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Mayo Sports Medicine Center Concussion Flow Sheet

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by

Eric Crowley

on 10 March 2015

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Transcript of Mayo Sports Medicine Center Concussion Flow Sheet

Mayo Sports Medicine Center Concussion Flow Sheet
Mayo Clinic Preseason Baseline Testing
Baseline concussion questionnaire
King Devick
ImPACT Test
Graded symptom checklist
Suspected Injury and initial treatment
Potential signs of concussion
Loss of consciousness? - how long?
Balance or motor incoordination ( stumbles, slow/laboured movements, etc.)?
Disorientation or confusion (inability to respond appropriately to questions) ?
Loss of Memory
Retrograde
Anterograde
Blank or vacant look
Visible facial injury in combination with any of the above
Emergent transport to St. Mary's Hospital with spine precautions
Evaluation
Maddocks Score
Standardized Assessment of Concussion (SAC)
Physical evaluation
Repeat King Devick if athlete has baseline
King Devick Test
Baseline concussion questionnaire
(+)
(-)
(Normal)
(Abnormal)
Severe symptoms, or
lack of reliable person to
monitor athlete at home
Exertional Maneuvers Test
(+) Concussion
(Symptomatic)
Repeat Graded Symptom Checklist
(-) Concussion. May return to competition
(+)
(-)
Refer to hospital
for appropriate
testing and
observation
Discharge home with reliable observer and athlete
concussion information sheet. Begin physical
and cognitive rest. Not allowed to drive.
The outreach athletic trainer may monitor the athlete for 14-21 days if symptoms are decreasing.
Athletic trainer referral to Mayo Clinic Sports Medicine Center if athlete is: asymptomatic, or if symptoms have not resolved within 14-21 days.
(Asymptomatic)
(Symptomatic)
(Normal ImPact with baseline and cleared by MD)
High school athlete with athletic trainer at school may start return to play protocol
If no previous physical exertion the youth athlete without access to an athletic trainer may return to the Mayo Clinic Sports medicine to perform level 3 of the return to play protocol. May include the Leddy Protocol.
A coach or official (Mayo Clinic Athletic Trainer) shall remove a youth athlete from participating in any youth athletic activity when a youth athlete:
Exhibits signs, symptoms, or behaviors consistent with a concussion
Or
Is suspected of sustaining a concussion
When a coach or official (Mayo Clinic Athletic Trainer) removes a youth athlete from participating in a youth athletic activity because of a concussion, the youth athlete may not return to the activity until the youth athlete:
No longer exhibits signs, symptoms, or behaviors consistent with a concussion
AND
Is evaluated by a provider trained and experienced in evaluating and managing concussions and the provider gives the youth athlete written permission to again participate in the activity.
Minnesota State Legislature: CHAPTER 90–S.F.No. 612. Sec. 2. [121A.38] CONCUSSION PROCEDURES.
(Asymptomatic)
Baseline concussion research

If athlete has continued to improve, but still symptomatic the athlete will continue to be monitored and will follow up with Sports Medicine in a week. We will provide school accommodations for the athlete if needed.
The outreach athletic trainers may progress an athlete who is asymptomatic to levels 3 or 4 of the return to play protocol.
If the athlete continues to present with symptoms greater than 3-5 weeks or presents with visual disturbances we may perform the vision screen.
If medical coverage is being provided by Mayo Clinic the athletic trainers and physicians covering the event have the final say if an athlete can play or will have to sit regarding a head injury or a significant traumatic limb injury

If the athlete continues to present with symptoms of neck pain. We can provide formal physical therapy including: home exercise program, myofascial release, electrical stimulation
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