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Coming Into Focus but Still Fuzzy

Douglas B. McKeag, MD, MS

JAMA. 2003;290:2604-2605.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A young athlete collides with an opponent. The play ends. The athlete walks from the field of play in an unsteady fashion. The medical staff begins the process of assessment. And the questions begin: Are you OK? What's wrong? How many fingers? What do you remember?"

After the assessment is complete, decisions are made. Initially, the question is, should the athlete be returned to play? Other questions routinely follow: How should the injury be handled? What's likely to occur with the individual in the ensuing hours and days? Can clinicians intercede to speed the process of recovery and rehabilitation? And finally, the most important question: What's the "right" thing to do in this situation?

The above scenario is repeated, in its infinite variations, thousands of times each year^1-2 as athletes sustain sports-induced mild traumatic brain injury (TBI). Controversy has surrounded this topic for a long . . . [Full Text of this Article]

Author Affiliations: Department of Family Medicine, Indiana University School of Medicine, Indianapolis.

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