Mild brain injury brief or no loss of consciousness signs of concussion post concussion syndrome 90% recover within 6-8 weeks, often within hours or days
Moderate brain injury coma more than 20-30 minutes but less than 24 hours skull fractures with bruising or bleeding signs on EEG or CT scan or MRI 33-50% have long-term difficulties in one or more areas
Severe brain injury coma more than 24 hours persistent vegetative state 80% have multiple long-term impairments
Predictors of outcome length of coma duration of post traumatic amnesia area of brain damaged mechanism of injury age when injured
Myth: TBI means student is eligible for special education. Fact: Diagnosis not automatic qualifier for eligibility. Fact: Educational impact may change as brain matures and school work changes.
Children are different than adults. Less likely to lose consciousness Higher survival rates for serious injuries Quicker physical recovery of motor skills Damage to developing brain Harder to learn new skills Effects not always seen immediately Long term impact on development
Incidence Leading cause of death and disability in children Incidence estimated at 2/1,000 or 1 out of every 500 school age children hospitalized for TBI annually. Most frequent diagnosis in National Pediatric Trauma Registry
Causes vary by age infants: physical abuse toddlers: falls and mva passengers preschoolers: falls, mva passenger/peds. elementary school: motor vehicles, bicycling, falls, recreation. adolescents: mvas, sports, assaults and gun shots.
Screening questions to ask… has this student ever been involved in a motor vehicle crash fallen from a height over 8 feet been hit in head during sports or play seemed dazed, confused, unlike “normal” self for period of time had one or more concussions lost consciousness
Wording affects responses head injury vs. brain injury concussion vs. mild brain injury foster children