New concussion guidelines for children could change practices around the world

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Some of the key recommendations include avoiding routine X-rays, CT scans and blood tests for diagnosis. They recommend that rest not last longer than one to three days after the injury. They also reassure parents that most children’s symptoms clear up within one to three months.

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The guidelines suggest signs of potentially more serious injuries that may warrant imaging scans include vomiting, unconsciousness and severe worsening headaches.

Concussions, also called mild traumatic brain injuries, are caused by a bump or jolt to the head. The impact causes the brain to bounce or twist, potentially damaging brain cells.

Yeates said it’s difficult to come up with exact numbers on how many children in Canada get concussions, because some don’t seek medical attention. By some estimates, it’s at least 250,000 each year and growing.

“The number of kids coming for medical attention has doubled in the last five to 10 years,” he said.

Yeates said that’s because there’s an increasing awareness about the effects of concussions, likely due to some high-profile cases among professional athletes, so parents are more likely to seek treatment for their children.

There is a balance, he said.

“We want parents to be aware and we certainly want them to seek appropriate care, but we also want to send the message — and it’s in the guidelines — that the majority of kids recover well and reasonably quickly.”

The guidelines, which were published in the health journal JAMA Pediatrics, are based on an evaluation of 25 years of scientific research on managing concussions in children.

Similar information is available through the Public Health Agency of Canada and Ministry of Sport, but Yeates said the newest guidelines take it a step further by looking at more serious injuries and extending it beyond sport concussions.

“These are all meant to complement each other,” he said.

— By Colette Derworiz in Edmonton. With files from The Associated Press.

The Canadian Press