Abstract：
Attention and awareness regarding concussion injury in Australia have significantly increased in the last decade. Although most of this increase is because of discussion regarding concussions from sporting endeavours, the majority of concussions are from non-sport environments including motor vehicle crashes, workplace incidents, falls, accidents, assault and intimate partner violence. In all cases, hospital EDs are the first point of contact, yet as argued in our Opinion here, there are concerns regarding the consistency of care protocols, because of a number of reasons, as well as management and follow-up clinical practices. Our Opinion is to provide a constructive discussion as well as calling for ACEM to support research to provide evidence-based data. Finally, we provide some recommendations that could be implemented immediately to improve clinical practice for presentations of concussion injuries in EDs.
摘要：
在过去十年中，澳大利亚对脑震荡损伤的关注和认识显着增加。尽管这一增长的大部分原因是关于体育运动中脑震荡的讨论，大多数脑震荡来自非运动环境，包括机动车碰撞，工作场所事故,falls,事故,攻击和亲密伴侣暴力。在所有情况下,医院ED是第一接触点,然而，正如我们在这里的意见所争论的那样，有人担心护理方案的一致性，因为很多原因,以及管理和后续临床实践。我们的意见是提供建设性的讨论，并呼吁ACEM支持研究以提供基于证据的数据。最后,我们提供了一些可以立即实施的建议,以改善ED中脑震荡损伤的临床表现的临床实践.
