The Colorado Medical Society issued guidelines for the grading of concussion following sports-related head injury.
Loss of Consciousness (any duration)
• 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.
Recommendations for Management
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.
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.
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.
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Specialty: Surgery, orthopedic, Neurology