An average of at least one potential concussive event occurred per game during the 2016 UEFA European Championship and nearly three quarters of the head collision incidents did not result in a medical assessment by sideline health-care personnel, according to a review published today in the journal BMJ Open . Potential concussive events (PCEs) were defined for the study as head impact injuries (through direct contact with another athlete, ball, or object in the environment) that resulted in the athlete being unable to immediately resume play. Athletes involved in PCEs were observed for six established observable physical signs of concussion: slow to get up (defined as a duration of five or more seconds following impact); clutching of the head; disorientation; loss of consciousness; seizure-like behaviour; and signs of obvious disequilibrium. A team of trained observers, led by neurosurgeon Dr. Michael Cusimano of St. Michael's Hospital in Toronto, reviewed the 51 games of t...
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