Difference between revisions of "Brain Injury"

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==Guidance==
 
==Guidance==
 
   
 
   
• '''Acceptable''' if superficial injury (such as scalp wound requiring only stitches) with no reported neurological symptoms.
+
• '''Acceptable''' if all of following are present:
 +
- Fully recovery with no ongoing neurological complications associated with the injury
  
+
- >6 months since recovery from most recent injury
• '''Unacceptable''' if:
 
  
- More than 6 concussions in a lifetime
+
- Loss of consciousness <1 hour
  
- Symptoms from a concussion that lasted more than a month
+
-       Associated neurological symptoms lasted <10 days
  
- Severe concussion with a period of unconsciousness more than 1 hour
+
-       No more than one head injury within past 12 months
  
+
- No more than 6 lifetime concussions/head injuries
• '''Just for BM''' (PBSC could increase re-bleeding risk) if:
 
  
- More than 3 concussions (but less than 6)
 
 
   
 
   
- More than 5 minutes loss of consciousness (but less than 1 hour)
+
• '''Unacceptable''' if any of the following:
 
+
- More than 72 hours to recover from any neurological symptoms (short term memory loss, blurred vision, light or noise sensitivity, nausea or vomiting, dizziness or balance problems, difficulty thinking, poor concentration, seizure, personality changes, severe headache).
+
• Unacceptable if any of the following:
 
+
• Loss of consciousness >1 hour
 +
• >6 lifetime concussions/head injuries
 +
• Chronic neurological symptoms secondary to the head injury
 +
• Coma
 +
• Stroke
 +
• Transient ischaemic attack
 +
• Intracranial haemorrhage (epidural, subdural or subarachnoid haematoma)
 +
• Craniotomy
 +
• Chronic traumatic encephaolopathy
 
   
 
   
 
   
 
   
• '''For rest of  brain injuries (discuss with medical officer)''' :  
+
• '''Discuss with medical officer''' :  
 
 
- Make TU for PBSC until more than 12 months from most recent injury
 
  
- Make TU for BM until more than 6 months from most recent injury
+
More than one head injury in the past 12 months
 +
• Neurological symptoms from any injury lasted >10 days up to 3 months
 +
• Skull fracture
 +
• Transsphenoidal (nose/sinus) surgery
 +
• Orbital (eye socket) surgery
 +
• Vestibular (inner ear) surgery

Revision as of 11:00, 1 December 2023

Acceptability at recruitment

Acceptable

Acceptability at CT/Work Up

Acceptable

Individual Risk

Donor

Explanation of condition

A common form of brain trauma is a concussion which is a traumatic injury that alters the way the brain functions. Effects are usually temporary but can include headaches and problems with concentration, memory, balance and coordination. Although concussions usually are caused by a blow to the head, they can also occur when the head and upper body are violently shaken. Other terms for concussion are “mild traumatic brain injury” or MTBI. For purposes of volunteer donor assessment, a concussion must have been medically diagnosed by a physician or other medical personnel or met concussion criteria through sports assessment by a trainer or coach. Other serious injuries of the brain that may not have been specifically diagnosed as a concussion should also be taken into consideration in this assessment.

Guidance

Acceptable if all of following are present: - Fully recovery with no ongoing neurological complications associated with the injury

- >6 months since recovery from most recent injury

- Loss of consciousness <1 hour

- Associated neurological symptoms lasted <10 days

- No more than one head injury within past 12 months

- No more than 6 lifetime concussions/head injuries


Unacceptable if any of the following:

• Unacceptable if any of the following: • Loss of consciousness >1 hour • >6 lifetime concussions/head injuries • Chronic neurological symptoms secondary to the head injury • Coma • Stroke • Transient ischaemic attack • Intracranial haemorrhage (epidural, subdural or subarachnoid haematoma) • Craniotomy • Chronic traumatic encephaolopathy


Discuss with medical officer :

More than one head injury in the past 12 months • Neurological symptoms from any injury lasted >10 days up to 3 months • Skull fracture • Transsphenoidal (nose/sinus) surgery • Orbital (eye socket) surgery • Vestibular (inner ear) surgery