Gair, Gair, Conason, Rubinowitz, Bloom, Hershenhorn, Steigman & Mackauf is a New York Plaintiff's personal injury law firm specializing in automobile accidents, construction accidents, medical malpractice, products liability, police misconduct and all types of New York personal injury litigation.

Articles Posted in Traumatic Brain Injury

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Most of the time in high schools and colleges, athletic trainers are the first to diagnose and provide care to a young athlete when he or she suffers injury.  Traumatic brain injury or concussion is one of the most common injuries suffered by young athletes during fall sports. Proper diagnostic and response are crucial to prevent further injury or even death.

Researchers at the Center for Injury Research and Prevention (CIRP) at the Children’s Hospital of Philadelphia have been working for several years on finding a test that can be quick, efficient and easy to use for busy athletic trainers and other healthcare providers.  So far they found that the Visio-Vestibular Exam is a  reliable test that can be performed in a few minutes to find out if someone suffers from concussion. Last year we wrote a blog about the various elements of this test and recently researchers at the CIRP confirmed its efficiency. Researchees made additional research  to detect if the visio vestibular performances in healthy athletes might change between the beginning and the end of sport season. They found that there was no difference in the performance of the visio vestibular of  healthy athletes before the sport season and after the sport season, therefore supporting the previous findings that visio vestibular deficiencies can be attributed to concussion.

Quick and efficient

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Our NY personal injury injury law firm is proud to announce that our partners Anthony H. Gair and Christopher J. Donadio obtained a $6.5 million settlement for a construction worker injured in Manhattan.

The case involved a worker who was injured while performing demolition work at a large construction site. On the day of the incident, the worker was instructed by his foreman to remove any material that was attached to the permanent ceiling on the second floor of the work site. In order to perform the work, the worker was required to use a large blowtorch while standing on a mobile scaffold. Unfortunately, the provided mobile scaffold did not have any safety railings. While the worker was performing his work on the scaffold, he lost his balance and fell headfirst to the concrete ground six to eight feet below.

The worker was rushed to Bellevue Hospital where he was diagnosed with a skull fracture and a brain injury. He was forced to undergo several surgeries as a result of his injuries.

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Intentional header and head injuriesTraumatic Brain Injuries sustained by young athletes while playing football has been the subject of multiple research while less attention has been given to other high school sports such as lacrosse, soccer, basketball and field hockey. Additionally research mostly concentrated on head impact and head injuries sustained by boys.

In  “Sport- and Gender-Based Differences in Head Impact Exposure and Mechanism in High School Sports”, a recent study published in the Orthopedic Journal of Sport Medicine, several researchers at the Center for Injury Research & Prevention of the Children’s Hospital of Philadelphia tracked head impact injuries of male and female players in soccer, lacrosse, basketball and field hockey (girls only.) Researchers equipped each player under study with headband impact sensors and filmed each impact to make sure it was not a fake signal sent to the sensor such as a player dropping the sensor on the ground.

While not every head impact results in traumatic brain injury, researchers are concerned that repetitive head impacts, even light and not diagnosed as injury might be linked with short-term cognitive deficits. Therefore this study might help understand how head impacts could be reduced in these popular high school sports.

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child-playingChildren and teenagers are prone to traumatic brain injuries (TBI). Over a million of them check in an emergency room in the US for a non fatal Traumatic Brain Injury every year. A recent study conducted by researchers under the lead of Bina Ali for the nonprofit Pacific Institute for Research and Evaluation  looked at the causes of these injuries.  To do so the researchers used data from the National Electronic Injury Surveillance System. They  found that between 2010 and 2013 more than 4 million children were diagnosed by emergency room doctors for non fatal TBI.

Among the different categories of ages, those the most prone to suffer TBI were among the youngest and among the oldest. 1,085,680 children between the age of 1 and 4  and 1,107,463 teenagers between 15 and 19 year old were diagnosed with TBI during the period under review.

The causes of  TBI vary depending on the age of the child. Almost 3 quarters of TBIs suffered by  toddlers were related to home fixtures, furniture and structures.  Falling from chairs and beds were the most common furniture related accidents while tripping on the floor or falling down the stairs caused the most TBIs related to home fixtures and structures.

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traumatic-brain-injury-picture-1A concussion is a traumatic brain injury that affects the brain function. It is diagnosed quite frequently among children however its diagnosis remains challenging. Doctors often rely on symptoms and historical factors.

A recent study published by the “Minds Matter Concussion Program at the Children’s Hospital of Philadelphia” found that the Visio-Vestibular Examination is an easy and useful tool to distinguish to concussed from not concussed children following a head injury. The exam can also be conducted outside of the Emergency Department setting.

The Visio-Vestibular Examination (VVE) is a series of examinations that determine if the patient has some degree of visio-vestibular deficit such as impaired eye movements and pupil response. The following examinations are being done:

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traumatic-brain-injury-picture-1According to a new study on traumatic brain injury, most victims of mild TBI suffer sleep-wake disturbance and fatigue that can last up to one year or more. For most of them, these problems resolve over time but for some, they persist and become chronic. The study was done in Norway by Simen Berg SaksvikMigle KaraliuteHåvard KallestadTurid FollestadRobert AsarnowAnne VikAsta Kristine HåbergToril Skandsen and Alexander Olse. It was published last month in the Journal of Neurotrauma.

The researchers. compared the sleep quality and fatigue of a sample of patients suffering from mild traumatic injury with a sample of patients suffering from orthopedic trauma and with another sample of regular people from the community not suffering any trauma. Every TBI patient was matched with a patient suffering orthopedic trauma of same age, sex and education and a community person of same age and sex.

Each patient with TBI went through a clinical MRI and was subjected to an interview related to injury characteristics, demography and premorbid health problems. The patients then went through another round of interviews and questionnaires 2 weeks, 3 months and 12 months after the date of the injury. Patients with orthopedic trauma were submitted to similar interviews and questionnaires and non-injured matched people from the community took the 2 weeks, 3 months and 12 months interview and questionnaire.

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skeleton athleteWhile there has been a lot of media and medical attention in regards to traumatic brain injury related to football boxing or other contact sports, there are other sports that have a high risk of TBI.

A recent article in the New York Times looks at traumatic brain injury caused by skeleton, the headfirst Olympic sledding sport. Skeleton is very popular in Canada. In 2010 when Canada hosted the Olympic games, skeleton athletes thought they had a great advantage as they had early access to the track and could train for unlimited time.  Instead many of them are still suffering from the long term consequences of  traumatic brain injuries caused by over training.

Mellissa Hollingsworth was one of the favorite skeleton competitors this year. She recalls taking as many as 11 runs a day on the Whistler track that was specifically built for the Olympic games and was the fastest in the word. At the end of a training day, her brain was scrambled. She could not tolerate noises and she could barely speak. At the time, skeleton athletes were experiencing mental fog, headache, speech inability, loss of appetite and high sensibility to sound. They thought it was part of the training routine like sore muscles or fatigue and just casually called it “sled head”. Now years later they are still suffering from the consequences of over training, repetitive shaking and crashing head first on icy surfaces.

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child-head-injuy-1Because young children can’t express themselves proprely it can be challenging for doctors to diagnose a traumatic brain injury or concussion.  A recent article published in Pediatric Emergency Care suggests that using previous “Characteristics of Diagnosed Concussions in Children Aged 0 to 4 Years Presenting to a Large Pediatric Healthcare Network” might be helpful. The study was authored by Podolak, Olivia E. MD*; Chaudhary, Sofia MD*,†; Haarbauer-Krupa, Juliet PhD; Metzger, Kristina B. PhD, MPH*; Curry, Allison E. PhD, MPH*,†; Kessler, Ronni S. MEd*; Pfeiffer, Melissa R. MPH*; Breiding, Matthew J. PhD; Master, Christina L. MD, CAQSM, FACSM*,§,∥; Arbogast, Kristy B. PhD*,†,§

The researchers analyzed the medical data of 329 young patients aged 0 to 4 who visited the Children’s Hospital of Philadelphia healthcare network from October 1, 2013, to September 30, 2015 . They identified  the 3 top common mechanisms of injury.

The first one was fall and represented 64.4 % of all young patients who were diagnosed with a concussion with children younger than 2 year old being at a higher risk of sustaining a concussion in a fall than children from 2 to 4 year old.  Falling from furniture was the most common type of fall leading to traumatic brain injury, followed by tripping and hitting the ground and falling down the stairs.

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child head injuryWhen a child sustains head injury, parents always worry about the risk of traumatic brain injury and now more than ever seek medical advice through telephone triage call systems. When parents call such systems, they will be connected to a triage nurse who will provide them with recommendations on what to do next. However the question is, how parents follow up on these recommendations. A recent study  by PhD, RN, FAANorcidMPHMSN, RN, CRNPPhDMD, FAAP, CAQSM published in Clinical Nursing Research, tried to determine if parents follow recommendations and what percentage of the phone calls result in a TBI diagnostic.  They especially wanted to know if parents who had been recommended to see a doctor because a traumatic brain injury was suspected, would indeed do it.

84.1% of parents follow phone recommendations to seek medical care for their child’s head injury

The researchers analyzed one year of pediatric head injury calls at the Barton Schmitt Pediatric Head Injury Telephone Triage Protocol. Among the 5,045 phone calls for patients ages 17 and younger and meeting the criteria for the study, they found 2, 464 calls during which the triage nurse recommended to seek medical care urgently or in the next 24 hours. They estimated that in 84.1% of cases parents followed the recommendations provided on the phone and brought their children for an urgent medical consultation at their medical home network or at an outside care facility. Among those children who were recommended to seek urgent care, 39.5% were diagnosed with traumatic brain injury.

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crying babyChildren and adolescents are prone to traumatic brain injuries (TBI). Among the 1.7 million patients diagnosed every year with TBI in the US, 700,000 are children below 19 year old. A recent study by Bina Ali, Bruce A Lawreence, Ted Miller from the Pacific Institute for Research and Evaluation and Jennifer Allision from Health Imperative in Brockton, MA that was recently published in the Official Research Journal of the International Brain Injury Association (IBIA) investigate leading consumer products and activities that can cause children and adolescents to suffer traumatic brain injury.

By analyzing data from from the National Electronic Injury Surveillance System from 2010 to 2013, the searchers found that home furnishings and fixtures as well as sports and recreation products were the products most commonly associated with accidents causing TBI. Beds, stairs, floors and footballs are among the most dangerous products for children and teenager.

Toddlers and older teens most at risk of a TBI