Collisions occur frequently in sports, and we need to do a better job recognizing them when they occur. It is important to watch athletes that have been involved in collisions for developing signs and symptoms of concussion. We know that less than 10% of concussions involve any loss of consciousness so we have to be aware of other, more subtle signs like headache or confusion.
Many athletes, including teens, are unfamiliar with other important symptoms of concussion such as sensitivity to light or noise, balance problems, etc.
If you, or anyone, is concerned that your daughter may have suffered a concussion, she should be removed from play immediately, evaluated with a sideline assessment, like a SCAT 2, which should include an exertional challenge.
It's important to observe the athlete after the collision as some symptoms don't show up right away. If she feels well, does not have any symptoms, and performs well on her sideline testing she can return to the game if cleared by the sideline medical staff. Remember, when in doubt, sit them out.
CDC Heads Up to Schools: Know Your Concussion ABCs for additional information and downloadable materials for school nurses and other school personnel.
Scott R. Laker, M.D.
Assistant Professor
Department of Physical Medicine and Rehabilitation
University of Colorado

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