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Br J Sports Med: first published as on 11 March 2013. Downloaded from http://bjsm.bmj.com/ on November 28, 2024 by guest. Protected by copyright.

Pocket CONCUSSION RECOGNITION TOOL™ 3. Memory function


Failure to answer any of these questions correctly may suggest a concussion.
To help identify concussion in children, youth and adults

“What venue are we at today?”


“Which half is it now?”
“Who scored last in this game?”
“What team did you play last week / game?”
“Did your team win the last game?”

Any athlete with a suspected concussion should be IMMEDIATELY REMOVED


RECOGNIZE & REMOVE
FROM PLAY, and should not be returned to activity until they are assessed
Concussion should be suspected if one or more of the following visible clues, medically. Athletes with a suspected concussion should not be left alone and
signs, symptoms or errors in memory questions are present. should not drive a motor vehicle.
It is recommended that, in all cases of suspected concussion, the player is referred to
1. Visible clues of suspected concussion
a medical professional for diagnosis and guidance as well as return to play decisions,
Any one or more of the following visual clues can indicate a possible concussion:
even if the symptoms resolve.
Loss of consciousness or responsiveness
Lying motionless on ground / Slow to get up
RED FLAGS
Unsteady on feet / Balance problems or falling over / Incoordination
If ANY of the following are reported then the player should be safely and
Grabbing / Clutching of head
immediately removed from the field. If no qualified medical professional is
Dazed, blank or vacant look available, consider transporting by ambulance for urgent medical assessment:
Confused / Not aware of plays or events
- Athlete complains of neck pain - Deteriorating conscious state
2. Signs and symptoms of suspected concussion - Increasing confusion or irritability - Severe or increasing headache
Presence of any one or more of the following signs & symptoms may suggest a concussion: - Repeated vomiting - Unusual behaviour change
- Seizure or convulsion - Double vision
- Loss of consciousness - Headache
- Weakness or tingling / burning in arms or legs
- Seizure or convulsion - Dizziness
- Balance problems - Confusion
- Nausea or vomiting - Feeling slowed down Remember:
- Drowsiness - “Pressure in head” - In all cases, the basic principles of first aid
- More emotional - Blurred vision (danger, response, airway, breathing, circulation) should be followed.
- Irritability - Sensitivity to light - Do not attempt to move the player (other than required for airway support)
- Sadness - Amnesia unless trained to so do
- Do not remove helmet (if present) unless trained to do so.
- Fatigue or low energy - Feeling like “in a fog“
- Nervous or anxious - Neck Pain
- “Don’t feel right” - Sensitivity to noise
- Difficulty remembering - Difficulty concentrating from McCrory et. al, Consensus Statement on Concussion in Sport. Br J Sports Med 47 (5), 2013
© 2013 Concussion in Sport Group © 2013 Concussion in Sport Group

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