TEDxDU 2010
Kim Gorgens: Protecting the brain against concussion
Kim Gorgens: Štitimo mozak od ozljeda
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Neuropsihologinja Kim Gorgens objašnjava kako se bolje zaštiti od potresa mozga -- s uvjerljivim argumentima za stavljanje kaciga na glave naše djece.
Kim Gorgens - Neuropsychologist
Kim Gorgens studies the brain's response to injury -- and advocates that we mind our (gray) matter. Full bio
Kim Gorgens studies the brain's response to injury -- and advocates that we mind our (gray) matter. Full bio
Double-click the English transcript below to play the video.
00:16
So, a funny thing happened
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Dogodila se zanimljiva stvar
00:18
on my way to becoming a brilliant,
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na mom putu da postanem briljantna,
00:20
world-class neuropsychologist:
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svjetski priznata neuropsihologinja:
00:22
I had a baby.
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Dobila sam dijete.
00:24
And that's not to say
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No ne kažem
00:26
I ever went on to become
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kako sam planirala postati
00:28
a brilliant, world-class neuropsychologist.
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briljantna, svjetski poznata neuropsihologinja.
00:30
Sorry, TED.
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Oprosti TED.
00:33
But I did go on to be a reasonably astute,
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No planirala sam postati mudra,
00:36
arguably world-class worrier.
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nedvojbeno svjetski poznata ratnica.
00:39
One of my girlfriends in graduate school, Marie,
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Jedna od mojih prijateljica na diplomskom studiju, Marie,
00:42
said, "Kim, I figured it out.
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je rekla, "Kim, shvatila sam.
00:44
It's not that you're more neurotic than everyone else;
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Nije da si neurotičnija od svih ostalih,
00:47
it's just that you're more honest
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samo si iskrenija
00:49
about how neurotic you are."
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o tome koliko si zapravo neurotična."
00:51
So in the spirit of full disclosure,
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Pa kako bi bili u duhu s otkrićem,
00:53
I brought some pictures to share.
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donijela sam nekoliko slika.
00:56
Awwww.
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Aaaaaa.
00:58
I'll just say, July.
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Samo ću reći, srpanj.
01:01
(Laughter)
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(Smijeh)
01:06
Zzzzzzip
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Zakopčan
01:08
for safety.
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za sigurnost.
01:12
Water wings --
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Rukavice za plivanje --
01:14
an inch of water.
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za par centimetara vode.
01:17
And then, finally, all suited up
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I na kraju, u punoj opremi
01:19
for the 90-minute drive to Copper Mountain.
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za 90 minutnu vožnju na planinu Copper.
01:22
So you can get kind of a feel for this.
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Sada možete shvatiti o čemu pričam.
01:26
So my baby, Vander,
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I tako, moje dijete, Vander,
01:28
is eight years old now.
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sada ima osam godina.
01:30
And, despite being cursed
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I unatoč tome što je proklet
01:32
with my athletic inability,
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mojom atletskom nesposobnošću,
01:34
he plays soccer.
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igra nogomet.
01:36
He's interested in playing football.
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Također je zainteresiran i za američki nogomet.
01:38
He wants to learn how to ride a unicycle.
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Želi naučiti voziti unicikl.
01:40
So why would I worry?
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No zašto se ja brinem?
01:42
Because this is what I do. This is what I teach.
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Zato što je to ono što ja radim. To predajem.
01:45
It's what I study. It's what I treat.
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To izučavam. To liječim.
01:47
And I know that kids get concussed every year.
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I znam da djeca svake godine dobivaju potres mozga.
01:51
In fact, more than four million people sustain a concussion every year,
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Zapravo, svake godine, više od četiri milijuna ljudi doživi potres mozga,
01:54
and these data are just among kids under 14
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i ti se podaci odnose samo na djecu ispod 14 godina
01:57
who were seen in emergency rooms.
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koja su pregledana na hitnoj.
02:00
And so when kids sustain a concussion,
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Pa tako kada djeca zadobiju potres mozga,
02:02
we talk about them getting dinged or getting their bell rung,
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mi kažemo da im je malo zazvonilo u glavi ili da vide ptičice,
02:05
but what is it that we're really talking about?
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ali o čemu zapravo pričamo?
02:08
Let's take a look.
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Ajmo pogledati.
02:13
All right. "Starsky and Hutch," arguably, yes.
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U redu. "Starsky i Hutch" naravno. Da.
02:16
So a car accident.
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Eto, sudar automobila.
02:18
Forty miles an hour into a fixed barrier --
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65 km na sat u stacionarnu barijeru --
02:20
35 Gs.
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35 G.
02:25
A heavy weight boxer
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Boksač teške kategorije
02:27
punches you straight in the face --
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vas udari ravno u lice --
02:29
58 Gs.
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58 G.
02:37
In case you missed it, we'll look again.
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U slučaju da niste uočili, pogledati ćemo opet.
02:39
So look to the right-hand side of the screen.
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Pogledajte na desnu stranu ekrana.
02:48
What would you say?
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Što bi vi rekli?
02:50
How many Gs?
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Koliko G?
02:53
Close.
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Blizu.
02:55
Seventy-two.
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72.
02:57
Would it be crazy to know,
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Ne bi li bilo ludo kada bi znali,
02:59
103 Gs.
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103 G.
03:02
The average concussive impact
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Prosječni udarac pri potresu mozga
03:04
is 95 Gs.
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je 95 G.
03:07
Now, when the kid on the right doesn't get up,
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Sada, kada se ovaj klinac s desne strane ne ustane,
03:10
we know they've had a concussion.
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znamo da je došlo do potresa mozga.
03:12
But how about the kid on the left,
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Ali što je s klincem na lijevoj strani,
03:14
or the athlete that leaves the field of play?
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ili sportašem koji napusti teren?
03:16
How do we know
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Kako ćemo znati
03:18
if he or she has sustained a concussion?
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da li je on ili ona zadobio/la potres mozga?
03:21
How do we know
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Kako ćemo znati
03:23
that legislation that would require that they be pulled from play,
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da zakoni koji zahtijevaju da se oni izvade iz igre,
03:26
cleared for return to play,
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ili budu dopušteni se vratiti u igru,
03:28
applies to them?
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odnose na njih?
03:30
The definition of concussion
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Definicija potresa mozga
03:32
doesn't actually require a loss of consciousness.
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ne zahtjeva da osoba ostane bez svijesti.
03:34
It requires only a change in consciousness,
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Zahtjeva samo promjenu u svijesti,
03:37
and that can be any one of a number of symptoms,
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i to može biti bilo koji od široke palete simptoma,
03:40
including feeling foggy, feeling dizzy,
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koji uključuju osjećaj zamagljenosti, osjećaj vrtoglavice,
03:43
hearing a ringing in your ear,
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zvonjenja u ušima,
03:45
being more impulsive or hostile than usual.
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više impulzivno ili agresivno ponašanje nego što je uobičajno.
03:48
So given all of that and given how darn neurotic I am,
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Tako, sa svime time i uzevši u obzir koliko sam neurotična,
03:51
how do I get any sleep at all?
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kako uopće uspijem spavati?
03:54
Because I know
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Zato što ja znam
03:56
our brains are resilient.
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kako su naši mozgovi otporni.
03:58
They're designed to recover
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Oni su dizajnirani za oporavak
04:00
from an injury.
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od bilo kakve ozljede.
04:03
If, God forbid,
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Ako, nedaj Bože,
04:05
any of us left here tonight and sustained a concussion,
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bilo tko od nas večeras ode i zadobije potres mozga,
04:08
most of us would go on to fully recover
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većina bi se potpuno oporavila
04:10
inside of a couple hours
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unutar par sati
04:12
to a couple of weeks.
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do par tjedana.
04:14
But kids are more vulnerable to brain injury.
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Ali djeca su više osjetljiva na ozljede mozga.
04:16
In fact, high school athletes are three times more likely
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Zapravo, srednjoškolski sportaši imaju tri puta veću šansu
04:19
to sustain catastrophic injuries
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da zadobiju katastrofalne ozljede
04:21
relative even to their college-age peers,
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u usporedbi čak i sa svojim studentskim kolegama,
04:24
and it takes them longer
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i njima treba duže
04:26
to return to a symptom-free baseline.
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kako bi se vratili na osnovno stanje bez simptoma.
04:29
After that first injury,
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Nakon te prve ozljede,
04:31
their risk for second injury
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njihov rizik za dobivanje druge ozljede
04:33
is exponentially greater.
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eksponencijalno raste.
04:35
From there, their risk for a third injury,
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Od tuda, njihov rizik za treću ozljedu,
04:38
greater still, and so on.
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je još veći i tako dalje.
04:41
And here's the really alarming part:
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A stvarno alarmirajuća činjenica je:
04:45
we don't fully understand
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mi u potpunosti ne razumijemo
04:47
the long-term impact of multiple injuries.
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dugoročne posljedice multiplih ozljeda.
04:50
You guys may be familiar with this research
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Možda ste vi upoznati s ovim istraživanjem
04:52
that's coming out of the NFL.
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koje provodi NFL.
04:54
In a nutshell,
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Ukratko,
04:56
this research suggests
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ovo istraživanje predlaže
04:58
that among retired NFL players
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da je među umirovljenim igračima NFL-a
05:00
with three or more career concussions,
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s tri ili više potresa mozga tijekom karijere,
05:03
the incidents of early-onset dementing disease
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incidencija ranog nastupa demencije
05:06
is much greater than it is for the general population.
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puno veća nego što je slučaj u ostatku populacije.
05:09
So you've all seen that -- New York Times, you've seen it.
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Tako da ste svi to vidjeli -- New York Times, vidjeli ste.
05:12
What you may not be familiar with
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Ono što možda niste znali je
05:14
is that this research was spearheaded
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da je ovo istraživanje potaknuto
05:16
by NFL wives who said,
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od strane supruga NFL igrača koje su rekle,
05:19
"Isn't it weird that my 46-year-old husband
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"Nije li čudno to što moj 46 godišnji muž
05:22
is forever losing his keys?
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stalno gubi ključeve?
05:24
Isn't it weird that my 47-year-old husband
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Nije li čudno da moj 47. godišnji muž
05:27
is forever losing the car?
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stalno gubi auto?
05:30
Isn't it weird that my 48-year-old husband
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Nije li čudno što moj 48.godišnji muž
05:32
is forever losing his way home
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se stalno gubi na putu doma
05:34
in the car, from the driveway?"
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u autu, iz našeg prilaza?"
05:37
So I may have forgotten to mention
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Možda sam zaboravila spomenuti
05:40
that my son is an only child.
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da je moj sin jedinac.
05:43
So it's going to be really important
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Tako da će biti jako bitno
05:46
that he be able to drive me around some day.
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da me on može voziti naokolo jednog dana.
05:54
So how do we guarantee the safety of our kids?
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Kako ćemo osigurati sigurnost svoje djece?
05:57
How can we 100 percent
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Kako možemo 100 postotno
06:00
guarantee the safety of our kids?
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osigurati sigurnost svojoj djeci?
06:02
Let me tell you what I've come up with.
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Dopustite da vam kažem što sam osmislila.
06:05
(Laughter)
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(Smijeh)
06:10
If only.
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Da bar.
06:12
My little boy's right there, and he's like, "She's not kidding.
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Moj mali dečko je tamo, i on si misli, "Ona se ne šali.
06:14
She's totally not kidding."
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Najozbiljnije se ne šali."
06:17
So in all seriousness,
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Sa svom ozbiljnošću,
06:19
should my kid play football?
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da li bi moje dijete trebalo igrati američki nogomet?
06:21
Should your kid play football? I don't know.
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Da li bi vaše dijete trebalo igrati američki nogomet? Ne znam.
06:24
But I do know there are three things you can do.
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Ali znam da postoje tri stvari koje možete učiniti.
06:28
The first: study up.
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Prvo, učite.
06:31
You have to be familiar with the issues we're talking about today.
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Morate biti upoznati s pitanjima o kojima danas pričamo.
06:34
There are some great resources out there.
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Postoje divni izvori informacija.
06:37
The CDC has a program, Heads Up.
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CDC ima program, Heads Up (glave gore).
06:39
It's at CDC.gov.
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Na CDD.gov.
06:41
Heads Up is specific to concussion in kids.
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Glave gore je specifičan za potres mozga u djece.
06:44
The second is a resource I'm personally really proud of.
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Drugi je izvor, na koji sam osobno vrlo ponosna.
06:47
We've just rolled this out in the last couple months --
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Tek smo ga osnovali u zadnjih nekoliko mjeseci --
06:49
CO Kids With Brain Injury.
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CO djeca s ozljedama mozga.
06:52
This is a great resource for student athletes,
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Ovo je odličan izvor za sportaše studente,
06:54
teachers, parents, professionals,
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učitelje, roditelje, profesionalce,
06:57
athletic and coaching staff.
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sportski i trenerski kadar.
06:59
It's a great place to start
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To je dobro mjesto za početi
07:01
if you have questions.
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ako imate pitanja.
07:03
The second thing is: speak up.
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Druga stvar je, dignite glas.
07:06
Just two weeks ago,
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Prije samo dva tjedna
07:08
a bill introduced by Senator Kefalas
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prijedlog zakona uveden od strane senatora Kefalas-a
07:10
that would have required
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koji bi zahtjevao da
07:12
athletes, kids under 18,
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športaši, djeca ispod 18
07:14
to wear a helmet when they're riding their bike
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obavezno nose kacigu prilikom vožnje na biciklu
07:16
died in committee.
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je propao na sastanku odbora.
07:19
It died in large part
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Propao je velikim djelom
07:21
because it lacked constituent buy-in;
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zbog toga što mu je falilo sustavno ulaganje,
07:25
it lacked stakeholder traction.
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nedostajala je potpora zainteresiranih strana.
07:27
Now I'm not here to tell you what kind of legislation
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Nisam tu da vam govorim kakve zakone
07:29
you should or shouldn't support,
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trebate ili ne trebate podupirati,
07:31
but I am going to tell you that, if it matters to you,
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ali ću vam reći da ako je to vama bitno,
07:34
your legislators need to know that.
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onda vaši zakonodavci to moraju znati.
07:37
Speak up also with coaching staff.
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Dignite glas i oko trenerskog kadra.
07:39
Ask about what kind of protective equipment is available.
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Pitajte kakva je zaštitna oprema na raspolaganju.
07:42
What's the budget for protective equipment?
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Koji je budžet za zaštitnu opremu?
07:44
How old it is?
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Koliko je stara?
07:46
Maybe offer to spearhead a fundraiser
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Možda se ponudite za organizaciju sakupljanja novaca
07:48
to buy new gear --
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da kupite novu opremu.
07:50
which brings us to suit up.
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Koji nas dovodi do - zaštitite se;
07:52
Wear a helmet.
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nosite kacigu.
07:55
The only way to prevent a bad outcome
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Jedini način na koji možete spriječiti loši ishod
07:58
is to prevent that first injury from happening.
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jest da spriječite da uopće dođe do ozljede.
08:02
Recently, one of my graduate students,
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Nedavno, jedan od mojih studenata, Tom,
08:05
Tom said,
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Tom je rekao,
08:07
"Kim, I've decided to wear a bike helmet
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"Kim, odlučio sam nositi kacigu dok vozim bicikl
08:09
on my way to class."
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na putu do nastave."
08:12
And Tom knows that that little bit of foam in a bike helmet
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Tom zna da to malo stiropora u kacigi
08:15
can reduce the G-force of impact by half.
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može smanjiti G-silu udarca za pola.
08:19
Now I thought that it was
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Sada, ja sam mislila da je stvar u tome
08:21
because I have this totally compelling helmet crusade,
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što ja imam ovu totalno uvjerljivu misiju za poticanje nošenja kaciga,
08:24
right, this epiphany of Tom's.
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to je razlog za Tom-ovu ideju.
08:27
As it turns out, it occurred to Tom that a $20 helmet
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Ali ispada da je Tom zaključio da kaciga od 20 dolara
08:30
is a good way to protect a $100,000 graduate education.
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je dobar način kako zaštiti 100.000 dolara vrijedno fakultetsko obrazovanje.
08:34
(Laughter)
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(Smijeh)
08:39
So, should Vander play football?
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E sada, da li bi Vander trebao igrati američki nogomet?
08:42
I can't say no,
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Ne mogu reći ne,
08:44
but I can guarantee
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ali mogu garantirati
08:46
that every time he leaves the house
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da će svaki puta kada napušta kuću
08:48
that kid's wearing a helmet --
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to dijete nositi kacigu --
08:51
like to the car,
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na primjer do auta,
08:53
or at school.
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ili do škole.
08:56
So whether athlete, scholar,
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Pa tako, bez obzira da li ste sportaš, intelektualac,
08:58
over-protected kid, neurotic mom,
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previše zaštićeno dijete, neurotična majka,
09:01
or otherwise,
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ili nešto drugo,
09:03
here's my baby, Vander,
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ovo je moja beba, Vander,
09:05
reminding you
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koji vas podsjeća
09:07
to mind your matter.
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da pazite na svoj mozak.
09:09
Thank you.
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Hvala.
09:11
(Applause)
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(Pljesak)
ABOUT THE SPEAKER
Kim Gorgens - NeuropsychologistKim Gorgens studies the brain's response to injury -- and advocates that we mind our (gray) matter.
Why you should listen
As a neuropsychologist working in the field of brain injuries, Kim Gorgens has seen firsthand the damage sports-related impacts can do. And as chair of the State of Colorado Traumatic Brain Injury Trust Fund Board and a member of the Brain Injury Legislative Collaborative, she’s working to shape Colorado law around youth sports injuries.
Gorgens, an assistant clinical professor in the University of Denver Graduate School of Professional Psychology, also is the president-elect of the Colorado Neuropsychological Society and has an appointment to the American Psychological Association’s Council on Disability in Psychology.
Kim Gorgens | Speaker | TED.com