Plus tri

Svi koji su gledali finale lige šampionu u fudbalu između Reala i Liverpulavideli su dve katastrofalne greške golmana Liverpula. Muk i odbacivanje Lorisa Kairusa od strane navijača (uključujući i pretnje smrću), ovih dana su potvrđene i od strane menadžera Jirgena Klopa. Prema mnogim sportskim novinama šanse  za ostanak Kariusa na golu Liverpula su manje od 10%.

Međutim, nakon utakmice, analizom snimka i dodatnim pregledom utvrđeno je da je Karius imao potres mozga nakon udarca koji je dobio od Serđa Ramosa. Iako se Karius nije žalio tokom utakmice, dr Zafonte iz Bostona koji je testirao Kariusa nakon svega je rekao da je moguće da je potres mozga uticao na sportsku sposobnost golmana Liverpula, njegovu koncentraciju, rasuđivanje i orjentaciju u prostoru. Zahvaljujući mom drugu Saši Mladenoviću saznao sam da je odmah nakon utakmice veliki Franc Bekenabauer (1945) zvao Klopa i rekao da je Karius imao potres mozga. Sretao sam doktora Liverpula i video koliko su posvećeni svom poslu. Ali nakon svega ostaje  pitanje kako je veliki Kajzer video nešto što nije videla čitava klupa Liverpula.

Ispostavilo se da ovu vest niko nije prihvatio. Većina je to doživela kao izgovor i smatra da nije ni trebalo da tu informaciju podeliti sa javnošću. Međutim, ono što je izuzetno važno je da se razume problem potresa mozga u sportu. Verovatno zbog neznanja mi nemamo mnogo iskustva u ovoj oblasti, jer ako potres mozga nije prepoznat na finalu Lige šampiona, kao će biti prepoznat u Srbiji.

Podsetilo me je to na kurs za tim doktora koji sam završio pre tačno 15 godina pod okriljem Ragbi unije Engleske. Čitav dan smo govorili o potresu mozga. Na moj komentar da u ragbiju ima potresa mozga, ali da ih u drugim sportovima uglavnom nema. Odgovor je bio da ih ima ali se ne prepoznaju, jer najveći broj potresa mozga se ne manifestuje očiglednim manifestacijama, već prođe ne primećen, što je opasno za samog sportistu. Čak i ne nestaju samo direktnim udarcem u glavu, veći i u druge delova tela, odnosno nakon brzog pokreta glave, tzv. whiplash.

Činjenica je da u samo 10% sportista gubi svest, ali da prazan pogled, ležanje na zemlji i sporo ustajanje, nestabilnost na nogama, loša koordinacija, konfuzija, intenzivnije emocionalno reagovanje nego uobičajeno  su znaci koji ne bi trebalo zanemariti. Dok simptomi mogu da budu potpuno različiti: glavobolja, vrtoglavica, mentalna konfuzija,  vizuelni problemi, mučnina ili povraćanje, umor, pospanost ili osećanje kao „u magli“, smanjena koncentracija, pritisak u glavi, osetljivost na svetlost ili buku itd.

Suština je da svakog na koga se posumnja da je imao potres mozga treba izvući iz igre. Povratak na teren tek nakon sprovođenja protokola postepenog povratka u igru (Graduated return to play).

I da ovo ne bio postao medicinski članak, želim sam da izrazim podršku Kariusu, iako znam da to neće ništa promeniti,  a Serđu Ramosu najblaže što mogu da kažem je da završi u paklu.

♥

Everyone who watched the Champions League final in a football match between Real Madrid and Liverpool have seen two tragic mistakes of Liverpool goalkeeper. The resignation and the rejection of Loris Karius by fans (including death threats) have been confirmed by the manager of Jurgen Klopp these days. According to many sports newspapers, the chances of staying for Karius on Liverpool goal are less than 10%.

However, after the match, an analysis of the footage and an additional examination found that Karius had a concussion after the hit he received from Sergio Ramos. Although Karius did not complain during the game, Dr. Zafonte of Boston who tested Karius said that it is possible that the concussion on Liverpool’s goalkeeper sport performance, his concentration, perception and orientation in the space. Thanks to my friend Sasa Mladenovic, I learned that immediately after the game, great Frank Bekenbauer (1945) called Klopp and said that Karius had a concussion. I met doctors of Liverpool many times and saw how much they were dedicated to their job. But after all, remains the question how big Kaiser saw something that the whole Liverpool bench did not see.

It turns out that this news has not been accepted by anyone. Most have seen this as an excuse and believe that information should not be shared with the public. However, what is extremely important is to understand the problem of the concussion in sports. Probably because of ignorance, we do not have much experience in this field, since if the concussion is not recognized in the Champions League final, how it will be recognized in Serbia.

It reminded me of the course for a team doctor who I completed exactly 15 years ago under the auspices of the Rugby Union of England. We talked about the concussion the whole day. To my comment that there is concussion in rugby, but that there are usually no in other sports. The answer was that there is, but not recognized, because the greatest number of concussion do not manifest itself in obvious manifestations, but passes unnoticed, which is dangerous for the athlete. They do not even come with a direct hit to the head, sometimes in other parts of the body, or after a rapid movement of the head, so-called whiplash.

The fact is that in only 10% of athletes loses consciousness, but an empty look, lying on the ground and slow rise, instability on the feet, poor coordination, confusion, more intense emotional response than usual are signs that should not be ignored. While symptoms may be completely different: headache, dizziness, mental confusion, visual problems, nausea or vomiting, fatigue, drowsiness, or feeling like „in the fog“, reduced concentration, headache, sensitivity to light or noise, etc.

The point is that anyone suspected of having a concussion needs to get out of the game. Return to the field only after passing the protocol Graduated return to play.

And if this does not become a medical article, I would like to express my support to Karius, although I know that it will not change anything, and to Sergio Ramos all I can say go to hell!