II. Risk Factors

  1. History of prior Concussion (risk of Second Impact Syndrome)
  2. Age younger than 18 years old
  3. Medical comorbidities
  4. Medications (psychotropics or Anticoagulants)
  5. High risk sport (e.g. collision or Contact Sport or dangerous athletic play)
  6. Symptom related (see Concussion Symptom Checklist)
    1. More than three Concussion symptoms at presentation
    2. Specific symptoms such as Fatigue or fogginess
    3. Headache lasting more than 60 hours
    4. Loss of consciousness >60 seconds
    5. Amnesia

III. Management

  1. See Postconcussion Syndrome
  2. Consider referral to neurologist or other specialist knowledgeable in Concussion
  3. Consider formal Neuropsychological Testing
  4. Consider neurorehabilitation Consultation

IV. Precautions: Red Flags

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