Although well-intentioned, helmets and playing/practice standards such as hit counts have jumped ahead of the science in concussion prevention. This and other topics are covered in release of the Institute of Medicine’s report on youth sports-related concussion, released today.
When we think about trauma and prevention we often focus on death as the outcome. However, functional disability from trauma is far more common than death and can cause long-term physical and cognitive impairment despite inpatient rehabilitation. In fact, 95 percent of children and young adults survive moderate to severe trauma. How can we best measure these impairments in a standardized manner? What happens to these patients when they leave the hospital and inpatient rehabilitation? Are we doing all we can to ensure these children recover to reach their fullest potential?
I recently came across a new review article on child injury prevention by Drs. Brian Johnston and Beth Ebel at University of Washington. In it, they describe that although overall unintentional injury death among US children aged 0-19 years in 2000-2009 fell by 30%, there is still much work to be done.