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American Academy of Neurology Guidelines. The Management of Concussion in Sports (practice parameter). Neurology 1997;48:581-585.
Grades of Concussion
Grade 1: Transient confusion (inattention, inability to maintain a coherent stream of thought and carry out goal directed movements), No loss of consciousness, concussion symptoms or mental status abnormalities on examination resolve in less that 15 minutes.
Grade 2: Transient confusion, No loss of consciousness, concussion symptoms or mental status abnormalities (including amensia) on examination last more than 15 minutes.
Grade 3: Any loss of consciousness either brief (seconds) or prolonged (minutes).
When to Return to Play
Grade of Concussion:
Grade I concussion
Multiple Grade I concussion
Grade 2 concussion
Multiple Grade 2 concussions
Grade 3 Brief LOC
Grade 3 Prolonged LOC
Multiple Grade 3 concussions
Return to Play Only After Being Asymptomatic with Normal Neurological Assessment at Rest and with Exercise:
15 minutes or less
1 month or longer, based on decision of evaluating physician
Using the AAN guidelines, I have found this athlete to have a Grade ___________________ Concussion.
Based on the above guidelines, my recommendation is:
_______ Return on _________________________ (length of time) after symptoms have resolved.
_______ Return only after my follow-up evaluation scheduled for: ______________________________