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dc.contributor.authorFeddermann-Demont, Nina
dc.contributor.authorChiampas, Georges
dc.contributor.authorCowie, Charlotte
dc.contributor.authorMeyer, T.
dc.contributor.authorNordström, Anna Hava
dc.contributor.authorPutukian, Margot
dc.contributor.authorStraumann, Dominik
dc.contributor.authorKramer, Efraim
dc.date.accessioned2021-01-22T13:22:56Z
dc.date.available2021-01-22T13:22:56Z
dc.date.issued2020-06-17
dc.description.abstractHead injuries can result in substantially different outcomes, ranging from no detectable effect to transient functional impairments to life‐threatening structural lesions. In high‐level international football (soccer) tournaments, on average, one head injury occurs in every third match. Making the diagnosis and determining the severity of a head injury immediately on‐pitch or off‐field is a major challenge for team physicians, especially because clinical signs of a brain injury can develop over several minutes, hours, or even days after the injury. A standardized approach is useful to support team physicians in their decision whether the player should be allowed to continue to play or should be removed from play after head injury. A systematic, football‐specific procedure for examination and management during the first 72 hours after head injuries and a graduated Return‐to‐Football program for high‐level players have been developed by an international group of experts based on current national and international guidelines for the management of acute head injuries. The procedure includes seven stages from the initial on‐pitch examination to the graduated Return‐to‐Football program. Details of the assessments and the consequences of different outcomes are described for each stage. Criteria for emergency management (red flags), removal from play (orange flags), and referral to specialists for further diagnosis and treatment (persistent orange flags) are provided. The guidelines for return to sport after concussion‐type head injury are specified for football. Thus, the present paper presents a comprehensive procedure for team physicians after a head injury in high‐level football.en_US
dc.identifier.citationFeddermann-Demont, Chiampas, Cowie, Meyer, Nordström AH, Putukian, Straumann, Kramer. Recommendations for initial examination, differential diagnosis, and management of concussion and other head injuries in high-level football. Scandinavian Journal of Medicine & Science in Sports. 2020en_US
dc.identifier.cristinIDFRIDAID 1827912
dc.identifier.doi10.1111/sms.13750
dc.identifier.issn0905-7188
dc.identifier.issn1600-0838
dc.identifier.urihttps://hdl.handle.net/10037/20392
dc.language.isoengen_US
dc.publisherWileyen_US
dc.relation.journalScandinavian Journal of Medicine & Science in Sports
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2020 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Sports medicine: 850en_US
dc.subjectVDP::Medisinske Fag: 700::Idrettsmedisinske fag: 850en_US
dc.titleRecommendations for initial examination, differential diagnosis, and management of concussion and other head injuries in high-level footballen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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