Sport-related concussion (SRC): management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Sport-related concussion (SRC): management. Player medical history, Mechanism of injury, Visible signs. Fully referenced neurology checklist.

On-pitch assessment factors

  • Player medical history
  • Mechanism of injury
  • Visible signs
  • Level of consciousness
  • Cervical spine assessment
  • Symptoms
  • Orientation
  • Balance
  • Proprioception
  • Oculomotor function
  • Activity

On-pitch assessment tools

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Immediate on-pitch actions

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Subsequent actions

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Transfer to locker room: indications (no-go signs)

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Transfer to locker room: procedure

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Indications for transfer to a medical facility

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Longer-term management

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Return to sport after concussion: criteria

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Prevention

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References

  1. Peek K, Massey A, Connolly R, et al. Football-specific on-pitch concussion assessment protocol-international consensus recommendations. JAMA Neurol 2026; 83:915-921. 
  2. McCrory P, Meeuwisse W, Dvořák J, et al. Consensus statement on concussion in sport-the 5th international conference on concussion in sport held in Berlin, October 2016. Br J Sports Med 2017; 51:838-847.
  3. Ellenbogen RG, Batjer H, Cardenas J, et al. National Football League head, neck and spine committee's concussion diagnosis and management protocol: 2017-18 season. Br J Sports Med 2018; 52:894-902.
  4. Patricios JS, Ardern CL, Hislop MD, et al. Implementation of the 2017 Berlin Concussion in Sport Group Consensus Statement in contact and collision sports: a joint position statement from 11 national and international sports organisations. Br J Sports Med 2018; 52:635-641. 
  5. Davis GA, Makdissi M, Bloomfield P, et al. International study of video review of concussion in professional sports. Br J Sports Med 2018; pii: bjsports-2018-099727 (Epub ahead of print).
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