Concussion management in general practice: a survey of general practitioners in primary care in the Republic of Ireland

Scully, Paul; Falvey, Éanna

doi:10.1007/s11845-020-02295-3

Cited by 3 publications

(3 citation statements)

References 17 publications

(27 reference statements)

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“…Most participants were assessing individuals' return-to-play readiness, with some participants having experienced situations where GPs had not been confident to provide such clearance. This is supported by findings of medical doctors' self-reported lack of confidence, particularly in return-to-play decisions within New Zealand and abroad (Salmon et al, 2022;Scully & Falvey, 2021;Stuart et al, 2022). In contrast, a survey across 57 countries and an American survey found that physiotherapists were knowledgeable about the signs, symptoms, and assessment of concussion (Al Attar & Husain, 2021) and have a strong foundational knowledge, believing they should be more involved in concussion management (Yorke et al, 2016).…”

Section: Discussionmentioning

confidence: 83%

Aotearoa New Zealand physiotherapists’ perspectives of potential expanded roles for sports-related concussion management: A qualitative study

Dalton,

Galea,

Blyth

et al. 2024

NZJP

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Concussions (mild traumatic head injury) have received increasing attention in clinical practice, research, and the public press. A range of healthcare providers engage with patients presenting with concussion, and physiotherapists are often at the front line of these consultations, especially on the sports field. We explored physiotherapists’ perspectives of their scope of practice and actual clinical practice within the sports-related concussion diagnosis and return-to-sport context. A qualitative approach with interviews and focus groups was used, including 18 physiotherapists. Three themes were derived: (a) delayed access to concussiontrained general practitioners; (b) navigating concussion care in a strained healthcare system; and (c) proposed expanded role for physiotherapists. Delayed patient access to medical doctors often delayed a formal concussion diagnosis, initiation of specific concussion care, or medical sports clearance. Yet the participants were regularly identifying and managing concussions, and most felt confident to do so. Some participants, particularly those working with high-performance athletes or in multidisciplinary teams, suggested that concussion diagnosis and clearance for return to work or play should remain the medical doctors’ responsibilities. Yet participants working at community level suggested that, with relevant training and mentored experience, diagnosis, triaging, and clearance for sport could be within their scope of practice.

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Section: Discussionmentioning

confidence: 83%

Aotearoa New Zealand physiotherapists’ perspectives of potential expanded roles for sports-related concussion management: A qualitative study

Dalton,

Galea,

Blyth

et al. 2024

NZJP

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“…Given the reasons detailed above, it is vital that emergency physicians have a thorough understanding of concussion and its current management guidelines. There is currently little literature on UK emergency physicians' understanding and management of concussion, although the international literature has shown there to be knowledge gaps in concussion diagnosis and management within emergency departments (10,21). This scoping review therefore aims to assess 'what is the current level of knowledge of concussion amongst emergency medicine physicians and what knowledge gaps exist'?…”

Section: Introductionmentioning

confidence: 99%

Heads up for concussion, what do emergency physicians know? A scoping review

Adam,

Neil

2023

Preprint

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Introduction Concussion is a common condition, with sources estimating between 1.2% and 6.6% of all ED presentations are related to head injury, and concussion has significant healthcare costs. In April 2023, the UK Government published guidelines for diagnosis and management of concussions in grassroots sport, recommending anyone that has sustained a suspected concussion has a same day review by an appropriate healthcare professional. It is therefore essential that emergency medicine physicians have the required knowledge and use current clinical practice guidelines in managing suspected concussions presenting to their departments. This scoping review aims to review the current literature regarding concussion knowledge, diagnosis and management amongst emergency physicians. Material and Methods This scoping review was conducted using the six-step process laid out by Arksey and O’Malley and included 17 papers from 2012 to February 2023, identified by searching 5 online databases (MEDLINE, Embase, Web of Science, Scopus and Google Scholar) in February 2023 alongside a hand search of references. Search terms relevant to concussion, emergency medicine and medical education were used. Results 14 of the 17 papers originated from North America, all studies utilised either an online survey or chart review methodology. 3 papers included an educational intervention. 12 studies looked at all grades of EMPs. 14 of the studies highlighted knowledge gaps amongst EMPs, the 3 that did not specifically mention this were the 3 interventional studies. Conclusion EMPs have large knowledge gaps regarding concussion and limited adherence to current guidelines. Efforts should be made at improving these results amongst EMPs. Further research is needed to find the most beneficial and cost-effective approach to improving concussion knowledge of concussion diagnosis and management in EDs, particularly within the UK.

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“…Increasing incidence of concussion has also been shown through epidemiological studies, although this finding is likely to be attributable to improving knowledge and awareness of concussion, rather than an increase in concussive episodes [ 5 ]. Concussion is also a common presentation in the UK and is the reason for 6.6% of all Emergency Department presentations [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

A Scoping Review: Mapping the Evidence for Undergraduate Concussion Education and Proposing the Content for Medical Student Concussion Teaching

Gardner

Heron

2022

IJERPH

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Introduction: Concussion is a common yet complex condition, with each new case requiring assessment by a medical doctor. Recent research has shown that doctors working in the UK have significant knowledge deficits regarding concussion diagnosis and management. Aim: The aim of this scoping review was to map out the evidence about how undergraduate medical students are being educated about concussion. Method: This scoping review involved seven research papers identified by searching five online databases in October 2020. Search terms relevant to concussion included: brain injuries, post-concussion syndrome, brain concussion and concussion, combined with search criteria for undergraduate education: medical students, undergraduate medical education, or curriculum. Results: All seven papers were published in North America, with five papers recruiting medical students from single institutions (n = 590) and two papers surveying universities. Canadian medical schools have shown an upward trend in the quantity of teaching about concussion-specific teaching: from 0.57 to 2.65 h between 2012 and 2018. Lectures were the commonest mode of delivery of teaching, followed by problem-based learning and clinical rotations. The studies reach a common conclusion that medical students are not being adequately prepared for diagnosing and managing concussion, with insufficient undergraduate teaching, particularly exposure during clinical rotations, cited as the cause. Conclusions: Concussion: education of medical students is inadequate in North America. Medical schools should help address this by providing lectures and clinical presentations on concussion to learn from, particularly via problem-based learning. There is a paucity of evidence about concussion education in other geographical areas.

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Concussion management in general practice: a survey of general practitioners in primary care in the Republic of Ireland

Cited by 3 publications

References 17 publications

Aotearoa New Zealand physiotherapists’ perspectives of potential expanded roles for sports-related concussion management: A qualitative study

Aotearoa New Zealand physiotherapists’ perspectives of potential expanded roles for sports-related concussion management: A qualitative study

Heads up for concussion, what do emergency physicians know? A scoping review

A Scoping Review: Mapping the Evidence for Undergraduate Concussion Education and Proposing the Content for Medical Student Concussion Teaching

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