Brain Injury and Sports, Brain Injury Broadcasts, Brain Injury Lawyers and Law
Legal discussion analyzing class action soccer lawsuit againt FILA
I will be participating tomorrow morning—Saturday, August 30th at 10:40 AM in a discussion on the class action lawsuit commenced against FIFA and US Soccer leagues for concussion injuries in youth soccer on "The Classroom" from the Marist College Center for Sports Communication.
I will be analyzing the claims made in this soccer case, the relief that the plainitff's are seeking and the legal arguments that I anticipate each side will be making.
1220 ESPN Radio and the Marist College Center for Sports Communication have launched a weekly sports radio program produced live from the Marist College campus, representing the nation’s first partnerships between an ESPN radio affiliate and an academic center on a college campus.
The program, named “The Classroom,” is heard on Saturday mornings on Fox1220, 95.7 and 94.1 ESPN Radio and live on the web at 10 a.m. to noon. My segment is scheduled for 10:40 AM.
To listen to the broadcase live, click here
Brain Injury and Sports
Tracking concussions in college football
Al Jazeera America's flagship show, America Tonight will track all reported concussions in major college football this season. They have prepared a map which marks each reported player concussion which will be updated every week during the 2014 season (including the preseason).
As of yesterday, the map reports 9 concussions. But this is only what is reported. What about players who fail to report symptoms, teams that fail to report concussions, and concussions that are go on recognized?
For more information, click here
Brain Injury and Sports, Brain Injury Lawyers and Law, Brain Injury Prevention
Class Action Lawsuit Commenced by Parents for Soccer Concussions
A class action lawsuit was filed yesterday in US Federal District Court against the Federal of International Football Association (FIFA) and US Soccer leagues by parents seeking changes to the associations concussion management rules to prevent brain injuries from occurring.
The plaintiffs are not seeking financial compensation but changes to how the game is played. They are seeing an injunction compelling the leagues to changes their rules regarding heading a soccer ball, when to remove a player from the game after a suspected concussion takes place, how long to keep the player out and educational requirements. The lawsuit wants the league to any player under 14 from heading the ball.
I was interviewed for a story published in the New York Times, Concussion Lawsuit Bids to Force Rule Changes in Soccer regarding this lawsuit. While I agree with the purported motivation for commencing this action, I have serious doubts whether the court can grant the plaintiffs the relief they demand.
The complaint is an excellent primer on the history of sports concussions, what was known and when it was known, the need for sports concussion management and the dangers faced by children who sustain a concussion while engaged in a sporting activity. I am attaching the full complaint: Download Soccer complaint
A concussion is a brain injury. The best cure for a brain injury is prevention. When in doubt, keep them out!
Brain Injury & Concussions, Brain Injury and Sports, Brain Injury Latest Medical News
The location of impact is not predictive of concussion outcome in football collisions
The Centers for Disease Control and Prevention estimates that annually, up to 3.8 million sport-related concussions occur in the United States.1 For adolescents and young adults, sports, such as football, account for a substantial proportion of these concussions.
There has been little research assessing the role of impact location on concussion outcome. A recent study published online, August 14, 2014 in the Journal Pediatrics, Impact Locations and Concussion Outcomes in High School Football Player-to-Player Collisions, attempts to answer this question.
The study concluded that, “among high school football players who sustained concussions due to player-to-player collisions, concussion outcomes were generally independent of impact location.”
Brain Injury and Sports, Brain Injury Association Information, Brain Injury Broadcasts
Parent's Guide to Concussions-Free Webinar
The Brain Injury Association of New York State is offering a free Webinar, A Parent's Guide to Concussions in the Classroom on Thursday, August 28, 2014 from 3:00-4:15 p.m. EST
Topics to include:
What to do when my child sustains a concussion?
What is the school district’s responsibility when a student is concussed?
Neurocognitive testing, what is it for?
Return to play protocols
Return to school protocols|
Available resources for managing a complex concussion
Click here to register
Brain Injury and Sports
New study of female middle school soccer players reports that concussion injuries are huge problem
Concussion rates in young female soccer players are greater than those reported in older age groups, and most of those concussed report playing with symptoms according to a study on the prevalence of concussions in female soccer players reported in this week’s issue of Journal of the American Medical Association entitled, Concussion and Female Middle School Athletes, JAMA. Published online August 01, 2014
The study also found that heading the ball is a frequent precipitating event and that awareness of recommendations to not play and seek medical attention is lacking for this age group.
The study found that among the 351 soccer players, there were 59 concussions with 43 742 athletic exposure hours. Cumulative concussion incidence was 13.0% per season, and the incidence rate was 1.2 per 1000 athletic exposure hours (95% CI, 0.9-1.6). Symptoms lasted a median of 4.0 days (mean, 9.4 days). Heading the ball accounted for 30.5% of concussions. Players with the following symptoms had a longer recover time than players without these symptoms: light sensitivity (16.0 vs 3.0 days, P = .001), emotional lability (15.0 vs 3.5 days, P = .002), noise sensitivity (12.0 vs 3.0 days, P = .004), memory loss (9.0 vs 4.0 days, P = .04), nausea (9.0 vs 3.0 days, P = .02), and concentration problems (7.0 vs 2.0 days, P = .02). Most players (58.6%) continued to play with symptoms, with almost half (44.1%) seeking medical attention.
You can access the full study by clicking here.
Brain Injury & Concussions, Brain Injury and Sports, Brain Injury Events, Brain Injury Lawyers and Law, Brain Injury Legislative News
Lead Off Speaker at American Association for Justice-Traumatic Brain Injury Litigation Group
On Sunday, July 27th, I will be the lead off speakier at the annual conference of the American Association for Justice, Traumatic Brain Injury Litigation Group’s annual program to be held this year in Baltimore, Maryland.
My topic this year is entitled, From Concussion to the Classroom and Playing Field. I will explore the many legal issues in recently enacted concussion management legislation, public health issues and additional steps that must be taken to protect our nation’s youth from the epidemic of traumatic brain injury in all sports.
Recent evidence points to over 250 million of our nation’s youth sustain some type of a traumatic brain injury each year while participating in athletic competition all athletic training. Brain injury in sports is a public health crisis that must be approached from many different areas including education, prevention, return to play guidelines and legal liability when a preventable brain injury takes place.
The legal conference is a part of the four day conference sponsored each year by the nation’s largest trial lawyer association, the American Association for Justice. The conference each year is attended by over 2,000 attorneys from across the nation. The conference provides educational skills to attorneys on how to more effectively represent their clients following a personal injury.
The traumatic brain injury litigation group is comprised of attorneys who have a special interest in the area of traumatic brain injury litigation. I have been honored to have been a chair of this group and continue to serve on the group’s executive board.
Brain Injury and Sports, Brain Injury Association Information, Brain Injury Events
Brain Injury and Concussion Awareness Day at Citi Field Sponsored by Brain Injury Association of New York State
The Brain Injury Association of New York State (BIANYS) will again be hosting Brain Injury and Concussion Awareness Day at Citi Field with the New York Mets on September 28, 2014.
BIANYS is selling field level tickets to see the Mets take on the Houston Astros at the last regular season home game of the year. You can obtain more information and purchase your tickets by clicking here.
Brain Injury and Sports, Brain Injury Lawyers and Law
Congressional Brain Injury Task Force Urges FIFA To Take a Hard Look at its Concussion Management Protocol
In a letter to FIFA, the co-chairs of the Congressional Brain Injury Task Force, urged that the world soccer organization take immediate steps to address their “inadequate approach toward traumatic brain injury.”
Here are some excerpts from the congressional correspondence raising questions about FIFA’s concussion management protocol:
“This threat was on full display during the World Cup, where several players were left in obvious pain after receiving blows to the head. Of note, Álvaro Pereira, Javier Mascherano, and Christoph Kramer all endured brutal head injuries during play. Unfortunately, their pain wasn’t the only thing that these players had in common: each of them returned to the field almost immediately after a brief, sideline evaluation by a team doctor. In the case of Mr. Pereira, the team doctor even signaled to the manager that a substitution was necessary; however, the player insisted that he continue and he was reintroduced to the game. While Messrs. Periera and Mascherano continued to play for the remainder of their matches, Mr. Kramer collapsed on the field after fifteen minutes and was finally substituted out. He stated the next morning that he had little memory of the game.”
" Unlike in many other professional sports, following a player injury, the decisions of team doctors, who are rarely neurologists, can be overruled by coaches or the players themselves. This flies in the face of everything we know about TBIs, inadequate diagnosis and treatment, and the severity of this condition. Even after his team’s doctor advised him to leave the field, Mr. Pereira refused. This strategy is not sufficient in adequately diagnosing and treating players who have sustained head injuries. In the National Football League, for example, an independent doctor, unaffiliated with the team, must be present to evaluate all potential head injuries and make final decisions about whether it is safe for a player to return to the field."
Brain Injury and Sports
Neurology Group issues important new position statement on sports concussion management
Doctors have an ethical obligation to educate and protect athletes from sports concussion and clear them to play only when the athlete is medically ready, standing firm against objections from players, parents or coaches according to a new position paper of the American Academy of Neurology (AAN), released yesterday in their medical journal, Neurology.
An AAN press release issued in connection with this announcement stated, “With nearly four million sports-related concussions in the US each year, it is imperative doctors are educated and protect these athletes who may have sustained a concussion,” said lead author Matthew P. Kirschen, MD, PhD, a neurologist with The Children's Hospital of Philadelphia and a member of the American Academy of Neurology. “Concussions can have devastating effects such as short-term impairments in athletes’ cognitive and athletic performance. Repeat concussions have been linked to long-term impairments in brain function, such as problems with learning, memory and behavior.”
The AAN statement also:
- Supports wider use of baseline cognitive testing
- Recommends that concussion evaluation and management training be added to neurology residency programs
- Suggests the development of a national concussion registry with mandatory reporting, which may help to document more rigorously the incidence and recurrence of concussion at all levels of play
The statement concludes that physicians caring for athletes during and after a sports-related concussion should have adequate training and experience in the recognition and evaluation of both the existence and severity of potential brain injury.