13 “if in doubt, sit them out” Diagram 6: Medical assessment of concussion – off field (for emergency departments and medical clinics) Athlete with suspected concussion History suggesting concussion: • Trauma • Loss of consciousness • Seizure • Headache • Drowsiness • Nausea/vomiting • Balance disturbance/motor incoordination • Confusion, memory impairment • Emotionally labile • Visual disturbance YES SCAT 5 Neurological examination Normal Monitor and reassess as appropriate Instigate return to sport protocol, once symptom free Clear instruction to stop sport and return for further assessment, if any symptoms subsequently develop Abnormal No suspicion of intracranial pathology or spinal injury Medical investigations if any suspicion of intracranial pathology or spinal injury Investigations normal Investigations abnormal Specialist referral NO SCAT 5 Neurological examination Normal Instigate return to sport protocol Clear instruction to stop sport and return for further assessment, if any symptoms subsequently develop