Sports-Related Concussions in the Emergency Department

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Authors: Katy Guy, Olivia Curtis-Hughes / Editors: Frances Balmer, Sandi Angus / Codes: / Published: 04/08/2025

In 2021, a parliamentary inquiry highlighted inconsistent concussion care in Emergency Departments across the United Kingdom. They found concussions are often poorly recognised and there is a lack of clinical consistency in management and discharge advice.

This learning session aims to improve the standard of concussion care. It includes how to recognise a concussion, and provide appropriate management and discharge advice consistent with new national and international guidance.

Learning objectives

After completing this session, you will be able to:

  • To recognise the signs and symptoms of concussion
  • To appreciate the potential serious complications of concussions
  • To review the assessment and management of concussions in the emergency department
  • To know the appropriate and accurate discharge advice that should be given to patients after a concussion
  • To familiarise clinicians with the new graduated return to activity guidelines
  • To appreciate upcoming areas of research in concussion care.

References

  1. UK Government. UK Concussion Guidelines for Non-Elite (Grassroots) Sport. 2023 [accessed 1 Nov 2023].
  2. Whitehouse DP, Newcombe VF. Management of sports-related concussion in the emergency department. Br J Hosp Med. 2023;84(9):1-9. doi: https://dx.doi.org/10.12968/hmed.2023.0171
  3. Patricios JS, Schneider KJ, Dvorak J, et al. Consensus statement on concussion in sport: the 6th International Conference on Concussion in SportAmsterdam, October 2022. Br J Sports Med. 2023; 57:695-711.doi: 10.1136/bjsports-2023-106898
  4. National Institute for Health and Care Excellence (NICE). Head injury: assessment and early management. [NG232]. London: NICE; 2023 [accessed 1 Nov 2023].
  5. Bazarian JJ, Raukar N, Devera G, et al. Recommendations for the Emergency Department Prevention of Sport-Related Concussion. Ann Emerg Med. 2020;75(4):471-82. doi:10.1016/j.annemergmed.2019.05.032
  6. Mucha A, Collins MW, Elbin RJ, Furman JM, et al. A brief vestibular and ocular motor screening (VOMS) assessment to evaluate preliminary concussion: Preliminary findings. Am J Sports Med. 2014;42(10):2479-86. doi: 10.1177/0363546514543775

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