Method Sample. A between-the-group study will be completed to compare children with mild/moderate traumatic brain injury and children with severe traumatic brain injury to children who demonstrated no history of head injuries. The total sample will comprise of 180 children between the ages of 6 years to 14 years, 11 months. Groups will be stratified by age. Twenty participants who experienced a severe TBI, twenty participants who experienced a mild/moderate TBI, and 20 controlled participants will be chosen for each of the following age groups: 6.0- 8.0 years, 9.0-11.0 years, and 12.0-14 years. One hundred and twenty injured participants will be randomly selected from Midwest Ohio hospitals. Inclusionary criteria for the study will be: (a) age at injury between 6.0 and 14.0 years, (b) evidence of some time period of loss of consciousness, (c) hospital records of a closed head injury, classified by the GCS and (d) medical documentation that provides information classifying TBI severity level. Sixty non-injured participants will be randomly selected from elementary schools, churches, and childcare centers in the Midwestern states of Ohio, Kentucky, and Indiana. The control group will match the TBI groups for age, pre-injury abilities, ethnicity, and socioeconomic status (SES). Exclusionary criteria for both groups participating in the study will be: (a) history of neurological or developmental, disorder, (b) documented attention, memory, or learning disability, and (c)
Traumatic brain injury occurs when a person is hit in the head with a blunt force. This significant force to the head can happen playing recreational sports, on the playground, being in a car or motorcycle accident, falling down at home and your head impacting something, a blast or explosion. Traumatic brain injuries are also the leading cause of fatality rate and disability, especially in children, young adults and elderly. TBI is a devastating condition that affects millions of people nationwide, because it can affect the nervous system permanently, it also messes with the neurological, musculoskeletal, cognitive and much more. TBI force a family to deal with not just the physical disability, with the behavioral and emotional roller
Attention for traumatic brain injury has grown over the years and programs have been created to help try and prevent the injuries. As this is an injury to the brain the literature is vast with insight into what part of the brain injured resulted in what change in the individual. Children and athletics have been the main focus in recent years for studies as research have shown that undiagnosed injuries can have long lasting effects.
A traumatic brain injury (TBI) also known as a concussion is a serious health problem to athletes, especially to football players. The brain controls the body and gives a person personality and defines every aspect of his or her life. A brain injury can disrupt a person’s life in an instance and like broken bones or bruises; TBI can limit or prevent normal body functions. A brain injury, unlike common injuries can damage mental abilities to include memory and speech. There are only two classifications in TBI; mild and severe. Mild TBI is classified as loss of consciousness and or confusion and disorientation for less than thirty minutes. Severe TBI is thirty or more minutes and with memory loss. A person
Traumatic brain injury (TBI) has affected many people, but has hardly raised awareness; in fact according to Marcia Clemmitt “About 1.7 million Americans suffer a traumatic brain injury (TBI) every year…Yet, while they affect so many people, TBI has received little medical-research funding until brain injuries from the wars in Iraq and Afghanistan … began to mount in recent years.”(Clemmitt) For such a long time many people were unaware of what traumatic brain injury even meant; Up until a numerous groups of veterans that came back home, from Afghanistan were found to suffer from traumatic brain injuries. Due to the discovery, the people that already suffered from traumatic brain injury
Head (Brain) injury is known as a major public health problem that is a frequent cause of death and disability in young people, Among the many challenges that survivors of traumatic brain injury must face, behavior problems rank among the most difficult. Traumatic brain injury, or TBI, is a type of brain injury that occurs when trauma causes damage to the brain. It can cause when a person 's head suddenly or violently hits an object, or an object hits the person, and damages the brain tissue. A person with a TBI may remain conscious or he/she might be unconscious for a few minutes. Some symptoms of TBI include headache, confusion, lightheadedness, dizziness, blurred vision or tired eyes, ringing in the ears, bad taste in the mouth, fatigue or lethargy, a change in sleep patterns, behavioral or mood changes, and trouble with memory, concentration, attention, or thinking. These symptoms might be experienced by any person with mild, moderate to severe TBI (Real Warriors).
Traumatic brain injury also known as TBI is a primary element of mortality and disability globally. This injury is caused by a strong force, such as a blow to the head. Bob Garrett (2011) addresses that TBIs are the cause of 52,00 deaths each year in the United States. Mishaps are a dominant cause of brain injuries, and many accidents occur when drugs and/or alcohol are related. Information reveals that a large number of people tested positive for consuming alcohol or illegal drugs when being admitted to hospital. Studies also revealed that a great number of traumatic brain injury survivors consumed alcohol before the brain injury. This research analyzes articles on substance abuse before and after a traumatic brain injury.
In the United States alone, there are approximately one million head injuries reported every year; eighty five percent of these injuries are classified as mild traumatic brain injuries. Traumatic brain injuries, also known as concussions, are the leading cause of death and disability for neurological disorders before the age of fifty. Mild traumatic brain injuries (mTBI) are one of the most prevalent, and have become a major public health issue. A few of the main reasons there are so many problems with traumatic brain injuries (TBI), are lack of reporting by the patients, physician’s misdiagnosis or undiagnosed, and lack of awareness.
Traumatic brain injury (TBI) affects 1.7 million people annually in the U.S. with 275,000 hospitalizations and 52,000 deaths. In 2010, the medical cost for treating TBI patients in the U.S. was $76.5 billion and rising annually. Primary causes for TBI include the following: motor vehicle crashes, falls, assaults and sports or recreation-related injuries (concussions). Finding the right treatment to reduce mortality rates and improve the clinical outcomes in TBI patients has been elusive.
Mild traumatic brain injury (mTBI) is becoming more prevalent every year, “with an incidence of about 100 to 300 per 100 000” (Konrad et al 2010). Mild traumatic brain injury or concussion can be the result of any minor trauma to the head from accident, sports related injury, blast injury, or fall. “Possible acute symptoms of mTBI comprise short-time unconsciousness, headache, dizziness, irritability, anxiety and impaired neuropsychological functions such as reduced attention, concentration or memory problems” (Evans, 1992; Hall et al. 2005 as cited by Konrad et al 2010). Some people who sustain a mTBI return to base level of function within hours and some take up to two months, there are even those that years later have not fully
Traumatic brain injuries (TBI) have been shown to have a great impact on several specific structures in the brain of both immediate and long-term damage. Often preoccupation can be focused into the immediate outcomes. The immediate concerns of TBI are without doubt important but this often creates ignorance in terms of the long-term consequences that may follow an individual impacted by TBI into subsequent years. As one will come to recognize, this is of particular concern in terms of children who survive TBI. It was once believed that due to development, children were less vulnerable to TBI in comparison to mature, adult brains but research of childhood TBI has found this conjecture to be false (Beauchamp et al., 2011). As discussed in
Traumatic brain injury (TBI) occurs when there is a damage in the brain a result of physical trauma. TBI may be caused by a penetrating (open) head injury, in which an object pierces the skull and enters the brain tissue, or a closed head injury, in which the skull is not breached, and frequently results in the major long-term disability of individuals surviving head injuries.(7) Cranial firearm wounds often result in severe injury to the brain and related central nervous system (CNS) structures.(17). Although penetrating head trauma is less prevalent than closed head trauma, PBI carries a worse prognosis with high morbidity and mortality rates. Understanding of the mechanisms of injury and aggressive medical management with rapid surgical intervention may lead to improved outcomes.(8)
The first step in treating TBI is to determine the severity of the injury. To do this the Glasgow Coma Scale (GCS) is used early in the treatment process. GCS determines the severity of an injury by assigning a score for various functions after an injury. These include eye opening, motor response, and verbal response. The lower the score the more severe the injury is. But the GCS is not perfect. There are certain limitations. Factors like drug use, alcohol intoxication, shock, or low blood oxygen can alter a patient’s level of consciousness and in turn their score. GCS also is not effective for children too young for reliable language
Traumatic Brain injury (TBI) is projected to be the third largest cause of global disease burden by 2020; with an estimated 10 million people affected by TBI annually worldwide.[endnoteRef:1] A concussion is the most common form of TBI and is particularly prevalent among children and young adults. The U.S. Centers for Disease Control (CDC) reported an annual estimated
Head injuries (also known as traumatic brain injuries) have become one of the most dangerous and common injuries present in today’s society. Although most people generally associate head injuries directly to sports, that is not always the case. In fact, the majority of head injuries occur as a result of incidental falls, vehicle-related collisions, and accidents at home, work, and the outdoors. From a minor bump on the head, to a severe concussion, all injuries should be taken seriously in order to prevent further damage such as permanent disability, or even death.
Traumatic Brain Injury is a large subset of the global public health epidemic of trauma. It is estimated that 1.7 million people sustain traumatic brain injury (TBI) in the United States of America (1). In a study by Crandon et al, published in the West Indian Journal of Medicine in 2007, 857 patients were admitted to the University Hospital of the West Indies over a four year period with TBI. Of that total only eight percent (8%) were due to penetrating injuries(2). Even though penetrating brain injuries are not common they tend to carry a worse prognosis(3). The management of penetrating TBI is the same as for any other closed TBI. The tenets of avoiding secondary brain injury holds true. There are however a few key management features that are quite specific to penetrating injury and these include antibiotic prophylaxis, seizure prophylaxis and indication for surgery. After reviewing the index case we will discuss these key peculiar differences in more detail.