Pediatric concussions in sports; a simple and rapid assessment tool for concussive injury in children and adults
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We established a routine protocol for concussion evaluation in athletes for nonmedical personnel. The evaluation, management guidelines, and return-to-play recommendations were summarized with a memorable mnemonic on a convenient handheld card.
Materials and methods
The ability to remember the return-to-play mnemonic and effectively apply it to corresponding guidelines was evaluated in 194 sports personnel without medical training. The participants were given three clinical scenarios, each including age, pertinent history, sporting event, description of an injury, symptoms, signs, and a brief neurological exam. Subsequently, the subject’s ability to recall the return-to-play mnemonic and the Standard Assessment of Concussion, to describe the corresponding guidelines, and to advise return-to-play was evaluated.
Our “return-to-play” mnemonic was found to be simple and memorable, allowing for a high recall percentage and accurate evaluation of concussion cases. High intersubject agreement suggests that this method has both standardization and generalization potential.
- Bazarian JJ, Veenema T, Brayer AF, Lee E (2001) Knowledge of concussion guidelines among practitioners caring for children. Clin Pediatr (Phila) 40:207–212 CrossRef
- Kraus JF, Fife D, Conroy C (1987) Pediatric brain injuries: the nature, clinical course, and early outcomes in a defined United States’ population. Pediatrics 79:501–507
- Lazar L, Erez I, Gutermacher M, Katz S (1997) Brain concussion produces transient hypokalemia in children. J Pediatr Surg 32:88–90 CrossRef
- Poirier MP, Wadsworth MR (2000) Sports-related concussions. Pediatr Emerg Care 16:278–286 CrossRef
- Powell JW, Berber-Foss KD (1999) Traumatic brain injury in high school athletes. JAMA 282:958–964 CrossRef
- Skokan EG, Junkins EP, Kadish H (2003) Serious winter sport injuries in children and adolescents requiring hospitalization. Am J Emerg Med 21:95–99 CrossRef
- Pediatric concussions in sports; a simple and rapid assessment tool for concussive injury in children and adults
Child's Nervous System
Volume 23, Issue 4 , pp 431-435
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Brain concussion
- Athletic injuries
- Clinical protocol
- Prevention and control
- Industry Sectors
- Author Affiliations
- 1. Division of Neurosurgery, Mailcode 8893200, University of California, San Diego, West Arbor Drive, San Diego, CA, 92103-8893, USA
- 2. Pediatric Neurosurgery, Children’s Hospital San Diego, Children’s Specialists of San Diego, 8010 Frost Street Suite 300, San Diego, CA, 92123, USA