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Concussion And Its Consequences

On Monday 25th September, mlcoa QLD hosted “Concussion And Its Consequences” in Cairns which was presented by Dr Sandy Macleod, Psychiatrist.

Dr Macleod provided a brief history in regards to concussions and how it can be traced back in history. As history presents itself the first famous person to mention concussion referring it to as “No laughing or dancing: it is quite different’ Persuasion (1815-16).

Dr Macleod also advised that the first railway reported head injury was in 1880.

In regards to Mild Traumatic Brain Injury (MTBI), Dr Macleod provided insight that MTBI is an acute brain injury resulting from mechanical energy to the head from external forces. Operational criteria for clinical identification include one or more of the following:

  • Confusion or disorientation
  • Loss of consciousness (LOC) (for 30 minutes of less)
  • Post – traumatic amnesia (PTA) (less than 24 hours)
  • Other transient Neurological abnormalities such as focal neurological signs, seizure and intracranial lesion not requiring surgery.
  • The Glasgow Coma Scale (GCS) score should be 13 or greater, 30 minutes after injury (or later upon presentation for healthcare).

Dr Macleod’s presentation was well received by the audience and attendee’s providing a framework of understanding what is MTBI and Concussion and its Consequences.

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