The Colorado Medical Society issued guidelines for the grading of concussion following sports-related head injury.
|
Confusion |
Amnesia |
Loss of Consciousness (any duration) |
Grade |
|
present |
absent |
absent |
1 |
|
present |
present |
absent |
2 |
|
NA |
NA |
present |
3 |
where:
• I added Grade 0 in the implementation to cover situation where no confusion was noted. Management is given as for Grade 1, but this may be overly cautious.
• I need to find if this scheme includes recommendations for multiple concussions.
|
Grade |
Recommendations for Management |
|
1 |
Remove the athlete from the contest. Evaluate immediately and every 5 minutes. Permit to return to contest if no symptoms or amnesia for 20 minutes. |
|
2 |
Remove the athlete from the contest and do not to return. Examine the next day. Permit the athlete to return to practice after 1 week if asymptomatic. |
|
3 |
Remove the athlete from the contest and transport to hospital. Perform a neurological examination and observe overnight. Permit the athlete to return to play after 2 weeks if asymptomatic. |
Specialty: Surgery, orthopedic, Neurology
