{"id":404,"date":"2016-04-24T09:05:10","date_gmt":"2016-04-24T00:05:10","guid":{"rendered":"http:\/\/judojiko.net\/eng\/?p=404"},"modified":"2016-04-24T09:05:10","modified_gmt":"2016-04-24T00:05:10","slug":"response-to-concussions-in-schools","status":"publish","type":"post","link":"https:\/\/judojiko.net\/eng\/news\/404.html","title":{"rendered":"Response to concussions in schools"},"content":{"rendered":"

At the semi-final game of the National High School Basketball Invitational Tournament (Winter Game 2015), held on December 27, the captain (3<\/span>rd<\/span><\/sup> year) of Oka Gakuen High School of Nagoya collapsed and was unable to rise for a while due to a brain concussion. <\/span><\/span>
\nhttp:\/\/www.nikkansports.com\/sports\/news\/1584603.html<\/span><\/a><\/p>\n

The press report stated that \u201cDue to the brain concussion in a scramble near the goal line, Endo was unable to stand up.\u201d What shocked us was the description that followed. \u201cThe coach, Shinichi Inoue (69), immediately requested a time-out because \u2018We can\u2019t continue the game without Endo\u2019. While there was concern, Endo soon returned to the game, increasing the lead to 15 points.\u201d <\/span>
\nEndo commented after the game that \u201cWhen I had the concussion, I heard people cheering and knew I had to play.\u201d<\/span><\/p>\n

The athlete collapsed 2 minutes and 20 seconds into the 3<\/span>rd<\/span><\/sup> quarter, allowing him to play about 18 minutes until the game ended.<\/span><\/span>
\nThe people shuddered when they read the article and were glad he was well after the game.<\/span><\/p>\n

If we hit our head hard and people around us ask, \u201cAre you all right?\u201d we will usually answer \u201cYes, I\u2019m all right,\u201d regardless of the pain. Many of you must have responded the same, and so will the athletes playing in competitions. An athlete will think, \u201cI want to keep playing. I don\u2019t want to let them down,\u201d resulting in a response of \u201cI\u2019m OK.\u201d<\/span>
\nCoaches, therefore, are responsible for stopping the athletes from returning to the game. They must protect their health.<\/span><\/p>\n

In Nagoya, in May 2015, a first year high school student (16) had an acute subdural hematoma during practice in the boxing club of Kikuka High School. His life was saved, but he suffered permanent side effects on the left side of the body.<\/span>
\nhttp:\/\/www.sankei.com\/west\/news\/151229\/wst1512290063-n1.html<\/span><\/a>
\nhttp:\/\/www.sponichi.co.jp\/battle\/news\/2015\/12\/25\/kiji\/K20151225011745530.html<\/span><\/a>
\nhttp:\/\/www.daily.co.jp\/ring\/2015\/12\/25\/0008673906.shtml<\/span><\/a><\/p>\n

Subdural hematoma is not an \u201cunexpected accident\u201d; the side effects are extremely serious. Has the school conducted an investigation? What were the measures taken to prevent repetition of the same injury?<\/span>
\nWhile the press report ended with a short story of senior club members encouraging the victim, the event must not be described as a heartwarming story. <\/span><\/p>\n

In Nagoya, on December 9, 2015, a second year student (19) of the American Football Club of Nagoya University developed fatal acute subdural hematoma. With a helmet and pads, the student was hitting his body against another club member in practice. \u201cI have a banging headache,\u201d he said, then he went into convulsions and collapsed.<\/span>
\nhttp:\/\/mainichi.jp\/articles\/20151219\/ddq\/041\/040\/013000c<\/span><\/a>
\nhttp:\/\/www.asahi.com\/articles\/ASHDB3JLMHDBOIPE004.html<\/span><\/a><\/p>\n

The American Association of Neurology (AAN) made an announcement of \u201cEvidence-based guideline update: Evaluation and management of concussion in sport\u201d in 2013. The following points are included:<\/span><\/p>\n