The evaluation of a concussion
should involve the care of specialists including internists
, emergency room physicians, neurologists, and others.
Mild traumatic brain injury, or a concussion, is common but could lead to serious short-term or long-term problems. There is usually not a substantial depression in consciousness and is associated with trauma; this is assessed 30 minutes after injury. Impairment of any neurological function is short-lived. Head imaging, such as a CT scan, is indicated if the age is >60 years, nausea/vomiting, headache, intoxication, persistent anterograde amnesia, or clear trauma above the clavicle. If there is a depression of consciousness, seizure, abnormal CT, or bleeding problems, then a hospital admission is certainly warranted.
A second impact while one still has a depressed consciousness, can be life-threatening. A post-concussion syndrome can ensue. There can be persistent headaches and even epilepsy can ensue as well as dizziness. If any persistent neurological symptoms or the above symptoms persist then your friend should seek immediate medical attention.
It is impossible to develop a treatment or management plan without actually seeing the patient. Therefore, it is the strong recommendation is seek a referral to a neurologist
to be evaluated in person.