Description

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

Post-traumatic Amnesia

Grade of Concussion

none

< 30 minutes

1 (mild)

< 5 minutes

>= 30 minutes but < 24 hours

2 (moderate)

>= 5 minutes

>= 24 hours

3 (severe)

 

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Immediate response: Any player experiencing confusion, loss of consciousness or focal neurological deficit should be withdrawn from the game.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

 

Grade

First Concussion

Second Concussion

Third Concussion

1

A

B

C

2

B

C

D

3

C

D

E

 


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