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Showing Tag: "concussion" (Show all posts)

Back yourself - A cautionary tale

Posted by Matthew Mac Partlin on Wednesday, July 4, 2018, In : Clinical topics 


OK, I promised that I would lay off concussion for a while but on the same day that I published the first part of the concussion podcast with Prof David Hughes, I received an email from a friend in the U.S.

Gregg Summerville is a New Jersey emergency physician who also works with Corvette Racing, travelling with them to places like LeMans and Watkins Glen. As a result, he gets to know the drivers and administrative staff quite well. He sent me a piece that he wrote based on a clinical scenari...

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ICMS AGM 2016 - Intro and Day 1

Posted by Matthew Mac Partlin on Friday, February 24, 2017, In : Conferences, courses & events 

This conference was great. It was what a motorsport conference covering safety, medical and rescue issues should be. No topic was off limits, no presenter was protected from being challenged (and most audience challenges stuck to the rules of engagement), invited speakers were from a broad range of backgrounds (gender, profession, motorsport category and geography) and most appealing of all, there was a general air of desire to promote and progress improved understanding and practice.


(I don't...

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FIA Institute CMO Seminar - Day 2

Posted by Matthew Mac Partlin on Friday, January 6, 2017, In : Conferences, courses & events 

The Christmas and New Year holidays are over and having spent some enjoyable time with the family poncing about, it's time to get back to work. Here is my summary of Day 2 of the FIA Institute Medicine in Motorsport CMO seminar held as part of the FIA AGA in Vienna at the beginning of December.

The first half of the day was composed of an opening speech by Jean Todt (which I missed) and four workshops. After lunch there were five free papers presented followed by the closing speech. After a so...

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FIA Institute CMO Seminar 2016 - Day 1

Posted by Matthew Mac Partlin on Wednesday, December 14, 2016, In : Conferences, courses & events 


Two weeks ago I was sitting in an apartment in the middle of the Vienna Naschmarkt, having flown in at 6am that morning from Australia to attend the biennial FIA Institute Medicine in Motorsport Chief Medical Officer's seminar. Traditionally, while there are a handful of exceptions, this is a fairly passive affair consisting of a series of talks and a couple of fairly didactic workshops (SMACC it is not).

Two years ago a small bonfire was lit when Dr Sean Petherbridge (CMO for the Abu Dhabi F...


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A medical publication from the FIA Institute (and a survey)

Posted by Matthew Mac Partlin on Friday, September 4, 2015, In : Notifications 
It's been an interesting and busy few months and I'll get into all that has been happening in due course. But let's start off with this.

The FIA (Federation International d'Automobile), like any organisation that sets itself up as the prime authority in a given field, cops a fair bit of criticism for many things. That said, within and around the organisation there are plenty of smart, progressive individuals. (I say "around" because not everyone who works with the FIA is necessarily an FIA em...

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Article review - Concussion

Posted by Matthew Mac Partlin on Friday, May 8, 2015, In : Clinical topics 


Concussion has been a big topic over the past two years or so and it has certainly featured in a couple of posts on this website. There is a lot about it that is still poorly understood.
  • What is the pathophysiology?
  • Does second impact syndrome really exist?
  • Does chronic traumatic encephalopathy really exist?
  • What is the best marker of readiness to return to active competition?
There is a very helpful review article in the Seminars in Neurology journal written by Meeryo, Chloe and Giza, titled "Dia...

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FIA Institute Medicine in Motorsport Summit 2014

Posted by Matthew Mac Partlin on Wednesday, December 17, 2014, In : Conferences, courses & events 


Well, I'm back in Sydney after 5 days in Doha, Qatar, attending the FIA Institute's Medicine in Motorsport Summit, which is run parallel to the FIA's Annual General Assembly. The AGA is where the year is reviewed and the technical specifications and regulations for the next year's season are finalised. It finishes off with the prize-giving ceremony for the various championship categories, including Formula One, World Rally Championship and World Endurance Championship.

Similarly, at the biannu...

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Concussion biomarkers - The new brain 'troponins'?

Posted by Matthew Mac Partlin on Wednesday, April 2, 2014, In : Clinical topics 


My thanks to Rik Hagen for the heads up on this article on a trial of brain injury biomarkers; specifically neuron-specific enolase (NSE), S100 calcium-binding protein (S100-B) nad total tau protein (T-tau).

Now, I can hear your eyelids closing already, but stick with me on this because it may be an indicator of future directions, both in terms of how we approach concussion in sport and perhaps for the level of expectation that is placed on the abilities of medics providing cover at sporting e...

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Compensation for Chronic Traumatic Encephalopathy

Posted by Matthew Mac Partlin on Sunday, January 19, 2014, In : Clinical topics 
Posted by Matthew Mac Partlin on Wednesday, September 4, 2013

Concussion in sports and its associated complications have bubbled to the surface of public media again recently. And there may be wider implications to the latest development, which relates to the controversial entity known as Chronic Traumatic Encephalopathy, or CTE.

Competitors who suffer repeated concussion events are considered by many experts to be at risk of developing cognitive, behavioural, mood and somatic d...
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The 2013 AAN Guidelines on sports related concussion

Posted by Matthew Mac Partlin on Sunday, January 19, 2014, In : Clinical topics 
Posted by Matthew Mac Partlin on Thursday, March 28, 2013



The American Academy of Neurology released their guidelines on concussion in sport this month. They serve as an update to the existing guidelines, orginally published in 1997. The evidence is mostly drawn from field sports; rugby, soccer, hockey, basketball. 7 of the 12 panel of experts were non-neurologists, drawing from other specialties that are involved in managing concussed athletes. The 2013 guidelines involved a review of all ava...
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Concussion in Motor Sports - Assessment and controversies

Posted by Matthew Mac Partlin on Saturday, January 18, 2014, In : Conferences, courses & events 
Posted by Matthew Mac Partlin on Tuesday, December 18, 2012

OK, this is my first video podcast, so it may not be up to the Scott Weingart or Mel Herbert standard, but we'll fire ahead regardless.

A little over a week ago I attended the FIA Institute Medicine in Motor Sport summit in Istanbul, where I had been asked to give a presentation on the assessment of concussion at motor sport events and the tricky issue of clearing competitors to return to play. It came out of work I'd been involved wit...
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Concussion and the 'Second Impact Syndrome'

Posted by Matthew Mac Partlin on Saturday, January 18, 2014, In : Clinical topics 
Posted by Matthew Mac Partlin on Friday, June 8, 2012

I've been working away on a project for concussion in motorsport and it seems that, much like the rest of medicine, the more we examine what we think we know, the less we find we really do.

Concussion is a problematic injury in sports in general. It's easy to miss and has the potential to do further harm. Watching a rugby player stumble around the field after a blow to his head makes it easy to see how he could fall over and dislocate a sho...
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Continuing after concussion

Posted by Matthew Mac Partlin on Saturday, January 18, 2014, In : Clinical topics 
Posted by Matthew Mac Partlin on Thursday, April 26, 2012

I caught up with the IRC Series recently and watched the Circuit of Ireland event on wrcforeva's YouTube channel. If you watch "IRC 2012 Circuit of Ireland - Day 2 Highlights" at about 17:54 on the timeline, Andreas Mikkelsen has a high speed side impact with a haybale barrier on the short Lisburn stage.



The commentator states that Mikkelsen lost 40 seconds on the stage and complained of "dizziness". It is suggested that he sustained a ...
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