Tyler is a 16-year-old football player who has an appointment for his sports physical. He had a head hit yesterday while playing with friends, and went to the emergency room. He was discharged with a diagnosis of a concussion. Today he feels dizzy, has noise sensitivity, and had trouble sleeping last night.
Which of the following options is best for the clinician to pursue?

a. Complete a formal Balance Error Scoring System (BESS) and neuropsychologic testing before clearing him to play.
b. Clear him to play, because the emergency room discharged him and these symptoms are normal after a head hit.
c. Clear him to play in a week when his symptoms will subside.
d. Refuse to clear

Explanation: Would be dangerous to just clear him again and put him at risk of a brain bleed if he were to get hit in the head again, but the answer also may be d. It would depend on what the testing came back as.

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Munali Munali · Answer 2 · 2020-03-25T07:49:37+01:00

Answer:

a. Complete a formal Balance Error Scoring System (BESS) and neuropsychologic testing before clearing him to play.

Explanation:

When Tyler had a injury he was reported to emergency room and diagnosed with a concussion which is a traumatic brain injury. It results in unconsciousness sometimes and may alter state of mind. In these circumstances Tyler cannot be clear to play because he is still feeling dizzy and has concussion symptoms. The clinician should complete balance error scoring and then it him before allowing him to play.