Sports-Related Concussion

Concussion is a common injury that emergency medicine physicians will be called upon to evaluate. A comprehensive history and physical examination, cognitive evaluation, and balance testing are important in the assessment of a head injury. Assessment tools have been developed and are widely available. Their inclusion in the initial evaluation of suspected concussion may aid diagnosis and management. Athletes should never be allowed to return to play on the same day they suffer a concussion. Follow-up with a primary care physician, sports medicine specialist, or neurologist is recommended before return to play. Accurate anticipatory guidance has been shown to be beneficial in concussion recovery and can be instituted in the emergency department setting. Familiarity with legislation within your state is important in understanding the regulations for medical clearance for return to play for competitive athletes.