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Management of Concussion and Mild Traumatic Brain Injury: A Synthesis of Practice Guidelines

2019; Elsevier BV; Volume: 101; Issue: 2 Linguagem: Inglês

10.1016/j.apmr.2019.10.179

1532-821X

Noah D. Silverberg, Mary Alexis Iaccarino, William J. Panenka, Grant L. Iverson, Karen McCulloch, Kristen Dams-O’Connor, Nick Reed, Michael McCrea, Alison M. Cogan, Min Jeong P. Graf, Maria Kajankova, Gary McKinney, Christina Weyer Jamora,

Trauma and Emergency Care Studies

At least 3 million Americans sustain a mild traumatic brain injury (mTBI) each year, and 1 in 5 have symptoms that persist beyond 1 month. Standards of mTBI care have evolved rapidly, with numerous expert consensus statements and clinical practice guidelines published in the last 5 years. This Special Communication synthesizes recent expert consensus statements and evidenced-based clinical practice guidelines for civilians, athletes, military, and pediatric populations for clinicians practicing outside of specialty mTBI clinics, including primary care providers. The article offers guidance on key clinical decisions in mTBI care and highlights priority interventions that can be initiated in primary care to prevent chronicity.