New Jersey, Virginia Weigh Concussion-Related Laws
In the Garden State, Sen. Richard Codey (D-Essex) Monday introduced a bill that mandates that licensed athletic trainers take 24 hours of continuing education in sports medicine as a condition of their biennial license renewal. And four hours of that education would have to relate to concussions and brain injuries.
http://blog.nj.com/hssportsextra/2010/02/new_bill_targeting_concussion.html
But the proposed law drew criticism from the Athletic Trainers Society of New Jersey, which complained that it had not been consulted on the legislation. The group said that trainers are already required to take 75 hours of continuing education during a three-year period in order to retain their licenses.
Then in Virginia, a House of Delegates subcommittee Thursday passed a bill that will make the state Board of Education develop guidelines to identify and treat concussions in student athletes.
http://www2.wsls.com/sls/news/state_regional/govtpolitics/article/bill_on_student_athletes_concussions_advances_in_house_of_delegates/83790/
That bill was sponsored by Sen. Ralph Northam (D-Norfolk), and now will go to the full House of Education Committee. Northam is a pediatric neurologist.
The legislation mandates that student athletes who are suspected of having a concussion be benched during practice or a game, and get approval from a licensed health-care professional before coming back to play.
It will be interesting to see what each state comes up with for the definition and risks factors for concussion.
Attorney Gordon Johnson
Chair Traumatic Brain Injury Litigation Group, American Association of Justice
g@gordonjohnson.com :: 800-992-9447 :: Attorney Gordon S. Johnson, Jr.
http://subtlebraininjury.com :: http://brainanatomyguide.com :: http://car-accident-rain.com :: http://tbilaw.com
http://waiting.com :: http://vestibulardisorder.com :: http://youtube.com/profile?user=braininjuryattorney
Brain-Injured Snowboarder Watches Olympics from Hospital Bed
With one eye, or better, one side of the brain, we watched in awe, amazement and wonder at snowboarder Shaun “The Red Tomato” White win Gold at the Olympics. His grace, joy and exhilaration – performing super human stunts, could be considered inspiring. But that’s the bright side of the counterculture sport and life on the halfpipe. The other side is the specter of brain injury.
The Vancouver Sun ran a moving story on the other side of the snowboarding experience, that of the young man who has beaten White twice. Kevin Pearce, 22, is now watching the Winter games from the sidelines – from a hospital bed, to be exact.
http://www.vancouversun.com/sports/2010wintergames/Star+challenger+watches+Olympics+from+brain+injury+facility/2580023/story.html
Pearce, a Vermont native, hit his head on the edge of the halfpipe trying to do the double cork move in Park City, Utah, on New Year’s Eve. He suffered severe brain damage and had to be airlifted to a hospital, where he was in a coma for weeks.
He is now at a facility that specialized in brain and spine injuries. Odds are he won’t ever snowboard again. He just started talking again. He needs to learn how to walk again. He is having problems with his vision.
Chasing thrills and that adrenalin rush can exact a high cost. Only Pearce can say if it was worth it. But the leaders of this sport must make sure that the limits of risk taking are not just the judgment of young daredevils. Safety is ultimately so much more important. Neither the athletes nor we as spectators need these kind of thrills at the risk of a young person’s future.
Post Note: Snowboarder Kevin Pearce is being treated at the Craig Hospital in Denver, http://craighospital.org Craig is the NIDRR Model System Center for TBI for the Rocky Mountain Region, and the TBI NIDRR National Statistical Data Center.
Attorney Gordon Johnson
Chair Traumatic Brain Injury Litigation Group, American Association of Justice
g@gordonjohnson.com :: 800-992-9447 :: Attorney Gordon S. Johnson, Jr.
http://subtlebraininjury.com :: http://brainanatomyguide.com :: http://car-accident-rain.com :: http://tbilaw.com
http://waiting.com :: http://vestibulardisorder.com :: http://youtube.com/profile?user=braininjuryattorney
Luger Who Sustained A Concussion On Olympic Luge Track Warned Officials Of Its Dangers
http://www.nytimes.com/2010/02/19/sports/olympics/19luge.html?hp
An article headlined “Luger Warned of Track Before the Games” reports that luger Werner Hoeger lost consciousness and suffered a concussion during a trial run at the Whistler Sliding Centre in November.
That’s the same luger track where Nodar Kumaritashvili was killed last Friday, after slamming his back into a steel pillar.
Hoeger after his Nov. 13 accident repeatedly wrote and e-mailed international luge and Canadian officials, telling them that the track wasn’t safe, according to The Times. Obviously, officials didn’t heed Hoeger’s warning.
The International Luge Federation said Thursday that it will issue a report on the Georgian luger’s death at the end of next month. Changes were made to the luge track after last week’s fatal accident.
For a very detailed account of Hoeger’s back and forth with officials over the dangerous track, read The Times’ piece.
Notice is a major element to any claim for negligence or wrongful death. Looks like the Canadian officials had that.
Attorney Gordon Johnson
Chair Traumatic Brain Injury Litigation Group, American Association of Justice
g@gordonjohnson.com :: 800-992-9447 :: Attorney Gordon S. Johnson, Jr.
http://subtlebraininjury.com :: http://brainanatomyguide.com :: http://car-accident-rain.com :: http://tbilaw.com
http://waiting.com :: http://vestibulardisorder.com :: http://youtube.com/profile?user=braininjuryattorney
Snowboarder Pearce’s Head Injuries Don’t Deter His Rival
Despite Pearce’s brain injury, a competitor who will benefit from Pearce’s absence, Shaun White, an Olympic gold winner, seems to be making his routines even more dangerous. White has added even more dangerous maneuvers to his performance, including one that caused him to hit his head in a scary crash during practice at the Winter X games. White undeterred, repeated the same stunt in the competition and won it.
According to the Washington Post:
“Pearce, who was considered one of White’s biggest rivals and was expected to contend for a gold medal, suffered a brain injury Dec. 31 while doing halfpipe training. His injury has brought a round of second-guessing the dangers of a sport whose star practitioners, with White at the forefront, are continually pushing boundaries.”
Pushing the envelope for thrills, ratings. Where have we heard this theme before? Was it NASCAR, now officially a contact sport? http://www.tbilaw.com/blog/2010/01/nascar-vows-to-return-to-roots-as.html At least the NFL isn’t giving up the “roughing the passer” penalty.
The first major tragedy was in the Luge. See our blog on the death of Georgian Luger,Nodar Kumaritashvili at http://www.waiting.com/blog/2010/02/olympics-marred-by-luger-death-before.html Sport, thrills and prevention in the industrial age will be a subject of today’s blog at http://tbilaw.com/blog
Attorney Gordon Johnson
Chair Traumatic Brain Injury Litigation Group, American Association of Justice
g@gordonjohnson.com :: 800-992-9447 :: Attorney Gordon S. Johnson, Jr.
http://subtlebraininjury.com :: http://brainanatomyguide.com :: http://car-accident-rain.com :: http://tbilaw.com
http://waiting.com :: http://vestibulardisorder.com :: http://youtube.com/profile?user=braininjuryattorney
The Bible of Mental Disorders – DSM-IV – May Undergo Controversial Revisions
is undergoing some revisions that could have affect litigation and lawsuits.
The updating of the Diagnostic and Statistical Manual of Mental Disorders has been the subject of much lobbying by various advocacy groups. The proposed changes to the book, which physicians rely on to categorize their patients’ illness, were released Tuesday. http://www.dsm5.org/Pages/Default.aspx
Both The Times and AOL News noted that any changes in the this manual of mental ailments have “huge implications” — not just for psychiatrists but for the legal system, government programs and pharmaceutical companies – in terms of who is considered normal or who is considered disabled.
http://www.aolnews.com/nation/article/big-changes-proposed-for-diagnostic-and-statistical-manual-of-mental-disorders/19352107?icid=main|main|dl1|link3|http%3A%2F%2Fwww.aolnews.com%2Fnation%2Farticle%2Fbig-changes-proposed-for-diagnostic-and-statistical-manual-of-mental-disorders%2F19352107
One of the revisions that has some experts worried is a new “at risk” category for those who show early signs of illnesses like dementia. The fear is that this new label will stigmatize patients.
Another recommendation is the creation of a new childhood disorder, temper dysregulation disorder with dysphoria. It’s a new category for aggressive children who previously might have been misdiagnosed as having bipolar disorder, and then were given antipsychotic drugs that have serious side effects.
New proposed categories for the DSM include one for sex addiction, “hypersexuality,” defined as when “a great deal of time is consumed by sexual fantasies and urges; and in planning for and engaging in sexual behavior.”
And binge eating is a new suggested disorder, defined as at least one binge a week for three months, followed by guilt and mood swings.
Interesting that the news doesn’t focus on the bogus definition of Post Concussion Disorder in the Appendix’s of the DSM-IV. Through two revisions, the drafters of this “bible” have been unable to agree on what defines a concussion. The proposed definition still contains a requirement of a 5 minute loss of consciousness, a requirement that has uniformly been rejected by the American Academy of Neurologists, the CDC, the United States Armed Services and virtually every peer reviewed research article this century.
Attorney Gordon Johnson
Chair Traumatic Brain Injury Litigation Group, American Association of Justice
g@gordonjohnson.com :: 800-992-9447 :: Attorney Gordon S. Johnson, Jr.
http://subtlebraininjury.com :: http://brainanatomyguide.com :: http://car-accident-rain.com :: http://tbilaw.com
http://waiting.com :: http://vestibulardisorder.com :: http://youtube.com/profile?user=braininjuryattorney
Super Bowl Coverage And the Concussion Issue
With the Super Bowl just hours away from starting, Goodell told “Face the Nation” Sunday that the league was still studying ways to make the game safer and cut down head injuries in particular.
Goodell said that the so-called “three point stance,” where players square off with one hand on the ground, could eventually be barred, according to a New York Times story on his interview with Bob Schieffer. The article was headlined “Commissioner Stresses New Culture of Safety.” http://www.nytimes.com/2010/02/08/sports/football/08nfl.html?ref=sports
On the “Face the Nation,” Goodell said that for years “the culture” at the NFL was that concussions weren’t serious injuries.
“I think we have changed that culture and made sure that people understand they are serious and they can have serious consequences if they’re not treated seriously,” he told Schieffer.
On Super Bowl Sunday both The Philadelphia Inquirer and The Washington Post weighed in on the concussion issue.
In an editorial, http://www.philly.com/inquirer/currents/83742022.html
The Inquirer cited a Time magazine issue with a cover story on “the most dangerous game,” pro-football, which The Inquirer said “has crippled retirees mentally and physically.”
Young players sustain 140,000 concussions a year, and half of them return to the field so soon they may suffer permanent braind damage, The Inquirer warns.
And Washington Post columnist Leonard Shapiro complained that the Super Bowl pregame show and telecast made no mention of the concussion issue. http://www.washingtonpost.com/wp-dyn/content/article/2010/02/07/AR2010020703736.html
It is an interesting question, whether football is really the most dangerous sport. Boxing will always be on the top of my list even though it involves far fewer participants. The goal of boxing is to cause a brain injury to one’s opponent. Much of the impetus behind the growing movement to forbid return to play on the day of a concussion comes out of concern for the “second impact syndrome.” In second impact syndrome, the brain’s ability to regulate cranial blood pressure is impaired by the first concussion. When a second concussion occurs there can be a resulting catastrophic increase in intracranial pressure, ICP. It was such injury that caused Zachery Lystedt’s brain injury. Well how does one reconcile no return to play rules, when the injured person continues to box?
Attorney Gordon Johnson
Chair Traumatic Brain Injury Litigation Group, American Association of Justice
g@gordonjohnson.com :: 800-992-9447 :: Attorney Gordon S. Johnson, Jr.
http://subtlebraininjury.com :: http://brainanatomyguide.com :: http://car-accident-rain.com :: http://tbilaw.com
http://waiting.com :: http://vestibulardisorder.com :: http://youtube.com/profile?user=braininjuryattorney
Wall Street Journal Offers Its Take, Which Is Our Take, On Why Cellphone Bans Don’t Decrease Accidents
http://online.wsj.com/article/SB10001424052748704022804575041552234321736.html?mod=WSJ_LifeStyle_Lifestyle_5
The Journal story was a follow-up on a study released last week by the Highway Loss Data Institute (HDLI) and the Insurance Institute for Highway Safety (IIHS). The study didn’t find any significant drop in accident claims in states that have barred the use of cellphones while driving.
That HLDI survey flies in the face of other research and what common sense would dictate: That without the distraction of using a handheld cellphone, there should be less crashes. But that wasn’t necessarily so. The Journal reported that New York banned the use of hand-held cellphones in November 2001, and driver cellphone use decreased 47 percent. And while there was a drop in monthly collision claims in the Empire State, that trend had begun before the ban was passed, according to The Journal.
An HLDI official, Kim Hazelbaker, told the newspaper that the institute was surprised at the results of its own research. The Journal cited a number of possible reasons why the number of crashes didn’t decrease after the cellphone and texting bans.
The bans are not being enforced, some said. And then the story cited the reason we previously pointed out, namely that talking on any type of phone while driving can be a deadly distraction.
A spokesman for the Governors Highway Safety Association claimed that in light of the HLDI study, it recommends that states enact bans on motorists texting but wait before barring cellphone use.
The IIHS said it’s long argued there hasn’t been a huge spike in car accidents, despite the proliferation of cellphones.
The U.S. Department of Transportation, according to The Journal, will be launching two pilot programs in New York and Connecticut to see what happens when authorities enforce cellphone bans as strictly as they do drunk-driving and seat-belt laws.
Attorney Gordon Johnson
Chair Traumatic Brain Injury Litigation Group, American Association of Justice
g@gordonjohnson.com :: 800-992-9447 :: Attorney Gordon S. Johnson, Jr.
http://subtlebraininjury.com :: http://brainanatomyguide.com :: http://car-accident-rain.com :: http://tbilaw.com
http://waiting.com :: http://vestibulardisorder.com :: http://youtube.com/profile?user=braininjuryattorney
Cellphone Bans Don’t Cut Down On Accidents Insurer Backed Study Claims
But first, some background on the Institute, which is an affiliate of the Insurance Institute for Highway Safety. Both organizations are supported by what seems like an endless list of insurers.
Here is how both describe themselves on their Web site: “The Insurance Institute for Highway Safety is an independent, nonprofit, scientific, and educational organization dedicated to reducing the losses — deaths, injuries, and property damage — from crashes on the nation’s highways…The Highway Loss Data Institute shares and supports this mission through scientific studies of insurance data representing the human and economic losses resulting from the ownership and operation of different types of vehicles and by publishing insurance loss results by vehicle make and model.”
Keep all this in mind when you hear the results of their study, which got press in many newspapers last Friday, including The Los Angeles Times http://www.latimes.com/news/local/la-me-cellphones30-2010jan30,0,1114154.story
, The New York Times http://bayarea.blogs.nytimes.com/2010/01/29/sampler-palo-alto-to-plant-trees-and-san-jose-to-consider-tree-maintenance-tax/ and the The Mercury News. http://www.mercurynews.com/top-stories/ci_14290083
In a press release http://www.iihs.org/news/rss/pr012910.html dated Jan. 29, HDLI said it found no reduction in crashes after hand-held phone bans took effect. It compared insurance claims for crash damage in four jurisdictions before and after such bans, and and claim rates were similar to nearby states without the bans.
HDLI looked at New York, the District of Columbia, Connecticut and California.
“The laws aren’t reducing crashes, even though we know that such laws have reduced hand-held phone use, and several studies have established that phoning while driving increases crash risk,” Adrian Lund, president of both the Insurance Institute for Highway Safety and HLDI, said in the HLDI press release.
The HLDI database doesn’t identify drivers using cellphones when their crashes occur. However, reductions in observed phone use following bans are so substantial and estimated effects of phone use on crash risk are so large that reductions in aggregate crashes would be expected, the group said
In New York, the HLDI researchers did see a drop in collision claim frequencies, relative to comparison states, but this decreasing trend began well before the state’s ban on hand-held phoning while driving and actually paused briefly when the ban took effect, according to the HLDI. Trends in the District of Columbia, Connecticut, and California didn’t change.
“So the new findings don’t match what we already know about the risk of phoning and texting while driving,” Lund said. “If crash risk increases with phone use and fewer drivers use phones where it’s illegal to do so, we would expect to see a decrease in crashes. But we aren’t seeing it. Nor do we see collision claim increases before the phone bans took effect. This is surprising, too, given what we know about the growing use of cellphones and the risk of phoning while driving. We’re currently gathering data to figure out this mismatch.”
The HLDI suggest other factors that might be eroding the effects of hand-held phone bans on crashes. One is that drivers in jurisdictions with such bans may be switching to hands-free phones because no state currently bans all drivers from using such phones. In this case crashes wouldn’t go down because the risk is about the same, regardless of whether the phones are hand-held or hands-free, according to the HNLI.
Twenty-one states and the District of Columbia do prohibit beginning drivers from using any type of phone, including hands-free, but such laws are difficult to enforce. This was the finding in North Carolina, where teenage drivers didn’t curtail phone use in response to a ban, in part because they didn’t think the law was being enforced, according to HNL.
“Whatever the reason, the key finding is that crashes aren’t going down where hand-held phone use has been banned,” Lund said out. “This finding doesn’t auger well for any safety payoff from all the new laws that ban phone use and texting while driving.”
Editorial Note:
As bizarre as this study seems, I am not surprised by the findings. Cell phones are distracting, regardless of whether you are using the hands free device. What is worse is touch screen cell phones that require you to look at the phone to answer. Even worse is scrambling for the hands free device, while trying to answer. Distractions equal accidents. Mobile computers that can also answer phone calls in a car (are you listening Apple) should be illegal.
Attorney Gordon Johnson
Chair Traumatic Brain Injury Litigation Group, American Association of Justice
g@gordonjohnson.com :: 800-992-9447 :: Attorney Gordon S. Johnson, Jr.
http://subtlebraininjury.com :: http://brainanatomyguide.com :: http://car-accident-rain.com :: http://tbilaw.com
http://waiting.com :: http://vestibulardisorder.com :: http://youtube.com/profile?user=braininjuryattorney