Subcommittee on Sports-Related Concussions in Canada committee  I think that notion of a central hub of information with tools to support every type of setting in the implementation of those recommendations is the key here. Implementing formal expectations, whether it's through regulation or legislation, those are different means, and I'm not

Subcommittee on Sports-Related Concussions in Canada committee  Yes.

Subcommittee on Sports-Related Concussions in Canada committee  I probably had the chance to be quite well informed as a physician, except maybe for the one I had when I was younger, playing water polo. I don't remember any consequence of that. I was probably able to heal. I had the chance not to get reinjured after that first injury. The two

Subcommittee on Sports-Related Concussions in Canada committee  You know that first period of rest that we recommend—that 48 to 72 hours? The studies on the brain during that period, using animal models and fancy imaging, show that there is a metabolic storm in the brain. There is a problem with the flow of ions in and out of the neurons. The

Subcommittee on Sports-Related Concussions in Canada committee  Yes. It could have been a very bad injury. Some people die from a fall like that because they develop a brain haemorrhage that can sometimes be slow or sometimes fast. Most people will have a concussion with that type of more diffused cellular perturbation, which will last for a

Subcommittee on Sports-Related Concussions in Canada committee  I would say that mostly depends on how well you were able to heal from the first one. The worst-case scenario is when you get injured prior to full recovery from the first injury. That's when you see the very dramatic and sad cases of kids who die from recurrence of a head injury

Subcommittee on Sports-Related Concussions in Canada committee  At this point, when you have persistent symptoms, you need to have a careful assessment of different spheres, like the mood disorders that quickly can be part of a concussion. It's very stressful and anxiety can go on to depression. You can have cognitive problems in the cognitiv

Subcommittee on Sports-Related Concussions in Canada committee  The first course was provided four times in French at the Université Laval.

Subcommittee on Sports-Related Concussions in Canada committee  The French course showed very conclusively that the concept is feasible. We're in the process of developing the English version of the course together with the University of Calgary. We've already received 4,000 registrations in two weeks.

Subcommittee on Sports-Related Concussions in Canada committee  These are examples of new strategies. A final issue has been clearly identified through the work of the groups in which I've participated. The issue is the need for better data collection and for a monitoring system that uses new sources. We've traditionally relied on data from

Subcommittee on Sports-Related Concussions in Canada committee  I don't want to be biased, but I would say that Canada is recognized as a world leader in the area of concussions.

Subcommittee on Sports-Related Concussions in Canada committee  A significant percentage of international experts come from Canada, and advances often begin in Canada. That said, some major sports federations occasionally make good moves. For example, the conservative rugby community agreed to disregard its traditional culture and change an a

Subcommittee on Sports-Related Concussions in Canada committee  What was initiated with the Canadian concussion protocol harmonization project, which was led by Parachute with funding from the Public Health Agency of Canada, was the start of creating a centralized, validated and hopefully continuously updated hub of information. Hopefully the

Subcommittee on Sports-Related Concussions in Canada committee  I'll start by repeating a point that I've already mentioned. We must continue to support the positive steps that have already been taken by asking the Department of Health and the Department of Sport and Persons with Disabilities to work together to develop a national strategy on

Subcommittee on Sports-Related Concussions in Canada committee  The public care for brain injuries is very limited. I'm talking mostly in rehabilitation. All the resources are taken by the moderate and severe brain injuries. There is very little left for mild traumatic brain injuries or concussion, so that is a barrier to accessing care. That