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Acute Concussion Management with Remove-Reduce/Educate/Adjust-Accommodate/Pace (REAP). | LitMetric

AI Article Synopsis

  • Increased awareness of concussions has led to more pediatric patients visiting emergency departments, highlighting the need for effective management in that setting.
  • The REAP program, developed in Colorado, utilizes a team approach involving parents, teachers, and medical staff to effectively manage concussions from evaluation through return to play.
  • The case report illustrates the successful recovery of a young athlete who received immediate care in the ED using the REAP model, emphasizing the importance of emergency physicians in the process of concussion management.

Article Abstract

Background: With increased concussion awareness and significantly increased numbers of emergency department (ED) visits for pediatric concussion, a seamless process of managing a patient with a concussion can begin in the ED.

Case Report: This article demonstrates the effectiveness of the Remove-Reduce/Educate/Adjust-Accommodate/Pace (REAP) concussion management program in the evaluation, management, and return to play of an acutely concussed pediatric patient. The REAP program was developed in Colorado and promotes a multidisciplinary team approach to concussion management. The team consists of parents, teachers, athletic personnel, and clinicians. The patient described in this case report had concussion management initiated in the ED. He was able to successfully return to sports, having recovered from his concussion with the guidance of the Center for Concussion (Centennial, Colorado) staff utilizing the REAP model of care and the currently recommended graduated return-to-play process. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Busy EDs are often the initial point of contact for school-aged patients with concussion. We present a program that we believe represents a good model of patient care with concussion management implemented in the ED and carried through to clearance of the patient.

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Source
http://dx.doi.org/10.1016/j.jemermed.2015.02.054DOI Listing

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