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Brad Keselowski says more needs to be done to diagnose mild concussions

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DAYTONA BEACH, Fla. — Brad Keselowski says all sports face a challenge in diagnosing mild concussions and until such a tool is available to do so, “all of sports are playing from behind.’’

Keselowski’s comments come less than a week after NASCAR upgraded its concussion protocol and on a day where Danica Patrick said the number of concussions she could have suffered in her racing career is “thought-provoking.’’

Keselowski said Wednesday at Daytona International Speedway that the next key area for all sports is to “find a definitive way to diagnose a mild concussion. Until we can definitively define a mild concussion, we’re going to have one or two end results.

“We’re either going to have drivers sit out when they don’t really have a concussion, or we’re going to have the long-term effect of drivers that have faced multiple concussions and developed CTE (Chronic Traumatic Encephalopathy), Parkinson’s, Alzheimer’s, all the things that go with it. We need a definitive tool to diagnose a mild concussion.’’

As part of its updated concussion protocol, NASCAR announced Feb. 17 that it will require infield care center physicians to incorporate the SCAT-3 diagnostic tool in screening for head injuries. A SCAT test is used by IndyCar and the NFL in diagnosing concussions.

Keselowski’s issue is with hits defined as subconcussive. Enough of those can impact an athlete.

“A race car driver does have, over the course of a long career, repetitive head injuries,’’ Dr. Robert Cantu, clinical professor Neurology/Neurosurgery at the Boston University School of Medicine, told NBC Sports’ Nate Ryan in August. “It’s not just concussions. It’s the subconcussive violent shaking that can contribute as well. So I think it’s very important that we have the opportunity to study the brains in someone involved in racing.’’

Asked about drawing a line from concussions to CTE, a progressive degenerative disease found in those with a history of repetitive brain trauma, Cantu said:

“I think it’s fair to draw the line from repeated head injury, both at the subconcussive and concussive level, with the risk of developing CTE, and it goes up the more trauma you’ve taken.’’

Patrick, 34, says she believes she’s had her share of concussions in a racing career that began when she was 10 years old.

“Every time you crash, you have a concussion of a varying degree,’’ she said Wednesday at Daytona International Speedway. “(Dale Earnhardt Jr.) said something about having 12 concussions, I was like, ‘Oh, I’m sure I’ve had 12 concussions.’ It is a little bit thought-provoking is what I would say for sure.’’

Earnhardt has never revealed how many concussions he has had, although he has sustained at least five concussions during his 17 seasons in NASCAR’s premier series.

Patrick has not suffered a concussion since racing in NASCAR in 2010.

“While we’re not football players, we don’t get the repeated hits in succession over a short amount of time, but it’s rough in the car and the hits are probably singularly bigger, maybe,’’ Patrick said. “I’m just assuming going 200 miles an hour, going 150 miles an hour, has got to be a fairly big hit compared to running.’’

Patrick noted that SAFER barriers and collapsible items on NASCAR vehicles have better protected drivers. Still, Earnhardt missed the final 18 races of last season because of concussion symptoms that stemmed from a crash at Michigan International Speedway in June. It marked the second time in his career that Earnhardt has missed races because of concussion symptoms.

He wasn’t the only driver to sit out last year for similar issues. Matt DiBenedetto was forced to miss a Cup race last season although he questioned if he had been diagnosed correctly after an incident in November at Texas. John Wes Townley missed two Camping World Truck Series races last year because of concussion-like symptoms suffered after two crashes in a June race at Gateway Motorsports Park.

Earnhardt’s openness about his symptoms and recovery is viewed by many in the sport as trendsetting and raised the profile of the issue.

I was very, very sick,’’ Earnhardt said Wednesday.“I had no business being in a car. I just did everything my doctors were telling me to do.

“If it helps somebody, that’s important. But I was just looking out for myself, listening to my doctors. If it taught someone a lesson or helped someone, that’s awesome. I definitely became more educated through the process.’’

A day before Earnhardt returned to the car last weekend at Daytona International Speedway, NASCAR updated its concussion protocol for competitors. The policy states:

#As part of the new rule regarding damaged vehicles, a driver whose car sustains damage from an accident or contact of any kind and goes behind the pit wall or to the garage is required to visit the Infield Care Center to be evaluated.

#The medical portion of NASCAR’s Event Standards now require that Infield Care Center physicians incorporate the SCAT-3 diagnostic tool in screening for head injuries.

#AMR will provide on-site neurological consultative support at select NASCAR events during the 2017 season and will work directly with NASCAR in the continued development of concussion protocol.

Martin Truex Jr. and Jimmie Johnson each said they had no issues after their separate incidents in Sunday’s Clash.

“They just evaluated me,’’ Johnson said after his visit to the infield care center. “It seemed like a normal routine, so I don’t think I was in question to go into protocol mode.’’

With a doctor and paramedic in an emergency vehicle that responds to crashes, it allows medical officials to view drivers more closely after the incident instead of waiting until the drivers arrive to the infield care center. If the doctor or paramedic see something that raises a concern, it can trigger the concussion protocol program.

For as much as is being done, Patrick recognizes the dangers associated with concussions.

“It’s our life, and if there was someone that told me, and I would hope that any other driver that if you had another wreck you could have a serious problems (that) they would be out,’’ she said. “I would be out. I love what I do, but I love lots of other things, and I also love life. I’m too young to have it be over.’’

So with the emphasis on concussions, what more can be done?

“No. 1 for me is taking note of symptoms, being really aware, which I feel that I’m pretty good at that,’’ Patrick said. “I would almost call myself hyper-sensitive just because of how much I take care of myself with food and working out. I feel very, very perceptive to any little change to my body.

“Hopefully, it puts NASCAR in a position and the safety team into a position where they start to address it differently from a recording information standpoint or a data or testing of some sort. There are some different protocols. The question is what can we do really? Just be aware of your symptoms and be honest.’’

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Dale Earnhardt Jr. defends Kyle Busch’s surly mood after the Coca-Cola 600

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CONCORD, N.C. – A second-place finish in the Coca-Cola 600 left Kyle Busch in an irate mood, which is perfectly fine, according to Dale Earnhardt Jr.

A seemingly agitated Busch, cupping his face in his hands after sitting down, entered the media center at Charlotte Motor Speedway Center shortly after 12:30 a.m. Sunday. It was roughly 10 minutes after Austin Dillon scored the first victory of his career in NASCAR’s premier series by stretching his final tank of fuel for 70 laps.

Was Busch surprised that Dillon made the checkered flag? What did it mean for a driver to get his first win?

“I’m not surprised about anything,” Busch snapped. “Congratulations.”

He dropped the mic on the dais. There were no further questions.

Shortly afterward on Twitter, Earnhardt took up for his peer (whom he replaced at Hendrick Motorsports in 2008).

Busch, who hasn’t won since last July at Indianapolis Motor Speedway (a span of 28 races) gave more elaborate answers shortly after exiting his No. 18 Toyota, which finished 0.835 seconds behind Dillon’s No. 3 Chevrolet.

He apparently didn’t realize until late in the race that his pass of Martin Truex Jr. (who led a race-high 233 laps) with a lap remaining was for second instead of the victory.

“This M&M’s Camry was awesome tonight,” Busch said. “It was just super fast. I mean we had one of the fastest cars all night long and then (Truex) was probably the fastest. There at the end, somehow we ran him down. You know he got a straightaway out on us, but there that last 100 laps we were able to get back to him and pass him so you know that was promising for us there at the end in order to get a second-place finish, but man just so, so disappointed.

“I don’t know. We ran our own race. We did what we needed to do and it wasn’t – it wasn’t the right game. We come up short and finish second.

“It’s a frustrating night, man. There’s nothing we could’ve done different.”

Another Cup driver took a different view of Busch’s tirade.

Martin Truex Jr. takes Cup points lead after Coca-Cola 600 at Charlotte

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CONCORD, N.C. — Martin Truex Jr. took over the Cup points lead with a third-place finish in Saturday’s Coca-Cola 600.

The Furniture Row Racing driver, who led a race-high 233 laps, also extended his lead in the playoff standings by winning the second stage and bringing his total to 16 points.

Kyle Larson, who had led the standings for eight consecutive races since Phoenix International Raceway, fell to second in the rankings after crashing and finishing a season-worst 33rd. Larson trails Truex by five points in the race for the regular-season championship (and 15 playoff points).

Click here for the points standings after Charlotte.

Results, stats for the 58th annual Coca-Cola 600

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With a fuel gamble, Austin Dillon won the Coca-Cola 600 for his first NASCAR Cup win.

It comes in his 133rd start and is the second win for Richard Childress Racing this year.

Following him was Kyle Busch, Martin Truex Jr., Matt Kenseth and Denny Hamlin.

Click here for the full results.

Austin Dillon returns No. 3 to victory lane for first time since Dale Earnhardt’s last win

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CONCORD, N.C. – Austin Dillon scored his first Cup victory in his first start with a new crew chief, bringing an iconic number back to victory lane in NASCAR’s premier series.

Stretching his last tank of fuel 70 laps, the Richard Childress Racing driver won the Coca-Cola 600 at Charlotte Motor Speedway.

“I can’t believe it,” Dillon told Fox Sports. “I was just really focused on those last laps.”

It was the first victory on the circuit for the No. 3 Chevrolet since the late Dale Earnhardt’s win at Talladega Superspeedway in October 2000. Richard Childress Racing mothballed the number after Earnhardt’s death on the last lap of the 2001 Daytona 500 but brought it back with Dillon in 2014.

Dillon, the grandson of team owner Richard Childress, was making his debut with crew chief Justin Alexander, who replaced Slugger Labbe last week.

Kyle Busch finished second, followed by Martin Truex Jr., Matt Kenseth and Denny Hamlin.

Jimmie Johnson was leading before running out of fuel with three laps remaining, handing the lead to Dillon.

“I was just trying to be patient with (Johnson),” Dillon said. “I could see him saving (fuel). I thought I’d saved enough early where I could attack at the end, but I tried to wait as long as possible. And when he ran out, I figured I’d go back in and save where I was lifting, and it worked out.

“I ran out at the line and it gurgled all around just to do one little spin and push it back to victory lane.”

With the victory, Dillon qualified for the playoffs, joining RCR teammate Ryan Newman (who clinched a berth by winning at Phoenix International Raceway).

Dillon becomes the 10th driver to score his first Cup win at Charlotte, joining David Pearson, Buddy Baker, Charlie Glotzbach, Jeff Gordon, Bobby Labonte, Matt Kenseth, Jamie McMurray, Casey Mears and David Reutimann.

Who had a good race: Kyle Busch charged to second in the closing laps, following up a win last week at the All-Star Race. … Truex dominated Charlotte for the third straight year, leading a race-high 233 laps. … Joe Gibbs Racing placed three drivers in the top five, and rookie Daniel Suarez was 11th. … Rookie Erik Jones finished seventh, giving Furniture Row Racing two top 10s in a race for the first time.

Who had a bad race: It was over for Chase Elliott and Brad Keselowski on Lap 20 when they were collected in a bizarre wreck as a result of a chain reaction from Jeffrey Earnhardt’s engine failure. …  Points leader Kyle Larson finished a season-worst 32nd after a crash. … Danica Patrick hit the wall twice (at least once because of a tire problem) and placed 25th.

Quote of the race: “My fiancée wrote in the car, ‘When you keep God in the first place, he will take you places you never imagined.’ And, I never imagined to be here.” – Dillon after scoring his first Cup victory.

What’s next: 1 p.m., June 4 at Dover International Speedway on FS1.