Kim Gorgens: Protecting the brain against concussion

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So, a funny thing happened

Dogodila se zanimljiva stvar

on my way to becoming a brilliant, world-class neuropsychologist:

na mom putu da postanem briljantna,

svjetski priznata neuropsihologinja:

Dobila sam dijete.

I had a baby.

No ne kažem

And that's not to say

I ever went on to become a brilliant, world-class neuropsychologist.

kako sam planirala postati

briljantna, svjetski poznata neuropsihologinja.

Sorry, TED.

Oprosti TED.

But I did go on to be a reasonably astute,

No planirala sam postati mudra,

arguably world-class worrier.

nedvojbeno svjetski poznata ratnica.

One of my girlfriends in graduate school, Marie,

Jedna od mojih prijateljica na diplomskom studiju, Marie,

said, "Kim, I figured it out.

je rekla, "Kim, shvatila sam.

Nije da si neurotičnija od svih ostalih,

It's not that you're more neurotic than everyone else;

it's just that you're more honest about how neurotic you are."

samo si iskrenija

o tome koliko si zapravo neurotična."

So in the spirit of full disclosure,

Pa kako bi bili u duhu s otkrićem,

donijela sam nekoliko slika.

I brought some pictures to share.

Aaaaaa.

Awwww.

(Laughter)

Samo ću reći, srpanj.

I'll just say: July.

(Laughter)

(Smijeh)

Zip!

Zakopčan

(Laughter)

za sigurnost.

For safety.

(Laughter)

Water wings --

Rukavice za plivanje --

an inch of water.

za par centimetara vode.

And then, finally, all suited up

I na kraju, u punoj opremi

for the 90-minute drive to Copper Mountain.

za 90 minutnu vožnju na planinu Copper.

So you can get kind of a feel for this.

Sada možete shvatiti o čemu pričam.

So my baby, Vander, is eight years old now.

I tako, moje dijete, Vander,

sada ima osam godina.

And, despite being cursed with my athletic inability,

I unatoč tome što je proklet

mojom atletskom nesposobnošću,

he plays soccer.

igra nogomet.

He's interested in playing football.

Također je zainteresiran i za američki nogomet.

He wants to learn how to ride a unicycle.

Želi naučiti voziti unicikl.

So why would I worry?

No zašto se ja brinem?

Because this is what I do. This is what I teach.

Zato što je to ono što ja radim. To predajem.

It's what I study. It's what I treat.

To izučavam. To liječim.

And I know that kids get concussed every year.

I znam da djeca svake godine dobivaju potres mozga.

In fact, more than four million people sustain a concussion every year,

Zapravo, svake godine, više od četiri milijuna ljudi doživi potres mozga,

i ti se podaci odnose samo na djecu ispod 14 godina

and these data are just among kids under 14

who were seen in emergency rooms.

koja su pregledana na hitnoj.

And so when kids sustain a concussion,

Pa tako kada djeca zadobiju potres mozga,

we talk about them getting dinged or getting their bell rung,

mi kažemo da im je malo zazvonilo u glavi ili da vide ptičice,

but what is it that we're really talking about?

ali o čemu zapravo pričamo?

Let's take a look.

Ajmo pogledati.

[Concussive Force]

U redu. "Starsky i Hutch" naravno. Da.

"Starsky and Hutch"? Arguably, yes.

Eto, sudar automobila.

So, a car accident.

65 km na sat u stacionarnu barijeru --

Forty miles an hour into a fixed barrier:

35 G.

35 Gs.

Boksač teške kategorije

A heavyweight boxer punches you straight in the face:

vas udari ravno u lice --

58 Gs.

58 G.

(Music)

In case you missed it, we'll look again.

U slučaju da niste uočili, pogledati ćemo opet.

Pogledajte na desnu stranu ekrana.

So look to the right-hand side of the screen.

(Music)

What would you say?

Što bi vi rekli?

How many Gs?

Koliko G?

Blizu.

Close.

72.

Seventy-two?

Would it be crazy to know:

Ne bi li bilo ludo kada bi znali,

103 G.

103 Gs?

The average concussive impact

Prosječni udarac pri potresu mozga

is 95 Gs.

je 95 G.

Now, when the kid on the right doesn't get up,

Sada, kada se ovaj klinac s desne strane ne ustane,

znamo da je došlo do potresa mozga.

we know they've had a concussion.

But how about the kid on the left,

Ali što je s klincem na lijevoj strani,

or the athlete that leaves the field of play?

ili sportašem koji napusti teren?

Kako ćemo znati

How do we know if he or she has sustained a concussion?

da li je on ili ona zadobio/la potres mozga?

How do we know

Kako ćemo znati

that legislation that would require they be pulled from play,

da zakoni koji zahtijevaju da se oni izvade iz igre,

cleared for return to play,

ili budu dopušteni se vratiti u igru,

applies to them?

odnose na njih?

The definition of concussion

Definicija potresa mozga

doesn't actually require a loss of consciousness.

ne zahtjeva da osoba ostane bez svijesti.

It requires only a change in consciousness,

Zahtjeva samo promjenu u svijesti,

and that can be any one or a number of symptoms,

i to može biti bilo koji od široke palete simptoma,

including feeling foggy, feeling dizzy,

koji uključuju osjećaj zamagljenosti, osjećaj vrtoglavice,

hearing a ringing in your ear,

zvonjenja u ušima,

being more impulsive or hostile than usual.

više impulzivno ili agresivno ponašanje nego što je uobičajno.

So given all of that and given how darn neurotic I am,

Tako, sa svime time i uzevši u obzir koliko sam neurotična,

kako uopće uspijem spavati?

how do I get any sleep at all?

Because I know our brains are resilient.

Zato što ja znam

kako su naši mozgovi otporni.

Oni su dizajnirani za oporavak

They're designed to recover from an injury.

od bilo kakve ozljede.

If -- God forbid --

Ako, nedaj Bože,

any of us left here tonight and sustained a concussion,

bilo tko od nas večeras ode i zadobije potres mozga,

većina bi se potpuno oporavila

most of us would go on to fully recover inside of a couple hours

unutar par sati

to a couple of weeks.

do par tjedana.

But kids are more vulnerable to brain injury.

Ali djeca su više osjetljiva na ozljede mozga.

In fact, high-school athletes are three times more likely

Zapravo, srednjoškolski sportaši imaju tri puta veću šansu

to sustain catastrophic injuries

da zadobiju katastrofalne ozljede

u usporedbi čak i sa svojim studentskim kolegama,

relative even to their college-age peers,

and it takes them longer to return to a symptom-free baseline.

i njima treba duže

kako bi se vratili na osnovno stanje bez simptoma.

Nakon te prve ozljede,

After that first injury,

njihov rizik za dobivanje druge ozljede

their risk for second injury is exponentially greater.

eksponencijalno raste.

Od tuda, njihov rizik za treću ozljedu,

From there, their risk for a third injury, greater still, and so on.

je još veći i tako dalje.

A stvarno alarmirajuća činjenica je:

And here's the really alarming part:

We don't fully understand the long-term impact of multiple injuries.

mi u potpunosti ne razumijemo

dugoročne posljedice multiplih ozljeda.

Možda ste vi upoznati s ovim istraživanjem

You guys may be familiar with this research

koje provodi NFL.

that's coming out of the NFL.

Ukratko,

In a nutshell, this research suggests that,

ovo istraživanje predlaže

among retired NFL players with three or more career concussions,

da je među umirovljenim igračima NFL-a

s tri ili više potresa mozga tijekom karijere,

the incidence of early-onset dementing disease

incidencija ranog nastupa demencije

is much greater than it is for the general population.

puno veća nego što je slučaj u ostatku populacije.

Tako da ste svi to vidjeli -- New York Times, vidjeli ste.

So you've all seen that -- New York Times, you've seen it.

What you may not be familiar with

Ono što možda niste znali je

is that this research was spearheaded by NFL wives who said,

da je ovo istraživanje potaknuto

od strane supruga NFL igrača koje su rekle,

"Isn't it weird that my 46-year-old husband

"Nije li čudno to što moj 46 godišnji muž

is forever losing his keys?"

stalno gubi ključeve?

"Isn't it weird that my 47-year-old husband

Nije li čudno da moj 47. godišnji muž

is forever losing the car?"

stalno gubi auto?

"Isn't it weird that my 48-year-old husband

Nije li čudno što moj 48.godišnji muž

is forever losing his way home

se stalno gubi na putu doma

u autu, iz našeg prilaza?"

in the car, from the driveway?"

Možda sam zaboravila spomenuti

I may have forgotten to mention that my son is an only child.

da je moj sin jedinac.

Tako da će biti jako bitno

So it's going to be really important

that he be able to drive me around someday.

da me on može voziti naokolo jednog dana.

(Laughter)

So, how do we guarantee the safety of our kids?

Kako ćemo osigurati sigurnost svoje djece?

How can we 100 percent guarantee the safety of our kids?

Kako možemo 100 postotno

osigurati sigurnost svojoj djeci?

Let me tell you what I've come up with.

Dopustite da vam kažem što sam osmislila.

(Smijeh)

(Laughter)

If only.

Da bar.

My little boy's right there, and he's like, "She's not kidding.

Moj mali dečko je tamo, i on si misli, "Ona se ne šali.

Najozbiljnije se ne šali."

She's totally not kidding."

So in all seriousness:

Sa svom ozbiljnošću,

da li bi moje dijete trebalo igrati američki nogomet?

Should my kid play football?

Should your kid play football?

Da li bi vaše dijete trebalo igrati američki nogomet? Ne znam.

I don't know.

But I do know there are three things you can do.

Ali znam da postoje tri stvari koje možete učiniti.

The first: study up.

Prvo, učite.

You have to be familiar with the issues we're talking about today.

Morate biti upoznati s pitanjima o kojima danas pričamo.

There are some great resources out there.

Postoje divni izvori informacija.

The CDC has a program, HEADS UP.

CDC ima program, Heads Up (glave gore).

It's at CDC.gov.

Na CDD.gov.

HEADS UP is specific to concussion in kids.

Glave gore je specifičan za potres mozga u djece.

The second is a resource I'm personally really proud of.

Drugi je izvor, na koji sam osobno vrlo ponosna.

Tek smo ga osnovali u zadnjih nekoliko mjeseci --

We've just rolled this out in the last couple months --

CO djeca s ozljedama mozga.

CO Kids With Brain Injury.

This is a great resource for student athletes,

Ovo je odličan izvor za sportaše studente,

učitelje, roditelje, profesionalce,

teachers, parents, professionals, athletic and coaching staff.

sportski i trenerski kadar.

It's a great place to start if you have questions.

To je dobro mjesto za početi

ako imate pitanja.

Druga stvar je, dignite glas.

The second thing is: speak up.

Prije samo dva tjedna

Just two weeks ago,

a bill introduced by Senator Kefalas

prijedlog zakona uveden od strane senatora Kefalas-a

that would have required athletes, kids under 18,

koji bi zahtjevao da

športaši, djeca ispod 18

to wear a helmet when they're riding their bike,

obavezno nose kacigu prilikom vožnje na biciklu

died in committee.

je propao na sastanku odbora.

It died, in large part,

Propao je velikim djelom

because it lacked constituent buy-in;

zbog toga što mu je falilo sustavno ulaganje,

it lacked stakeholder traction.

nedostajala je potpora zainteresiranih strana.

Now, I'm not here to tell you

Nisam tu da vam govorim kakve zakone

what kind of legislation you should or shouldn't support,

trebate ili ne trebate podupirati,

but I am going to tell you that, if it matters to you,

ali ću vam reći da ako je to vama bitno,

your legislators need to know that.

onda vaši zakonodavci to moraju znati.

Speak up also with coaching staff.

Dignite glas i oko trenerskog kadra.

Ask about what kind of protective equipment is available.

Pitajte kakva je zaštitna oprema na raspolaganju.

What's the budget for protective equipment?

Koji je budžet za zaštitnu opremu?

How old it is?

Koliko je stara?

Maybe offer to spearhead a fundraiser to buy new gear.

Možda se ponudite za organizaciju sakupljanja novaca

da kupite novu opremu.

Which brings us to: suit up.

Koji nas dovodi do - zaštitite se;

nosite kacigu.

Wear a helmet.

The only way to prevent a bad outcome

Jedini način na koji možete spriječiti loši ishod

is to prevent that first injury from happening.

jest da spriječite da uopće dođe do ozljede.

Recently, one of my graduate students, Tom, said,

Nedavno, jedan od mojih studenata, Tom,

Tom je rekao,

"Kim, I've decided to wear a bike helmet on the way to class."

"Kim, odlučio sam nositi kacigu dok vozim bicikl

na putu do nastave."

And Tom knows that that little bit of foam in a bike helmet

Tom zna da to malo stiropora u kacigi

can reduce the g-force of impact by half.

može smanjiti G-silu udarca za pola.

Now, I thought it was because I have this totally compelling helmet crusade,

Sada, ja sam mislila da je stvar u tome

što ja imam ovu totalno uvjerljivu misiju za poticanje nošenja kaciga,

this epiphany of Tom's.

to je razlog za Tom-ovu ideju.

As it turns out, it occurred to Tom that a $20 helmet

Ali ispada da je Tom zaključio da kaciga od 20 dolara

is a good way to protect a $100,000 graduate education.

je dobar način kako zaštiti 100.000 dolara vrijedno fakultetsko obrazovanje.

(Laughter)

(Smijeh)

So ...

E sada, da li bi Vander trebao igrati američki nogomet?

Should Vander play football?

Ne mogu reći ne,

I can't say no,

but I can guarantee that every time he leaves the house,

ali mogu garantirati

da će svaki puta kada napušta kuću

that kid's wearing a helmet --

to dijete nositi kacigu --

like, to the car,

na primjer do auta,

or at school.

ili do škole.

So whether athlete, scholar,

Pa tako, bez obzira da li ste sportaš, intelektualac,

previše zaštićeno dijete, neurotična majka,

overprotected kid, neurotic mom,

or otherwise,

ili nešto drugo,

here's my baby, Vander,

ovo je moja beba, Vander,

reminding you

koji vas podsjeća

to mind your matter.

da pazite na svoj mozak.

Thank you.

Hvala.

(Applause)

(Pljesak)