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CONCUSSION UNEQUAL PUPIL SIZE PLUS

Grade 3: Brief Loss of Conciousness Grade 3: Prolonged Loss of Consciousness Multiple Grade 3 1 week 2 weeks 1 month or longer, physician decision Return to Play Grade 1 Multiple Grade 1 Grade 2 Multiple Grade 2 15 min or less 1 week 1 week 2 weeks Return to Play Time Asymptomatic Grade of Concussion Sideline Evaluation Exertional Provacative Tests

Memory: Names of teams, recall 3 words or objects, recent events, details of contest (score).

Concentration: Digits Backwards, Months of year in reverse order.

Orientation: Time, place, person, and situation.

Sideline Evaluation Mental Status Testing

CONCUSSION UNEQUAL PUPIL SIZE PLUS

Coma (paralytic) Level III: Normal consciousness with posttraumatic amnesia plus retrograde amnesia V. Confusion Normal consciousness with posttraumatic amnesia plus retrograde amnesia IV. Confusion Normal consciousness with posttraumatic amnesia III. Confusion Normal consciousness without amnesia II. It is composed of three parameters : Best Eye Response, Best Verbal Response, Best Motor ResponseĬlassification with Negative LOC Start Progression To I.

The GCS is scored between 3 and 15, 3 being the worst, and 15 the best.

Subdural Hematoma, Epidural Hematome, Basilar Skull Fracture, etc.)Ĭlassification of LOC Glasgow Coma Scale (GCS)

Grade 3:Any loss of consciousness (brief or prolonged)Ĭoncussion Classification It is imperative to remember: Any Loss of Consciousness greater than 30 minutes should point to a more serious brain injury than concussion ( e.g.

Grade 2: Transient confusion, no loss of consciousness, concussion symptoms greater than 15 minutes.

Grade 1: Transient confusion, no loss of consciousness, concussion symptoms less than 15 minutes.Grade 2: Confusion with amnesia, no loss of consciousness Īmerican Academy of Neurology Guidelines.Grade 1: Confusion without amnesia, no loss of consciousness.Grade 3 (severe): Loss of consciousness greater than 5 min or posttraumatic amnesia greater than 24 hr.Grade 2 (moderate): Loss of consciousness less than 5 min or posttraumatic amnesia greater than 30 min.Grade 1 (mild): No loss of consciousness posttraumatic amnesia less than 30 min.American Academy of Neurology Guidelines.Reduced attention and speed of information processing, including test strategies such as the digit symbol subtest of the Wechsler Abbreviated Scale of Intelligence.Disturbances of new learning and memory,planning, and the ability to switch mental “set”.Other S/S: Headache, dizziness, blurred vision, and nausea.Initial C-spine precautions due to possible neck injury from MOI.Level of Consciousness (Alert, Verbal Stimuli, Pain Stimuli, Unresponsive).skating or running the wrong direction) Significantly decreased playing ability from earlier in the game/competition Displaying unusual or inappropriate emotions (e.g.Slow to answer questions or follow directions.Unaware of period, opposition, score of game.Typically caused by mild-to-moderate impact to the skull and/or movement of the brain within the cranial vault (Sanders 433).Traditionally characterized by immediate and transient posttraumatic impairment of neural functions.Concussion: An injury in which the brain becomes impaired or loses its ability to perform its duties properly.sports and recreation make up 10% of cases.25% spinal injuries have a mild head injury.10% of head injury patients die before reaching the hospital.Concussion By Brian Gober & Anedra Smith Evaluation of Athletic Injuries I AH 322 09/03/03