外围足球平台》也采用了RTL进程.

脑震荡后的恢复过程是一个循序渐进的过程. The student must be symptom free for a minimum of 24-48 hours and completed the entirety of the 回归学习(RTL) protocol 在开始这个过程之前. The student will complete each level and progress to the next only if they remain asymptomatic both at rest and with provocative exercise. RTP进程的每一步之间大约有24小时的间隔，这个过程将不少于8天. Should the student become symptomatic during the progression, 他们会回到之前的无症状水平，并在休息24小时后试图取得进展. RTP的每个阶段将由念珠的ATC(经过认证的运动教练)进行管理和评估. 家长双方必须以书面形式同意其学生回到完全接触活动. Final return to play clearance is at the sole discretion of the athletic training staff in accordance with state education codes.

您的学生将在恢复过程中填写一些表格. 其中一些表格需要由学校护士亲自领取. Other forms the student may need are listed below.

去看医生的时候, 请MD或DO填写以下脑震荡后医生推荐的学校住宿表. Return this form to your daughter's academic 辅导员.

The following "return-to-learn" documents are to assist the concussed student to “return to the classroom and learning environment” in a scientific manner regarding brain activity.

CIF返校协议

Physician Recommended School Accomodations Following 脑震荡

医学和脑震荡护理专家发现，脑震荡运动员必须采取循序渐进的治疗方法, 一步一步地, 在医生的监督下，一步一步地回到练习中，以尽量减少风险，让大脑得到适当的恢复. 

A.B. 2127和CIF章程规定了最低时间表, 但医学专家承认，许多青少年脑震荡患者可能需要更长的时间才能康复.  总是要小心，因为回归训练和比赛太快可能会造成灾难性的后果. 

脑震荡恢复比赛协议

Forms that are filled out by the 脑震荡管理小组

怀疑头部受伤 -此表格提醒您，您的学生可能在学校相关活动中遭受脑震荡. It also outlines certain instances when a trip to the Emergency Department is warranted and how to initiate the 脑震荡管理计划 for your student.

分级症状检查表(GSC) -这份清单有助于脑震荡管理团队记录脑震荡后的恢复过程. It is vital accurate information is documented on the GSC to ensure the safety of the injured student-athlete and to make return-to-play decisions. 填写GSC的说明位于表格底部附近.

In an effort to provide your student with the best possible care, 念珠鼓励学生使用有执照的医疗保健提供者，我们知道他们受过脑震荡管理方面的培训. This is backed up by an Assembly Bill passed in 2011. If you choose to use another provider for any reason and the Sports Medicine department does not feel your child has received the standard of care they deserve, 我们可能会要求您从我们认可的供应商那里获得第二意见.

批准的供应商

脑震荡 - A complex pathophysiological process affecting the brain, 由创伤性生物力学力引起. Several common features that incorporate clinical, pathologic and biomechanical injury constructs that may be utilized in defining the nature of a concussive head injury include:

脑震荡 may be caused either by a direct blow to the head, 脸, 用足够大的力撞击颈部或身体的其他部位，这种力可以传递到头部.

脑震荡 typically results in the rapid onset of short-lived impairment of neurologic function that resolves spontaneously.

脑震荡 may result in neuropathological changes, 但急性临床症状大多反映功能性障碍，而不是结构性损伤.

脑震荡会导致一系列分级的临床症状，可能会也可能不会导致意识丧失. Resolution of the clinical and cognitive symptoms typically follows a sequential course; however, it is important to note that in a small percentage of cases, 脑震荡后的症状可能会延长.

No abnormality on standard structural neuroimaging studies (i.e. x线，ct扫描)见于脑震荡.

轻度创伤性脑损伤(mTBI) -所有脑震荡都是mTBI的一种形式，但并非所有mTBI都是脑震荡. The terms mTBI and concussion should NOT be used interchangeably.

后震荡综合症 -脑震荡后可能持续数周、数月或数年的一系列症状.

二次撞击综合症 -运动员在第一次头部损伤症状消失前遭受第二次头部损伤的罕见情况, 通常是致命的.

认知休息 – Avoiding such behaviors and activities as: driving, 视频游戏, 电脑, 短信, 使用手机, 嘈杂和/或明亮的环境, 电视, reading and studying; these must be limited, 在大多数情况下, 完全可以避免的.

身体的休息 – Avoiding such activities and behaviors as: physical education, 体育活动, 在从脑震荡中恢复的过程中，必须调节或避免力量或心血管调节.

重返活动 – A two part process involving BOTH 回归学习(RTL) and 重返游戏(RTP) components to assist 念珠 students in returning to both full academic and extra-curricular activities in a safe manner.

回归学习(RTL) -一个逐步将学生重新融入课堂和完成学业的过程.

重返游戏(RTP) -一个逐步将学生重新融入课外活动的过程.

脑震荡管理小组(CMT) – A team of individuals within the school and in the community to assist the student through the recovery from concussion. Members of the concussion management team include physicians, 管理员, 辅导员, 老师, 学校护士, 体能训练师, 教练或俱乐部领导, 父母, 以及学生自己. 在更复杂的情况下, it may be necessary to add more team members such as: neurologists, 心理学家, 神经心理学家, 更多的医生, 等.