Concussion: prevention, detection and management

As of 2024, this MOOC has been updated to reflect the recommendations of the 6^th International consensus on sport-related concussions, published in June 2023. The MOOC demystifies concussion and explains how everyone can play a role in the prevention, identification, and management of this type of traumatic brain injury. The course also describes how a concussion management protocol can be adapted to different environments, implemented, and periodically revised. It was developed to meet the needs of parents, coaches, teachers and administrators of school and sport environments, health care professionals, and athletes/individuals that have experienced a concussion. The course is offered in collaboration with the University of Calgary.

Syllabus

Introduction

• Definition of concussion
• Concussion and the spectrum of traumatic brain injuries
• The pathophysiology of concussion
• What are the potential residual effects and sequels of concussion
• The objectives of a concussion management protocol
• An introduction to the development and implementation of a concussion management protocol

Step 1: Prevention

• Risk factors for concussion
• Sports, recreational, and other activities at risk for concussion
• Safer sport environments
• Interventions that help to prevent concussions
• Protection equipment: myths and realities
• A synergy between stakeholders

Step 2: Detection

• Signs, symptoms, and “Red Flags”
• Detection technology: myths and realities
• Initial management: Recognize, remove, re-evaluate, refer

Step 3: Management

• Typical evolution of a concussion
• Initial rest and gradual return to cognitive and physical activity
• When should you refer on

Step 4: Access to care

• Return-to-play recommendations
• Rehabilitation
• Reconsider elements that suggest a less favorable evolution
• Conditions that should be recognized in the presence of persistent symptoms
• The importance of an individualized and multidisciplinary treatment plan

Step 5: Adaptation, implementation and revision of protocols

• Achieving the optimal result with consideration of available resources
• Staying up-to-date and revising a protocol
• Learning from your experience to improve your protocol
• Planning your strategy to get every potential stakeholder involved