Causes Of Traumatic Brain Injury Essay

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The brain is an incredibly complex organ, but also vulnerable to damage from outside forces. “Traumatic brain injury (TBI) is a major cause of death, especially in young adults, and a major cause of disability” (Mayer, 2005, p. 483). Accidents can result in forces that jar the skull, causing the brain to strike the skull walls causing bruising or hemorrhaging. In some cases, swelling can lead to herniation in the brain and restricted blood flow that can lead to cognitive impairment. In more severe cases, the result is either a vegetative state or death. Two scales used to measure the severity of TBI are the Glasgow Coma Scale (GCS), which measures from 3 being comatose to 15 indicating minor trauma based on eye, verbal, and motor responses, and the Abbreviated Injury Scale (AIS), whose last number indicates severity from 1, which indicates minor injury, to 6, indicating certain death. Violence, car accidents, work accidents, and sports injuries are well known causes of TBI. Violence is a common cause of TBI. This is especially true for acts of intentional aggression, such as when one individual assaults or abuses another. Research has shown that TBI caused by child abuse has a high mortality rate, and even those who survive still suffer the side effects of the injuries. A study was conducted involving pediatric patients from 2001 to 2010 in order to determine if victims of nonaccidental trauma (NAT) suffered an increased risk of morbidity from TBI. According to Deans, Minneci, Lowell, and Groner (2013), NAT resulting in head trauma is generally caused by “not only deceleration injuries but also repetitive high-velocity rotational forces (shaking), resulting in a more global injury called diffuse axonal injury (DAI) or s... ... middle of paper ... ...osttraumatic amnesia. It is important that coaches and athletes are educated about TBI and its potential consequences in order to help reduce the number of incidences and the possibility of players playing with unchecked TBI. Further research by McCrea et al. (2013) has shown that “case reports exist of patients who suffer an initial minor TBI and, after return to play and a second minor blow, quickly deteriorate and die.” This is usually caused by an internal injury such as a hematoma that goes undetected and worsens due to the second injury. To better reduce the chance of death due to a second injury, athletes should be checked thoroughly for signs of TBI whenever they suffer any sort of suspected head injury. The following case study performed by Strand (2013) follows a female basketball player who suffered a concussion but did not report it for several days.

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