11 “if in doubt, sit them out” Diagram 4: Non-medical assessment of concussion – off field (for parents, coaches, teachers, team-mates) Things to look out for at home or at school following a possible concussion Athlete with suspected concussion Subtle signs of concussion: • Pale • Difficulty concentrating • Fatigue • Sensitivity to light/noise • Confusion, disorientation • Memory impairment • Nausea • Headache or ‘pressure in the head’ • Feeling slowed or ‘not right’ • Dazed, blank/vacant stare • Behaviour or emotional changes, not themselves Review by medical practitioner RED FLAGS • Neck pain • Increasing confusion, agitation or irritability • Repeated vomiting • Seizure or convulsion • Weakness or tingling/burning in the arms or legs • Deteriorating conscious state • Severe or increasing headache • Unusual behavioural change • Visual or hearing disturbance NO Rest, observation, return to sport protocol under medical advice YES Immediate referral to emergency department