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Concussion Management

What is a concussion?
A concussion is a type of traumatic brain injury (TBI), caused by a bump, blow, or jolt to the head that may change the way your brain normally works. Concussions may also occur from a blow to the body causing the head to move rapidly back and forth such as whiplash. Even “getting your bell rung”, or what seems to be a mild bump or blow to the head can be serious.

Concussions can occur in any sport or recreational activity.

Observable concussion signs and symptoms:

  • Appears dazed or stunned
  • Confusion
  • Headache
  • Moves clumsily
  • Failure to recall events
  • Nausea or vomiting
  • Balance problems or dizziness
  • Blurry or double vision
  • Sensitivity to light or noise
  • Concentration or memory problems
  • Mood, personality or behavior change

Recognizing A Possible Concussion
To help recognize a concussion, you should watch for the following two things in athletes:

  1. A forceful bump or blow to the head or jolt to the body that results in rapid movement of the head.
  2. Any change to athlete’s behavior, thinking, or physical functioning.

What To Do If You Suspect A Concussion
Seek medical attention.
Do not return to play or activity until evaluated by a health care professional experienced in concussion evaluation. Do not return to play until your concussion management team has determined you are symptom-free and may gradually return to play.


Concussion Management

Physical Therapy

The Vestibulotherapy Program at Barton treats three components of balance: visual, vestibular, and somatosensory. They challenge each component by changing or eliminating one or more of them, i.e. by changing the base of support, changing the surface, taking away vision, changing visual field, eye tracking or head moving with eyes fixed. There are many combinations used based on the deficits of each individual. If the patient presents with a vestibular issue, there are several manual techniques available.

Speech Therapy

Speech Therapy provides education about the healing process and guides patients gradually back into their cognitive task of their daily life. Patients are able to identify their symptoms and with training create routines to achieve success at home, school and work settings.

Concussion Coordination

Our Concussion Coordinators serve the community by scheduling physician appointments following a concussion and guide patients through the concussion referral resources. They are available to address concussion management questions by calling 530.208.8253.


Our Concussion Team

Barton Health's team of physicians have years of experience in managing concussions. They work with certified trainers in coordinating concussion care with our areas schools and sports teams.

Concussion Physicians

Allison Steinmetz, M.D. - Barton Family Medicine
Nichole DeLaplante, D.O. - Barton Family Medicine
Erin Jones, M.D. - Barton Family Medicine
Jennifer Ehmann, M.D. - Barton Pediatrics
Danielle Priem, D.O. - Barton Pediatrics
Eric Ewald, M.D. - Barton Family Practice

Psychiatry

Tracy Protell, M.D. is board certified in General (adult) Psychiatry, Child and Adolescent Psychiatry, and Pediatrics.
She works as a consultant to primary care physicians, providing recommendations on treatment of symptoms associated with postconcussive syndrome.


Concussion Management Health Facilities

Barton Family Medicine
1090 3rd Street
South Lake Tahoe, CA 96150
530.543.5660

Barton Urgent Care & Family Practice
155 Highway 50
Stateline, NV 89449
775.589.8900

Barton Pediatrics
2201 South Avenue
South Lake Tahoe, CA 96150
530.543.5550

Additional Concussion Resources

Sports Concussion Assessment Tool 5 (SCAT5)

Concussion Consensus Statement


Information Provided by the Centers for Disease Control and Prevention.