Following significant head injury an athlete may experience loss of consciousness, amnesia (especially for recent events), and/or focal neurologic deficits.
Immediate evaluation of patient:
(1) immediate and periodic Glasgow coma scale scorings, watching for deterioration or improvement with time
(2) administering any required first aid
Grading Severity of Concussion
Loss of Consciousness
Grade of Concussion
< 30 minutes
< 5 minutes
>= 30 minutes but < 24 hours
>= 5 minutes
>= 24 hours
Return to Contact Sports after Concussion
Immediate response: Any player experiencing confusion, loss of consciousness or focal neurological deficit should be withdrawn from the game.
Subsequent Response Options:
A: can play if well for 1 week
B: can play if well for 2 weeks
C: off for 6 weeks; can play if well for 1 week after back
D: off for the season; can play the next year if well
E: desist from contact sports
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Specialty: Surgery, orthopedic, Neurology