Second Impact Syndrome
Second Impact Syndrome occurs when a second blow to the head produces a second concussion that occurs within 1 week following a previous concussion (before recovery from the first concussion). Second Impact Syndrome causes rapid brain swelling and can cause death. Therefore, there must be 7 days between pugil stick bouts to reduce the risk of severe injury resulting from Second Impact Syndrome. The 7 day separation between pugil stick bouts significantly reduces the possibility of injury, particularly in someone who may have suffered a brain injury or concussion but shows no symptoms.
Any Marine who experiences headaches or the following symptoms after training must be examined by appropriate medical personnel:
i Blurred vision. i Ringing in the ears. i Dilation of the pupils. i Slurred speech. i Bleeding from ears or mouth. i Swelling in head or neck area. i Any unnatural discoloration in head or neck area.
The Marine should not be allowed to participate in pugil stick training or any other activity where a heavy blow might be sustained for a minimum of 7 days after the headache or other symptoms have subsided.
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