The purpose of this report is to present the case of a high school football player who sustained an injury during a game, resulting in an acute subdural hematoma (SDH). The patient underwent an emergent decompressive craniectomy. The uniqueness of the case is due to both rare pathology and treatment. The athlete had a positive outcome due to prompt on-field assessment and advanced surgical treatments. Athletic trainers should know how to recognize symptoms of emergent traumatic brain injuries and be prepared to implement an emergency action plan when necessary.
Center, Wilkins, and Rosen are with the School of Health and Kinesiology, University of Nebraska at Omaha, Omaha, NE, USA. Mathiasen is with the Department of Emergency Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
The National Federation of State High School Association. (2016). 2015-16 High school athletics participation. http://www.nfhs.org/ParticipationStatistics/PDF/2015-16_Sports_Participation_Survey.pdf.)| false
BodenBP, BreitI, BeachlerJA, WilliamsA, MuellerFO. Fatalities in high school and college football players. Am J Sports Med. 2013;41(5):1108–1116. PubMed ID: 23477766 doi:10.1177/036354651347857210.1177/036354651347857223477766)| false
KuceraKL, YauRK, Register-MihalikJ,
. Traumatic brain and spinal cord fatalities among high school and college football players - United States, 2005–2014. MMWR Morb Mortal Wkly Rep. 2017;65(52):1465–1469. PubMed ID: 28056008 doi:10.15585/mmwr.mm6552a2
KuceraKL, YauRK, Register-MihalikJ, et al. Traumatic brain and spinal cord fatalities among high school and college football players - United States, 2005–2014. MMWR Morb Mortal Wkly Rep. 2017;65(52):1465–1469. PubMed ID: 28056008 doi:10.15585/mmwr.mm6552a22805600810.15585/mmwr.mm6552a2)| false
PryorRR, CasaDJ, VandermarkLW, et al. Athletic training services in public secondary schools: a benchmark study. J Athl Train. 2015;50(2):156–162. PubMed ID: 25689559 doi:10.4085/1062-6050-50.2.0310.4085/1062-6050-50.2.0325689559)| false